Beloved Health and Rehabilitation Center
Hannibal, Missouri
Skilled nursing facility in Hannibal, MO with 111 certified beds and a 1-star CMS overall rating.
Beloved Health and Rehabilitation Center is a skilled nursing facility in Hannibal, Missouri (Marion County), with 111 Medicare/Medicaid-certified beds.
Address: 328 Munger Lane, Hannibal, MO 63401. Phone: (573) 577-2100.
Ownership: For profit - Individual. Certified for Medicare and Medicaid. Automatic sprinkler systems in all required areas. Has both a resident and family council.
CMS Five-Star ratings (source: Medicare Care Compare): overall 1 of 5, health inspections 1, staffing 1, quality measures 2.
Levels of care
- Skilled nursing
Facility details
- Street address
- 328 Munger Lane
- City
- Hannibal
- State
- Missouri
- ZIP code
- 63401
- Phone
- (573) 577-2100
- Levels of care
- Skilled nursing
- Payment options accepted
- Medicare, Medicaid
- Cms Ccn
- 265462
- County
- Marion
- Ownership Type
- For profit - Individual
- Provider Type
- Medicare and Medicaid
- Certified Beds
- 111
- Avg Daily Residents
- 60.2
- Continuing Care Community
- No
- Resident Family Council
- Both
- Sprinklers All Areas
- Yes
- Medicare Medicaid Approved Date
- 1991-08-02
- Overall Rating
- 1
- Health Inspection Rating
- 1
- Staffing Rating
- 1
- Quality Measure Rating
- 2
- Special Focus Facility
- SFF Candidate
- Total Nurse Hours Per Resident Day
- 2.78973
- Rn Hours Per Resident Day
- 0.43296
- Latitude
- 39.7189
- Longitude
- -91.401
Medicare & Medicaid quality data
Published by the Centers for Medicare & Medicaid Services (CMS) [1] , data as of October 1, 2026. CMS ID 265462. Ratings compare this home with other nursing homes; they are not a pass or fail.
CMS overall rating
1 / 5
Much below average- Certified beds
- 111
- Residents per day
- 63
- Ownership
- For profit - Individual
- Health citations (latest)
- 49
- Fines
- 3 ($279,380)
Star ratings
CMS rates every certified nursing home from 1 to 5 stars in three areas and combines them into an overall rating. The ratings compare homes with each other: 5 is much above average, 3 is average, 1 is much below average.
Overall rating
Much below averageThe headline score, from 1 to 5 stars.
✗ Worse than the state average. State 2.6 · National 3.0
How is this scored?
Three steps: start with the health inspection stars; add one star if staffing is 5 stars (subtract one if it is 1 star); then add one star if quality measures are 5 stars (subtract one if 1 star). It never goes above 5 or below 1, and a home with 1 health inspection star can gain at most one star from the other two. It compares homes with each other; it is not a pass/fail grade. [11]
Health inspections
Much below averageHow the home did in recent state inspections and complaint investigations.
✗ Worse than the state average. State 2.8 · National 2.8
How is this scored?
Based on the two most recent annual inspections plus 36 months of complaint and infection-control inspections, and on how many revisits were needed to confirm fixes. Each citation is weighted by scope and severity. Homes are then ranked within their own state: the best 10% (lowest scores) earn 5 stars, the middle 70% earn 2, 3 or 4 stars in equal shares, and the worst 20% earn 1 star. [11]
Staffing
Much below averageHow many nurses care for each resident, and how stable the nursing team is.
✗ Worse than the state average. State 2.2 · National 3.0
How is this scored?
Six measures: three of staffing level (total nurse, registered nurse and weekend nurse hours per resident per day, adjusted for how much care residents need) and three of turnover (nursing staff, RNs and administrators). The hours come from payroll records submitted to CMS each quarter; turnover uses six quarters of that data. [11]
Quality measures
Below averageHow residents are actually doing.
✗ Worse than the state average. State 2.9 · National 3.7
How is this scored?
