Not ratedOverall Medicare rating
Not ratedHealth inspections
Not ratedStaffing
Not ratedQuality measures
Medicare rates every nursing home from 1 to 5 stars. 5 is much above average, 1 is much below.
Findings, latest cycle48
Findings with harm or immediate jeopardy, 3 cycles3
Fines, 3 years$103,080
Beds96
Medicare has flagged this home for abuse: an inspection found that a resident was harmed by abuse, or there were repeated findings of possible abuse. Open this home on Medicare.gov
This home is in Medicare's Special Focus Facility program for homes with a history of serious quality problems.
Inspection findings
Inspectors recorded 146 findings in the last three inspection cycles.
Each entry below is a requirement that inspectors found the home did not meet on that date, in the regulator's own English wording.
| Inspection date | Area | Requirement the home did not meet (official wording, in English) | Severity | Corrected |
|---|---|---|---|---|
| Aug 26, 2026 | Quality of life and care | Provide care and assistance to perform activities of daily living for any resident who is unable. (F0677) | No harm, but a risk of harm isolated · from a complaint | no plan of correction on file |
| Aug 26, 2026 | Resident rights | Reasonably accommodate the needs and preferences of each resident. (F0558) | No harm, but a risk of harm isolated · from a complaint | no plan of correction on file |
| May 28, 2026 | Resident rights | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. (F0573) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jun 20, 2026 |
| May 8, 2026 | Building and environment | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. (F0925) | No harm, but a risk of harm isolated | Corrected: May 26, 2026 |
| May 8, 2026 | Building and environment | Put firmly secured handrails on each side of hallways. (F0924) | No harm, but a risk of harm isolated | Corrected: May 29, 2026 |
| May 8, 2026 | Resident assessment and care planning | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (F0842) | No harm, but a risk of harm isolated | Corrected: May 12, 2026 |
| May 8, 2026 | Food and nutrition | Dispose of garbage and refuse properly. (F0814) | No harm, but a risk of harm pattern | Corrected: May 26, 2026 |
| May 8, 2026 | Food and nutrition | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812) | No harm, but a risk of harm pattern | Corrected: May 29, 2026 |
| May 8, 2026 | Pharmacy and medications | Ensure that residents are free from significant medication errors. (F0760) | No harm, but a risk of harm isolated | Corrected: Jun 1, 2026 |
| May 8, 2026 | Pharmacy and medications | Ensure medication error rates are not 5 percent or greater. (F0759) | No harm, but a risk of harm isolated | Corrected: Jun 1, 2026 |
| May 8, 2026 | Pharmacy and medications | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (F0756) | No harm, but a risk of harm isolated | Corrected: Jun 1, 2026 |
| May 8, 2026 | Nursing and physician services | Post nurse staffing information every day. (F0732) | No harm, but a risk of harm pattern | Corrected: May 11, 2026 |
| May 8, 2026 | Nursing and physician services | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (F0726) | No harm, but a risk of harm isolated | Corrected: Jun 1, 2026 |
| May 8, 2026 | Quality of life and care | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. (F0700) | No harm, but a risk of harm isolated | Corrected: Jun 1, 2026 |
| May 8, 2026 | Quality of life and care | Provide safe, appropriate dialysis care/services for a resident who requires such services. (F0698) | No harm, but a risk of harm isolated | Corrected: Jun 1, 2026 |
| May 8, 2026 | Quality of life and care | Provide safe and appropriate respiratory care for a resident when needed. (F0695) | No harm, but a risk of harm pattern | Corrected: May 25, 2026 |
| May 8, 2026 | Quality of life and care | Provide for the safe, appropriate administration of IV fluids for a resident when needed. (F0694) | No harm, but a risk of harm pattern | Corrected: May 11, 2026 |
| May 8, 2026 | Quality of life and care | Provide enough food/fluids to maintain a resident's health. (F0692) | No harm, but a risk of harm isolated | Corrected: Jun 1, 2026 |
| May 8, 2026 | Quality of life and care | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (F0690) | No harm, but a risk of harm pattern | Corrected: May 11, 2026 |
| May 8, 2026 | Quality of life and care | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. (F0688) | No harm, but a risk of harm isolated | Corrected: Jun 1, 2026 |
| May 8, 2026 | Quality of life and care | Provide appropriate pressure ulcer care and prevent new ulcers from developing. (F0686) | No harm, but a risk of harm pattern | Corrected: May 25, 2026 |
