Five Counties Nursing Home
State inspectors recorded 2 citation(s) in the last three years where CMS determined a resident was actually harmed.
Serious inspection findings
2025-04-09 — ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2025-04-09 — ACTUAL HARM (tag F0760, severity G)
Pharmacy Service Deficiencies · correction not recorded in CMS data
Ensure that residents are free from significant medication errors.
Staffing, from payroll records
Nursing hours / resident / day
2.47
state median 2.96
Weekend staffing gap
−15%
fewer nursing hours on weekends · state median −10%
RN hours / resident / day
0.62
registered nurses only
Contract (agency) staff
25%
share of all nursing hours
Days with zero RN hours reported
2
with residents present
Keep an eye on this facility
Penalties and enforcement
1 enforcement action(s), totaling $20,703 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-03-12 | Fine | $20,703 |
Ownership
Ownership type: Non profit - Corporation.
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-05-07 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2026-05-07 | F0554 | Resident Rights Deficiencies | D | not recorded |
| 2026-05-07 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-05-07 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2025-05-15 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-04-09 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-04-09 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-04-09 | F0686 | Quality of Life and Care Deficiencies | G | not recorded |
| 2025-04-09 | F0760 | Pharmacy Service Deficiencies | G | not recorded |
| 2025-04-09 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-03-12 | F0582 | Resident Rights Deficiencies | E | not recorded |
| 2025-03-12 | F0583 | Resident Rights Deficiencies | E | not recorded |
| 2025-03-12 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-03-12 | F0655 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2025-03-12 | F0658 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2025-03-12 | F0699 | Quality of Life and Care Deficiencies | E | not recorded |
| 2025-03-12 | F0700 | Quality of Life and Care Deficiencies | E | not recorded |
| 2025-03-12 | F0725 | Nursing and Physician Services Deficiencies | F | not recorded |
| 2025-03-12 | F0727 | Nursing and Physician Services Deficiencies | F | not recorded |
| 2025-03-12 | F0732 | Nursing and Physician Services Deficiencies | F | not recorded |
| 2025-03-12 | F0755 | Pharmacy Service Deficiencies | F | not recorded |
| 2025-03-12 | F0758 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-03-12 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-03-12 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2025-03-12 | F0835 | Administration Deficiencies | F | not recorded |
| 2025-03-12 | F0837 | Administration Deficiencies | F | not recorded |
| 2025-03-12 | F0847 | Administration Deficiencies | F | not recorded |
| 2025-03-12 | F0848 | Administration Deficiencies | F | not recorded |
| 2025-03-12 | F0851 | Administration Deficiencies | F | not recorded |
| 2025-03-12 | F0865 | Administration Deficiencies | F | not recorded |
| 2025-03-12 | F0909 | Environmental Deficiencies | E | not recorded |
| 2025-01-22 | F0684 | Quality of Life and Care Deficiencies | E | not recorded |
| 2023-12-06 | F0625 | Resident Rights Deficiencies | D | not recorded |
| 2023-12-06 | F0658 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2023-12-06 | F0678 | Quality of Life and Care Deficiencies | E | not recorded |
| 2023-12-06 | F0692 | Quality of Life and Care Deficiencies | E | not recorded |
| 2023-12-06 | F0758 | Pharmacy Service Deficiencies | D | not recorded |