Scores 15 quality measures drawn from resident assessments (the Minimum Data Set) and Medicare claims, such as falls with major injury, pressure ulcers, rehospitalizations and medication use. Long-stay and short-stay residents are rated separately and combined. [11]
This home State average National average
- Long-stay quality
- Residents who live in the home: outcomes such as falls, pressure ulcers and medication use.
Flags CMS attaches to this home
- ⚑ Abuse citation. Care Compare flags homes cited for abuse where residents were harmed (severity G or higher) in the latest inspection or in the past 12 months, or cited repeatedly for abuse where residents could have been harmed (severity D or higher). [11]
- ⚑ Special Focus Facility: SFF Candidate. CMS's program for homes with a history of serious quality problems. Homes currently in it get no star ratings; candidates are rated but may be added to the program. [11]
How to read the numbers on this page
- Star ratings — 1 to 5 (no stars = not rated)
- 5 is much above average and 1 is much below average, compared with other nursing homes. A home with too little data may have no rating.
- Health inspection score — 0 and up, lower is better
- Points added up from citations (see the scope and severity grid) and revisits. 0 means a clean record; the state table shows which scores earn which stars.
- Quality measure percentages — 0 to 100%
- The share of residents with an outcome, such as a fall with major injury. For most measures a lower percentage is better; for vaccination measures a higher percentage is better.
- Nurse hours per resident per day — Hours, higher is better
- Paid nursing time divided by residents. For example 4.0 means each resident gets about four hours of nursing care a day, shared across all shifts.
- Staff turnover — 0 to 100%, lower is better
- The share of nursing staff who left during the year. High turnover can mean less continuity of care.
- Case-mix index — Around 1.0 is typical
- How much care the residents need. Above 1 means sicker or more dependent residents who need more staff time.
- Fines — Dollars; payment denials in days
- Penalties CMS imposed for serious or repeated problems. A payment denial stops Medicare/Medicaid payment for new admissions.
Sources: Nursing Home Provider Information [1] ; Nursing Home State & National Averages [9] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Staffing & turnover
More nursing time per resident and a steadier team are both signs of better care. Hours come from payroll records the home submits to CMS each quarter.
Nurse hours per resident per day, by role
A resident's day is 24 hours; this is how much paid nursing time each resident gets, shared across all shifts.
RN 0.41 · LPN 0.57 · Nurse aide 1.69. What the home's payroll records show.
RN 0.53 · LPN 0.66 · Nurse aide 1.80. What CMS predicts a home with these residents' needs would staff.
RN 0.54 · LPN 0.74 · Nurse aide 2.20. The reported hours rescaled so homes with sicker or healthier residents can be compared fairly.
Compared with MO and the nation
This home State average National average
- Total nurse hours (hrs/resident/day, higher is better)
- 2.68
✗ Worse than the state average. State 3.40 · National 3.90
- Registered nurse (RN) hours (hrs/resident/day, higher is better)
- 0.41
✗ Worse than the state average. State 0.46 · National 0.69
- Licensed nurse hours (RN + LPN) (hrs/resident/day, higher is better)
- 0.98
✗ Worse than the state average. State 1.14 · National 1.55
- Nurse aide hours (hrs/resident/day, higher is better)
- 1.69
✗ Worse than the state average. State 2.26 · National 2.35
- Weekend total nurse hours (hrs/resident/day, higher is better)
- 2.26
✗ Worse than the state average. State 2.96 · National 3.43
- Weekend RN hours (hrs/resident/day, higher is better)
- 0.12
✗ Worse than the state average. State 0.32 · National 0.48
- Physical therapist hours (hrs/resident/day, higher is better)
- 0.00
✗ Worse than the state average. State 0.04 · National 0.07
- Nursing case-mix index (index)
- 1.08
State 1.35 · National 1.41
Turnover is the share of nursing staff who left over the year. The case-mix index shows how much care residents need: about 1.0 is typical, higher means more dependent residents.
Sources: Nursing Home Provider Information [1] ; Nursing Home State & National Averages [9] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Inspections
State inspectors visit each home about once a year and investigate complaints. Every problem they cite is a deficiency, lettered A to L by how serious and how widespread it was.
Health inspection score
665.3 points — in MO that earns (Much below average).
