Orchard Park Health Care & Rehab Center
Tacoma, Washington
Skilled nursing facility in Tacoma, WA with 147 certified beds and a 1-star CMS overall rating.
Orchard Park Health Care & Rehab Center is a skilled nursing facility in Tacoma, Washington (Pierce County), with 147 Medicare/Medicaid-certified beds.
Address: 4755 South 48th, Tacoma, WA 98409. Phone: (253) 475-4611.
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 Genesis Healthcare chain.
CMS Five-Star ratings (source: Medicare Care Compare): overall 1 of 5, health inspections 1, staffing 4, quality measures 3.
Levels of care
- Skilled nursing
Facility details
- Street address
- 4755 South 48th
- City
- Tacoma
- State
- Washington
- ZIP code
- 98409
- Phone
- (253) 475-4611
- Levels of care
- Skilled nursing
- Payment options accepted
- Medicare, Medicaid
- Cms Ccn
- 505093
- County
- Pierce
- Ownership Type
- For profit - Limited Liability company
- Provider Type
- Medicare and Medicaid
- Certified Beds
- 147
- Avg Daily Residents
- 128.5
- Continuing Care Community
- No
- Resident Family Council
- Resident
- Sprinklers All Areas
- Yes
- Medicare Medicaid Approved Date
- 1970-11-01
- Chain Name
- Genesis Healthcare
- Overall Rating
- 1
- Health Inspection Rating
- 1
- Staffing Rating
- 4
- Quality Measure Rating
- 3
- Total Nurse Hours Per Resident Day
- 3.66409
- Rn Hours Per Resident Day
- 0.70369
- Latitude
- 47.2138
- Longitude
- -122.5
Medicare & Medicaid quality data
Published by the Centers for Medicare & Medicaid Services (CMS) [1] , data as of October 1, 2026. CMS ID 505093. 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
- 147
- Residents per day
- 124
- Ownership
- For profit - Limited Liability company
- Health citations (latest)
- 59
- Fines
- 3 ($301,370)
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 3.3 · 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
Above averageHow many nurses care for each resident, and how stable the nursing team is.
✓ Better than the state average. State 3.7 · 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.
✗ Worse than the state average. State 4.1 · 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.
- Short-stay quality
- Residents staying for rehab or recovery: outcomes such as rehospitalization and regaining function.
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]
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 0.65 · LPN 1.22 · Nurse aide 1.98. What the home's payroll records show.
RN 0.63 · LPN 0.79 · Nurse aide 2.14. What CMS predicts a home with these residents' needs would staff.
RN 0.70 · LPN 1.33 · Nurse aide 2.15. The reported hours rescaled so homes with sicker or healthier residents can be compared fairly.
Compared with WA and the nation
This home State average National average
- Total nurse hours (hrs/resident/day, higher is better)
- 3.85
✗ Worse than the state average. State 4.42 · National 3.90
- Registered nurse (RN) hours (hrs/resident/day, higher is better)
- 0.65
✗ Worse than the state average. State 0.99 · National 0.69
- Licensed nurse hours (RN + LPN) (hrs/resident/day, higher is better)
- 1.87
✓ Better than the state average. State 1.74 · National 1.55
- Nurse aide hours (hrs/resident/day, higher is better)
- 1.98
✗ Worse than the state average. State 2.68 · National 2.35
- Weekend total nurse hours (hrs/resident/day, higher is better)
- 3.38
✗ Worse than the state average. State 3.82 · National 3.43
- Weekend RN hours (hrs/resident/day, higher is better)
- 0.54
✗ Worse than the state average. State 0.71 · National 0.48
- Physical therapist hours (hrs/resident/day, higher is better)
- 0.08
✗ Worse than the state average. State 0.09 · National 0.07
- Nursing staff turnover (%, lower is better)
- 41.9%
✓ Better than the state average. State 43.9% · National 45.3%
- RN turnover (%, lower is better)
- 40.9%
✓ Better than the state average. State 43.8% · National 42.5%
- Administrators who left (people, lower is better)
- 0
✓ Better than the state average. State 1 · National 1
- Nursing case-mix index (index)
- 1.29
State 1.46 · 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
398.0 points — in WA 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 WA [10]
- 5 ★
- 0.000-31.000
- 4 ★
- 31.001-69.000
- 3 ★
- 69.001-100.000
- 2 ★
- 100.001-167.000
- 1 ★ (this home)
- >167.000
| Period | Inspection | Citations (complaint) | Citation points | Revisits | Revisit points | Total |
|---|---|---|---|---|---|---|
| Most recent cycle | Jun 1, 2026 | 59 (34) | 424 | 1 | 0 | 424 |
| Prior cycles (2 and 3) | Jun 12, 2025 | 46 (28) | 320 | 1 | 0 | 320 |
Health citations per inspection
Jun 1, 2026
Jun 12, 2025
Sep 9, 2024
State average for that cycle. Fewer is better.
