Inspection visit
Health inspection
4 citations recorded
Inspector’s narrative
What the inspector wrote
This survey cited 4 deficiencies. The full statement and the facility’s plan of correction follow, verbatim from the federal record.
F 0695
Provide safe and appropriate respiratory care for a resident when needed.
Level of Harm - Minimal harm
or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observations, interviews, and record reviews. the facility failed to ensure that a resident who needs
respiratory care, including tracheostomy care and tracheal suctioning is provided such care consistent with
professional standards of practice, the comprehensive person-centered care plan and the residents goals
and preferences for one resident (#6) of three residents reviewed for oxygen therapy, in that:
Residents Affected - Few
Resident #6's oxygen was set to 2.5 L/min instead of 2L/min as ordered by the physician.
This deficient practice could affect residents who receive oxygen therapy and could result in respiratory
distress.
The findings were:
Review of Resident #6's electronic face sheet, dated 08/08/2023, revealed she was admitted to the facility
on [DATE] with diagnoses of dementia (impaired ability to remember, think, or make decisions that
interferes with everyday activities) and carcinoma in situ of unspecified breast (a non-invasive or
pre-invasive breast cancer that affects the cells lining the ducts or lobules of the breast).
Review of Resident #6's quarterly MDS assessment, with an ARD of 05/27/2023, revealed she was not a
candidate for a BIMS which indicated she was severely cognitively impaired. Further review revealed she
was on oxygen therapy while a resident at the facility.
Review of Resident #6's comprehensive care plan, revised date 03/03/2023, revealed, Focus .has Oxygen
Therapy .Interventions/Tasks .administer medications as ordered by doctor. Oxygen settings: 02 at 2 L/Min
Continuously .date initiated 12/11/2017.
Review of Resident #6's Active Orders as of: 08/08/2023 revealed, Oxygen @ 2L/Min via NC Cont. every
shift for shortness of breath .Verbal Active 05/21/2021.
Review of Resident #6's MAR dated 08/01/2023 - 08/31/2023 revealed, Oxygen @ 2L/Min via NC
continuously every shift for shortness of breath. Initialed off for each shift by a nurse. LVN A initialed off for
the day shift on 08/08/2023 and 08/09/2023.
Observation on 08/08/2023 at 9:45 a.m. of Resident #6 revealed she was sitting up in her tall wheelchair
and her oxygen concentrator was set on 2.5 L/Min.
Observation on 08/08/23 at 2:52 p.m. of Resident #6 revealed she was lying in bed and her oxygen
concentrator was set on 2.5 L/Min.
(continued on next page)
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other
safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the
date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER
REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Facility ID:
If continuation sheet
Page 1 of 7
Event ID:
676498
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
676498
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
08/11/2023
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
The Village at Incarnate Word
4707 Broadway Street
San Antonio, TX 78209
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0695
Level of Harm - Minimal harm
or potential for actual harm
Observation on 08/09/2023 at 9:17 a.m. of Resident #6 revealed she was sitting up in her tall wheelchair
and her oxygen concentrator was set on 2.5 L/Min.
Observation on 08/10/2023 at 11:40 a.m. of Resident #6 accompanied by LVN A revealed Resident #6 was
lying in bed and her oxygen concentrator was set on 2.5 L/Min.
Residents Affected - Few
Interview on 08/10/2023 at 11:41 a.m. with LVN A revealed that Resident #6's oxygen concentrator should
be set to deliver 2 L/Min and not the 2.5 L/Min it was set on. LVN A stated she did not know how it was
changed because she checked the oxygen each day when she took Resident #6's oxygen saturation levels.
LVN A stated she initialed off on the MAR that she checked the oxygen and still did not know how the
concentrator was set to the wrong level. LVN A stated that it was important to have the oxygen concentrator
set to the physician ordered level because a resident could experience respiratory distress.
Interview on 08/11/2023 at 10:00 a.m. with the DON revealed that Resident #6's oxygen concentrator
needed to be set at the prescribed 2 L/Min as ordered by the physician. The DON stated that maybe it was
moved during her care or transport. The DON stated the nurses were required to check the oxygen levels
and to make sure they were set on the prescribed level as the wrong level could cause respiratory distress
for a resident.