Lower is better. The score adds up points for every citation (more for serious, widespread problems) and for revisits needed to confirm fixes, then weights recent inspections most. [11]
Score needed for each star in MO [10]
- 5 ★
- 0.000-20.000
- 4 ★
- 20.001-54.000
- 3 ★
- 54.001-93.750
- 2 ★
- 93.751-159.000
- 1 ★ (this home)
- >159.000
| Period | Inspection | Citations (complaint) | Citation points | Revisits | Revisit points | Total |
|---|---|---|---|---|---|---|
| Most recent cycle | Nov 27, 2024 | 49 (8) | 408 | 2 | 204 | 612 |
| Prior cycles (2 and 3) | Dec 7, 2022 | 72 (38) | 825 | 1 | 0 | 825 |
Health citations per inspection
Nov 27, 2024
Dec 7, 2022
May 2, 2019
State average for that cycle. Fewer is better.
Fire-safety citations per inspection
Nov 27, 2024
Dec 7, 2022
May 2, 2019
State average for that cycle. Fewer is better.
What the latest health inspection cited
- Resident Rights 13
- Quality of Life and Care 8
- Administration 7
- Emergency Preparedness 7
- Resident Assessment and Care Planning 5
- Nutrition and Dietary 4
- Infection Control 4
- Freedom from Abuse and Neglect and Exploitation 3
- Nursing and Physician Services 3
- Pharmacy Service 1
- Environmental 1
What the latest fire-safety inspection cited
- Smoke 8
- Gas and Vacuum and Electrical Systems 6
- Miscellaneous 3
- Construction 1
How serious were the citations?
Each health citation gets a letter. The number in each cell is how many of this home's citations got that letter; the points show what each letter adds to the health inspection score. Citations where care was substandard score higher than shown. [11]
| Isolated (a few residents) | Pattern (some residents) | Widespread (many residents) | |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J · 50 pts 4 | K · 100 pts 0 | L · 150 pts 0 |
| Actual harm, not immediate jeopardy | G · 20 pts 11 | H · 35 pts 0 | I · 45 pts 0 |
| No actual harm, potential for more than minimal harm | D · 4 pts 33 | E · 8 pts 63 | F · 16 pts 12 |
| No actual harm, potential for minimal harm only | A · 0 pts 0 | B · 0 pts 2 | C · 0 pts 7 |
Darker cells mean more citations. Counts cover every health citation CMS lists for this home.
All health citations (132) [2]
Inspection on Apr 4, 2025 · 1 citation
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · Past Non-Compliance (Mar 28, 2025) · From a complaint
Inspection on Feb 5, 2025 · 2 citations
-
D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Mar 17, 2025) · From a complaint
-
E
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
F0809 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Mar 17, 2025) · From a complaint
Inspection on Nov 27, 2024 · 49 citations
-
E
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
F0809 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Mar 17, 2025) · From a complaint
-
E
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
F0947 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
F
Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Mar 17, 2025)
-
G
Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025) · From a complaint
-
D
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
F0944 · Administration Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Mar 17, 2025) · From a complaint
-
F
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
E
Protect each resident from the wrongful use of the resident's belongings or money.
F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025) · From a complaint
-
F
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F0835 · Administration Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
C
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
F0577 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
E
Provide appropriate foot care.
F0687 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
E
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
F0942 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
E
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 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
C
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
E
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
F0949 · Administration Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
E
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 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
E
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
F0941 · Administration Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025) · From a complaint
-
D
Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
E
Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
E
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
F0582 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
E
Provide training in compliance and ethics.
F0946 · Administration Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
E
Honor the resident's right to manage his or her financial affairs.
F0567 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025) · From a complaint
-
E
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
F0568 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025) · From a complaint
-
B
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
F0847 · Administration Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
E
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
F0945 · Infection Control Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
E
Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
E
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
F0887 · Infection Control Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
F0636 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
D
Assist a resident in gaining access to vision and hearing services.
F0685 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
F
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
F0803 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
F
Assure the security of all personal funds of residents deposited with the facility.
F0570 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
C
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
F0625 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
D
Provide or obtain dental services for each resident.
F0791 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
D
Assess the resident when there is a significant change in condition
F0637 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
B
Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.