| May 8, 2026 | Quality of life and care | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (F0676) | No harm, but a risk of harm isolated | Corrected: Jun 1, 2026 |
| May 8, 2026 | Resident assessment and care planning | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (F0657) | No harm, but a risk of harm isolated | Corrected: Jun 1, 2026 |
| May 8, 2026 | Resident assessment and care planning | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656) | No harm, but a risk of harm pattern | Corrected: May 25, 2026 |
| May 8, 2026 | Resident assessment and care planning | Ensure each resident receives an accurate assessment. (F0641) | No harm, but a risk of harm pattern | Corrected: May 26, 2026 |
| May 8, 2026 | Abuse, neglect and exploitation | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (F0604) | No harm, but a risk of harm isolated | Corrected: Jun 1, 2026 |
| May 8, 2026 | Resident rights | 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. (F0584) | No harm, but a risk of harm isolated | Corrected: May 29, 2026 |
| May 8, 2026 | Resident rights | Keep residents' personal and medical records private and confidential. (F0583) | No harm, but a risk of harm isolated | Corrected: Jun 1, 2026 |
| May 8, 2026 | Resident rights | Reasonably accommodate the needs and preferences of each resident. (F0558) | No harm, but a risk of harm pattern | Corrected: May 26, 2026 |
Earlier inspections (117)
| Inspection date | Area | Requirement the home did not meet (official wording, in English) | Severity | Corrected |
|---|---|---|---|---|
| Apr 16, 2026 | Resident assessment and care planning | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (F0842) | No harm, but a risk of harm isolated · from a complaint | Corrected: May 2, 2026 |
| Apr 1, 2026 | Building and environment | Make sure that a working call system is available in each resident's bathroom and bathing area. (F0919) | No harm, but a risk of harm pattern · from a complaint | Corrected: Apr 24, 2026 |
| Apr 1, 2026 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm pattern · from a complaint | Corrected: Apr 24, 2026 |
| Apr 1, 2026 | Administration | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. (F0836) | No harm, but a risk of harm isolated · from a complaint | Corrected: Apr 24, 2026 |
| Apr 1, 2026 | Quality of life and care | Provide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684) | No harm, but a risk of harm isolated · from a complaint | Corrected: Apr 24, 2026 |
| Apr 1, 2026 | Resident rights | 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. (F0584) | No harm, but a risk of harm isolated · from a complaint | Corrected: Apr 24, 2026 |
| Mar 16, 2026 | Food and nutrition | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (F0804) | No harm, but a risk of harm pattern · from a complaint | Corrected: Apr 3, 2026 |
| Feb 3, 2026 | Quality of life and care | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689) | No harm, but a risk of harm pattern · from a complaint | Corrected: Feb 4, 2026 |
| Feb 3, 2026 | Abuse, neglect and exploitation | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (F0604) | No harm, but a risk of harm isolated · from a complaint | Corrected: Feb 4, 2026 |
| Jan 29, 2026 | Resident assessment and care planning | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656) | No harm, but a risk of harm isolated · from a complaint | Corrected: Feb 21, 2026 |
| Jan 29, 2026 | Abuse, neglect and exploitation | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (F0600) | No harm, but a risk of harm isolated · from a complaint | Corrected: Feb 21, 2026 |
| Jan 5, 2026 | Nursing and physician services | Post nurse staffing information every day. (F0732) | No harm, but a risk of harm pattern · from a complaint | Corrected: Jan 6, 2026 |
| Dec 30, 2025 | Food and nutrition | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jan 23, 2026 |
| Dec 30, 2025 | Quality of life and care | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jan 23, 2026 |
| Dec 30, 2025 | Resident assessment and care planning | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jan 23, 2026 |
| Dec 11, 2025 | Resident assessment and care planning | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656) | No harm, but a risk of harm isolated · from a complaint | Corrected: Dec 12, 2025 |
| Dec 1, 2025 | Quality of life and care | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689) | No harm, but a risk of harm isolated · from a complaint | Corrected: Dec 10, 2025 |
| Nov 21, 2025 | Resident rights | Ensure that residents are fully informed and understand their health status, care and treatments. (F0552) | No harm, but a risk of harm pattern · from a complaint | Corrected: Dec 15, 2025 |