Review of the facility policy and procedure titled Oxygen Administration dated revised October 2010,
revealed The purpose of this procedure is to provide guidelines for safe oxygen administration .verify there
is a physician's order for this procedure .adjust the oxygen delivery device so that it is comfortable for the
resident and the proper flow of oxygen is being administered.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
676498
If continuation sheet
Page 2 of 7
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
676498
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
08/11/2023
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
The Village at Incarnate Word
4707 Broadway Street
San Antonio, TX 78209
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0805
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual
needs.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** The facility
failed to provide food prepared in a form designed to meet individual needs for 2 (Resident #6 and #25) of 2
residents observed for pureed diets in that:
Resident #6 and #25's pureed food was not at the right consistency.
This deficient practice could affect residents on pureed diets and could result in choking.
The findings included:
Review of Resident #6's electronic face sheet dated 08/08/2023 revealed she was admitted to the facility on
[DATE] with diagnoses of dementia (impaired ability to remember, think, or make decisions that interferes
with everyday activities), dysphagia (difficulty swallowing food or liquid) and carcinoma in situ of unspecified
breast (a non-invasive or pre-invasive breast cancer that affects the cells lining the ducts or lobules of the
breast).
Review of Resident #6's quarterly MDS assessment with an ARD of 05/27/2023 revealed she was not a
candidate for a BIMS which indicated she was severely cognitively impaired. Further review revealed she
had coughing or choking during meals or when swallowing medications and she was on a mechanically
altered diet.
Review of Resident #6's comprehensive care plan with a revision date of 03/03/2023 revealed Focus .is
unable to self-feed for her meals .tolerate a regular pureed diet with honey consistency liquids.
Review of Resident #6's physician orders Active Orders as of: 08/08/2023 revealed Regular diet. Pureed
texture, ER honey consistency .active as of 08/04/2023.
Review of Resident #25's electronic face sheet dated 08/09/2023 revealed she was admitted to the facility
on [DATE] with diagnoses of dementia (impaired ability to remember, think, or make decisions that
interferes with everyday activities), and dysphagia (difficulty swallowing food or liquid).
Review of Resident #25's quarterly MDS assessment with an ARD of 06/06/2023 revealed she was not a
candidate for a BIMS which indicated she was severely cognitively impaired. Further review revealed
coughing or choking during meals or when swallowing medications and she was on a mechanically altered
diet.
Review of Resident #25's comprehensive care plan with a revision date of 06/02/2023 revealed Focus .has
a swallowing problem .will tolerate a puree nectar thick diet.
Review of Resident #25's physician orders Active Orders as of: 08/10/2023 revealed Pureed diet, pureed
texture, nectar consistency .active as of 03/29/2016.
Observation on 08/08/2023 at 12:40 p.m. of Residents #6 and #25 assisted with eating their lunch at the
same table revealed the pureed foods (honey glazed salmon, penne pasta and corn and pepper medley
appeared to be runny like soup on their plates.
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
676498
If continuation sheet
Page 3 of 7
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
676498
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
08/11/2023
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
The Village at Incarnate Word
4707 Broadway Street
San Antonio, TX 78209
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0805
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Observation on 08/9/2023 at 12:50 p.m. of Residents #6 and #25 assisted with eating their lunch at the
same table revealed the pureed foods (baked beef ziti, sauteed zucchini and garlic potatoes) appeared to
be runny like soup on their plates.
Interview on 08/09/2023 at 12:51 p.m. with SC who was feeding Resident #25 and the SC who was feeding
Resident #6 revealed that the pureed food on both the residents' plates was soupy and scheduling
coordinator stated it was soupy on 08/08/2023.
Observation of a Test tray requested on 08/09/2023 at 1:10 p.m. of (pureed baked beef ziti, sauteed
zucchini and garlic potatoes) brought into the conference room by the DM when they looked at the food it
appeared the food was thin and runny.
Interview on 08/09/2023 at 1:12 p.m. with DM saw the food drip off from a fork he tried it with and he
confirmed the pureed food on the test tray was runny .
Interview on 08/09/23 01:17 p.m. with the FSD stated the pureed food on the test tray was too runny and
stated it should be thick enough a fork or spoon would stand in it. He stated the pureed food on the test tray
was not of pureed texture and consistency. He said that the residents would not be able to tolerate the
pureed foods if they were too thin and could choke or aspirate.
Interview on 08/10/2023 at 09:00 a.m. with CMA B revealed that staff were not trained on what a pureed
diet should look like, and he stated that he only fed Resident #6 the thicker parts of the food on her plate.