F0620 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
E
Make sure that a working call system is available in each resident's bathroom and bathing area.
F0919 · Environmental Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
E
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 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
E
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
F0943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
F
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
F0728 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
F
Give residents a notice of rights, rules, services and charges.
F0572 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
C
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F0851 · Administration Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
E
Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025) · From a complaint
-
E
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
F0806 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Mar 17, 2025)
Inspection on Sep 10, 2024 · 1 citation
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · Past Non-Compliance (Aug 22, 2024) · From a complaint
Inspection on Aug 2, 2024 · 6 citations
-
E
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 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Sep 25, 2024) · From a complaint
-
G
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Sep 25, 2024) · From a complaint
-
G
Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Sep 25, 2024) · From a complaint
-
J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Sep 25, 2024) · From a complaint
-
G
Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Sep 25, 2024) · From a complaint
-
E
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
F0806 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Sep 25, 2024) · From a complaint
Inspection on Jun 18, 2024 · 4 citations
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jul 22, 2024) · From a complaint
-
D
Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Sep 25, 2024) · From a complaint
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Jul 22, 2024) · From a complaint
-
D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Sep 25, 2024) · From a complaint
Inspection on May 29, 2024 · 3 citations
-
D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
F0806 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Sep 25, 2024) · From a complaint
-
E
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 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Sep 25, 2024) · From a complaint
-
E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Jun 26, 2024) · From a complaint
Inspection on Apr 18, 2024 · 1 citation
-
E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · Deficient, Provider has date of correction (May 24, 2024) · From a complaint
Inspection on Mar 28, 2024 · 13 citations
-
G
Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Sep 25, 2024) · From a complaint
-
E
Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (May 14, 2024) · From a complaint
-
E
Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (May 14, 2024) · From a complaint
-
E
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
F0806 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Sep 25, 2024) · From a complaint
-
D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
F0561 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Sep 25, 2024) · From a complaint
-
E
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 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Sep 25, 2024) · From a complaint
-
G
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
F0742 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Sep 25, 2024) · From a complaint
-
G
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Sep 25, 2024) · From a complaint
-
J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Sep 25, 2024) · From a complaint
-
E
Make sure that a working call system is available in each resident's bathroom and bathing area.
F0919 · Environmental Deficiencies · Deficient, Provider has date of correction (Sep 25, 2024) · From a complaint
-
E
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
F0809 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Sep 25, 2024) · From a complaint
-
G
Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Sep 25, 2024) · From a complaint
-
E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Jun 26, 2024) · From a complaint
Inspection on Feb 7, 2024 · 3 citations
-
D
Provide routine and 24-hour emergency dental care for each resident.
F0790 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Mar 19, 2024) · From a complaint
-
E
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
F0806 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Mar 19, 2024) · From a complaint
-
D
Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Mar 19, 2024) · From a complaint
Inspection on Dec 6, 2023 · 3 citations
-
D
Provide or get specialized rehabilitative services as required for a resident.
F0825 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jan 22, 2024) · From a complaint
-
D
Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jan 22, 2024) · From a complaint
-
E
Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jan 22, 2024) · From a complaint
Inspection on Nov 3, 2023 · 1 citation
-
E
Honor the resident's right to manage his or her financial affairs.
F0567 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Dec 4, 2023) · From a complaint
Inspection on Dec 7, 2022 · 34 citations
-
C
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jan 21, 2023)
-
D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
F0636 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jan 21, 2023)
-
E
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 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Jan 21, 2023)
-
E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies · Deficient, Provider has date of correction (Jan 21, 2023)
-
D
Protect each resident from the wrongful use of the resident's belongings or money.
F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Jan 21, 2023)
-
F
Implement a program that monitors antibiotic use.
F0881 · Infection Control Deficiencies · Deficient, Provider has date of correction (Jan 21, 2023)
-
E
Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jan 21, 2023)
-
D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
F0806 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Jan 21, 2023)
-
E
Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jan 21, 2023)
-
E
Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jan 21, 2023)
-
D
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 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jan 21, 2023)
-
E
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
F0711 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Jan 21, 2023)
-
F
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Jan 21, 2023)
-
E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Jan 21, 2023)
-
C
Post nurse staffing information every day.
