Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Bensonhurst Center For Rehabilitation & Healthcare during CMS and state inspections, most recent first.
The facility failed to provide timely written notifications of transfer or discharge to two residents, their representatives, and the Ombudsman. One resident was transferred to the hospital without proper notice, and another was discharged home with only verbal consent from a representative. Interviews revealed inconsistencies in the facility's process for issuing and documenting these notices.
A resident requiring substantial assistance with grooming and personal care did not have a comprehensive care plan developed and implemented, as required by facility policy. Despite the resident's requests for assistance with shaving and hair trimming, these needs were not addressed. Interviews with staff revealed confusion over responsibility for care plan development, resulting in the oversight.
A resident's representative was not invited to participate in quarterly care planning meetings, contrary to facility policy. The resident, who was severely cognitively impaired, required assistance with daily activities. Facility staff confirmed that the representative was only invited to the annual meeting, not the subsequent quarterly meetings, leading to a deficiency in care planning involvement.
A resident at risk for pressure ulcers was not consistently wearing prescribed bunny boots on both feet as ordered by the physician. Despite the facility's policy on pressure ulcer prevention, the resident was observed multiple times with only one boot on, and there were instances of missing documentation and lack of follow-up. Staff acknowledged the issue, but the Director of Nursing confirmed that assistive devices had not been discussed in Quality Assurance meetings, indicating a gap in oversight.
The facility experienced consistent staffing shortages, particularly on weekends, affecting resident care. Residents reported delays in receiving essential services due to insufficient staff. The DON and Administrator acknowledged the issue, attributing it to increased callouts and lack of replacement staff.
The facility did not provide emergency lighting in the dining area on one unit. During a life safety code survey, it was observed that the 7th-floor dining room had lighting controlled by manual switches that could be disabled. The Maintenance Director acknowledged the issue.
The facility did not secure two oxygen tanks as required by NFPA 99 standards. During a life safety code survey, it was observed that the tanks were not restrained on floors 3 and 5. The maintenance director acknowledged the issue.
The facility did not ensure visible postings about COVID-19 vaccine availability, as observed during a survey. Signs were missing in key areas, and the DON, also the Infection Control Preventionist, was unaware of their absence despite the facility offering vaccines.
Failure to Provide Written Transfer/Discharge Notices
Penalty
Summary
The facility failed to provide timely and appropriate written notifications of transfer or discharge to residents, their representatives, and the Office of the State Long-Term Care Ombudsman. This deficiency was identified during a recertification survey, affecting two residents. Resident #6, who had moderate cognitive impairment and was readmitted with diagnoses including fracture and malnutrition, was transferred to the hospital due to skin irritation and foul odor from a splint. However, there was no documented evidence that a written notice of this transfer was provided to the resident, their representative, or the Ombudsman. Similarly, Resident #12, who also had moderate cognitive impairment and was admitted with conditions such as dementia and diabetes, was discharged home with only a verbal consent from the resident's representative. The written notice of discharge was dated just one day before the actual discharge and lacked signatures and mailing information to the designated representative, Ombudsman, or family member. The facility's failure to provide these notices was confirmed through interviews with the residents' representatives and Ombudsman staff, who reported not receiving the necessary documentation. Interviews with facility staff, including the Director of Social Work, Registered Nurses, and the Administrator, revealed inconsistencies and misunderstandings regarding the process for issuing and documenting transfer and discharge notices. The facility's policy required that such notices be sent to the Ombudsman and provided to residents and their representatives, but there was no evidence that this was consistently done. The staff interviews highlighted a lack of coordination and clarity in responsibilities, contributing to the deficiency in notifying the appropriate parties about resident transfers and discharges.
