North Village Park
Moberly, Missouri
Skilled nursing facility in Moberly, MO with 183 certified beds and a 1-star CMS overall rating.
North Village Park is a skilled nursing facility in Moberly, Missouri (Randolph County), with 183 Medicare/Medicaid-certified beds.
Address: 2041 Silva Lane, Moberly, MO 65270. Phone: (660) 269-7300.
Ownership: For profit - Limited Liability company. Certified for Medicare and Medicaid. Automatic sprinkler systems in all required areas. Has a resident council. Part of the Reliant Care Management chain.
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
- 2041 Silva Lane
- City
- Moberly
- State
- Missouri
- ZIP code
- 65270
- Phone
- (660) 269-7300
- Levels of care
- Skilled nursing
- Payment options accepted
- Medicare, Medicaid
- Cms Ccn
- 265330
- County
- Randolph
- Ownership Type
- For profit - Limited Liability company
- Provider Type
- Medicare and Medicaid
- Certified Beds
- 183
- Avg Daily Residents
- 168.6
- Continuing Care Community
- No
- Resident Family Council
- Resident
- Sprinklers All Areas
- Yes
- Medicare Medicaid Approved Date
- 1988-07-01
- Chain Name
- Reliant Care Management
- 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
- 1.59555
- Rn Hours Per Resident Day
- 0.17947
- Latitude
- 39.4434
- Longitude
- -92.428
Medicare & Medicaid quality data
Published by the Centers for Medicare & Medicaid Services (CMS) [1] , data as of October 1, 2026. CMS ID 265330. 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
- 183
- Residents per day
- 165
- Ownership
- For profit - Limited Liability company
- Health citations (latest)
- 35
- Fines
- 11 ($462,677)
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
Above averageHow residents are actually doing.
✓ Better 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 0.16 · LPN 0.26 · Nurse aide 1.70. What the home's payroll records show.
RN 0.70 · LPN 0.88 · Nurse aide 2.39. What CMS predicts a home with these residents' needs would staff.
RN 0.15 · LPN 0.25 · Nurse aide 1.66. 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)
- 2.12
✗ Worse than the state average. State 3.40 · National 3.90
- Registered nurse (RN) hours (hrs/resident/day, higher is better)
- 0.16
✗ Worse than the state average. State 0.46 · National 0.69
- Licensed nurse hours (RN + LPN) (hrs/resident/day, higher is better)
- 0.42
✗ Worse than the state average. State 1.14 · National 1.55
- Nurse aide hours (hrs/resident/day, higher is better)
- 1.70
✗ Worse than the state average. State 2.26 · National 2.35
- Weekend total nurse hours (hrs/resident/day, higher is better)
- 1.82
✗ Worse than the state average. State 2.96 · National 3.43
- Weekend RN hours (hrs/resident/day, higher is better)
- 0.09
✗ Worse than the state average. State 0.32 · National 0.48
- Physical therapist hours (hrs/resident/day, higher is better)
- 0.01
✗ Worse than the state average. State 0.04 · National 0.07
- Nursing staff turnover (%, lower is better)
- 66.7%
✗ Worse than the state average. State 56.9% · National 45.3%
- Administrators who left (people, lower is better)
- 3
✗ Worse than the state average. State 1 · National 1
- Nursing case-mix index (index)
- 1.44
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
521.3 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 | Dec 12, 2025 | 34 (25) | 430 | 1 | 0 | 430 |
| Prior cycles (2 and 3) | Nov 20, 2023 | 51 (40) | 795 | 1 | 0 | 795 |
Health citations per inspection
Dec 12, 2025
Nov 20, 2023
Apr 15, 2021
State average for that cycle. Fewer is better.
Fire-safety citations per inspection
Dec 12, 2025
Nov 20, 2023
Apr 15, 2021
State average for that cycle. Fewer is better.