F0732 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Jan 21, 2023)
-
E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jan 21, 2023)
-
D
Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Jan 21, 2023)
-
E
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
F0712 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Jan 21, 2023)
-
D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jan 21, 2023)
-
E
Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Jan 21, 2023)
-
F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Jan 21, 2023)
-
D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
F0761 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Jan 21, 2023)
-
E
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 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jan 21, 2023)
-
E
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
F0569 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jan 21, 2023)
-
D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
F0561 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jan 21, 2023)
-
E
Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jan 21, 2023)
-
C
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
F0625 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jan 21, 2023)
-
D
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
F0563 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jan 21, 2023)
-
F
Perform COVID19 testing on residents and staff.
F0886 · Infection Control Deficiencies · Deficient, Provider has date of correction (Jan 21, 2023)
-
E
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 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Jan 21, 2023)
-
D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jan 21, 2023)
-
E
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 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jan 21, 2023)
-
D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Jan 21, 2023)
-
D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F0655 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jan 21, 2023)
Inspection on May 2, 2019 · 11 citations
-
E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Jun 12, 2019)
-
D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jun 12, 2019)
-
E
Honor the resident's right to organize and participate in resident/family groups in the facility.
F0565 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jun 12, 2019)
-
D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jun 12, 2019)
-
E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
F0761 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Jun 12, 2019)
-
D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jun 12, 2019)
-
E
Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jun 12, 2019)
-
D
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 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jun 12, 2019)
-
D
Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jun 12, 2019)
-
E
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 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Jun 12, 2019)
-
E
Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Jun 12, 2019)
All fire-safety citations (52) [3]
Inspection on Nov 27, 2024 · 25 citations
-
E
Establish policies and procedures including evacuation.
E0020 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
E
Meet requirements for the use of electrical equipment.
K0919 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K0321 · Smoke Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
F
Have generator or other power source capable of supplying service within 10 seconds.
K0918 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
K0741 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
F
Ensure that testing and maintenance of electrical equipment is performed.
K0921 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
F
Implement emergency and standby power systems.
E0041 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
E
Have proper medical gas storage and administration areas.
K0923 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
F
Inspect, test, and maintain automatic sprinkler systems.
K0353 · Smoke Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
F
Establish roles under a Waiver declared by secretary.
E0026 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
F
Install corridor and hallway doors that block smoke.
K0363 · Smoke Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
E
Have an enclosure around a vertical opening shaft.
K0311 · Smoke Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
F
Conduct testing and exercise requirements.
E0039 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
F
Conduct risk assessment and an All-Hazards approach.
E0006 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
F
Create arrangements with other facilities to receive patients.
E0025 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
E
Ensure proper usage of power strips and extension cords.
K0920 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
E
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
K0926 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
K
Provide a written emergency evacuation plan.
K0711 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Mar 17, 2025)
-
E
Provide properly protected cooking facilities.
K0324 · Smoke Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
F
Develop Emergency Preparedness policies and procedures.
E0013 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
F
Have approved installation, maintenance and testing program for fire alarm systems.
K0345 · Smoke Deficiencies · Waiver has been granted
-
F
Have simulated fire drills held at unexpected times.
K0712 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
K0374 · Smoke Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K0372 · Smoke Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
-
E
Meet other general requirements.
K0100 · Construction Deficiencies · Deficient, Provider has date of correction (Jan 13, 2025)
Inspection on Dec 7, 2022 · 18 citations
-
E
Have proper medical gas storage and administration areas.
K0923 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Jan 21, 2023)
-
F
Establish emergency prep training and testing.
E0036 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jan 21, 2023)
-
E
Have an enclosure around a vertical opening shaft.
K0311 · Smoke Deficiencies · Deficient, Provider has date of correction (Jan 21, 2023)
-
F
Conduct testing and exercise requirements.
E0039 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jan 21, 2023)
-
F
Address patient/client population and determine types of services needed.
E0007 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jan 21, 2023)
-
F
Have generator or other power source capable of supplying service within 10 seconds.
K0918 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Jan 21, 2023)
-
F
Establish policies and procedures for volunteers.