Plan Of Correction
Plan of Correction: Approved February 27, 2025 This provider submits the following plan of correction in good faith and to comply with Federal Law. This plan is not an admission of wrongdoing, nor does it reflect agreement with the facts and conclusions stated in the statement of deficiencies. 1) Immediate actions taken for those residents identified: Resident #6 has since returned to the facility. Resident #12 was discharged to the community with the Discharge/Transfer forms containing the Ombudsman information. Both Resident Families were notified about all the pertinent information with regards to the Ombudsman office. Written Notices for transfer and discharges for Resident #6 and Resident #12 were forwarded to the Office of the State Long-Term Care Ombudsman. 2) How the facility identified other residents: All residents can be affected by this deficient practice. The Director of Social Services or Designee audited the residents transferred/discharged to ensure Notice of Discharge/Transfer were issued and were communicated with the Ombudsman Office. As a result of the Audit completed by Director of Social Services, no other Residents were affected. 3) Measures put into place/System changes: Transfer and Discharge Notice Policy was reviewed and kept the same. Licensed Nursing Staff and Social Services will be re-educated by Nurse Educator regarding completing the Notice of Transfer/Discharge upon Planned Discharges and upon Emergency Transfers and instructed to keep a copy for facility records. Social Services shall email a copy of the notices to the Ombudsman Office. Social Services shall mail a copy of the notices to the Resident Representative after the transfer/discharge as an additional measure. 4) How the corrective actions will be monitored: An Audit tool was developed on monitoring compliance with communication with the Ombudsman Office. The Social Service Director or Designee shall be responsible for oversight of these audits. The Social Service Director or Designee will ensure that all the steps stated in all the elements are implemented. Every week for a year, the Director of Social Services or Designee will audit all discharges/transfers to ensure compliance. The results of these audits will be presented to the quarterly QAPI meeting.
Failure to Implement Comprehensive Care Plan for Resident
Penalty
Summary
The facility failed to develop and implement a comprehensive care plan for a resident who required substantial assistance with grooming and personal care. The resident, who was admitted with diagnoses including failure to thrive, functional debility, mild acute kidney injury, skin rash, and frequent falls, expressed that they had requested assistance with shaving and hair trimming, but these needs were not addressed. Upon review, it was found that there was no documented evidence of a care plan addressing Activities of Daily Living for this resident, despite the facility's policy requiring such plans to be developed and implemented. Interviews with facility staff revealed a lack of clarity and responsibility regarding the development of care plans. The Registered Nurse Manager indicated that the admitting nurse should have created the care plan within 48 hours of admission. However, the Assistant Director of Nursing and the Rehabilitation Director both acknowledged that the care plan for Activities of Daily Living was missed. The Rehabilitation Director stated that the Occupational Therapist was responsible for creating the self-care and functional mobility care plan, but it was not completed. This oversight led to the deficiency noted during the survey.
Plan Of Correction
Plan of Correction: Approved March 4, 2025 This provider submits the following plan of correction in good faith and to comply with Federal Law. This plan is not an admission of wrongdoing, nor does it reflect agreement with the facts and conclusions stated in the statement of deficiencies. 1) Immediate actions taken for those residents identified: Resident #238’s Care plan was correctly updated reflecting the appropriate plan of care including Activities of Daily Living Care plan, Mobility care plan and Range of Motion care plan. 2) How the facility identified other residents: All residents can be affected by this deficient practice. The Director of Rehabilitation audited ADL care plan of all residents and no other Residents were affected. 3) Measures put into place/System changes: PT, OT, ST Supervisors and RNs/Nursing Supervisors/Unit Managers received in-service from the Director of Rehabilitation with regards to timely implementing and developing all ADL/Mobility/Range of motion care plans upon admission/readmission/start of care and the policies which includes Activities of Daily Living Care Plan, Mobility care Plan and Range of Motion Care Plan. ADL Functional Abilities Policy and Procedure was reviewed and kept the same. This includes Activities of Daily Living Care Plan, Mobility Care Plan and Range of Motion Care Plan. 4) How the corrective actions will be monitored: An audit tool by the Director of Rehabilitation was developed to monitor compliance in timely implementation of care plans. Director of Rehabilitation/Designee will audit on a weekly basis for a year to ensure compliance and timely establishing and implementing the care plans. The Director of Rehabilitation is responsible for ensuring the corrective action is implemented and is responsible for the implementation and monitoring of the plan. This audit will be submitted to Administrator and presented to the quarterly QAPI meeting.