| Nov 21, 2025 | Resident rights | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (F0550) | No harm, but a risk of harm pattern · from a complaint | Corrected: Dec 15, 2025 |
| Sep 10, 2025 | Abuse, neglect and exploitation | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (F0609) | No harm, but a risk of harm isolated · from a complaint | Corrected: Sep 19, 2025 |
| Sep 10, 2025 | Abuse, neglect and exploitation | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (F0600) | No harm, but a risk of harm isolated · from a complaint | Corrected: Sep 16, 2025 |
| Sep 5, 2025 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm pattern · from a complaint | Corrected: Sep 25, 2025 |
| Sep 5, 2025 | Pharmacy and medications | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755) | No harm, but a risk of harm pattern · from a complaint | Corrected: Sep 25, 2025 |
| Sep 5, 2025 | Quality of life and care | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689) | No harm, but a risk of harm pattern · from a complaint | Corrected: Sep 25, 2025 |
| Sep 5, 2025 | Quality of life and care | Provide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684) | No harm, but a risk of harm isolated · from a complaint | Corrected: Sep 6, 2025 |
| Sep 5, 2025 | Resident rights | Keep residents' personal and medical records private and confidential. (F0583) | No harm, but a risk of harm isolated · from a complaint | Corrected: Sep 25, 2025 |
| Sep 5, 2025 | Resident rights | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (F0580) | No harm, but a risk of harm isolated · from a complaint | Corrected: Sep 7, 2025 |
| Sep 5, 2025 | Resident rights | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (F0550) | No harm, but a risk of harm pattern · from a complaint | Corrected: Oct 1, 2025 |
| Aug 13, 2025 | Quality of life and care | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. (F0740) | No harm, but a risk of harm isolated · from a complaint | Corrected: Sep 5, 2025 |
| Jul 25, 2025 | Quality of life and care | Provide safe, appropriate pain management for a resident who requires such services. (F0697) | No harm, but a risk of harm isolated · from a complaint | Corrected: Aug 18, 2025 |
| Jul 25, 2025 | Quality of life and care | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689) | No harm, but a risk of harm isolated · from a complaint | Corrected: Aug 18, 2025 |
| Jul 25, 2025 | Resident rights | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (F0580) | No harm, but a risk of harm isolated · from a complaint | Corrected: Aug 15, 2025 |
| Jul 2, 2025 | Quality of life and care | Provide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jul 25, 2025 |
| Jun 23, 2025 | Abuse, neglect and exploitation | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (F0600) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jul 9, 2025 |
| Jun 5, 2025 | Abuse, neglect and exploitation | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (F0609) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jun 6, 2025 |
| May 22, 2025 | Abuse, neglect and exploitation | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (F0600) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jun 5, 2025 |
| Apr 15, 2025 | Nursing and physician services | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (F0726) | No harm, but a risk of harm isolated · from a complaint | Corrected: May 7, 2025 |
| Apr 15, 2025 | Quality of life and care | Provide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684) | No harm, but a risk of harm isolated · from a complaint | Corrected: May 7, 2025 |
| Apr 15, 2025 | Resident assessment and care planning | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656) | No harm, but a risk of harm isolated · from a complaint | Corrected: May 7, 2025 |
| Apr 15, 2025 | Resident rights | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (F0550) | No harm, but a risk of harm isolated · from a complaint | Corrected: May 7, 2025 |
| Mar 25, 2025 | Abuse, neglect and exploitation | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (F0600) | Actual harm to a resident isolated · from a complaint | Corrected: Apr 11, 2025 |
| Mar 7, 2025 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm pattern | Corrected: May 5, 2025 |
| Mar 7, 2025 | Food and nutrition | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812) | No harm, but a risk of harm pattern | Corrected: Mar 28, 2025 |
| Mar 7, 2025 | Food and nutrition | 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. (F0801) | No harm, but a risk of harm pattern | Corrected: Mar 28, 2025 |
| Mar 7, 2025 | Pharmacy and medications | Ensure that residents are free from significant medication errors. (F0760) | No harm, but a risk of harm pattern | Corrected: Mar 28, 2025 |