E0024 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jan 21, 2023)
-
F
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
K0222 · Egress Deficiencies · Deficient, Provider has date of correction (Jan 21, 2023)
-
E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
K0741 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Jan 21, 2023)
-
F
Establish policies and procedures including evacuation.
E0020 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jan 21, 2023)
-
F
Develop Emergency Preparedness policies and procedures.
E0013 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jan 21, 2023)
-
F
Establish roles under a Waiver declared by secretary.
E0026 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jan 21, 2023)
-
F
Provide a means of sharing information on occupancy/needs.
E0034 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jan 21, 2023)
-
E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K0321 · Smoke Deficiencies · Deficient, Provider has date of correction (Jan 21, 2023)
-
E
Provide properly protected cooking facilities.
K0324 · Smoke Deficiencies · Deficient, Provider has date of correction (Jan 21, 2023)
-
E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K0372 · Smoke Deficiencies · Deficient, Provider has date of correction (Jan 21, 2023)
-
F
Implement emergency and standby power systems.
E0041 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jan 21, 2023)
-
E
Ensure proper usage of power strips and extension cords.
K0920 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Jan 21, 2023)
Inspection on May 2, 2019 · 9 citations
-
D
Provide properly protected cooking facilities.
K0324 · Smoke Deficiencies · Deficient, Provider has date of correction (Jun 12, 2019)
-
C
Establish procedures for tracking staff and patients during an emergency.
E0018 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jun 12, 2019)
-
F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K0372 · Smoke Deficiencies · Deficient, Provider has date of correction (Jun 12, 2019)
-
F
Install corridor and hallway doors that block smoke.
K0363 · Smoke Deficiencies · Deficient, Provider has date of correction (Jun 12, 2019)
-
E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
K0741 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Jun 12, 2019)
-
D
Use approved construction type or materials.
K0161 · Construction Deficiencies · Deficient, Provider has date of correction (Jun 12, 2019)
-
F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
K0211 · Egress Deficiencies · Deficient, Provider has date of correction (Jun 12, 2019)
-
D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K0321 · Smoke Deficiencies · Deficient, Provider has date of correction (Jun 12, 2019)
-
C
Establish policies and procedures including evacuation.
E0020 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jun 12, 2019)
Sources: Nursing Home Provider Information [1] ; Nursing Home Survey Summary [4] ; Nursing Home Health Deficiencies [2] ; Nursing Home Fire Safety Deficiencies [3] ; Nursing Home Health Inspection Cut Points [10] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Fines & penalties
CMS can fine a home or stop Medicare and Medicaid payments for new admissions when problems are serious or keep recurring. Most homes have none.
- Fines
- 3 State avg 0.8 · National 0.9
- Total fined
- $279,380 State avg 36,774 · National 30,351
- Payment denials
- 2 Periods with no Medicare/Medicaid payment for new admissions
Fines by year
| Date | Type | Amount | Payment denial |
|---|---|---|---|
| Apr 4, 2025 | Fine | $17,011 | — |
| Nov 27, 2024 | Payment Denial | — | 58 days from Jan 18, 2025 |
| Nov 27, 2024 | Fine | $175,201 | — |
| Mar 28, 2024 | Payment Denial | — | 89 days from Jun 28, 2024 |
| Mar 28, 2024 | Fine | $87,168 | — |
Sources: Nursing Home Provider Information [1] ; Nursing Home Penalties [5] ; Nursing Home State & National Averages [9]
Resident quality measures
These measure what actually happens to residents, as a percentage from 0 to 100 (or events per 1,000 resident days). For almost all of them a lower number is better; the vaccination measures are the exception and are marked. A star means the measure counts toward the quality star rating.
This home State average National average
Long-stay residents (14) [7]
Residents who live in the home. From their regular health assessments (the Minimum Data Set), averaged over four quarters. Period: 2025Q3-2026Q2.
- Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Higher is better
- 90.3
✓ Better than the state average. State 84.0 · National 93.7
- Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Higher is better
- 92.1
≈ About the state average. State 90.8 · National 95.3
- Percentage of long-stay residents experiencing one or more falls with major injury ★ Lower is better
- 3.9
✓ Better than the state average. State 4.0 · National 3.2
- Percentage of long-stay residents who have depressive symptoms Lower is better
- 5.1
✓ Better than the state average. State 20.0 · National 13.5
- Percentage of long-stay residents who lose too much weight Lower is better
- 4.1
✓ Better than the state average. State 5.1 · National 5.1
- Percentage of long-stay residents who received an antianxiety or hypnotic medication Lower is better
- 39.4
✗ Worse than the state average. State 25.6 · National 19.5
- Percentage of long-stay residents who received an antipsychotic medication ★ Lower is better
- 35.2
✗ Worse than the state average. State 23.5 · National 15.4
- Percentage of long-stay residents who were physically restrained Lower is better
- 0.0
✓ Better than the state average. State 0.0 · National 0.1
- Percentage of long-stay residents whose ability to walk independently worsened ★ Lower is better
- 12.5
✓ Better than the state average. State 15.8 · National 12.7
- Percentage of long-stay residents whose need for help with daily activities has increased ★ Lower is better
- 10.7
✓ Better than the state average. State 17.4 · National 13.5
- Percentage of long-stay residents with a catheter inserted and left in their bladder ★ Lower is better
- 2.8
✗ Worse than the state average. State 0.9 · National 0.7
- Percentage of long-stay residents with a urinary tract infection ★ Lower is better
- 2.0
✓ Better than the state average. State 2.2 · National 1.5
- Percentage of long-stay residents with new or worsened bowel or bladder incontinence Lower is better
- 16.2
✓ Better than the state average. State 17.1 · National 18.3
- Percentage of long-stay residents with pressure ulcers ★ Lower is better
- 6.4
✗ Worse than the state average. State 4.4 · National 4.5
Short-stay residents (3) [7]
Residents staying for rehab or recovery. From their health assessments, averaged over four quarters. Period: 2025Q3-2026Q2.
- Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Higher is better
- 77.8
✓ Better than the state average. State 65.7 · National 82.3
Long-stay residents: hospital use (2) [8]
Hospital stays and emergency visits found in Medicare claims, adjusted for how sick residents were. Period: 20250401-20260331.
- Number of hospitalizations per 1000 long-stay resident days ★ Lower is better · Expected for these residents: 2.2
- 2.1
✗ Worse than the state average. State 2.0 · National 1.8
- Number of outpatient emergency department visits per 1000 long-stay resident days ★ Lower is better · Expected for these residents: 2.0
- 1.6
✓ Better than the state average. State 2.2 · National 1.7
Short-stay residents: hospital use (2) [8]
Rehospitalizations and emergency visits after admission, found in Medicare claims and adjusted for how sick residents were. Period: 20250401-20260331.
- Percentage of short-stay residents who had an outpatient emergency department visit ★ Lower is better · Expected for these residents: 15.9
- 13.9
✗ Worse than the state average. State 13.4 · National 11.8
- Percentage of short-stay residents who were rehospitalized after a nursing home admission ★ Lower is better · Expected for these residents: 35.4
- 16.7
✓ Better than the state average. State 25.7 · National 23.4
Sources: Nursing Home MDS Quality Measures [7] ; Nursing Home Medicare Claims Quality Measures [8] ; Nursing Home State & National Averages [9] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Ownership & operator
Who owns and runs a home can matter: for-profit, non-profit and chain-owned homes tend to differ on staffing and inspection results.
