Inspection safety
16/30
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
- →-4 for 1 actual-harm citation(s) in the last 3 years
Staffing
29/30
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →5.42 total nurse hours per resident per day (national median 3.77)
- →1.08 RN hours per resident per day
- →Weekend staffing drops 6% against weekdays
Staff stability
0/15
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →65% of nursing staff left in the last year
- →-2 for 2 administrator departures
Resident outcomes
2/15
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
- →1 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.
- →$19,406 in federal fines across 2 action(s)
Last standard health inspection: September 18, 2024
(1 year ago).
F
Sep 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
Sep 18, 2024
F0851
Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
No actual harm, potential for more than minimal harm
F
Sep 18, 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
Sep 18, 2024
F0883
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
No actual harm, potential for more than minimal harm
D
Sep 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
D
Sep 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
D
Sep 18, 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
Sep 18, 2024
F0880
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm