Inspection safety
27.5/30
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →-2.5 for 24 total citations against a national median of 17
Staffing
8/30
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →2.93 total nurse hours per resident per day (national median 3.77)
- →0.5 RN hours per resident per day
- →Weekend staffing drops 12% against weekdays
Staff stability
5/15
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →62% of nursing staff left in the last year
Resident outcomes
15/15
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
- →5 of 5 stars on the CMS quality-measure rating
Enforcement history
10/10
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →No federal fines on record
Last standard health inspection: June 13, 2024
(2 years ago).
F
Jun 13, 2024
F0584 From a complaint
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
No actual harm, potential for more than minimal harm
F
Jun 13, 2024
F0727
Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
No actual harm, potential for more than minimal harm
F
Jun 13, 2024
F0868
Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
No actual harm, potential for more than minimal harm
F
Jun 13, 2024
F0880
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
F
Jun 13, 2024
F0881
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
No actual harm, potential for more than minimal harm
F
Jun 13, 2024
F0882
Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
No actual harm, potential for more than minimal harm
E
Jun 13, 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
E
Jun 13, 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