- Ownership type
- For profit - Individual
- Legal business name
- BELOVED HEALTH AND REHABILITATION CENTER LLC
- Certified for
- Medicare and Medicaid
- Certified beds
- 111
- Residents per day (average)
- 62.9
- In Medicare/Medicaid since
- Aug 2, 1991
- Resident and family council
- Both
- Sprinklers in all required areas
- Yes
- County
- Marion
- Located in a hospital
- No
Owners, officers and managers (18) [6]
Operational/Managerial Control
- CHAPPLE, CHASITY (individual, NOT APPLICABLE, since 01/01/2025)
- JONES, MICHAEL (individual, NOT APPLICABLE, since 11/01/2022)
- WILLIAMS, DEBRA (individual, NOT APPLICABLE, since 01/27/2022)
- WILLIAMS, JOSHUA (individual, NOT APPLICABLE, since 01/27/2022)
- WILLIAMS, WENTRIC (individual, NOT APPLICABLE, since 11/01/2022)
Adp Of The Snf
- JONES, MICHAEL (individual, NOT APPLICABLE, since 04/03/2025)
- WILLIAMS, DEBRA (individual, NOT APPLICABLE, since 11/01/2022)
- WILLIAMS, HYMITA (individual, NOT APPLICABLE, since 11/01/2022)
- WILLIAMS, JOSHUA (individual, NOT APPLICABLE, since 11/01/2022)
- WILLIAMS, WENTRIC (individual, NOT APPLICABLE, since 04/03/2025)
Direct Ownership Interest
- SPEED, HYMITA (individual, NOT APPLICABLE, since 01/27/2022)
- WILLIAMS, DEBRA (individual, NOT APPLICABLE, since 01/27/2022)
- WILLIAMS, HYMITA (individual, NOT APPLICABLE, since 01/27/2022)
- WILLIAMS, JOSHUA (individual, NOT APPLICABLE, since 01/27/2022)
- WILLIAMS, KAYLON (individual, NOT APPLICABLE, since 01/27/2022)
- WILLIAMS, MICAH (individual, NOT APPLICABLE, since 01/27/2022)
Managing Control - Governing Body
- WILLIAMS, DEBRA (individual, NOT APPLICABLE, since 01/27/2022)
- WILLIAMS, JOSHUA (individual, NOT APPLICABLE, since 01/27/2022)
Sources: Nursing Home Provider Information [1] ; Nursing Home Ownership [6]
Sources
All figures on this page come from the U.S. government's published nursing home data, as of October 1, 2026. We reproduce them without change except for rounding and layout; ratings, scores and flags are CMS's, not ours. Averages and comparisons use the state and national figures CMS publishes in the same release.
- 1. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Provider Information. Star ratings, staffing, turnover, inspection scores, fines, chain and flag data. https://data.cms.gov/provider-data/dataset/4pq5-n9py
- 2. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Health Deficiencies. Each health deficiency cited, with scope and severity. https://data.cms.gov/provider-data/dataset/r5ix-sfxw
- 3. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Fire Safety Deficiencies. Each fire-safety deficiency cited. https://data.cms.gov/provider-data/dataset/ifjz-ge4w
- 4. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Survey Summary. Deficiency totals by inspection cycle and category. https://data.cms.gov/provider-data/dataset/tbry-pc2d
- 5. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Penalties. Fines and payment denials. https://data.cms.gov/provider-data/dataset/g6vv-u9sr
- 6. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Ownership. Owners, officers, directors and managers. https://data.cms.gov/provider-data/dataset/y2hd-n93e
- 7. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home MDS Quality Measures. Quarterly quality measure scores from resident assessments. https://data.cms.gov/provider-data/dataset/djen-97ju
- 8. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Medicare Claims Quality Measures. Risk-adjusted quality measures from Medicare claims. https://data.cms.gov/provider-data/dataset/ijh5-nb2v
- 9. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home State & National Averages. State and national averages used for comparison. https://data.cms.gov/provider-data/dataset/xcdc-v8bm
- 10. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Health Inspection Cut Points. Score ranges that earn each health inspection star in a state. https://data.cms.gov/provider-data/dataset/hicp-9999
- 11. Centers for Medicare & Medicaid Services. Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide. How the star ratings, scope and severity points, and abuse and Special Focus flags are defined. https://www.cms.gov/medicare/provider-enrollment-and-certification/certificationandcomplianc/downloads/usersguide.pdf
- 12. Centers for Medicare & Medicaid Services. Medicare Care Compare. CMS's own consumer site, with the latest figures. https://www.medicare.gov/care-compare/
Attendant Homes is not affiliated with or endorsed by CMS. The data describes past inspections and reported figures and can be out of date or contain errors; it is not a recommendation. Confirm current information with the facility and on Medicare Care Compare [12] .
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