Fire-safety citations per inspection
Jun 1, 2026
Jun 12, 2025
Sep 9, 2024
State average for that cycle. Fewer is better.
What the latest health inspection cited
- Quality of Life and Care 19
- Resident Rights 12
- Resident Assessment and Care Planning 9
- Freedom from Abuse and Neglect and Exploitation 8
- Emergency Preparedness 5
- Nursing and Physician Services 3
- Pharmacy Service 3
- Nutrition and Dietary 2
- Infection Control 2
- Administration 1
What the latest fire-safety inspection cited
- Smoke 2
- Gas and Vacuum and Electrical Systems 2
- Miscellaneous 2
- Services 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 0 | K · 100 pts 0 | L · 150 pts 0 |
| Actual harm, not immediate jeopardy | G · 20 pts 7 | H · 35 pts 1 | I · 45 pts 0 |
| No actual harm, potential for more than minimal harm | D · 4 pts 69 | E · 8 pts 56 | F · 16 pts 3 |
| No actual harm, potential for minimal harm only | A · 0 pts 0 | B · 0 pts 0 | C · 0 pts 0 |
Darker cells mean more citations. Counts cover every health citation CMS lists for this home.
All health citations (136) [2]
Inspection on Aug 19, 2026 · 3 citations
-
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 plan of correction (Sep 14, 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 14, 2026) · From a complaint
-
E
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 plan of correction (Sep 14, 2026) · From a complaint
Inspection on Aug 5, 2026 · 9 citations
-
D
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
F0694 · Quality of Life and Care Deficiencies · Deficient, Provider has no plan of correction · 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 no plan of correction · 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 no plan of correction · From a complaint
-
E
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
F0585 · Resident Rights Deficiencies · Deficient, Provider has no plan of correction · 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 no plan of correction · From a complaint
-
G
Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has no plan of correction · From a complaint
-
D
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 no plan of correction · From a complaint
-
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 no plan of correction · From a complaint
-
D
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
F0569 · Resident Rights Deficiencies · Deficient, Provider has no plan of correction · From a complaint
Inspection on Jul 15, 2026 · 12 citations
-
D
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 (Aug 14, 2026) · From a complaint
-
E
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
F0627 · Resident Rights Deficiencies · Deficient, Provider has plan of correction (Aug 14, 2026) · From a complaint
-
E
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 plan of correction (Aug 14, 2026) · From a complaint
-
E
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 plan of correction (Aug 14, 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 · Deficient, Provider has plan of correction (Aug 14, 2026) · From a complaint
-
E
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
F0744 · Quality of Life and Care Deficiencies · Deficient, Provider has plan of correction (Aug 14, 2026) · From a complaint
-
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 plan of correction (Aug 14, 2026) · From a complaint
-
E
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F0835 · Administration Deficiencies · Deficient, Provider has plan of correction (Aug 14, 2026) · From a complaint
-
D
Post nurse staffing information every day.
F0732 · Nursing and Physician Services Deficiencies · Deficient, Provider has plan of correction (Aug 14, 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 plan of correction (Aug 14, 2026) · From a complaint
-
E
Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies · Deficient, Provider has plan of correction (Aug 14, 2026) · 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 plan of correction (Aug 14, 2026) · From a complaint
Inspection on Jun 1, 2026 · 28 citations
-
D
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 (Jun 19, 2026)
-
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 (Jun 19, 2026)
-
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 (Jun 19, 2026) · From a complaint
-
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 (Jun 19, 2026)
-
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 (Jun 19, 2026)
-
E
Assure that each resident’s assessment is updated at least once every 3 months.