| Mar 7, 2025 | Pharmacy and medications | Ensure medication error rates are not 5 percent or greater. (F0759) | No harm, but a risk of harm pattern | Corrected: Mar 28, 2025 |
| Mar 7, 2025 | Pharmacy and medications | 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 medication is necessary and PRN use is limited. (F0758) | No harm, but a risk of harm pattern | Corrected: May 5, 2025 |
| Mar 7, 2025 | Pharmacy and medications | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755) | No harm, but a risk of harm pattern | Corrected: May 5, 2025 |
| Mar 7, 2025 | Nursing and physician services | Post nurse staffing information every day. (F0732) | No harm, minimal risk pattern | Corrected: Mar 28, 2025 |
| Mar 7, 2025 | Nursing and physician services | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (F0726) | No harm, but a risk of harm isolated | Corrected: Mar 28, 2025 |
| Mar 7, 2025 | Nursing and physician services | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (F0725) | No harm, but a risk of harm pattern | Corrected: Mar 28, 2025 |
| Mar 7, 2025 | Quality of life and care | Provide care or services that was trauma informed and/or culturally competent. (F0699) | No harm, but a risk of harm isolated | Corrected: Mar 28, 2025 |
| Mar 7, 2025 | Quality of life and care | Provide safe, appropriate dialysis care/services for a resident who requires such services. (F0698) | No harm, but a risk of harm isolated | Corrected: Mar 28, 2025 |
| Mar 7, 2025 | Quality of life and care | Provide safe, appropriate pain management for a resident who requires such services. (F0697) | No harm, but a risk of harm pattern | Corrected: Mar 28, 2025 |
| Mar 7, 2025 | Quality of life and care | Provide safe and appropriate respiratory care for a resident when needed. (F0695) | No harm, but a risk of harm isolated | Corrected: Mar 28, 2025 |
| Mar 7, 2025 | Quality of life and care | Provide enough food/fluids to maintain a resident's health. (F0692) | No harm, but a risk of harm isolated | Corrected: Mar 28, 2025 |
| Mar 7, 2025 | Quality of life and care | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (F0690) | No harm, but a risk of harm isolated | Corrected: Mar 28, 2025 |
| Mar 7, 2025 | Quality of life and care | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689) | Actual harm to a resident isolated | Corrected: Mar 29, 2025 |
| Mar 7, 2025 | Quality of life and care | Provide appropriate pressure ulcer care and prevent new ulcers from developing. (F0686) | No harm, but a risk of harm pattern | Corrected: Mar 28, 2025 |
| Mar 7, 2025 | Quality of life and care | Provide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684) | No harm, but a risk of harm pattern | Corrected: Mar 28, 2025 |
| Mar 7, 2025 | Resident assessment and care planning | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656) | No harm, but a risk of harm pattern | Corrected: Mar 28, 2025 |
| Mar 7, 2025 | Resident assessment and care planning | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. (F0640) | No harm, but a risk of harm isolated | Corrected: Mar 28, 2025 |
| Mar 7, 2025 | Abuse, neglect and exploitation | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (F0609) | No harm, but a risk of harm isolated | Corrected: Mar 28, 2025 |
| Mar 7, 2025 | Resident rights | 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. (F0584) | No harm, but a risk of harm pattern | Corrected: Mar 28, 2025 |
| Mar 7, 2025 | Resident rights | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (F0578) | No harm, but a risk of harm pattern | Corrected: Mar 28, 2025 |
| Mar 7, 2025 | Resident rights | Reasonably accommodate the needs and preferences of each resident. (F0558) | No harm, but a risk of harm isolated | Corrected: Mar 28, 2025 |
| Mar 7, 2025 | Resident rights | Ensure that residents are fully informed and understand their health status, care and treatments. (F0552) | No harm, but a risk of harm isolated | Corrected: May 5, 2025 |
| Mar 7, 2025 | Resident rights | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (F0550) | No harm, but a risk of harm isolated | Corrected: Mar 28, 2025 |
| Jan 23, 2025 | Quality of life and care | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689) | No harm, but a risk of harm isolated · from a complaint | Corrected: Mar 3, 2025 |
| Jan 7, 2025 | Quality of life and care | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jan 31, 2025 |
| Jan 7, 2025 | Quality of life and care | Provide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jan 31, 2025 |
| Jan 7, 2025 | Resident assessment and care planning | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656) | No harm, but a risk of harm isolated · from a complaint | Corrected: Jan 31, 2025 |