Failure to Involve Resident Representative in Care Planning
Penalty
Summary
The facility failed to ensure that a resident or their designated representative was given the opportunity to participate in the care planning process, as required by regulations. Specifically, for one resident reviewed, there was no documented evidence that the resident or their representative was invited to participate in the review and revision of their care plan. The facility's policy stated that residents and their representatives should be invited to initial, annual, and significant change care planning meetings, but it was found that the representative was not invited to quarterly meetings. The resident in question was admitted with diagnoses including cerebrovascular accident, hypertension, and diabetes mellitus, and was documented as severely cognitively impaired, requiring assistance with activities of daily living. Despite the facility's policy, there was no documentation that the resident's representative was invited to care planning meetings held in October 2024 and January 2025. The facility's social worker and director of social services confirmed that the representative was only invited to the annual meeting in July 2024, and not to the subsequent quarterly meetings. Interviews with facility staff, including the registered nurse unit manager, social worker, and director of social services, revealed inconsistencies in the understanding and implementation of the care planning meeting invitation process. The director of nursing acknowledged that care planning was previously identified as an issue, and the administrator stated that the facility believed they were in compliance with care planning meetings, despite the lack of invitations to quarterly meetings for the resident's representative.
Plan Of Correction
Plan of Correction: Approved February 27, 2025 This provider submits the following plan of correction in good faith and to comply with Federal Law. This plan is not an admission of wrongdoing, nor does it reflect agreement with the facts and conclusions stated in the statement of deficiencies. 1) Immediate actions taken for those residents identified: Resident #38 still resides at the facility. The resident did not have any ill effect from the quarterly care plan meeting not being conducted with Resident/Resident Representative. Resident’s Plan of Care remained the same. The quarterly care plan meeting was completed with the Resident Representative via phone call. 2) How the facility identified other residents: All residents can be affected by this deficient practice. The Director of Social Services or Designee audited all resident files to assure that all residents care plan meetings have been invited with Resident/Resident Representative. The Director of Social Services or Designee audited the residents Care Plan Meeting Records. As a result of the Audit completed by Director of Social Services no other Residents were affected. 3) Measures put into place/System changes: The Care Plan Policy has been updated to ensure compliance with inviting Resident’s representatives to Care Plan Meetings. In the event of Resident’s Representative is unreachable via phone call, a mailing invite will be sent. The Social Services Department was re-educated by the Administrator on the process for all Social Workers to ensure Resident/Resident Representatives are invited for all care plan meetings as directed by State and CMS regulations. 4) How the corrective actions will be monitored: An Audit tool was developed on monitoring compliance of invitations to Care Plan Meetings with Resident/Resident’s Representatives. Every week for a year, the Director of Social Services or Designee will audit all care plan meetings to ensure compliance. The Director of Social Services or Designee will be responsible for the implementation and monitoring of the plan. The results of these audits will be presented to the quarterly QAPI meeting.
Failure to Ensure Consistent Use of Pressure-Relieving Devices
Penalty
Summary
The facility failed to ensure that a resident received care consistent with professional standards to prevent pressure ulcers. This deficiency was identified during a recertification survey, where it was observed that a resident, who was at risk for pressure ulcers, was not consistently wearing a prescribed pressure-relieving device, known as a bunny boot, on both feet as ordered by the physician. The resident had a history of venous insufficiency, wound infection, and malnutrition, and was cognitively intact but required assistance for lower body dressing. Despite the physician's order to apply bunny boots to both heels while in bed, the resident was repeatedly observed with only one boot on, and there were instances where the right boot was missing or not applied. The facility's policy on the prevention and treatment of pressure ulcers emphasized the importance of protecting skin against pressure and ensuring proper use of assistive devices. However, documentation and interviews revealed lapses in adherence to this policy. Certified Nursing Assistants and Registered Nurses acknowledged the resident's non-compliance and the missing device, but there was a lack of consistent documentation and follow-up. The Director of Nursing confirmed that assistive devices had not been discussed in Quality Assurance Performance Improvement meetings, indicating a gap in oversight and accountability for ensuring the resident's prescribed care was followed.
Plan Of Correction
Plan of Correction: Approved February 27, 2025 This provider submits the following plan of correction in good faith and to comply with Federal Law. This plan is not an admission of wrongdoing, nor does it reflect agreement with the facts and conclusions stated in the statement of deficiencies. 1) Immediate actions taken for those residents identified: Resident # 11 was examined immediately. No harm was noted. Care Plan was reviewed and kept the same. Resident has a MD order for two bunny boots, reviewed and kept the same. MD orders for bunny boots reflected in Potential for Skin Breakdown Care Plan. Resident was provided with additional bunny boot for right lower extremity. Nurses on unit received one-on-one in-service for Assistive Devices placement and Pressure Ulcers Prevention. 2) How the facility identified other residents: All residents potentially can be affected by deficient practice. The Director of Nursing audited all residents with assistive devices for assistive devices placement. No other residents were affected. 3) Measures put into place/System changes: Policy of Pressure Ulcers Prevention were reviewed and kept the same. All nursing staff were re-in-serviced on proper placement of assistive devices and signing eTAR accordingly as per Assistive Devices placement and Pressure Ulcers Prevention Policy on 02/17/2025. 4) How the corrective actions will be monitored: An Audit tool was developed on monitoring compliance with placement of assistive devices. All nursing staff in-serviced on proper placement of assistive devices. Each shift medication nurse shall check placement and sign the eTAR. Director of Nursing is responsible to submit results of Quality Assurance Audit to Administrator on a weekly basis for a year and presented to QAPI meeting for the next two quarters until compliance is achieved. The Director of Nursing is responsible for the implementation and monitoring of the plan.
Weekend Staffing Shortages Impact Resident Care
Penalty
Summary
The facility was found to have insufficient nursing staff to meet the needs of residents, particularly on weekends, as documented during a Recertification Survey and Complaint Survey. The facility's policy on staffing levels, revised in February 2024, aimed to ensure adequate and competent staffing based on the Facility Assessment. However, the Payroll Based Journal Staffing Data Report for the fourth quarter of 2024 indicated excessively low staffing levels on weekends. The facility's staffing plan outlined specific numbers of licensed nurses and certified nursing assistants required per shift, but actual staffing schedules revealed consistent shortages, particularly on weekends. Interviews with residents and staff corroborated the findings of understaffing. Several residents reported delays in receiving care, such as incontinence care, assistance with dressing, and meal delivery, due to the lack of sufficient staff. One resident mentioned that the issue was more pronounced on weekends, while another resident's representative noted that understaffing affected timely feeding during mealtimes. Certified Nursing Assistants also reported that being short-staffed led to delays in providing morning care and other essential services. The facility's Director of Nursing and Administrator acknowledged the staffing issues, attributing them to increased callouts during the summer months and the inability to replace absent staff. Despite these acknowledgments, both denied receiving complaints from residents or staff regarding staffing levels. The facility's staffing coordinator was uncertain about the extent of understaffing and noted that the facility did not offer incentives for staff to cover short-staffed shifts.
