Morning Star Care 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.

Therapy staffing: this home’s payroll records show 0.10 therapist hours per resident per day in 2026Q1 — more than 6% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 4% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. 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 45 beds and averages 32.7 residents a day — about 73% occupied, or roughly 12 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 5.23 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.04 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.87 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 3.98 hrs/resident/day on weekends vs 5.74 on weekdays — 31% thinner on weekends — a notable drop. RN hours go from 1.13 to 0.80 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

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

Inspection trend

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

Inspection deficiencies

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

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

16 citations, most serious first. The 10 most serious are shown; the remaining 6 are one tap away and print in full.

• Potential for harm · D2025-04-10 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  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 medical record review, staff interview, and MDS 3.0 Resident Assessment Instrument (RAI) manual review, the facility failed to ensure MDS assessments were accurate for 1 of 3 sample residents (#22) reviewed for MDS discrepancies. The findings were: 1. Review of the CMS-802 Matrix provided on 4/7/25 showed elder #22 was coded for receiving hospice care. 2. Review of the quarterly MDS dated [DATE], Section O0110 question K1, showed elder #22 was coded as receiving hospice care. 3. Interview with the DON on 4/9/25 at 2:01 PM revealed the elder had been removed from hospice care in August 2024 and the MDS should not have been marked for hospice services. 4. Review of the Long-Term Care Facility Resident Assessment Instrument 3.0 User Manual version 1.19.1 last revised October 2024 showed .When a SNF or NF is the hospice resident's residence for purposes of the hospice benefit, the facility must comply with the Medicare or Medicaid participation requirements, meaning the resident must be assessed using 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-11-05 · tag F0622 — isolated
  Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
  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 medical record review, and resident representative and staff interview, the facility failed to ensure resident's transferred to the hospital were allowed to return to the the facility for 1 of 3 sample residents (#1) reviewed for hospital transfers. The findings were: 1. Review of a discharge MDS assessment dated [DATE] showed resident #1 admitted to the facility on [DATE] and had a planned short-term general hospital discharge return not anticipated on 9/21/24. The following concerns were identified: a. Review of a progress note dated 9/21/24 and timed 11:55 AM showed Resident sent to ER due to being violent towards staff and other residents. Staff had to intervene when [s/he] was going towards another resident when in a foul mood, and it look [sic] as though [s/he] was going to hit [him/her]. This RN discussed the situation with the nurse manager and decided it was safest for the residents if [s/he] were sent to the ER. The Non emergent ambulance was contacted, and they involved law enforcement due 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-11-05 · tag F0745 — failed to provide medically-related social services — isolated
  Provide medically-related social services to help each resident achieve the highest possible quality of life.
  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 medical record review, resident representative and staff interview, and Medicaid e-mail review, the facility failed to ensure medically-related social services assisted with financial matters for 1 of 3 sample residents (#1). The findings were: 1. Review of a discharge MDS assessment dated [DATE] showed resident #1 admitted to the facility on [DATE] and had a planned short-term general hospital discharge return not anticipated on [DATE]. The following concerns were identified: a. Interview with the resident's son on [DATE] at 2:28 PM revealed he was notified the facility did not complete an LT101 for Medicaid and since the resident was deceased , it could not be performed. Further interview revealed he contacted the facility and they confirmed the LT101 had not been completed. b. Communication with Medicaid on [DATE] showed a client did not need their financial eligibility application approved in order to have a LT101. A client did have to be applying for Medicaid and when a facility puts in a request…

  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 · E2024-01-25 · tag F0756 — failed to review each resident's drug regimen — pattern
  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on medical record review and staff interview, the facility failed to ensure the pharmacist identified and reported irregularities to the physician during the monthly drug regimen review for 3 of 5 sample residents (#2, #19, #23) reviewed for unnecessary medications. The findings were: 1. Review of the 1/9/24 quarterly MDS assessment showed resident #2 received an antianxiety medication and an antidepressant. The following concerns were identified: a. Review of physician orders for resident #2 showed the resident was ordered Trazadone (antidepressant) 50 mg at bedtime PRN on 11/14/23 and lorazepam (antianxiety) 0.5 mg daily PRN on 11/6/23. The PRN orders were not limited to 14 days. b. Review of the medical record showed no physician documentation on why the PRN orders should be longer than 14 days. c. Review of the January 2024 MAR (through 1/24/24) showed the resident received the PRN lorazepam 6 times and the PRN Trazadone 11 times. d. Review of the December 2023 drug regimen review (DRR) dated 1/6/24 and the November 2023 DRR dated 12/2/23 showed the PRN psychotropic…

  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 · Ecited before2024-01-25 · tag F0758 — failed to limit and justify psychotropic drugs — pattern
  Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on medical record review and staff interview, the facility failed to ensure residents on psychotropic medications received gradual dose reductions (GDRs) and PRN orders for psychotropic medications were limited to 14 days for 3 of 5 sample residents (#2, #19, #23) reviewed for unnecessary medications. The findings were: 1. Review of the 1/9/24 quarterly MDS assessment showed resident #2 received an antianxiety medication and an antidepressant medication. The following concerns were identified: a. Review of the physician orders for resident #2 showed the resident was ordered Trazadone (antidepressant) 50 mg at bedtime PRN on 11/14/23 and lorazepam (antianxiety) 0.5 mg daily PRN on 11/6/23. The PRN orders were not limited to 14 days. b. Review of the medical record showed no physician documentation on why the PRN orders should be longer than 14 days. c. Review of the January 2024 MAR (through 1/24/24) showed the resident received the PRN lorazepam 6 times and the PRN Trazadone 11 times. 2. Review of 12/11/23 quarterly MDS assessment showed resident #23 received an antidepressant…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-01-25 · tag F0578 — failed to honor advance directives / code status — isolated
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on medical record review, staff and resident interviews, and review of facility policies, the facility failed to ensure the resident's right to refuse treatment was protected for 1 of 10 sample residents (#24). The resident's refusals resulted in negative consequences implemented by the facility. The findings were: 1. Review of the 12/11/23 annual MDS assessment showed resident #24 had a Brief Interview for Mental Status (BIMS) score of 15 out of 15, indicating the resident was cognitively intact, had diagnoses including cerebral palsy and depression, and wheeled a motorized wheelchair (w/c) 150 feet independently. Review of the care plan for behavioral symptoms, initiated 12/6/22, showed the resident rejected cares, including medications, skin checks, wound care, and activities of daily living (ADLs). The only approaches/interventions listed were to reapproach the resident in 15-20 minutes and offer again and to document rejection and attempts to reapproach. The following concerns were identified: a. Review of the medical record showed a Behavior Support Plan signed by 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-01-25 · tag F0661 — isolated
  Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on medical record review and staff interview, the facility failed to ensure a discharge summary which included a recapitulation of stay was completed for 1 or 1 sample resident (#29) who was discharged . The findings were: 1. Review of the 11/2/23 return not anticipated discharge MDS assessment showed resident #29 was discharged to home/community. Review of a progress note showed on 11/2/23 the resident was discharged . The following concerns were identified: a. Review of the 11/2/23 discharge instructions/plan of care in the medical record showed no discharge summary with a recapitulation (recap) of stay. Further review of the medical record showed no evidence of a discharge summary with a recap of stay. b. During an interview on 1/25/24 at 9:34 AM the DON stated confirmed there was no discharge summary with a recap of stay for this resident.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-01-25 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on medical record review, and staff and resident interviews, the facility failed to ensure pain management was provided to meet the needs of the resident for 1 of 1 sample resident (#2) reviewed for pain management. The findings were: 1. Review of the 1/9/24 quarterly MDS assessment showed resident #2 had frequent pain at a level of 7, on a scale of 0 to 10, and had diagnoses including stroke and hemiplegia. Review of the 1/13/24 Pain-MDS Focused assessment showed the resident received scheduled and PRN pain medication and had frequent pain. The resident stated pain frequently affected sleep and day-to-day activities. The resident described his/her pain as moderate. Review of physician orders showed the resident was ordered the following pain medications: acetaminophen 325 mg, 2 tabs, every 6 hours PRN; Lidoderm adhesive patch, 5%, to coccyx topical 12 hours on, 12 hours off; oxycodone 5 mg, 2 tablets, at bedtime; and tramadol 50 mg, 1.5 tablets, twice per day. The following concerns were identified: a. During an interview on 1/23/24 at 9:44 AM the resident stated s/he had…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-01-25 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on medical record review and staff and resident interviews, the facility failed to provide routine medications for 1 of 9 sample residents (#2) who were reviewed for medications. The findings were: 1. Review of physician orders showed resident #2 was ordered tramadol 50 mg, 1.5 tablets, twice per day. The following concerns were identified: a. Review of the January 2024 MAR showed the tramadol 50 mg, 1.5 tablet, twice per day was documented as not administered for 3.5 days (on 1/19/24 at 2:05 PM, 1/20/24 at 9:09 AM and 2:39 PM, 1/21/24 at 8:28 AM and 3:09 PM, and on 1/22/24 at 9:30 AM and 3:42 PM.) The reason listed was drug/item not available. b. On 1/25/24 at 8:47 AM the resident stated his/her pain was usually a 7. S/he stated there have been times when s/he did not get the tramadol because they didn't have it. The resident stated s/he can take Tylenol when that happens, but it doesn't help as much. c. During an interview on 1/25/24 at 11:24 AM the DON confirmed the resident did not get the tramadol on those days. The DON stated getting medications had been a problem but…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-01-25 · tag F0883 — failed to offer flu and pneumonia vaccines — isolated
  Develop and implement policies and procedures for flu and pneumonia vaccinations.
  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 medical record review, staff interview and review of facility policy and procedures, the facility failed to ensure residents were offered or received the pneumococcal immunization for 2 out of 5 sample residents (#15, #19) reviewed for immunizations. The findings were: 1. Review of the medical record on 1/25/24 at 1 PM for resident #15 showed the last pneumococcal (PCV-13) vaccine received was on 11/5/2019. Further review showed no evidence the resident was offered an updated vaccine. 2. Review of the medical record on 1/24/24 at 8:50 AM for resident #19 showed the last pneumococcal (PCV-13) vaccine received was on 6/11/2015. Further review showed no evidence the resident was offered an updated vaccine. 3. Interview on 1/25/24 at 11:44 AM with the DON revealed it was the facility's expectation that all residents be up to date with vaccines. 4. Review of the article from the CDC website found on 2/7/24 at 8:33 AM titled Pneumococcal Vaccination: Summary of Who and When to Vaccinate at…

  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

$5,168 in federal fines across 1 penalty.

• $5,168 — penalty dated 2024-11-05

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

CMS files one row per role, so the 7 rows in the source record cover these 4 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner 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 96% 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 WY