F0638 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jun 19, 2026)
-
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 (Jun 19, 2026)
-
D
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 (Jun 19, 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 (Jun 19, 2026)
-
D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
F0693 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jun 19, 2026)
-
D
PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jun 19, 2026)
-
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 (Jun 19, 2026)
-
D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jun 19, 2026)
-
E
Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Jun 19, 2026)
-
E
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 (Jun 19, 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 (Jun 19, 2026)
-
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 19, 2026)
-
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 (Jun 19, 2026) · From a complaint
-
D
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 (Jun 19, 2026)
-
D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Jun 19, 2026)
-
E
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
F0578 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jun 19, 2026)
-
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 (Jun 19, 2026)
-
D
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 (Jun 19, 2026)
-
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 (Jun 19, 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 (Jun 19, 2026)
-
D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
F0582 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jun 19, 2026)
-
D
Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jun 19, 2026)
-
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 19, 2026)
Inspection on May 14, 2026 · 1 citation
-
G
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 (Jun 1, 2026) · From a complaint
Inspection on May 1, 2026 · 2 citations
-
D
Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (May 22, 2026) · 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 (May 22, 2026) · From a complaint
Inspection on Mar 26, 2026 · 1 citation
-
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 (Apr 15, 2026) · From a complaint
Inspection on Mar 19, 2026 · 1 citation
-
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 · Past Non-Compliance (Mar 8, 2026) · From a complaint
Inspection on Jan 12, 2026 · 2 citations
-
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 (Jan 30, 2026) · From a complaint
-
D
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 30, 2026) · From a complaint
Inspection on Aug 25, 2025 · 1 citation
-
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 (Aug 30, 2025) · From a complaint
Inspection on Aug 8, 2025 · 1 citation
-
F
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies · Deficient, Provider has date of correction (Aug 9, 2025) · From a complaint
Inspection on Jul 30, 2025 · 1 citation
-
D
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
F0691 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jul 31, 2025) · From a complaint
Inspection on Jun 12, 2025 · 18 citations
-
D
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 (Jul 3, 2025)
-
E
Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jul 3, 2025)
-
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 (Jul 3, 2025)
-
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 (Jul 3, 2025)
-
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 3, 2025)
-
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 (Jul 3, 2025)
-
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 (Jul 3, 2025)
-
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 3, 2025)
-
D
Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jul 3, 2025)
-
D
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 (Jul 3, 2025)
-
D
PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jul 3, 2025)
-
E
Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Jul 3, 2025)
-
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 (Jul 3, 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 (Jul 3, 2025)
-
D
Provide or obtain dental services for each resident.
F0791 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jul 3, 2025)
-
H
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 3, 2025)
-
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 3, 2025)
-
E
Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Jul 3, 2025)
Inspection on Apr 23, 2025 · 1 citation
-
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 (May 7, 2025) · From a complaint
Inspection on Sep 19, 2024 · 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 (Oct 14, 2024) · From a complaint
-
D
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 (Oct 14, 2024) · From a complaint
Inspection on Sep 9, 2024 · 34 citations
-
D
Keep residents' personal and medical records private and confidential.
F0583 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Oct 14, 2024)
-
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 (Oct 14, 2024)
-
E
Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Oct 14, 2024)
-
E
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 (Oct 14, 2024)
-
F
Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.
F0843 · Administration Deficiencies · Deficient, Provider has date of correction (Oct 14, 2024)
-
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 (Oct 14, 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 (Oct 14, 2024)
-
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 (Oct 14, 2024)
-
D
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 (Oct 14, 2024)
-
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 (Oct 14, 2024)
-
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 (Oct 14, 2024)
-
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 (Oct 14, 2024)
-
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 (Oct 14, 2024)
-
E
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 14, 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 (Oct 14, 2024)
-
D
Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Oct 14, 2024)
-
E
Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Oct 14, 2024)
-
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 (Oct 14, 2024)
-
E
PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Oct 14, 2024)
-
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 (Oct 14, 2024)
-
G
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 (Oct 14, 2024)
-
E
Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Oct 14, 2024)
-
E
Have a plan that describes the process for conducting QAPI and QAA activities.
F0865 · Administration Deficiencies · Deficient, Provider has date of correction (Oct 14, 2024)
-
D
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 (Oct 14, 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 (Oct 14, 2024)
-
D
Provide or obtain dental services for each resident.
F0791 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Oct 14, 2024)
-
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 (Oct 14, 2024)
-
D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
F0585 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Oct 14, 2024)
-
E
Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Oct 14, 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 (Oct 14, 2024)
-
E
Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Oct 14, 2024)
-
D
Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Oct 14, 2024)
-
F
Hire a qualified full-time social worker in a facility with more than 120 beds.