Plan Of Correction
Plan of Correction: Approved March 5, 2025 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** This provider submits the following plan of correction in good faith and to comply with Federal Law. This plan is not an admission of wrongdoing, nor does it reflect agreement with the facts and conclusions stated in the statement of deficiencies. 1) Immediate actions taken for those residents identified: Bensonhurst Center will provide sufficient nursing staff with the appropriate competencies and skill sets to provide nursing and related services to assure resident safety and attain and maintain the highest practicable physical, mental and psychosocial well-being of each resident, as determined by resident assessments and individual plans of care and considering the number, acuity and [DIAGNOSES REDACTED]. No negative outcomes were identified for the residents noted in this citation (Resident #120, Resident #3, Resident #36, and Resident #43) as the result of this alleged deficient. All four residents continue to remain in the facility for long term care. None of them had any falls, weight loss or otherwise negative decline due to weekend staffing. 2) How the facility identified other residents: A combination of 20 Family Members/Residents were asked a 3-question survey week of (MONTH) 23rd. 14 Residents and 6 Family Members were surveyed: 1. Have you waited longer for care on weekends? 2. Have you noticed fewer staff on weekends (aside from management that don’t work weekends)? 3. Do you wish to file any grievance regarding care over the weekends? All responded no to these questions. Copies of these surveys are kept for verification. A review of weekend staffing over the last 2 weeks shows that each day fell within the parameters of the updated Facility Assessment. A Resident Council Meeting was held on 3/4/2025 to discuss the weekend staffing. 3) Measures put into place/System changes: 1. Facility Assessment was reviewed, revised, and updated to reflect current resident population acuities and staffing pattern needs on a 7-day basis. 2. A review of the master schedule was conducted and the facility identified all FT/PT openings. A union required posting for open shifts was posted at the facility time clock and was advertised on employment platforms. HR is actively recruiting for these open positions. 3. Two Nursing orientations were conducted since Survey exit. 4. Staffing Coordinator was educated on the appropriate staffing ranges that are required on a daily basis to ensure compliance with Facility Assessment. 5. On a weekly basis, the DON/Admin will review the weekend schedule between Thursday and Friday and devise a plan to ensure compliance with weekend staffing needs. This plan may include offering OT, mandating staff, requiring Management staff to work over the weekend or other potential interventions. 6. All nursing supervisors were educated to the above plan which they are empowered to implement (offering OT, mandating and other interventions). Furthermore, they were educated to notify DON/Admin should staffing fall below the requirements as identified in the Facility Assessment. 4) How the corrective actions will be monitored: An audit tool has been created, which will be completed weekly x8 weeks and then monthly x 6 months. This tool will be a retrospective review of weekend staffing to ensure it meets facility staffing needs as indicated in the facility assessment. The results of this audit will be presented at QAPI and will be the responsibility of the DON/Administrator. The DON/Administrator is responsible for this plan of correction.
Emergency Lighting Deficiency in Dining Area
Penalty
Summary
The facility failed to ensure that emergency lighting was provided in the dining area on one of its units. During a life safety code survey conducted on January 27 and 28, 2025, it was observed that the dining room located on the 7th floor had all lighting controlled by manual switches that could be disabled. This observation was made at approximately 10:20 a.m. on January 27, 2025. In an interview conducted shortly after the observation, the Maintenance Director acknowledged the issue and stated it would be corrected.
Plan Of Correction
Plan of Correction: Approved February 7, 2025 K-0291 (E) NFPA 101- Illumination of Means of Egress This provider submits the following plan of correction in good faith and to comply with Federal Law. This plan is not an admission of wrongdoing, nor does it reflect agreement with the facts and conclusions stated in the statement of deficiencies. It is the practice of the facility to ensure all egress paths are properly illuminated. 1. The facility will install emergency lighting in the 7th floor dining room to illuminate the discharge path. The room has ambient lighting, and all residents were free from hazards. 2. All remaining egress path lights have been inspected and found at least one light that is in constant power. Fixtures have been tested and are in full operation as of 2/14/2025. All residents are free from hazards and all systems operate as designed. 3. Education is completed with Maintenance staff to confirm proper function and maintenance of all egress path lighting by 2/14/2025. 4. Every quarter for a year the Maintenance Director or designee reviews random exit path lights for function. This information will then be entered on a log and will be presented to the QAPI meeting.
Oxygen Tanks Not Secured
Penalty
Summary
The facility failed to ensure that oxygen tanks were secured in accordance with NFPA 99 standards. During a life safety code survey conducted on January 27 and 28, 2025, it was observed that two oxygen cylinders were not restrained from falling over on the floors of units 3 and 5. This deficiency was noted during the survey conducted between 9:30 a.m. and 2:30 p.m. An interview with the maintenance director confirmed the observation, and it was stated that the tanks would be secured.