He stated Resident #6 did occasionally cough, but that she did not choke or cough when he fed her the
thinner pureed lunch. He stated that he understood why a resident was ordered a special diet for their
swallowing issues and medical needs. He stated that even though the food appeared runny, staff trusted
the kitchen workers to know what they were doing.
Interview on 08/10/2023 at 10:00 a.m. with the DON revealed that staff were not routinely trained on what
to look for with special consistency diets and that she would arrange training from the dietary people to train
the nursing staff on pureed diets and consistencies as well as other diets.
Review of the facility policy titled Dysphagia Diets (undated) revealed Dysphagia diets will be individualized
with modifications made by the registered dietician, speech pathologist and the physician .A physician's
order is needed.
Review of the facility provided information titled Pureed, Extremely Thick (undated) characteristics .does not
flow easily .continues to hold shape on plate .liquid must not separate from solid.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
676498
If continuation sheet
Page 4 of 7
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
676498
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
08/11/2023
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
The Village at Incarnate Word
4707 Broadway Street
San Antonio, TX 78209
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0812
Level of Harm - Minimal harm
or potential for actual harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve
food in accordance with professional standards.
Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve
food in accordance with professional standards for food service safety for 1 of 2 kitchens.
Residents Affected - Some
The facility failed to ensure the main kitchen's 1 of 2 refrigerators a wrapped partially used wrapped thawed
ground turkey package was stored properly on the bottom shelf of the refrigerator and had been discarded
with in 3 days of opening.
The facility failed to ensure in the main kitchen pantry 1 partially used box of cream of wheat was properly
sealed and dated with open date.
These failures could place residents who receive meals from the kitchen at risk for food borne illness.
The findings were:
Observation on 08/10/2023 at 11:02 a.m. revealed 1 of 2 refrigerators in the main kitchen with
approximately 2 pounds of an opened package of ground turkey wrapped loosely in saran wrap with
pooling of blood on the bottom of the saran wrap sitting on the top shelf of refrigerator with an open date of
08/06/2023 and discard date of 08/09/2023.
Observation and Interview on 08/10/2023 at 11:07 a.m. the FSD stated the ground turkey should have been
stored on the bottom shelf of the refrigerator due to it being poultry and the risk of it possibly leaking on the
other items in the refrigerator causing contamination. The FSD further stated it should have been discarded
on 08/09/2023 then removed it from the refrigerator with blood/fluid leaking on the kitchen floor as he threw
it away in the trashcan.
Observation on 08/10/2023 at 11:10 a.m. revealed the main kitchen pantry 1 half empty box of Quick
Cream of Wheat open, not properly sealed and without an opened date.
Interview on 08/10/2023 at 11:15 a.m. the FSD stated the box should have been wrapped in saran wrap or
closed in a zip lock bag and dated with the opened date, then pointed to an opened box of baking soda
sitting on another shelf that was wrapped in saran wrap and dated.
Record review of the facility's policy tiled Food and Supply Storage Procedures, revised 01/23, revealed
Policies, revealed All food, non-food items and supplies used in food preparation shall be stored in such a
manner as to prevent contamination to maintain the safety and wholesomeness of the food for human
consumption. Procedures: Cover, label and date unused portions and open packages .Products are good
through the close of business on the date noted on the label. Refrigerated Storage, If raw animal foods are
stored on the same rack, store them in the following order from top of the rack to the bottom of the rack:
fish, raw shell eggs, whole cuts of beef, pork, ground meat and poultry.
Review of the Food Code, U.S. Public Health Service, U.S. FDA, 2017, U.S. Department of H&HS, revealed,
3-305.1, Food Storage, (A) Food shall be protected from contamination by storing the food: (1) in a clean,
dry location; (2) Where it is not exposited to splash, dust, or other contamination.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
676498
If continuation sheet
Page 5 of 7
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
676498
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
08/11/2023
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
The Village at Incarnate Word
4707 Broadway Street
San Antonio, TX 78209
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0880
Provide and implement an infection prevention and control program.
Level of Harm - Minimal harm
or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, interview, and record review, the facility failed to maintain an infection prevention and control
program designed to provide a safe, sanitary, and comfortable environment to help prevent the
development and transmission of communicable diseases and infections, or 2 residents (#11 and #32) of 6
residents observed for medication pass in that:
Residents Affected - Few
CMA B failed to sanitize the blood pressure cuff between Resident #11 and #32 to prevent cross
contamination.
This deficient practice had the potential to affect residents in the facility by placing them at risk of
contracting, spreading and/or exposing them to pathogens that could lead to the spread of communicable
diseases.
The findings included:
Review of Resident #11's electronic face sheet revealed he was admitted to the facility on [DATE] with a
diagnosis of hypertension high blood pressure (the force of blood flowing through the blood vessels is
consistently too high which can result in stroke or organ failure).
Review of Resident #11's quarterly MDS assessment with an ARD of 06/22/2023 revealed he scored a
09/15 on his BIMS which indicated he was moderately cognitively impaired. Further review revealed he had
an active diagnosis of hypertension.
Review of Resident #11's comprehensive care plan with a revised date of 02/18/2023 revealed Focus .has
hypertension .interventions .give anti-hypertensive medications as ordered.
Review of Resident #11's Active Orders as of: 08/09/2023 revealed Propranolol HCl Tablet 40 MG Give 1
tablet by mouth
two times a day related to ESSENTIAL (PRIMARY) HYPERTENSION (I10) HOLD FOR SBP<110 OR
PULSE<60
Phone Active 01/27/2021.
Review of Resident #32's electronic face sheet dated 08/09/2023 revealed she was admitted to the facility
on [DATE] with a diagnosis of hypertension high blood pressure (the force of blood flowing through the
blood vessels is consistently too high which can result in stroke or organ failure).
Review of Resident #32's quarterly MDS assessment with an ARD of 06/13/2023 revealed she was not a
candidate for a BIMS which indicated she was severely cognitively impaired. Further review revealed he
had an active diagnosis of hypertension.
Review of Resident #32's comprehensive care plan with a revised date of 04/12/2022 revealed Focus .has
hypertension .interventions .give anti-hypertensive medications as ordered.
Review of Resident #32's Active Orders as of: 08/09/2023 revealed Losartan Potassium Tablet 25 MG Give
1 tablet by
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
676498
If continuation sheet
Page 6 of 7
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
676498
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
08/11/2023
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
The Village at Incarnate Word
4707 Broadway Street
San Antonio, TX 78209
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0880
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
mouth one time a day related to ESSENTIAL (PRIMARY) HYPERTENSION (I10) Hold if SBP is less than
90. Recheck V/S BP-T-P-R after 30 minutes. Verbal Active 06/12/2023.
In an observation on 08/09/2023 at 09:17 a.m. CMA B was observed to not sanitize a blood pressure cuff
between residents #11 and #32 who needed to have their blood pressure assessed before administering
medications.
In an interview on 08/09/2023 at 09:30 a.m. with CMA B he stated he was not aware of any of the residents
to whom she had administered medications that morning who might have a communicable illness. CMA B
stated it was possible that any of the residents might be asymptomatic for a contagious illness such as
COVID as it could take several days before symptoms appeared. CMA B stated he knew he was supposed
to sanitize the pressure cuff or other equipment between residents to prevent cross contamination.
In an interview on 08/10/2023 a.m. with the DON, she stated the facility policy was for multiuse equipment
to be sanitized after each use to ensure cross contamination did not occur. The DON stated her expectation
was that equipment be cleaned after each resident to prevent the spread of illness.
Review of the facility policy and procedure titled Cleaning and Disinfection of Resident-Care items dated
revised September 2022 revealed Resident care-equipment, including reusable items and durable medical
equipment will be cleaned and disinfected according to CDC recommendations for disinfection and the
OSHA Bloodborne Pathogens Standard .durable medical equipment is cleaned and disinfected before
reuse by another resident.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
676498
If continuation sheet
Page 7 of 7
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Back to topCitations
4 citations recorded*CMS
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
F695 - Respiratory care, including tracheostomy care and tracheal suctioning
Provide safe and appropriate respiratory care for a resident when needed.
F805 - Food and drink
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
F812 - Food safety requirements
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F880 - Infection Control
Provide and implement an infection prevention and control program.
FAQ · About this visit
Common questions about this visit
What happened during the August 11, 2023 survey of THE VILLAGE AT INCARNATE WORD?
This was a inspection survey of THE VILLAGE AT INCARNATE WORD on August 11, 2023. The surveyor cited 4 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at THE VILLAGE AT INCARNATE WORD on August 11, 2023?
Yes, 4 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Provide safe and appropriate respiratory care for a resident when needed."
What type of survey was this?
This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.
SourceView on CMS Care Compare
Next steps
Concerned about a resident’s care?Find your local ombudsman through the Eldercare Locatoror file a complaint with your state survey agency.
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Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.