F0850 · Administration Deficiencies · Deficient, Provider has date of correction (Oct 14, 2024)
-
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 (Oct 14, 2024)
Inspection on Jul 11, 2024 · 3 citations
-
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 (Aug 8, 2024) · From a complaint
-
E
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 (Aug 8, 2024) · From a complaint
-
E
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 (Aug 8, 2024) · From a complaint
Inspection on Jun 7, 2024 · 2 citations
-
E
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
F0585 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jun 28, 2024) · From a complaint
-
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 24, 2024) · From a complaint
Inspection on May 20, 2024 · 1 citation
-
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 (Jun 12, 2024) · From a complaint
Inspection on Apr 2, 2024 · 3 citations
-
E
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Apr 23, 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 (Apr 23, 2024) · From a complaint
-
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 (Apr 23, 2024) · From a complaint
Inspection on Jan 31, 2024 · 1 citation
-
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 (Mar 8, 2024) · From a complaint
Inspection on Oct 27, 2023 · 9 citations
-
E
Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Dec 8, 2023) · 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 (Dec 8, 2023) · 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 (Dec 8, 2023) · From a complaint
-
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 (Dec 8, 2023) · 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 (Dec 8, 2023) · 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 (Dec 8, 2023) · From a complaint
-
D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Dec 8, 2023) · From a complaint
-
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 (Dec 8, 2023) · From a complaint
-
E
Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Dec 8, 2023) · From a complaint
All fire-safety citations (48) [3]
Inspection on Aug 27, 2026 · 3 citations
-
J
Establish policies and procedures including evacuation.
E0020 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Sep 15, 2026) · From a complaint
-
J
Provide a written emergency evacuation plan.
K0711 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Sep 15, 2026) · From a complaint
-
D
Ensure proper usage of power strips and extension cords.
K0920 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Sep 15, 2026) · From a complaint
Inspection on Jun 1, 2026 · 9 citations
-
D
Have properly installed electrical wiring and gas equipment.
K0511 · Services Deficiencies · Deficient, Provider has date of correction (Jun 19, 2026)
-
F
Establish procedures for tracking staff and patients during an emergency.
E0018 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jun 19, 2026)
-
F
Provide emergency officials' contact information.
E0031 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jun 19, 2026)
-
E
Install an approved automatic sprinkler system.
K0351 · Smoke Deficiencies · Deficient, Provider has date of correction (Jun 19, 2026)
-
E
Provide properly protected cooking facilities.
K0324 · Smoke Deficiencies · Deficient, Provider has date of correction (Jun 19, 2026)
-
F
Address subsistence needs for staff and patients.
E0015 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jun 19, 2026)
-
F
List the names and contact information of those in the facility.
E0030 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Jun 19, 2026)
-
F
Have simulated fire drills held at unexpected times.
K0712 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Jun 19, 2026)
-
F
Have proper power supply for life support equipment.
K0915 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Jun 19, 2026)
Inspection on Aug 8, 2025 · 2 citations
-
F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
K0346 · Smoke Deficiencies · Deficient, Provider has date of correction (Aug 11, 2025) · From a complaint
-
F
Have approved installation, maintenance and testing program for fire alarm systems.
K0345 · Smoke Deficiencies · Deficient, Provider has date of correction (Aug 11, 2025) · From a complaint
Inspection on Jun 12, 2025 · 26 citations
-
F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
K0914 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Aug 11, 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 (Aug 11, 2025)
-
F
Have approved installation, maintenance and testing program for fire alarm systems.
K0345 · Smoke Deficiencies · Deficient, Provider has date of correction (Aug 11, 2025)
-
E
Meet other general requirements.
K0100 · Construction Deficiencies · Deficient, Provider has date of correction (Aug 11, 2025)
-
F
Have simulated fire drills held at unexpected times.
K0712 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Aug 11, 2025)
-
F
Address subsistence needs for staff and patients.
E0015 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Aug 11, 2025)
-
D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
K0211 · Egress Deficiencies · Deficient, Provider has date of correction (Aug 11, 2025)
-
F
Provide properly protected cooking facilities.
K0324 · Smoke Deficiencies · Deficient, Provider has date of correction (Aug 11, 2025)
-
F
Install emergency lighting that can last at least 1 1/2 hours.
K0291 · Egress Deficiencies · Deficient, Provider has date of correction (Aug 11, 2025)
-
F
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 (Aug 11, 2025)
-
F
Conduct testing and exercise requirements.
E0039 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Aug 11, 2025)
-
F
Create arrangements with other facilities to receive patients.
