Inspection safety
20/30
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →-10 for 1 immediate-jeopardy citation(s) in the last 3 years
Staffing
26/30
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →4.8 total nurse hours per resident per day (national median 3.77)
- →0.84 RN hours per resident per day
- →Weekend staffing drops 11% against weekdays
Staff stability
12/15
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →41% of nursing staff left in the last year
Resident outcomes
12/15
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
- →4 of 5 stars on the CMS quality-measure rating
Enforcement history
8/10
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →$13,397 in federal fines across 1 action(s)
Last standard health inspection: December 18, 2024
(1 year ago).
F
Dec 18, 2024
F0801
Nutrition and Dietary Deficiencies
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
No actual harm, potential for more than minimal harm
F
Dec 18, 2024
F0838
Administration Deficiencies
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
No actual harm, potential for more than minimal harm
E
Dec 18, 2024
F0558
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
No actual harm, potential for more than minimal harm
E
Dec 18, 2024
F0756
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
No actual harm, potential for more than minimal harm
E
Dec 18, 2024
F0758
Pharmacy Service Deficiencies
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 m...
No actual harm, potential for more than minimal harm
D
Dec 18, 2024
F0583
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
No actual harm, potential for more than minimal harm
D
Dec 18, 2024
F0657
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
No actual harm, potential for more than minimal harm
D
Dec 18, 2024
F0686
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
No actual harm, potential for more than minimal harm