Plan Of Correction
Plan of Correction: Approved February 7, 2025 K-0923 (D) Oxygen Storage This provider submits the following plan of correction in good faith and to comply with Federal Law. This plan is not an admission of wrongdoing, nor does it reflect agreement with the facts and conclusions stated in the statement of deficiencies. It is the practice of the facility to ensure proper oxygen storage throughout the building. 1. Oxygen cylinder storage rooms on floors 3 and 5 have all been restrained using the appropriate oxygen storage racks and chains. 2. All other oxygen storage rooms have been checked for proper storage. All residents are free from hazards and all systems operate as designed. 3. Education completed with Maintenance staff regarding monitoring oxygen storage locations. 4. Every quarter for a year the Maintenance Director or designee will check oxygen storage areas throughout the facility to ensure storage. This information will then be entered on a log and will be presented to the QAPI meeting.
Lack of COVID-19 Vaccine Signage in Facility
Penalty
Summary
The facility failed to implement an effective infection control program to prevent the transmission of diseases, specifically regarding the conspicuous posting of COVID-19 vaccine availability. During the Recertification Survey, conducted from January 26 to January 30, 2025, surveyors observed that there were no visible signs throughout the facility informing residents, families, visitors, and staff about the availability of COVID-19 vaccinations. This lack of signage was noted in various locations, including the 1st Floor Lobby, facility elevators, staff areas in the basement, and all resident units. The Director of Nursing, who also serves as the facility's Infection Control Preventionist, confirmed in an interview that the facility offers Influenza, Pneumonia, and COVID-19 vaccines to staff and residents. However, the Director was unaware of why the previously created and posted signs were no longer visible throughout the facility.
Plan Of Correction
Plan of Correction: Approved February 27, 2025 This provider submits the following plan of correction in good faith and to comply with Federal Law. This plan is not an admission of wrongdoing, nor does it reflect agreement with the facts and conclusions stated in the statement of deficiencies. 1) Immediate actions taken for those residents identified: Facility will ensure that signage of offering Flu, Pneumonia, RSV and Covid vaccine for Residents and staff members will be posted in the lobby, elevator, time clock and on each unit. 2) How the facility identified other residents: All Residents and staff members can be affected by this deficient practice. All signs were audited and posted to the designated areas and visible to readers. 3) Measures put into place/System changes: Nurse Educator re-in-serviced the Director of Nursing and Infection Control Preventionist of the facility providing Flu, Pneumonia, RSV and Covid vaccine for Residents and staff members and the Precautions Guidelines Notification Policy for Signage Posting for Flu, Pneumonia, RSV and Covid vaccine for Residents and Staff Members. All staff members were re-in-serviced of the facility providing Flu, Pneumonia, RSV and Covid vaccine for Residents and staff members. Precautions Guidelines Notification Policy were reviewed and updated to include Signage Posting for Flu, Pneumonia, RSV and Covid vaccine for Residents and Staff Members. 4) How the corrective actions will be monitored: An Audit tool was developed on monitoring with compliance with Vaccines offering signage for Residents and Staff members on the designated areas. Nursing Supervisor and/or designee will monitor for signs placement daily for 3 months to ensure compliance. Audit tool will be collected by Infection Control Preventionist weekly. Infection Control Preventionist will be responsible for the implementation and monitoring of the plan, ensuring signages were posted, and will oversee the steps stated in all the elements are implemented. ADON/Infection Control Preventionist will submit results of Audit to Administrator/DNS weekly for next two quarters until compliance is achieved. The result of the audits will be presented in the quarterly QAPI meeting.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 1,390 citations issued within 25 miles in the last 12 months — including the 19 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Brooklyn
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| King David Center For Nursing And Rehabilitation | 1 mi | ★★★★★ | 12 | 0 |
| Haym Solomon Home For The Aged | 1.1 mi | ★★★★★ | 0 | 0 |
| Norwegian Christian Home And Health Center | 1.1 mi | ★★★★★ | 0 | 0 |
| Hamilton Park Nursing And Rehabilitation Center | 1.2 mi | ★★★★★ | 0 | 0 |
| The Heritage Rehabilitation And Health Care Center | 1.4 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Bensonhurst Center For Rehabilitation & Healthcare.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.