What the latest health inspection cited
- Quality of Life and Care 8
- Resident Rights 8
- Freedom from Abuse and Neglect and Exploitation 7
- Resident Assessment and Care Planning 4
- Nutrition and Dietary 4
- Emergency Preparedness 3
- Nursing and Physician Services 2
- Environmental 1
- Infection Control 1
What the latest fire-safety inspection cited
- Smoke 6
- Gas and Vacuum and Electrical Systems 4
- Egress 3
- Construction 1
- Miscellaneous 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 9 | K · 100 pts 1 | L · 150 pts 0 |
| Actual harm, not immediate jeopardy | G · 20 pts 15 | H · 35 pts 0 | I · 45 pts 0 |
| No actual harm, potential for more than minimal harm | D · 4 pts 34 | E · 8 pts 59 | F · 16 pts 10 |
| No actual harm, potential for minimal harm only | A · 0 pts 0 | B · 0 pts 0 | C · 0 pts 4 |
Darker cells mean more citations. Counts cover every health citation CMS lists for this home.
All health citations (132) [2]
Inspection on Jul 22, 2026 · 4 citations
-
D
Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has plan of correction (Sep 28, 2026) · From a complaint
-
D
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 1, 2026) · From a complaint
-
E
Provide medically-related social services to help each resident achieve the highest possible quality of life.
F0745 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Sep 1, 2026) · From a complaint
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · Deficient, Provider has plan of correction (Sep 28, 2026) · From a complaint
Inspection on Mar 26, 2026 · 1 citation
-
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 · Past Non-Compliance · From a complaint
Inspection on Mar 4, 2026 · 1 citation
-
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 · Past Non-Compliance · From a complaint
Inspection on Feb 19, 2026 · 2 citations
-
J
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 (Feb 20, 2026) · From a complaint
-
D
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 (Feb 20, 2026) · From a complaint
Inspection on Jan 16, 2026 · 2 citations
-
D
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 26, 2026) · From a complaint
-
D
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 · Past Non-Compliance (Jan 5, 2026) · From a complaint
Inspection on Dec 12, 2025 · 20 citations
-
F
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 26, 2026) · From a complaint
-
E
Honor the resident's right to manage his or her financial affairs.
F0567 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jan 26, 2026) · From a complaint
-
C
Post nurse staffing information every day.
F0732 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Jan 26, 2026)
-
E
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F0628 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jan 26, 2026)
-
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 (Jan 26, 2026) · From a complaint
-
E
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 26, 2026)
-
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 (Jan 26, 2026) · From a complaint
-
E
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 26, 2026)
-
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 26, 2026) · From a complaint
-
E
Ensure residents have reasonable access to and privacy in their use of communication methods.
F0576 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jan 26, 2026)
-
F
Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Jan 26, 2026) · From a complaint
-
E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F0925 · Environmental Deficiencies · Deficient, Provider has date of correction (Jan 26, 2026) · 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 (Jan 26, 2026) · From a complaint
-
E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jan 26, 2026)
-
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 26, 2026) · From a complaint
-
E
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
F0805 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Jan 26, 2026) · From a complaint
-
E
Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jan 26, 2026)
-
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 26, 2026)
-
D
Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jan 26, 2026) · From a complaint
-
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 26, 2026)
Inspection on Dec 4, 2025 · 3 citations
-
D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jan 3, 2026) · From a complaint
-
J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · Past Non-Compliance (Dec 1, 2025) · 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 · Past Non-Compliance (Dec 1, 2025) · From a complaint
Inspection on Nov 18, 2025 · 2 citations
-
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 (Dec 15, 2025) · 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 · Past Non-Compliance (Nov 15, 2025) · From a complaint
Inspection on Aug 13, 2025 · 3 citations
-
D
Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Sep 5, 2025) · From a complaint
-
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 (Sep 5, 2025) · 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 5, 2025) · From a complaint
Inspection on Jul 29, 2025 · 3 citations
-
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 (Aug 5, 2025) · 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 (Aug 5, 2025) · 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 (Aug 5, 2025) · From a complaint
Inspection on Jul 10, 2025 · 2 citations
-
D
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 (Aug 5, 2025) · From a complaint
-
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 (Aug 5, 2025) · From a complaint
Inspection on Jul 1, 2025 · 3 citations
-
D
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 (Aug 5, 2025) · From a complaint
-
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 (Aug 5, 2025) · From a complaint
