Salisbury, MO

Chariton Park Health Care Center

1-star overall rating with 1-star inspections with abuse icon flag with $126,537 in total fines with 35 recent health deficiencies with 15 fire-safety deficiencies in the latest cycle

902 Manor Drive, Salisbury, MO

(660) 388-6486

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

114

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Reliant Care Management

Operator or chain grouping

Approved since

1993-03-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

29 facilities

Chain averages 1 overall / 2 health / 1 staffing / 2 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.21

Registered nurse staffing · state 0.46 · national 0.68

LPN hours / resident day

0.25

Licensed practical nurse staffing · state 0.68 · national 0.87

Aide hours / resident day

1.49

Nurse aide staffing · state 2.33 · national 2.35

Total nurse hours

1.95

All reported nurse hours · state 3.47 · national 3.89

Licensed hours

0.46

RN + LPN hours · state 1.14 · national 1.54

Weekend hours

1.81

Weekend nurse staffing · state 3.04 · national 3.43

Weekend RN hours

0.20

Weekend registered nurse coverage · state 0.33 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.17

CMS adjusted RN staffing hours

Adjusted total hours

1.60

CMS adjusted total nurse staffing hours

Case-mix index

1.67

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

54%

Annual nurse turnover · state 57% · national 46%

SNF VBP

Value-based purchasing

Program rank

8,300

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

27.21

Composite VBP score used to determine payment impact.

Payment multiplier

0.9845

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

4.51

Baseline 34.21% · Performance 45.24% · Measure score 4.51 · Achievement 4.51 · Improvement 0

Adjusted total nurse staffing

0.93

Baseline 2.05 hours · Performance 2.59 hours · Measure score 0.93 · Achievement 0 · Improvement 0.93

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission Not Available
10.72%
Not Available · Eligible stays 23 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community Not Available
50.57%
Not Available · Eligible stays 7 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary 0.6
1.02
0.4 pts better
Drug regimen review with follow-up Not Available
95.27%
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator 18 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays 9 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 78
Staff flu vaccination coverage 25%
42%
17 pts worse
Numerator 20 · Denominator 80
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.4
2.1
0.3 pts worse
1.9
0.5 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 1.9 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 3.3
2.3
1 pts worse
1.8
1.5 pts worse
Long Stay · 20240701-20250630 · Adjusted 3.3 · Observed 3.3 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.1%
84.8%
14.3 pts better
93.4%
5.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 99.1% · Q2 98.2% · Q3 100.0% · Q4 99.1% · 4Q avg 99.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.0%
90.9%
4.1 pts better
95.5%
0.5 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.0%
Percentage of long-stay residents experiencing one or more falls with major injury 0.2%
4.1%
3.9 pts better
3.3%
3.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.9% · 4Q avg 0.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 43.9%
14.7%
29.2 pts worse
11.4%
32.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 47.2% · Q3 65.3% · Q4 63.7% · 4Q avg 43.9%
Percentage of long-stay residents who lose too much weight 0.0%
5.5%
5.5 pts better
5.4%
5.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 41.8%
25.3%
16.5 pts worse
19.6%
22.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 48.7% · Q2 40.2% · Q3 40.2% · Q4 38.1% · 4Q avg 41.8%
Percentage of long-stay residents who received an antipsychotic medication 71.1%
25.0%
46.1 pts worse
16.7%
54.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 70.4% · Q2 71.4% · Q4 69.6% · 4Q avg 71.1% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.4%
0.0%
0.4 pts worse
0.1%
0.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.9% · Q3 0.9% · Q4 0.0% · 4Q avg 0.4%
Percentage of long-stay residents whose ability to walk independently worsened 38.3%
20.3%
18 pts worse
16.3%
22 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 9.3% · Q2 62.7% · Q3 56.8% · Q4 24.8% · 4Q avg 38.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 38.2%
19.8%
18.4 pts worse
14.9%
23.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 13.4% · Q2 54.5% · Q3 63.6% · Q4 20.4% · 4Q avg 38.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
1.4%
1.4 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.4%
2.6%
2.2 pts better
1.7%
1.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 0.9% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 8.8%
18.1%
9.3 pts better
19.8%
11 pts better
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 15.1% · Q3 5.2% · Q4 7.0% · 4Q avg 8.8%
Percentage of long-stay residents with pressure ulcers 2.6%
5.0%
2.4 pts better
5.1%
2.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 6.5% · Q3 1.8% · Q4 2.1% · 4Q avg 2.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 67.7%
66.4%
1.3 pts better
81.7%
14 pts worse
Short Stay · 2024Q4-2025Q3 · 4Q avg 67.7%
Percentage of short-stay residents who had an outpatient emergency department visit 20.8%
13.4%
7.4 pts worse
12.0%
8.8 pts worse
Short Stay · 20240701-20250630 · Adjusted 20.8% · Observed 23.8% · Expected 12.8% · Used in QM five-star
Percentage of short-stay residents who were rehospitalized after a nursing home admission 22.2%
25.3%
3.1 pts better
23.9%
1.7 pts better
Short Stay · 20240701-20250630 · Adjusted 22.2% · Observed 19.0% · Expected 20.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-03-08 · Fire 2024-03-08

35 health deficiencies

Top issue: Resident Rights (11 deficiencies)

15 fire-safety deficiencies

Top issue: Smoke (6 deficiencies)

Cycle 2 Health 2022-05-19 · Fire 2022-05-19

20 health deficiencies

Top issue: Resident Rights (7 deficiencies)

19 fire-safety deficiencies

Top issue: Smoke (7 deficiencies)

Cycle 3 Health 2019-11-06 · Fire 2019-11-06

8 health deficiencies

Top issue: Resident Rights (4 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-03-08

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2024-04-19

F · Potential for more than minimal harm 2024-03-08

E33 · Emergency Preparedness Deficiencies

Fire Safety

Establish methods for sharing information.

Corrected 2024-04-19

F · Potential for more than minimal harm 2024-03-08

E34 · Emergency Preparedness Deficiencies

Fire Safety

Provide a means of sharing information on occupancy/needs.

Corrected 2024-04-19

F · Potential for more than minimal harm 2024-03-08

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-06-13

E · Potential for more than minimal harm 2024-03-08

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-04-19

E · Potential for more than minimal harm 2024-03-08

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-04-19

E · Potential for more than minimal harm 2024-03-08

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-04-19

E · Potential for more than minimal harm 2024-03-08

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-06-13

E · Potential for more than minimal harm 2024-03-08

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-06-13

E · Potential for more than minimal harm 2024-03-08

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-06-13

E · Potential for more than minimal harm 2024-03-08

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-06-13

E · Potential for more than minimal harm 2024-03-08

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-04-19

E · Potential for more than minimal harm 2024-03-08

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-04-19

D · Potential for more than minimal harm 2024-03-08

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2024-04-19

D · Potential for more than minimal harm 2024-03-08

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-04-19

F · Potential for more than minimal harm 2022-05-19

E13 · Emergency Preparedness Deficiencies

Fire Safety

Develop Emergency Preparedness policies and procedures.

Corrected 2022-07-11

F · Potential for more than minimal harm 2022-05-19

E20 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures including evacuation.

Corrected 2022-07-11

F · Potential for more than minimal harm 2022-05-19

E24 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures for volunteers.

Corrected 2022-07-11

F · Potential for more than minimal harm 2022-05-19

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2022-07-11

F · Potential for more than minimal harm 2022-05-19

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2022-07-11

F · Potential for more than minimal harm 2022-05-19

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2022-07-11

F · Potential for more than minimal harm 2022-05-19

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2022-07-11

F · Potential for more than minimal harm 2022-05-19

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-07-11

F · Potential for more than minimal harm 2022-05-19

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2022-11-01

F · Potential for more than minimal harm 2022-05-19

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-07-11

E · Potential for more than minimal harm 2022-05-19

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2022-07-11

E · Potential for more than minimal harm 2022-05-19

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2022-07-11

E · Potential for more than minimal harm 2022-05-19

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2022-07-11

E · Potential for more than minimal harm 2022-05-19

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-07-11

E · Potential for more than minimal harm 2022-05-19

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2022-07-11

E · Potential for more than minimal harm 2022-05-19

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2022-07-11

E · Potential for more than minimal harm 2022-05-19

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2022-07-11

E · Potential for more than minimal harm 2022-05-19

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2022-07-11

E · Potential for more than minimal harm 2022-05-19

K932 · Smoke Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2022-07-11

E · Potential for more than minimal harm 2019-11-06

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2019-12-20

E · Potential for more than minimal harm 2019-11-06

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-12-20

E · Potential for more than minimal harm 2019-11-06

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2019-12-20

E · Potential for more than minimal harm 2019-11-06

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2019-12-20

E · Potential for more than minimal harm 2019-11-06

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2019-12-20

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-31

F627 · Resident Rights Deficiencies

Health

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Corrected 2026-01-20

G · Actual harm 2025-11-24

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-12-08

E · Potential for more than minimal harm 2025-11-24

F557 · Resident Rights Deficiencies

Health

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Corrected 2025-12-08

E · Potential for more than minimal harm 2025-11-24

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-12-08

D · Potential for more than minimal harm 2025-11-24

F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Corrected 2025-12-08

D · Potential for more than minimal harm 2025-06-05

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-06-20

E · Potential for more than minimal harm 2025-04-02

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-04-10

D · Potential for more than minimal harm 2024-09-12

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-09-25

G · Actual harm 2024-09-04

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-09-25

D · Potential for more than minimal harm 2024-09-04

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-09-25

D · Potential for more than minimal harm 2024-09-04

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-09-25

D · Potential for more than minimal harm 2024-08-07

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-08-03

G · Actual harm 2024-04-25

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-06-13

G · Actual harm 2024-03-08

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-06-13

F · Potential for more than minimal harm 2024-03-08

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-04-19

E · Potential for more than minimal harm 2024-03-08

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-04-19

E · Potential for more than minimal harm 2024-03-08

F557 · Resident Rights Deficiencies

Health

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Corrected 2024-04-19

E · Potential for more than minimal harm 2024-03-08

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-04-19

E · Potential for more than minimal harm 2024-03-08

F565 · Resident Rights Deficiencies

Health

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2024-04-19

E · Potential for more than minimal harm 2024-03-08

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2024-04-19

E · Potential for more than minimal harm 2024-03-08

F585 · Resident Rights Deficiencies

Health

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.

Corrected 2024-04-19

E · Potential for more than minimal harm 2024-03-08

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2024-04-19

E · Potential for more than minimal harm 2024-03-08

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-04-19

E · Potential for more than minimal harm 2024-03-08

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2024-04-19

E · Potential for more than minimal harm 2024-03-08

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-04-19

E · Potential for more than minimal harm 2024-03-08

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-04-19

E · Potential for more than minimal harm 2024-03-08

F728 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2024-04-19

E · Potential for more than minimal harm 2024-03-08

F758 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-04-19

E · Potential for more than minimal harm 2024-03-08

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-04-19

E · Potential for more than minimal harm 2024-03-08

F803 · Nutrition and Dietary Deficiencies

Health

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.

