PILGRIM MANOR
State inspectors recorded 2 citation(s) in the last three years where CMS determined a resident was actually harmed.
Serious inspection findings
2026-02-13 — ACTUAL HARM (tag F0691, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
2024-11-27 — ACTUAL HARM (tag F0684, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Staffing, from payroll records
Nursing hours / resident / day
2.42
state median 2.84
Weekend staffing gap
+3%
more nursing hours on weekends · state median −7%
RN hours / resident / day
0.38
registered nurses only
Contract (agency) staff
3%
share of all nursing hours
Nursing staff turnover
39%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
1 enforcement action(s), totaling $45,580 in fines.
| Date | Type | Amount |
|---|---|---|
| 2026-02-13 | Fine | $45,580 |
Ownership
Ownership type: Government - County.
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-04-16 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-02-13 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2026-02-13 | F0552 | Resident Rights Deficiencies | E | not recorded |
| 2026-02-13 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2026-02-13 | F0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2026-02-13 | F0688 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-02-13 | F0691 | Quality of Life and Care Deficiencies | G | not recorded |
| 2026-02-13 | F0755 | Pharmacy Service Deficiencies | E | not recorded |
| 2026-02-13 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2026-02-13 | F0880 | Infection Control Deficiencies | F | not recorded |
| 2026-02-13 | F0881 | Infection Control Deficiencies | D | not recorded |
| 2026-02-13 | F0908 | Environmental Deficiencies | D | not recorded |
| 2024-11-27 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2024-11-27 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2024-11-27 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-11-27 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-11-27 | F0684 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-11-27 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-11-27 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-11-27 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-11-27 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-11-27 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-11-27 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2024-08-28 | F0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-08-28 | F0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-08-28 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-08-28 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-08-28 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-12-22 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-12-22 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-12-22 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |