Green House Living for Sheridan

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.

Staffing

How full it usually is: this home is certified for 48 beds and averages 35.5 residents a day — about 74% 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the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026.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 4.53 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.69 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.59 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 4.21 hrs/resident/day on weekends vs 4.66 on weekdays — 10% thinner on weekends. RN hours go from 1.78 to 1.48 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 74% is well above the national median of 45%.

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

Inspection trend

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

Inspection deficiencies

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

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

35 citations, most serious first. The 14 most serious are shown; the remaining 21 are one tap away and print in full.

• Actual harm · Gcited before2025-11-19 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, resident representative and staff interview, facility incident review, and root cause analysis review, the facility failed to ensure adequate supervision to prevent accidents for 1 of 6 sample residents (#1) reviewed for incidents and accidents. This failure resulted in actual harm to resident #1. Corrective measures were implemented prior to the survey and compliance was determined to be met on 11/12/25 The findings were:1. Review of the admission MDS assessment dated [DATE] showed resident #1 had a brief interview for mental status score of 11 out 15, which indicated moderate cognitive impairment, and diagnoses which included progressive neurological conditions. Further review showed the resident used a walker for mobility and required partial/moderate assistance with upper and lower body dressing, personal hygiene, sit to stand transfers, toilet transfer, and walking 10 feet. The following concerns were identified:a. Review of a progress note dated 10/18/25 and timed 7:35 PM…

  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 · Past Non-Compliance
• Actual harm · G2025-03-13 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  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, medical record review, staff interview, and policy and procedure review, the facility failed to maintain acceptable parameters of nutritional status for 1 of 2 sample residents (resident #4) with nutritional status concerns. This failure resulted in harm to resident #4 who experienced severe weight loss. The findings were: 1. Review of the annual MDS assessment dated [DATE] showed resident #4 had a BIMS score of 8 out of 15, which indicated moderate cognitive impairment, and diagnoses which included dementia, depression, and chronic obstructive pulmonary disease. Review of the physician orders showed a regular fortified low sodium diet with snacks 3/8/23. Review of the resident's care plan last updated 2/15/25 showed the resident had the potential for unplanned weight loss related to eating small meals. Interventions included Offer me snacks, and I do prefer ritz crackers. Encourage me to have small, frequent feedings instead of large meals. Give me supplements if needed to maintain…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2024-02-01 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  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, facility investigation review, performance improvement plan review, professional standard review, and policy review, the facility failed to ensure timely care and treatment was provided for 1 of 5 sample elders (#90) reviewed for skin conditions. This failure resulted in actual harm to elder #90 who developed a wound infection and had delayed hospitalization. Corrective measures were implemented by the facility prior to the survey and compliance was determined to be met on 1/5/24. The findings were: 1. Review of the significant change MDS assessment dated [DATE] showed elder #90 had short-term and long-term memory problems and diagnoses which included Parkinson's disease with dyskinesia, pain, and a personal history of diseases of the skin and subcutaneous tissue. The elder had a functional limitation in range of motion on one side of lower extremities, required substantial/maximal assistance for rolling left and right, moving from sitting to lying, moving from…

  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 · Past Non-Compliance
• Actual harm · G2024-02-01 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, staff interview, facility investigation review, performance improvement plan review, and policy review, the facility failed to implement interventions and treatment to prevent the deterioration of wounds for 1 of 5 sample elders (#90) reviewed for skin conditions. This failure resulted in actual harm to elder #90 who developed a wound infection and had delayed hospitalization. Corrective measures were implemented by the facility prior to the survey and compliance was determined to be met on 1/5/24. The findings were: 1. Review of the significant change MDS assessment dated [DATE] showed elder #90 had short-term and long-term memory problems and diagnoses which included Parkinson's disease with dyskinesia, pain, and a personal history of diseases of the skin and subcutaneous tissue. The elder had a functional limitation in range of motion on one side of lower extremities, required substantial/maximal assistance for rolling left and right, moving from sitting to lying, moving from…

  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 · Past Non-Compliance
• Potential for harm · E2026-02-03 · tag F0641 — pattern
  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, and staff interview, the facility failed to ensure MDS assessments were accurate for 3 of 4 sample residents (#2, #3, #4) reviewed for MDS discrepancies. The findings were:1. Review of the admission MDS assessment dated [DATE] for resident #2 showed the status was In Progress.2. Review of the quarterly MDS assessment dated [DATE] for resident #2 showed the status was In Progress.3. Review of the annual MDS assessment dated [DATE] for resident #3 showed the status was In Progress.4. Review of the significant change MDS assessment dated [DATE] for resident #3 showed the status was In Progress.5. Review of the admission MDS assessment dated [DATE] for resident #4 showed the status was In Progress.6. Review of the quarterly MDS assessment dated [DATE] for resident #4 showed the status was In Progress.7. Interview with the DON on 2/3/26 at 3:30 PM confirmed the MDS assessments had not been updated. She stated they had recently identified the issue and had begun a plan of correction.8.…

  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 · D2026-02-03 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, and medical record review, the facility failed to ensure residents were free from neglect for 1 of 3 sample residents (#1) reviewed for abuse and neglect. The findings were: 1. Review of the quarterly MDS assessment dated [DATE] showed resident #1 had severely impaired cognitive skills and diagnoses which included, non-Alzheimer's dementia and depression. Further review showed the resident was incontinent, non-ambulatory, and dependent upon staff for ADL cares. The following concerns were identified:2. Interview with the CNA #1 on 2/3/26 at 4:10 PM revealed she had been a patient care tech (PCT) on 12/27/25, and was able to assist but was unable to provide direct cares to residents on her own at that time. She asked CNA #2 what time they usually got resident #1 up for the day, and was told they let him/her sleep in. CNA #2 and CNA #3 got the resident up for lunch around 11 AM. She reported the resident did not eat much, and had typically been given a shake to supplement…

  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 · D2026-02-03 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, staff interview, review of the facility incident tracking log, and review of facility policies, the facility failed to ensure care plans were updated for 1 of 3 sample residents (#1) reviewed for care planning. The findings were:1. Review of the quarterly MDS dated [DATE] showed the resident had severely impaired cognitive skills and diagnoses which included, non-Alzheimer's dementia and depression. Further review showed the resident was incontinent, non-ambulatory, and dependent upon staff for ADL cares. Review of the facility incident tracking log showed there had been an alleged incident of neglect with the resident on 12/27/25. The following concerns were identified:2. Review of the resident's care plan initiated 12/5/23 showed the resident had mixed bladder incontinence, and goals that included I will have my dignity remain intact through the next review date and I will remain free from skin breakdown due to incontinence and brief use through the review date. The care plan…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-03-13 · tag F0882 — widespread
  Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on staff interview, the facility failed to ensure a qualified infection preventionist was designated. The census was 28. The findings were: Interview with the facility administrator on 3/10/25 at 3:28 PM revealed the infection preventionist position was open and she was keeping up with the program with assistance from the hospital. Further interview confirmed there was nobody on staff who had completed specialized training in infection prevention and control.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-03-13 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, and policy and procedure review, the facility failed to ensure residents were treated with respect and dignity in 1 of 4 resident cottages ([NAME]). The cottage census was 7. The findings were: 1. Observation on 3/11/25 at 4:47 PM showed seven residents and two resident family members were seated at the dining table. At that time, two CNAs, CNA #1 and CNA #2, were discussing resident health information at a volume that could easily be heard across the room. CNA #1 asked resident #3 how many bowel movements s/he had that day and the resident held up two fingers. Then the CNA asked CNA #2, How many times did you change [resident #18]? CNA #2 replied, Four times. 2. Observation on 3/12/25 at 4:25 PM showed three residents seated at the dining table. Two CNAs, CNA #2 and CNA #3, were discussing resident health information and CNA #2 stated loudly from the other side of the room, the nurse said she'll mark all of [resident #4]'s smearing as a small BM. 3. Interview with 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 · E2025-03-13 · 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, resident and staff interview, medical record review, activity calendar review, and policy and procedure review, the facility failed to ensure resident choice of activities were provided for 3 of 4 resident cottages ([NAME], [NAME], Founders) with activity concerns. The findings were: 1. Review of the activity calendar for March 2025 showed on 3/12/25 the scheduled activities were 10 AM activities binder exercise CNA pick and assist and 2 PM Dominos in [NAME] game room. Further review showed the PM activity every day was This day in History reading by staff (read at lunch or dinner). 2. Review of the quarterly MDS assessment dated [DATE] showed resident #6 had a brief interview for mental status (BIMS) score of 15 out 15, which indicated the resident was cognitively intact, and had diagnoses which included depression. Review of the annual MDS assessment dated [DATE] showed it was very important to have books, newspapers, and magazines to read, listen to music, be around animals, keep up with…