-
E
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
F0741 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Aug 5, 2025) · From a complaint
Inspection on May 29, 2025 · 4 citations
-
E
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
F0741 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Aug 5, 2025) · From a complaint
-
D
Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Jun 16, 2025) · From a complaint
-
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 (Aug 5, 2025) · From a complaint
-
D
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 (Aug 5, 2025) · From a complaint
Inspection on Apr 24, 2025 · 2 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 · Past Non-Compliance (Apr 17, 2025) · 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 (May 16, 2025) · From a complaint
Inspection on Mar 6, 2025 · 1 citation
-
D
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 · Past Non-Compliance (Mar 3, 2025) · From a complaint
Inspection on Jan 9, 2025 · 1 citation
-
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 (Feb 10, 2025) · From a complaint
Inspection on Oct 3, 2024 · 2 citations
-
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 (Oct 23, 2024) · From a complaint
-
G
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 (Oct 23, 2024) · From a complaint
Inspection on Jul 29, 2024 · 3 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 (Sep 12, 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 12, 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 (Sep 12, 2024) · From a complaint
Inspection on Jun 20, 2024 · 2 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 (Jul 29, 2024) · From a complaint
-
E
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 (Jul 29, 2024) · From a complaint
Inspection on May 15, 2024 · 1 citation
-
D
Protect each resident from the wrongful use of the resident's belongings or money.
F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance (May 14, 2024) · From a complaint
Inspection on Mar 27, 2024 · 3 citations
-
E
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
F0741 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (May 3, 2024) · From a complaint
-
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 (May 3, 2024) · From a complaint
-
D
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
F0553 · Resident Rights Deficiencies · Deficient, Provider has date of correction (May 3, 2024) · From a complaint
Inspection on Mar 14, 2024 · 2 citations
-
E
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 (Apr 22, 2024) · From a complaint
-
G
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 (Apr 22, 2024) · From a complaint
Inspection on Nov 20, 2023 · 19 citations
-
D
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 24, 2024)
-
E
Dispose of garbage and refuse properly.
F0814 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Jan 24, 2024)
-
E
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 24, 2024) · From a complaint
-
J
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Jan 24, 2024) · From a complaint
-
J
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Jan 24, 2024) · From a complaint
-
F
Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Jan 24, 2024)
-
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 24, 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 (Jan 24, 2024) · From a complaint
-
D
Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jan 24, 2024)
-
E
Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Jan 24, 2024) · From a complaint
-
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 24, 2024)
-
D
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 (Jan 24, 2024) · From a complaint
-
E
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 24, 2024)
-
E
Put firmly secured handrails on each side of hallways.
F0924 · Environmental Deficiencies · Deficient, Provider has date of correction (Jan 24, 2024)
-
E
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 24, 2024) · From a complaint
-
J
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 (Jan 24, 2024)
-
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 24, 2024)
-
D
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 24, 2024)
-
E
Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jan 24, 2024)
Inspection on Apr 15, 2021 · 46 citations
-
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 (Jul 5, 2021)
-
F
Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies · Deficient, Provider has date of correction (Jul 5, 2021)
-
E
Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Sep 24, 2021)
-
E
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
F0805 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Jul 5, 2021)
-
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 (Aug 4, 2021)
-
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 (Sep 24, 2021)
-
F
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 24, 2021)
-
E
Assess the resident when there is a significant change in condition
F0637 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jul 5, 2021)
-
E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jul 5, 2021)
-
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 (Jul 5, 2021)
-
G
Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jul 5, 2021)
-
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 (Jul 5, 2021)
-
E
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 (Sep 24, 2021)
-
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 (Sep 24, 2021)
-
E
Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Jul 5, 2021)
-
C
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
F0838 · Administration Deficiencies · Deficient, Provider has date of correction (Jul 5, 2021)
-
E
Have a plan that describes the process for conducting QAPI and QAA activities.
