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
24.5/30
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →4.84 total nurse hours per resident per day (national median 3.77)
- →1.24 RN hours per resident per day
- →Weekend staffing drops 17% against weekdays
Staff stability
9/15
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →47% 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.
- →$17,124 in federal fines across 1 action(s)
Last standard health inspection: August 7, 2024
(2 years ago).
D
Aug 7, 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
Aug 7, 2024
F0661
Resident Assessment and Care Planning Deficiencies
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
No actual harm, potential for more than minimal harm
D
Aug 7, 2024
F0684
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
No actual harm, potential for more than minimal harm
D
Aug 7, 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
D
Aug 7, 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
D
Aug 7, 2024
F0757
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
No actual harm, potential for more than minimal harm
D
Aug 7, 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
J
Jun 5, 2024
F0695 From a complaint
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Immediate jeopardy to resident health or safety