  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 before2025-03-13 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff, resident representative, and resident interview, and facility staffing review, the facility failed to ensure adequate staff in 1 of 4 cottages ([NAME]). The cottage census was 9. The findings were: 1. Review of the annual MDS assessment dated [DATE] showed resident #20 had a BIMS score of 0 out of 15, which indicated severe cognitive impairment, and diagnoses which included dementia. Review of the resident's care plan last revised on 12/18/24 showed I enjoy 1:1 time with staff. I like to talk about elk hunting, cars, and motors. I like going for strolls outside . Further review showed I may have behaviors of being verbally mean or getting agitated [related to] dementia and I may wander or try to leave my cottage r/t History of attempts to leave facility unattended. The following concerns were identified: a. Observation in the [NAME] cottage on 3/12/25 from 1:34 PM to 4:53 PM showed the resident independently ambulated throughout the cottage. The resident occupied the common area and…

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

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-03-13 · tag F0883 — failed to offer flu and pneumonia vaccines — pattern
  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

  Based on medical record review, staff interview and policy and procedure review, the facility failed to document if residents were educated about the benefits and potential side effects of the influenza and pneumococcal immunizations and if residents received the immunizations for 4 of 6 sample residents (#12, #14, #24, #28) reviewed for immunization status. The findings were: 1. Review of the immunization records for resident #12 showed there was no evidence of education, offer, refusal or receipt of a current pneumococcal immunization. 2. Review of the immunization records for resident #14 showed there was no evidence of education, offer, refusal or receipt of an annual influenza, current COVID-19, or current pneumococcal immunization. 3. Review of the immunization records for resident #24 showed there was no evidence of education, offer, refusal or receipt of an annual influenza or current pneumococcal immunization. 4. Review of the immunization records for resident #28 showed there was no evidence of education, offer, refusal or receipt of an annual influenza, current COVID-19,…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-13 · tag F0744 — failed to care for residents with dementia — isolated
  Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
  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, medical record review, and resident representative and staff interview, the facility failed to ensure residents with dementia received the appropriate treatment and services to attain their highest practicable physical, mental, and psychosocial well-being for 1 of 4 residents (#20) reviewed for dementia care. The findings were: 1. Review of the annual MDS assessment dated [DATE] showed resident #20 had a BIMS score of 0 out of 15, which indicated severe cognitive impairment, and diagnoses which included dementia. Review of the resident's care plan last revised on 12/18/24 showed I enjoy 1:1 time with staff. I like to talk about elk hunting, cars, and motors. I like going for strolls outside . Further review showed I may have behaviors of being verbally mean or getting agitated r/t [related to]dementia and I may wander or try to leave my cottage r/t History of attempts to leave facility unattended. The following concerns were identified: a. Observation in the [NAME] cottage on 3/12/25 from…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-13 · tag F0757 — failed to avoid unnecessary drugs — isolated
  Ensure each resident’s drug regimen must be free from unnecessary drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on medical record review, staff interview, and policy and procedure review, the facility failed to ensure residents' drug regimen was free of unnecessary drugs for 1 of 6 sample residents (#26) reviewed for unnecessary medications. The findings were: 1. Review of the physician orders for resident #26 showed the resident had an order for Cephalexin 250 milligrams (mg) 1 tablet by mouth one time a day for infection management which was ordered on 9/27/24 and didn't have a stop date. Review of a hospital discharge note-physician 9/26/24 showed the discharge plan indicated the resident had recurrent infection with no current symptoms and Cephalexin 250 mg was ordered daily for prophylaxis. Further review showed no evidence a physician rationale was provided for long-term antibiotic use. 2. Interview with the DON and administrator on 3/13/25 at 10:04 AM confirmed the physician had not provided rationale for the long-term use of the antibiotic. 3. Review of the policy titled Antibiotic Stewardship last revised on 8/20/23 showed .The Antibiotic Stewardship Committee Will: 1. Support…

  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

“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

$61,929 in federal fines across 3 penalties. 2 Medicare payment denials on record.

• $14,773 — penalty dated 2025-11-19
• $40,256 — penalty dated 2025-03-13
• $6,900 — penalty dated 2024-02-01
• Medicare payment denial — starting 2025-05-08 for 29 days
• Medicare payment denial — starting 2024-05-01 for 61 days

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 65 rows in the source record cover these 24 parties — each is shown once here with every role it holds. Nothing is omitted.

2 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.

What families pay in WY