| Dec 11, 2024 | Abuse, neglect and exploitation | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (F0609) | No harm, but a risk of harm isolated · from a complaint | Corrected: Dec 27, 2024 |
| Dec 3, 2024 | Pharmacy and medications | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755) | No harm, but a risk of harm isolated · from a complaint | Corrected: Dec 23, 2024 |
| Dec 3, 2024 | Quality of life and care | Provide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684) | No harm, but a risk of harm pattern · from a complaint | Corrected: Dec 23, 2024 |
| Nov 26, 2024 | Resident assessment and care planning | Plan the resident's discharge to meet the resident's goals and needs. (F0660) | No harm, but a risk of harm isolated · from a complaint | Corrected: Dec 22, 2024 |
| Nov 26, 2024 | Resident rights | Prepare residents for a safe transfer or discharge from the nursing home. (F0624) | No harm, but a risk of harm isolated · from a complaint | Corrected: Dec 22, 2024 |
| Nov 20, 2024 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm pattern · from a complaint | Corrected: Dec 13, 2024 |
| Nov 20, 2024 | Resident assessment and care planning | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (F0842) | No harm, but a risk of harm isolated · from a complaint | Corrected: Dec 13, 2024 |
| Nov 20, 2024 | Resident assessment and care planning | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656) | No harm, but a risk of harm pattern · from a complaint | Corrected: Dec 13, 2024 |
| Nov 20, 2024 | Resident rights | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (F0623) | No harm, but a risk of harm isolated · from a complaint | Corrected: Dec 13, 2024 |
| Nov 20, 2024 | Resident rights | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. (F0622) | No harm, but a risk of harm isolated · from a complaint | Corrected: Dec 13, 2024 |
| Aug 9, 2024 | Nursing and physician services | 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. (F0727) | No harm, but a risk of harm isolated · from a complaint | Corrected: Aug 16, 2024 |
| Aug 9, 2024 | Quality of life and care | Provide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684) | No harm, but a risk of harm isolated · from a complaint | Corrected: Aug 27, 2024 |
| Aug 2, 2024 | Abuse, neglect and exploitation | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (F0600) | Actual harm to a resident pattern · from a complaint | Corrected: Aug 29, 2024 |
| Aug 2, 2024 | Resident rights | 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. (F0584) | No harm, but a risk of harm isolated · from a complaint | Corrected: Aug 6, 2024 |
| Jul 18, 2024 | Quality of life and care | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689) | No harm, but a risk of harm isolated · from a complaint | Corrected: Aug 8, 2024 |
| Apr 26, 2024 | Resident assessment and care planning | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656) | No harm, but a risk of harm isolated · from a complaint | Corrected: May 28, 2024 |
| Apr 26, 2024 | Abuse, neglect and exploitation | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (F0600) | No harm, but a risk of harm isolated · from a complaint | Corrected: May 26, 2024 |
| Apr 26, 2024 | Resident rights | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (F0580) | No harm, but a risk of harm isolated · from a complaint | Corrected: May 31, 2024 |
| Apr 11, 2024 | Quality of life and care | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689) | No harm, but a risk of harm isolated · from a complaint | Corrected: Apr 22, 2024 |
| Mar 23, 2024 | Resident rights | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. (F0626) | No harm, but a risk of harm pattern · from a complaint | Corrected: Mar 31, 2024 |
| Mar 22, 2024 | Resident assessment and care planning | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (F0842) | No harm, but a risk of harm pattern · from a complaint | Corrected: Mar 31, 2024 |
| Mar 22, 2024 | Abuse, neglect and exploitation | Develop and implement policies and procedures to prevent abuse, neglect, and theft. (F0607) | No harm, but a risk of harm isolated · from a complaint | Corrected: Mar 31, 2024 |
| Mar 5, 2024 | Pharmacy and medications | 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 medication is necessary and PRN use is limited. (F0758) | No harm, but a risk of harm pattern | Corrected: Apr 3, 2024 |
| Mar 5, 2024 | Pharmacy and medications | Ensure each resident’s drug regimen must be free from unnecessary drugs. (F0757) | No harm, but a risk of harm pattern | Corrected: Apr 3, 2024 |
| Mar 5, 2024 | Nursing and physician services | Post nurse staffing information every day. (F0732) | No harm, but a risk of harm isolated | Corrected: Apr 3, 2024 |