F0865 · Administration Deficiencies · Deficient, Provider has date of correction (Jul 5, 2021)
-
E
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 (Jul 5, 2021)
-
E
Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jul 5, 2021)
-
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 (Jul 5, 2021)
-
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 (Sep 24, 2021)
-
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 (Jul 5, 2021)
-
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 (Jul 5, 2021)
-
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 (Jul 5, 2021)
-
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 (Jul 5, 2021)
-
D
Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Jul 5, 2021)
-
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 24, 2021)
-
E
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
F0810 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Jul 5, 2021)
-
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 (Sep 24, 2021)
-
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 (Jul 5, 2021)
-
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 (Jul 5, 2021)
-
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 (Jul 5, 2021)
-
D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jul 5, 2021)
-
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 (Jul 5, 2021)
-
E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F0925 · Environmental Deficiencies · Deficient, Provider has date of correction (Jul 5, 2021)
-
D
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 (Jul 5, 2021)
-
D
Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Jul 5, 2021)
-
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 (Jul 5, 2021)
-
E
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
F0800 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Jul 5, 2021)
-
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 (Jul 5, 2021)
-
E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Jul 5, 2021)
-
E
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 (Sep 24, 2021)
-
E
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
F0606 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Jul 5, 2021)
-
F
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
F0841 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Jul 5, 2021)
-
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 (Jul 5, 2021)
-
K
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 (Sep 28, 2021)
All fire-safety citations (51) [3]
Inspection on Dec 12, 2025 · 18 citations
-
E
Inspect, test, and maintain automatic sprinkler systems.
K0353 · Smoke Deficiencies · Deficient, Provider has date of correction (Feb 6, 2026)
-
E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
K0374 · Smoke Deficiencies · Deficient, Provider has date of correction (Jan 26, 2026)
-
E
Ensure proper usage of power strips and extension cords.
K0920 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Jan 26, 2026)
-
F
Establish emergency prep training and testing.
E0036 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jan 26, 2026)
-
E
Meet requirements for the installation and maintenance of electrical systems.
K0911 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Jan 26, 2026)
-
E
Meet other general requirements.
K0100 · Construction Deficiencies · Deficient, Provider has date of correction (Jan 26, 2026)
-
F
Conduct testing and exercise requirements.
E0039 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jan 26, 2026)
-
E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K0372 · Smoke Deficiencies · Deficient, Provider has date of correction (Jan 26, 2026)
-
E
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 26, 2026)
-
F
Establish staff and initial training requirements.
E0037 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jan 26, 2026)
-
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 26, 2026)
-
E
Have proper medical gas storage and administration areas.
K0923 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Jan 26, 2026)
-
E
Have properly located and lighted "Exit" signs.
K0293 · Egress Deficiencies · Deficient, Provider has date of correction (Jan 26, 2026)
-
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 26, 2026)
-
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 26, 2026)
-
E
Install emergency lighting that can last at least 1 1/2 hours.
K0291 · Egress Deficiencies · Deficient, Provider has date of correction (Jan 26, 2026)
-
E
Install corridor and hallway doors that block smoke.
K0363 · Smoke Deficiencies · Deficient, Provider has date of correction (Jan 26, 2026)
-
E
Have an enclosure around a vertical opening shaft.
K0311 · Smoke Deficiencies · Deficient, Provider has date of correction (Jan 26, 2026)
Inspection on Nov 20, 2023 · 12 citations
-
E
Provide properly protected cooking facilities.
K0324 · Smoke Deficiencies · Deficient, Provider has date of correction (Jan 24, 2024)
-
F
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 24, 2024)
-
F
Use approved construction type or materials.
K0161 · Construction Deficiencies · Deficient, Provider has date of correction (Jan 24, 2024)
-
E
Install an approved automatic sprinkler system.
K0351 · Smoke Deficiencies · Deficient, Provider has date of correction (Jan 24, 2024)
-
F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K0372 · Smoke Deficiencies · Deficient, Provider has date of correction (Jan 24, 2024)
-
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 24, 2024)
-
E
Install corridor and hallway doors that block smoke.
K0363 · Smoke Deficiencies · Deficient, Provider has date of correction (Jan 24, 2024)
-
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 24, 2024)
-
E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
K0374 · Smoke Deficiencies · Deficient, Provider has date of correction (Jan 24, 2024)
-
F
Have simulated fire drills held at unexpected times.
K0712 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Jan 24, 2024)
-
F
Have approved installation, maintenance and testing program for fire alarm systems.
K0345 · Smoke Deficiencies · Deficient, Provider has date of correction (Jan 24, 2024)
-
E
Have an enclosure around a vertical opening shaft.
K0311 · Smoke Deficiencies · Deficient, Provider has date of correction (Jan 24, 2024)
Inspection on Apr 15, 2021 · 21 citations
-
E
Have proper medical gas storage and administration areas.
K0923 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Jul 5, 2021)
-
F
Have simulated fire drills held at unexpected times.
K0712 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Jul 5, 2021)
-
E
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 (Sep 24, 2021)
-
C
Implement emergency and standby power systems.
E0041 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jul 5, 2021)
-
E
Provide properly protected cooking facilities.
K0324 · Smoke Deficiencies · Deficient, Provider has date of correction (Jul 5, 2021)
-
E
Use approved construction type or materials.
K0161 · Construction Deficiencies · Deficient, Provider has date of correction (Sep 24, 2021)
-
E
Install corridor and hallway doors that block smoke.
K0363 · Smoke Deficiencies · Deficient, Provider has date of correction (Jul 5, 2021)
-
E
Meet requirements for the installation and maintenance of electrical systems.
K0911 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Jul 5, 2021)
-
C
Develop and maintain an Emergency Preparedness Program (EP).
E0004 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jul 5, 2021)
-
C
Conduct testing and exercise requirements.
E0039 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jul 5, 2021)
-
F
Inspect, test, and maintain automatic sprinkler systems.
K0353 · Smoke Deficiencies · Deficient, Provider has date of correction (Jul 5, 2021)
-
E
Ensure proper usage of power strips and extension cords.
K0920 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Sep 24, 2021)
-
F
Provide a written emergency evacuation plan.
K0711 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Sep 24, 2021)
-
E
Meet other general requirements.
K0932 · Smoke Deficiencies · Deficient, Provider has date of correction (Jul 5, 2021)
-
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 (Sep 24, 2021)
-
E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K0372 · Smoke Deficiencies · Deficient, Provider has date of correction (Jul 5, 2021)
-
E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
K0374 · Smoke Deficiencies · Deficient, Provider has date of correction (Jul 5, 2021)
-
E
Install emergency lighting that can last at least 1 1/2 hours.
K0291 · Egress Deficiencies · Deficient, Provider has date of correction (Jul 5, 2021)
-
C
Provide emergency officials' contact information.
E0031 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jul 5, 2021)
-
C
Establish procedures for tracking staff and patients during an emergency.
E0018 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jul 5, 2021)
-
E
Have properly located and lighted "Exit" signs.
K0293 · Egress Deficiencies · Deficient, Provider has date of correction (Jul 5, 2021)
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
- 11 State avg 0.8 · National 0.9
- Total fined
- $462,677 State avg 36,774 · National 30,351
- Payment denials
- 5 Periods with no Medicare/Medicaid payment for new admissions
Fines by year
| Date | Type | Amount | Payment denial |
|---|---|---|---|
| Mar 26, 2026 | Fine | $22,315 | — |
| Nov 18, 2025 | Fine | $22,315 | — |
| Nov 18, 2025 | Payment Denial | — | 39 days from Jan 24, 2026 |
| Nov 18, 2025 | Fine | $61,660 | — |
| Nov 18, 2025 | Fine | $26,650 | — |
| Nov 18, 2025 | Fine | $22,315 | — |
| May 29, 2025 | Payment Denial | — | 30 days from Aug 6, 2025 |
| May 29, 2025 | Fine | $64,311 | — |
| Apr 24, 2025 | Fine | $16,823 | — |
| Oct 3, 2024 | Fine | $41,470 | — |
| Jun 20, 2024 | Payment Denial | — | 8 days from Sep 4, 2024 |
| Jun 20, 2024 | Fine | $32,449 | — |
| Mar 14, 2024 | Fine | $100,181 | — |
| Mar 14, 2024 | Payment Denial | — | 1 days from May 2, 2024 |
| Nov 20, 2023 | Payment Denial | — | 26 days from Dec 29, 2023 |
| Nov 20, 2023 | Fine | $52,188 | — |
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
- 88.3
✓ 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
- 83.9
✗ Worse than 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
- 1.0
✓ Better than the state average. State 4.0 · National 3.2
- Percentage of long-stay residents who have depressive symptoms Lower is better
- 57.7
✗ Worse than the state average. State 20.0 · National 13.5
- Percentage of long-stay residents who lose too much weight Lower is better
- 2.8
✓ 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
- 49.0
✗ Worse than the state average. State 25.6 · National 19.5
- Percentage of long-stay residents who received an antipsychotic medication ★ Lower is better
- 63.7
✗ 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
- 11.7
✓ 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
- 0.5
✓ Better than the state average. State 0.9 · National 0.7
- Percentage of long-stay residents with a urinary tract infection ★ Lower is better
- 0.1
✓ 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
- 6.7
✓ Better than the state average. State 17.1 · National 18.3
- Percentage of long-stay residents with pressure ulcers ★ Lower is better
- 1.3
✓ Better 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
- 25.0
✗ Worse 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: 1.6
- 2.4
✗ 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: 1.6
- 2.4
✗ Worse 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: 13.3
- 0.0
✓ Better 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: 24.9
- 25.3
≈ About 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 - Limited Liability company
- Legal business name
- NORTH VILLAGE PARK, LLC
- Certified for
- Medicare and Medicaid
- Certified beds
- 183
- Residents per day (average)
- 164.5
- In Medicare/Medicaid since
- Jul 1, 1988
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
- County
- Randolph
- Located in a hospital
- No
Company profiles: Reliant Care Management (35 homes, average 1.3 stars), Reliant Care Management Company LLC (34 homes, average 1.3 stars), Richard J. Destefane Revocable Living Trust (20 homes, average 1.4 stars), Rcg Inc (18 homes, average 1.4 stars), Reliant Care Group LLC (18 homes, average 1.4 stars), Rc Tier Properties, L.l.c. (3 homes, average 1.0 stars)
Part of RELIANT CARE MANAGEMENT
One of 35 homes in this chain. Average star ratings across the chain (1 to 5):
- Overall
- 1.3
- Health inspections
- 1.7
- Staffing
- 1.0
- Quality
- 3.3
Owners, officers and managers (12) [6]
Operational/Managerial Control
- ARSHAD, ABDULLAH (individual, NOT APPLICABLE, since 09/15/2024)
- PAIS, ROYSTAN (individual, NOT APPLICABLE, since 07/02/2025)
- RELIANT CARE MANAGEMENT COMPANY LLC (organization, NOT APPLICABLE, since 09/28/1989)
Adp Of The Snf
- ARSHAD, ABDULLAH (individual, NOT APPLICABLE, since 09/15/2024)
- PAIS, ROYSTAN (individual, NOT APPLICABLE, since 07/02/2025)
- RELIANT CARE MANAGEMENT COMPANY LLC (organization, NOT APPLICABLE, since 09/18/2025)
Indirect Ownership Interest
- DESTEFANE, RICHARD (individual, NOT APPLICABLE, since 03/01/2018)
- RCG INC (organization, NOT APPLICABLE, since 09/28/2018)
- RELIANT CARE GROUP LLC (organization, NOT APPLICABLE, since 09/28/2018)
- RICHARD J DESTEFANE REVOCABLE LIVING TRUST (organization, NOT APPLICABLE, since 03/01/2018)
Corporate Officer
- DESTEFANE, RICHARD (individual, NOT APPLICABLE, since 01/06/1998)
Direct Ownership Interest
- RC TIER PROPERTIES, L.L.C. (organization, NOT APPLICABLE, since 09/28/2018)
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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