E0025 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Aug 11, 2025)
-
D
Install an approved automatic sprinkler system.
K0351 · Smoke Deficiencies · Deficient, Provider has date of correction (Aug 11, 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 (Aug 11, 2025)
-
F
Ensure proper usage of power strips and extension cords.
K0920 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Aug 11, 2025)
-
F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
K0521 · Services Deficiencies · Deficient, Provider has date of correction (Aug 11, 2025)
-
F
Provide family notifications of emergency plan.
E0035 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Aug 11, 2025)
-
F
Inspect, test, and maintain automatic sprinkler systems.
K0353 · Smoke Deficiencies · Deficient, Provider has date of correction (Aug 11, 2025)
-
F
Properly select, install, inspect, or maintain portable fire extinguishes.
K0355 · Smoke Deficiencies · Deficient, Provider has date of correction (Aug 11, 2025)
-
F
Establish policies and procedures including evacuation.
E0020 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Aug 11, 2025)
-
E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K0372 · Smoke Deficiencies · Deficient, Provider has date of correction (Aug 11, 2025)
-
F
Have properly installed electrical wiring and gas equipment.
K0511 · Services Deficiencies · Deficient, Provider has date of correction (Aug 11, 2025)
-
F
Include a process for Emergency Preparedness collaboration.
E0009 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Aug 11, 2025)
-
D
Have properly installed hallway dispensers for alcohol-based hand rub.
K0325 · Smoke Deficiencies · Deficient, Provider has date of correction (Aug 11, 2025)
-
F
Have restrictions on the use of highly flammable decorations.
K0753 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Aug 11, 2025)
-
F
Install corridor and hallway doors that block smoke.
K0363 · Smoke Deficiencies · Deficient, Provider has date of correction (Aug 11, 2025)
Inspection on Sep 9, 2024 · 8 citations
-
F
Ensure that testing and maintenance of electrical equipment is performed.
K0921 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Nov 9, 2024)
-
F
List the names and contact information of those in the facility.
E0030 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Sep 20, 2024)
-
F
Inspect, test, and maintain automatic sprinkler systems.
K0353 · Smoke Deficiencies · Deficient, Provider has date of correction (Nov 9, 2024)
-
F
Conduct testing and exercise requirements.
E0039 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Dec 3, 2024)
-
F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
K0521 · Services Deficiencies · Deficient, Provider has date of correction (Nov 9, 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 (Sep 20, 2024)
-
F
Develop and maintain an Emergency Preparedness Program (EP).
E0004 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Sep 20, 2024)
-
F
Provide emergency officials' contact information.
E0031 · Emergency Preparedness Deficiencies · Deficient, Provider has date of correction (Sep 20, 2024)
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 1.1 · National 0.9
- Total fined
- $301,370 State avg 48,345 · National 30,351
- Payment denials
- 0 Periods with no Medicare/Medicaid payment for new admissions
Fines by year
| Date | Type | Amount | Payment denial |
|---|---|---|---|
| May 1, 2026 | Fine | $165,315 | — |
| Jun 12, 2025 | Fine | $34,671 | — |
| Sep 9, 2024 | Fine | $101,384 | — |
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
- 97.9
≈ About the state average. State 96.2 · National 93.7
- Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Higher is better
- 93.7
≈ About the state average. State 94.3 · National 95.3
- Percentage of long-stay residents experiencing one or more falls with major injury ★ Lower is better
- 1.2
✓ Better than the state average. State 2.6 · National 3.2
- Percentage of long-stay residents who have depressive symptoms Lower is better
- 2.6
✓ Better than the state average. State 17.9 · National 13.5
- Percentage of long-stay residents who lose too much weight Lower is better
- 7.1
✗ Worse than the state average. State 5.6 · National 5.1
- Percentage of long-stay residents who received an antianxiety or hypnotic medication Lower is better
- 13.2
✗ Worse than the state average. State 12.5 · National 19.5
- Percentage of long-stay residents who received an antipsychotic medication ★ Lower is better
- 11.6
