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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J4 | K3 | L· |
| Actual harm | G7 | H· | I· |
| Potential harm | D65 | E26 | F6 |
| Minimal | A· | B1 | C2 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| May 11, 2026 | Health | Health Complaint | 19 | Immediate jeopardy | 1 | Open → |
| Dec 4, 2025 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Dec 4, 2025 | Health | Health Complaint, Health Standard | 16 | Potential harm | — | Open → |
| Oct 2, 2024 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Oct 2, 2024 | Health | Health Complaint, Health Standard | 25 | Actual harm | — | Open → |
| Apr 10, 2024 | Health | Health Complaint | 6 | Immediate jeopardy | — | Open → |
| Aug 10, 2023 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Aug 10, 2023 | Health | Health Standard | 39 | Immediate jeopardy | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| May 11, 2026 | Civil money penalty (fine) | $191,981 | — | 085028|Fine|142310 |
| May 11, 2026 | Civil money penalty (fine) | $18,688 | — | 085028|Fine|145185 |
| Oct 2, 2024 | Denial of payment for new admissions | — | Dec 8, 2024 · 38 days | 085028|Payment Denial|2024-12-08 |
| Oct 2, 2024 | Civil money penalty (fine) | $212,076 | — | 085028|Fine|6110 |
| Apr 10, 2024 | Denial of payment for new admissions | — | May 14, 2024 · 43 days | 085028|Payment Denial|2024-05-14 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J4 | K3 | L· |
| Actual harm | G7 | H· | I· |
| Potential harm | D65 | E26 | F6 |
| Minimal | A· | B1 | C2 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| May 11, 2026 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | K · Immediate jeopardy Pattern | Corrected Aug 26, 2026 | Complaint |
| May 11, 2026 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | J · Immediate jeopardy Isolated | Corrected Jun 16, 2026 | Complaint |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.04 (case-mix index 1.33).
CMS legal business name of the certified provider. Operates this facility only.
64 facilities in 5 states. CMS chain ID 768.
Chain average overall rating (CMS): 2.2
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Wilmington SNF Operator Holdings LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Aug 1, 2023 |
| Glen Holdco LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Aug 1, 2023 |
| Highland De Holdings LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Aug 1, 2023 |
| J & R Family Investments, LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Aug 1, 2023 |
| Jk 2022 Family Trust | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Aug 1, 2023 |
| Landau Family Investment Trust | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Aug 1, 2023 |
| Mimi Holdco LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Aug 1, 2023 |
| Panther De Partners LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Aug 1, 2023 |
| Vh Wpc SNF Operations Holdings LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Aug 1, 2023 |
| Wpc SNF Operations Holdings LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Aug 1, 2023 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Wilmington SNF Operator Holdings LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Aug 1, 2023 |
| Glen Holdco LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Aug 1, 2023 |
| Highland De Holdings LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Aug 1, 2023 |
| J & R Family Investments, LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Pike Creek Nursing & Rehabilitation Center 5651 Limestone Road, Wilmington, DE 19808 CCN 085033SFF Candidate | 177 | Aug 26, 2026 | 1043 IJ3 harm3 open |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Encore at Foulk 1212 Foulk Road, Wilmington, DE 19803 CCN 085060 | 1.1 km | 46 | Apr 13, 2026 | 231 harm | $14k | |
| Cadia Rehabilitation Silverside 3322 Silverside Road, Wilmington, DE 19810 CCN 085056 | 2.4 km | 116 | Aug 11, 2026 | 332 IJ1 harm3 open | $87k | |
| Encore at Wilmington 2723 Shipley Road, Wilmington, DE 19810 CCN 085031 | 3.2 km | 82 | Jun 15, 2026 | 711 IJ2 harm | $59k | |
| Kentmere Rehabilitation and Healthcare Center 1900 Lovering Avenue, Wilmington, DE 19806 CCN 085001 | 3.6 km | 104 | Dec 13, 2025 | 351 harm | $8,278 | |
| Gilpin Hall 1101 Gilpin Avenue, Wilmington, DE 19806 CCN 085047Abuse icon | 4.2 km | 96 | Jul 14, 2026 | 241 harm | — | |
| Kutz Rehabilitation and Nursing 704 River Road, Wilmington, DE 19809 CCN 085043Abuse icon | 4.3 km | 90 | Mar 4, 2026 | 574 harm | $168k | |
| Regency Healthcare & Rehab Center 801 N. Broom Street, Wilmington, DE 19806 CCN 085012Abuse icon | 4.9 km | 100 | Jun 26, 2026 | 271 IJ1 harm | $78k | |
| Excelcare at Wilmington LLC 2801 W. 6th Street, Wilmington, DE 19805 CCN 085002 | 5.3 km | 150 | May 7, 2026 | 141 IJ | $38k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 085028 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 085028 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Apr 10, 2024 | Civil money penalty (fine) | $20,071 | — | 085028|Fine|5835 |
| May 11, 2026 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | G · Actual harm Isolated | Corrected Aug 26, 2026 | Complaint |
| May 11, 2026 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Aug 26, 2026 | Complaint |
| May 11, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jun 16, 2026 | Complaint |
| May 11, 2026 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 26, 2026 | Complaint |
| May 11, 2026 | F-0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 16, 2026 | Complaint |
| May 11, 2026 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 26, 2026 | Complaint |
| May 11, 2026 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 26, 2026 | Complaint |
| May 11, 2026 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Aug 26, 2026 | Complaint |
| May 11, 2026 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 26, 2026 | Complaint |
| May 11, 2026 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 26, 2026 | Complaint |
| May 11, 2026 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 26, 2026 | Complaint |
| May 11, 2026 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Aug 26, 2026 | Complaint |
| May 11, 2026 | F-0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Jun 16, 2026 | Complaint |
| May 11, 2026 | F-0777 | Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Plan of correction, not yet verified Sep 22, 2026 | Complaint |
| May 11, 2026 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 16, 2026 | Complaint |
| May 11, 2026 | F-0865 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Jun 16, 2026 | Complaint |
| May 11, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jun 16, 2026 | Complaint |
| Dec 4, 2025 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jan 9, 2026 |
| Dec 4, 2025 | F-0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 9, 2026 |
| Dec 4, 2025 | F-0635 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 9, 2026 | Complaint |
| Dec 4, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 9, 2026 |
| Dec 4, 2025 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 9, 2026 |
| Dec 4, 2025 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 9, 2026 |
| Dec 4, 2025 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 9, 2026 |
| Dec 4, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 9, 2026 |
| Dec 4, 2025 | F-0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 9, 2026 | Complaint |
| Dec 4, 2025 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 9, 2026 | Complaint |
| Dec 4, 2025 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 9, 2026 |
| Dec 4, 2025 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jan 9, 2026 |
| Dec 4, 2025 | F-0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Jan 9, 2026 | Complaint |
| Dec 4, 2025 | F-0791 | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 9, 2026 |
| Dec 4, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jan 9, 2026 | Complaint |
| Dec 4, 2025 | F-0574 | The resident has the right to receive notices in a format and a language he or she understands. Resident Rights Deficiencies · Resident rights & abuse/neglect | C · Minimal Widespread | Corrected Jan 9, 2026 |
| Oct 2, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jan 15, 2025 | Complaint |
| Oct 2, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | G · Actual harm Isolated | Corrected Nov 18, 2024 | Complaint |
| Oct 2, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 31, 2024 |
| Oct 2, 2024 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 31, 2024 |
| Oct 2, 2024 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 31, 2024 |
| Oct 2, 2024 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 18, 2024 |
| Oct 2, 2024 | F-0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 15, 2025 | Complaint |
| Oct 2, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 18, 2024 |
| Oct 2, 2024 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Nov 18, 2024 |
| Oct 2, 2024 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jan 15, 2025 | Complaint |
| Oct 2, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 18, 2024 | Complaint |
| Oct 2, 2024 | F-0688 | 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. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 18, 2024 |
| Oct 2, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 15, 2025 | Complaint |
| Oct 2, 2024 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Nov 18, 2024 |
| Oct 2, 2024 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 18, 2024 | Complaint |
| Oct 2, 2024 | F-0693 | 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. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 18, 2024 |
| Oct 2, 2024 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 18, 2024 |
| Oct 2, 2024 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 18, 2024 |
| Oct 2, 2024 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Nov 18, 2024 |
| Oct 2, 2024 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Nov 18, 2024 | Complaint |
| Oct 2, 2024 | F-0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Nov 18, 2024 | Complaint |
| Oct 2, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Nov 18, 2024 |
| Oct 2, 2024 | F-0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Nov 18, 2024 |
| Oct 2, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jan 15, 2025 |
| Oct 2, 2024 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Nov 18, 2024 |
| Oct 2, 2024 | F-0887 | 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. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Nov 18, 2024 |
| Oct 2, 2024 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 18, 2024 | Complaint |
| Oct 2, 2024 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | B · Minimal Pattern | Corrected Nov 18, 2024 | Complaint |
| Apr 10, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Jun 26, 2024 | Complaint |
| Apr 10, 2024 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 13, 2024 | Complaint |
| Apr 10, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 26, 2024 | Complaint |
| Apr 10, 2024 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 13, 2024 | Complaint |
| Apr 10, 2024 | F-0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected May 13, 2024 | Complaint |
| Apr 10, 2024 | F-0837 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. Administration Deficiencies · Administration & records | C · Minimal Widespread | Corrected May 13, 2024 | Complaint |
| Aug 10, 2023 | F-0635 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. Resident Assessment and Care Planning Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Dec 6, 2023 |
| Aug 10, 2023 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Dec 6, 2023 |
| Aug 10, 2023 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | K · Immediate jeopardy Pattern | Corrected Sep 25, 2023 |
| Aug 10, 2023 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | K · Immediate jeopardy Pattern | Corrected Sep 25, 2023 |
| Aug 10, 2023 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Sep 25, 2023 |
| Aug 10, 2023 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Sep 25, 2023 |
| Aug 10, 2023 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 11, 2023 |
| Aug 10, 2023 | K-0225 | Have stairways and smokeproof enclosures used as exits that meet safety requirements. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 11, 2023 |
| Aug 10, 2023 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 11, 2023 |
| Aug 10, 2023 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 11, 2023 |
| Aug 10, 2023 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 11, 2023 |
| Aug 10, 2023 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 11, 2023 |
| Aug 10, 2023 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 6, 2023 |
| Aug 10, 2023 | F-0578 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Dec 6, 2023 |
| Aug 10, 2023 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 25, 2023 |
| Aug 10, 2023 | F-0584 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Dec 6, 2023 |
| Aug 10, 2023 | F-0585 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Sep 25, 2023 |
| Aug 10, 2023 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 6, 2023 |
| Aug 10, 2023 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 25, 2023 |
| Aug 10, 2023 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Dec 6, 2023 |
| Aug 10, 2023 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 6, 2023 |
| Aug 10, 2023 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Dec 6, 2023 |
| Aug 10, 2023 | F-0685 | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 25, 2023 |
| Aug 10, 2023 | F-0688 | 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. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 6, 2023 |
| Aug 10, 2023 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 6, 2023 |
| Aug 10, 2023 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Sep 25, 2023 |
| Aug 10, 2023 | F-0693 | 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. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 6, 2023 |
| Aug 10, 2023 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Sep 25, 2023 |
| Aug 10, 2023 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Sep 25, 2023 |
| Aug 10, 2023 | F-0803 | 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. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Dec 6, 2023 |
| Aug 10, 2023 | F-0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Jan 31, 2024 |
| Aug 10, 2023 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Sep 25, 2023 |
| Aug 10, 2023 | F-0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Sep 25, 2023 |
| Aug 10, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Dec 6, 2023 |
| Aug 10, 2023 | F-0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Sep 25, 2023 |
| Aug 10, 2023 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 25, 2023 |
| Aug 10, 2023 | F-0923 | Have enough outside ventilation via a window or mechanical ventilation, or both. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 25, 2023 |
| Aug 10, 2023 | F-0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Sep 25, 2023 |
| Aug 10, 2023 | F-0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 6, 2023 |
| Aug 10, 2023 | F-0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 6, 2023 |
| Aug 10, 2023 | F-0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Dec 6, 2023 |
| Aug 10, 2023 | F-0946 | Provide training in compliance and ethics. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Dec 6, 2023 |
| Aug 10, 2023 | F-0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Sep 25, 2023 |
| Aug 10, 2023 | F-0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Sep 25, 2023 |
| not provided |
| Aug 1, 2023 |
| Jk 2022 Family Trust | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Aug 1, 2023 |
| Landau Family Investment Trust | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Aug 1, 2023 |
| Mimi Holdco LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Aug 1, 2023 |
| Panther De Partners LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Aug 1, 2023 |
| Vh Wpc SNF Operations Holdings LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Aug 1, 2023 |
| Wpc SNF Operations Holdings LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Aug 1, 2023 |
| Moshe Rajchenbach | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Aug 1, 2023 |
| Renee Boyer | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Aug 1, 2023 |
| $221k |