Corrected 2024-04-19

E · Potential for more than minimal harm 2024-03-08

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2024-04-19

E · Potential for more than minimal harm 2024-03-08

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-04-19

D · Potential for more than minimal harm 2024-03-08

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-04-19

D · Potential for more than minimal harm 2024-03-08

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2024-03-02

D · Potential for more than minimal harm 2024-03-08

F688 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2024-04-19

D · Potential for more than minimal harm 2024-03-08

F700 · Quality of Life and Care Deficiencies

Health

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Corrected 2024-04-19

D · Potential for more than minimal harm 2024-03-08

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-04-19

D · Potential for more than minimal harm 2024-03-08

F790 · Quality of Life and Care Deficiencies

Health

Provide routine and 24-hour emergency dental care for each resident.

Corrected 2024-04-19

D · Potential for more than minimal harm 2024-03-08

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2024-04-19

D · Potential for more than minimal harm 2024-03-08

F909 · Environmental Deficiencies

Health

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Corrected 2024-04-19

C · Minimal harm 2024-03-08

F577 · Resident Rights Deficiencies

Health

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Corrected 2024-04-19

G · Actual harm 2023-12-12

F742 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2024-01-15

E · Potential for more than minimal harm 2023-12-12

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-01-15

E · Potential for more than minimal harm 2023-11-01

F836 · Administration Deficiencies

Health

Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

Corrected 2023-11-24

G · Actual harm 2022-05-19

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2022-07-11

F · Potential for more than minimal harm 2022-05-19

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2022-07-11

E · Potential for more than minimal harm 2022-05-19

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2022-07-11

E · Potential for more than minimal harm 2022-05-19

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2022-07-11

E · Potential for more than minimal harm 2022-05-19

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2022-07-11

E · Potential for more than minimal harm 2022-05-19

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2022-07-11

E · Potential for more than minimal harm 2022-05-19

F803 · Nutrition and Dietary Deficiencies

Health

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.

Corrected 2022-07-11

D · Potential for more than minimal harm 2022-05-19

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2022-07-11

D · Potential for more than minimal harm 2022-05-19

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2022-07-11

D · Potential for more than minimal harm 2022-05-19

F758 · Pharmacy Service Deficiencies

Health

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.

Corrected 2022-07-11

D · Potential for more than minimal harm 2022-05-19

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2022-07-11

B · Minimal harm 2022-05-19

F577 · Resident Rights Deficiencies

Health

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Corrected 2022-07-11

B · Minimal harm 2022-05-19

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2022-07-11

B · Minimal harm 2022-05-19

F625 · Resident Rights Deficiencies

Health

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.

Corrected 2022-07-11

F · Potential for more than minimal harm 2019-11-06

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2019-12-20

E · Potential for more than minimal harm 2019-11-06

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2019-12-20

E · Potential for more than minimal harm 2019-11-06

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2019-12-20

C · Minimal harm 2019-11-06

F575 · Resident Rights Deficiencies

Health

Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.

Corrected 2019-12-20

C · Minimal harm 2019-11-06

F577 · Resident Rights Deficiencies

Health

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Corrected 2019-12-20

Penalties and ownership

What sits behind the stars

$47,740 2025-11-24

Fine

Fine · fine $47,740

Fine

$24,668 2024-09-04

Fine

Fine · fine $24,668

Fine

$28,925 2024-03-08

Fine

Fine · fine $28,925

Fine

$0 2024-03-08

Payment Denial

Payment Denial · denial start 2024-06-01 · 12 days

12 day denial

$25,204 2023-11-01

Fine

Fine · fine $25,204

Fine

Ownership

Arshad, Abdullah

Operational/Managerial Control · Individual

0% 17 facilities 2024-09-15
Destefane, Richard

Operational/Managerial Control · Individual

0% 30 facilities 1994-12-12
Destefane, Richard

Corporate Officer · Individual

0% 30 facilities 1994-12-12
Mustapha, Sara

Operational/Managerial Control · Individual

0% 1 facilities 2024-10-10
Reliant Care Management Company LLC

Operational/Managerial Control · Organization

0% 29 facilities 1994-12-12

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Staffing
1 / 5
Fines
$121,965

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