✓ Better than the state average. State 15.0 · National 15.4
- Percentage of long-stay residents who were physically restrained Lower is better
- 0.0
✓ Better than the state average. State 0.1 · National 0.1
- Percentage of long-stay residents whose ability to walk independently worsened ★ Lower is better
- 24.2
✗ Worse than the state average. State 15.6 · National 12.7
- Percentage of long-stay residents whose need for help with daily activities has increased ★ Lower is better
- 16.3
✗ Worse than the state average. State 13.8 · National 13.5
- Percentage of long-stay residents with a catheter inserted and left in their bladder ★ Lower is better
- 0.0
✓ Better than the state average. State 0.8 · National 0.7
- Percentage of long-stay residents with a urinary tract infection ★ Lower is better
- 0.0
✓ Better than the state average. State 1.7 · National 1.5
- Percentage of long-stay residents with new or worsened bowel or bladder incontinence Lower is better
- 23.6
✗ Worse than the state average. State 21.6 · National 18.3
- Percentage of long-stay residents with pressure ulcers ★ Lower is better
- 5.0
✗ 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
- 96.4
✓ Better than the state average. State 88.7 · National 82.3
- Percentage of short-stay residents who newly received an antipsychotic medication ★ Lower is better
- 1.2
✓ Better than the state average. State 1.3 · National 1.5
- Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Higher is better
- 94.5
✓ Better than the state average. State 84.4 · National 80.1
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: 3.2
- 1.5
✗ Worse than the state average. State 1.3 · National 1.8
- Number of outpatient emergency department visits per 1000 long-stay resident days ★ Lower is better · Expected for these residents: 2.2
- 1.6
✗ Worse than the state average. State 1.5 · 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: 11.9
- 8.3
✓ Better than the state average. State 13.0 · National 11.8
- Percentage of short-stay residents who were rehospitalized after a nursing home admission ★ Lower is better · Expected for these residents: 26.6
- 26.1
✗ Worse than the state average. State 19.7 · 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
- 4755 SOUTH 48TH STREET OPERATIONS LLC
- Certified for
- Medicare and Medicaid
- Certified beds
- 147
- Residents per day (average)
- 123.7
- In Medicare/Medicaid since
- Nov 1, 1970
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
- County
- Pierce
- Located in a hospital
- No
Company profiles: Genesis Healthcare (183 homes, average 2.4 stars)
Part of GENESIS HEALTHCARE
One of 183 homes in this chain. Average star ratings across the chain (1 to 5):
- Overall
- 2.4
- Health inspections
- 2.3
- Staffing
- 2.6
- Quality
- 3.6
Owners, officers and managers (22) [6]
Adp Of The Snf
- 4755 SOUTH 48TH STREET PROPERTY LLC (organization, NOT APPLICABLE, since 02/01/2020)
- BQ MASTER TENANT LLC (organization, NOT APPLICABLE, since 07/13/2026)
- BRADBURN, KASEY (individual, NOT APPLICABLE, since 07/08/2024)
- CHHEDA, NEEL (individual, NOT APPLICABLE, since 12/01/2023)
- CRUZ, CORAZON (individual, NOT APPLICABLE, since 10/21/2024)
- NEWGEN ADMINISTRATIVE SERVICES, LLC (organization, NOT APPLICABLE, since 02/01/2020)
- ROBIN, AARON (individual, NOT APPLICABLE, since 02/01/2020)
- TRESS, AVROHOM (individual, NOT APPLICABLE, since 02/01/2020)
Indirect Ownership Interest
- 9560 PICO LLC (organization, NOT APPLICABLE, since 04/20/2026)
- BOLD QUAIL HOLDINGS LLC (organization, NOT APPLICABLE, since 02/01/2020)
- NEWGEN LLC (organization, NOT APPLICABLE, since 04/20/2026)
- PICO AR LLC (organization, NOT APPLICABLE, since 04/20/2026)
- ROBIN, AARON (individual, NOT APPLICABLE, since 04/20/2026)
- TRESS, AVROHOM (individual, NOT APPLICABLE, since 04/20/2026)
Direct Ownership Interest
- BQ OPERATIONS HOLDINGS LLC (organization, NOT APPLICABLE, since 02/01/2020)
Operational/Managerial Control
- BRADBURN, KASEY (individual, NOT APPLICABLE, since 07/08/2024)
- CHHEDA, NEEL (individual, NOT APPLICABLE, since 12/01/2023)
- CRUZ, CORAZON (individual, NOT APPLICABLE, since 10/21/2024)
- ROBIN, AARON (individual, NOT APPLICABLE, since 02/01/2020)
- TRESS, AVROHOM (individual, NOT APPLICABLE, since 02/01/2020)
Managing Control - Governing Body
- ROBIN, AARON (individual, NOT APPLICABLE, since 11/03/2025)
- TRESS, AVROHOM (individual, NOT APPLICABLE, since 11/03/2025)
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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