| Mar 5, 2024 | Nursing and physician services | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (F0726) | No harm, but a risk of harm pattern | Corrected: Apr 3, 2024 |
| Mar 5, 2024 | Quality of life and care | Provide safe and appropriate respiratory care for a resident when needed. (F0695) | No harm, but a risk of harm isolated | Corrected: Apr 3, 2024 |
| Mar 5, 2024 | Quality of life and care | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. (F0693) | No harm, but a risk of harm isolated | Corrected: Apr 3, 2024 |
| Mar 5, 2024 | Quality of life and care | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (F0690) | No harm, but a risk of harm isolated | Corrected: Apr 3, 2024 |
| Mar 5, 2024 | Quality of life and care | Provide appropriate pressure ulcer care and prevent new ulcers from developing. (F0686) | No harm, but a risk of harm pattern | Corrected: Apr 3, 2024 |
| Mar 5, 2024 | Quality of life and care | Provide activities to meet all resident's needs. (F0679) | No harm, but a risk of harm isolated | Corrected: Apr 3, 2024 |
| Mar 5, 2024 | Resident assessment and care planning | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656) | No harm, but a risk of harm pattern | Corrected: Apr 3, 2024 |
| Mar 5, 2024 | Resident assessment and care planning | Assure that each resident’s assessment is updated at least once every 3 months. (F0638) | No harm, but a risk of harm pattern | Corrected: Apr 3, 2024 |
| Mar 5, 2024 | Resident assessment and care planning | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (F0636) | No harm, but a risk of harm pattern | Corrected: Apr 3, 2024 |
| Mar 5, 2024 | Resident rights | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (F0623) | No harm, but a risk of harm isolated | Corrected: Apr 3, 2024 |
| Mar 5, 2024 | Abuse, neglect and exploitation | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (F0609) | No harm, but a risk of harm isolated · from a complaint | Corrected: Apr 3, 2024 |
| Mar 5, 2024 | Abuse, neglect and exploitation | Develop and implement policies and procedures to prevent abuse, neglect, and theft. (F0607) | No harm, but a risk of harm isolated · from a complaint | Corrected: Apr 3, 2024 |
| Mar 5, 2024 | Resident rights | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (F0582) | No harm, but a risk of harm pattern | Corrected: Apr 3, 2024 |
| Mar 5, 2024 | Resident rights | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (F0580) | No harm, but a risk of harm isolated | Corrected: Apr 3, 2024 |
| Mar 5, 2024 | Resident rights | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (F0578) | No harm, but a risk of harm pattern | Corrected: Apr 3, 2024 |
| Mar 5, 2024 | Resident rights | Reasonably accommodate the needs and preferences of each resident. (F0558) | No harm, but a risk of harm pattern | Corrected: Apr 3, 2024 |
| Oct 8, 2023 | Food and nutrition | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (F0804) | No harm, but a risk of harm pattern · from a complaint | Corrected: Nov 13, 2023 |
| Oct 8, 2023 | Quality of life and care | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F0689) | No harm, but a risk of harm isolated · from a complaint | Corrected: Nov 13, 2023 |
| Oct 8, 2023 | Abuse, neglect and exploitation | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (F0609) | No harm, but a risk of harm pattern · from a complaint | Corrected: Nov 13, 2023 |
| Oct 8, 2023 | Abuse, neglect and exploitation | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (F0600) | No harm, but a risk of harm pattern · from a complaint | Corrected: Nov 13, 2023 |
Fines and payment denials
Federal fines in the last three years: $103,080 (2). Payment denials: 1.
| Date | Type | Amount |
|---|---|---|
| Mar 7, 2025 | Fine | $66,576 |
| Mar 7, 2025 | Payment denial | 33 days |
| Jul 18, 2024 | Fine | $36,504 |
Staffing
| Nurse staff hours per resident per day | 4.23 | California median: 4.27 |
| Registered nurse hours per resident per day | 0.24 | California median: 0.52 |
| Nurse staff hours on weekends | 3.79 | California median: 3.85 |
| Nursing staff who left within a year | 62.0% | California median: 36.0% |
About this home
| Beds | 96 |
| Residents per day, average | 87.3 |
| Ownership | For-profit, limited liability company |
| Legal business name | Mesa Glen Holdings LLC |
| In Medicare/Medicaid since | Nov 7, 2008 |
Questions to ask when you call
- What was corrected after the last inspection?
- How many staff work at night and on weekends?
- Does anyone on staff speak my relative's language?
- May I visit at any time, without an appointment?
Source. Medicare Care Compare (CMS Provider Data), data dated Oct 1, 2026. Open this home on Medicare.gov · Report an error
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