Maple Grove Care Center (sample) · Riverside Health & Rehabilitation (sample) · Hilltop Nursing & Rehab (sample) · Lakeside Manor (sample) · Oakwood Senior Care (sample)
Prepared 2026-09-17 for the Rivera family by NursingHomeLens · https://nursinghomelens.com
NursingHomeLens takes no money from facilities. Ever. This report is built entirely from official CMS records. It never recommends or ranks; it shows you the record for each facility so you can decide.
Start with the side-by-side table below to compare all 5 facilities on the numbers that matter. Then each facility has its own full section: findings, staffing, penalties, ownership, tour questions, and a printable scorecard.
The same official CMS records for each facility, in one table. Star ratings are CMS's, not ours.
| Maple Grove Care Center (sample) | Riverside Health & Rehabilitation (sample) | Hilltop Nursing & Rehab (sample) | Lakeside Manor (sample) | Oakwood Senior Care (sample) | |
|---|---|---|---|---|---|
| CMS overall rating (of 5) | 5 | 1 | 3 | 4 | 2 |
| CMS inspection rating (of 5) | 5 | 1 | 3 | 4 | 2 |
| CMS staffing rating (of 5) | 4 | 1 | 3 | 3 | 2 |
| Immediate-jeopardy citations, last 3 years | 0 | 1 | 0 | 0 | 0 |
| Actual-harm citations, last 3 years | 0 | 1 | 0 | 0 | 1 |
| Total citations on record | 2 | 13 | 7 | 3 | 9 |
| CMS fines on record | $0 | $120,000 | $8,000 | $0 | $0 |
| Nursing hours / resident / day | 3.90 | 2.80 | 3.30 | 3.50 | not available |
| Weekend staffing gap | 6% | 33% | 14% | 11% | not available |
| Contract (agency) staff share | 3% | 30% | 12% | 6% | not available |
| Nursing staff turnover / year | 37% | 78% | 52% | 43% | 63% |
| Certified beds | 90 | 120 | 105 | 80 | 140 |
| Special Focus status | none | SFF | none | none | none |
100 Example Way, Cedar Falls, IA 00000
CMS data as of 2026-08-01 · CCN SAMP01
CMS records 2 citation(s) for this facility in the current data. By severity:
For 2026Q1, based on 90 reported days (CMS Payroll-Based Journal; facilities report these hours to CMS from payroll and other auditable records every quarter). Hours are not adjusted for how much care residents need, and most facilities staff lower on weekends:
CMS records no penalties for this facility.
Ownership type: Non profit - Corporation.
Each question below comes from a specific fact in this facility's record, with the fact underneath it and a note on what a good answer sounds like. They are questions, not advice; you know your family's needs best. Most administrators are glad to be asked, and a specific question gets a specific answer.
The record: 2 citations on record, none at CMS's actual-harm or immediate-jeopardy levels.
A good answer sounds like: The administrator knows the last survey's findings without looking them up and names one or two things the facility is improving right now.
A good answer sounds like: A copy offered on the spot or by email; the report is required to be available to residents and families on request.
The record: Total nursing hours per resident per day: 3.90 (state median 3.40), from CMS payroll data for 2026Q1.
A good answer sounds like: Numbers per shift that match the average, and a named approach to call-outs other than 'everyone pitches in'.
The record: Weekend staffing: 6% fewer nursing hours on weekends than weekdays (state median 12% fewer). Most facilities staff lower on weekends.
A good answer sounds like: A named RN or a clear on-call arrangement, and real aide numbers for the Saturday evening shift.
A good answer sounds like: The sheets produced without hesitation. Facilities are required to post daily nurse staffing and keep the postings for 18 months.
A good answer sounds like: A direct yes or no with dates. A recent change can mean the inspection record reflects a previous team; ask what the new one has changed.
A good answer sounds like: A yes on Medicaid with the policy in writing, and a bed-hold policy that explains how many days and who pays.
A good answer sounds like: Arbitration cannot be required as a condition of admission, and a facility cannot require a third party to guarantee payment. A good answer says both plainly.
A good answer sounds like: Documents handed over before signing day, with someone available to walk through them.
A good answer sounds like: A named person, a promise of a same-day call for anything significant, and a way to reach a nurse directly.
A good answer sounds like: A meeting within the first weeks, family invited every time, and the option to join by phone.
A good answer sounds like: Yes, with a date. Families have a federal right to form a council, and an active one is the best window into daily life.
A good answer sounds like: Yes, without conditions. Evenings and weekends are when staffing is thinnest and the truest picture of daily life.
Print this and rate each item 1 (poor) to 5 (excellent) while you visit. Trust what you see and smell in person; it is evidence the inspection record cannot capture.
| What to notice on your visit | Score 1 to 5 | Notes |
|---|---|---|
| Cleanliness and smell, especially resident rooms and bathrooms | ____ | |
| How staff speak to and treat residents | ____ | |
| Whether call lights are answered promptly | ____ | |
| Residents appear clean, dressed, and engaged | ____ | |
| Staff visible and not rushed, including at meal times | ____ | |
| Food quality and whether residents get help eating | ____ | |
| Activities happening, not just scheduled on a board | ____ | |
| How the staff answered YOUR questions from this report | ____ | |
| Your overall gut feeling | ____ |
You are entitled to ask for these, and most are required to be available on request. Most administrators are glad to be asked; a specific request gets a specific answer.
Every state has a free, independent Long-Term Care Ombudsman who advocates for nursing-home residents and can help with problems or questions, at no cost to you. To reach the ombudsman for IA and other local help:
If you believe someone is in immediate danger, call 911.
All data in this report comes from official CMS records, processed 2026-08-01:
100 Example Way, Springfield, IL 00000
CMS data as of 2026-08-01 · CCN SAMP02
CMS records 13 citation(s) for this facility in the current data. By severity:
CMS description: The facility failed to prevent avoidable accidents.
CMS description: Failure to maintain an infection prevention program.
For 2026Q1, based on 88 reported days (CMS Payroll-Based Journal; facilities report these hours to CMS from payroll and other auditable records every quarter). Hours are not adjusted for how much care residents need, and most facilities staff lower on weekends:
CMS records 1 enforcement action(s), totaling $120,000 in fines:
Ownership type: For profit - Limited Liability Company.
Each question below comes from a specific fact in this facility's record, with the fact underneath it and a note on what a good answer sounds like. They are questions, not advice; you know your family's needs best. Most administrators are glad to be asked, and a specific question gets a specific answer.
The record: CMS status: SFF. The Special Focus program tracks facilities with a persistent pattern of serious inspection findings and surveys them twice a year.
A good answer sounds like: A candid account of why the facility was placed in the program, the specific changes made, and the results of the most recent survey. Facilities that improve graduate from the program.
The record: CMS marks facilities cited for abuse in recent inspections with a red icon on Care Compare.
A good answer sounds like: A direct account of the incident, what was done about the staff involved, and the screening, training, and reporting changes made since. A vague answer is a reason to ask again.
The record: 1 immediate-jeopardy citation in the last three years.
A good answer sounds like: An immediate action plan described in specifics, a date the state confirmed removal of the jeopardy, and the longer-term change that followed.
The record: 2026-03-12: immediate-jeopardy citation, tag F0689, Quality of Life and Care Deficiencies; listed as corrected 2026-04-02.
A good answer sounds like: A specific change (for example hourly rounding, a new alarm or low-bed policy, or a fall-risk review at admission), the name of who is responsible, and a promise to call family the same day.
The record: 2025-06-01: actual-harm citation, tag F0880, Infection Control; correction date not included in the CMS record.
A good answer sounds like: A named person with dedicated hours, a concrete change such as hand hygiene audits or isolation procedures, and current vaccination and outbreak practices. For the revisit: a date the state came back and confirmed the fix.
A good answer sounds like: A copy offered on the spot or by email; the report is required to be available to residents and families on request.
The record: Total nursing hours per resident per day: 2.80 (state median 3.40), from CMS payroll data for 2026Q1. Hours are not adjusted for how much care residents need.
A good answer sounds like: Actual head counts per shift for that unit, an explanation of the mix of residents (a rehabilitation unit needs more hours than a long-term unit), and how call-outs are covered.
The record: Weekend staffing: 33% fewer nursing hours on weekends than weekdays (state median 12% fewer). Most facilities staff lower on weekends.
A good answer sounds like: A named RN or a clear on-call arrangement, and real aide numbers for the Saturday evening shift.
The record: Days with zero RN hours reported: 4 in 2026Q1. This can be a reporting gap rather than an uncovered day.
A good answer sounds like: Either a reporting explanation with the actual coverage, or an honest account of the gap and what changed.
The record: Contract (agency) share of nursing hours: 30% in 2026Q1.
A good answer sounds like: A real orientation for agency staff, consistent assignment where possible, and a plan to reduce agency use.
The record: Total nursing staff turnover: 78% per year, per CMS.
A good answer sounds like: Specific retention steps (wages, scheduling, mentoring) and a sense of who the long-tenured staff are.
A good answer sounds like: The sheets produced without hesitation. Facilities are required to post daily nurse staffing and keep the postings for 18 months.
The record: Largest fine: $120,000, dated 2025-07-01. CMS fines are often reduced when a facility waives its appeal, and one incident can produce a large per-day fine.
A good answer sounds like: The specific inspection it came from, whether it was paid or appealed, and what changed as a result.
A good answer sounds like: A direct yes or no with dates. A recent change can mean the inspection record reflects a previous team; ask what the new one has changed.
A good answer sounds like: A yes on Medicaid with the policy in writing, and a bed-hold policy that explains how many days and who pays.
A good answer sounds like: Arbitration cannot be required as a condition of admission, and a facility cannot require a third party to guarantee payment. A good answer says both plainly.
A good answer sounds like: Documents handed over before signing day, with someone available to walk through them.
A good answer sounds like: A named person, a promise of a same-day call for anything significant, and a way to reach a nurse directly.
A good answer sounds like: A meeting within the first weeks, family invited every time, and the option to join by phone.
A good answer sounds like: Yes, with a date. Families have a federal right to form a council, and an active one is the best window into daily life.
A good answer sounds like: Yes, without conditions. Evenings and weekends are when staffing is thinnest and the truest picture of daily life.
Print this and rate each item 1 (poor) to 5 (excellent) while you visit. Trust what you see and smell in person; it is evidence the inspection record cannot capture.
| What to notice on your visit | Score 1 to 5 | Notes |
|---|---|---|
| Cleanliness and smell, especially resident rooms and bathrooms | ____ | |
| How staff speak to and treat residents | ____ | |
| Whether call lights are answered promptly | ____ | |
| Residents appear clean, dressed, and engaged | ____ | |
| Staff visible and not rushed, including at meal times | ____ | |
| Food quality and whether residents get help eating | ____ | |
| Activities happening, not just scheduled on a board | ____ | |
| How the staff answered YOUR questions from this report | ____ | |
| Your overall gut feeling | ____ |
You are entitled to ask for these, and most are required to be available on request. Most administrators are glad to be asked; a specific request gets a specific answer.
Every state has a free, independent Long-Term Care Ombudsman who advocates for nursing-home residents and can help with problems or questions, at no cost to you. To reach the ombudsman for IL and other local help:
If you believe someone is in immediate danger, call 911.
All data in this report comes from official CMS records, processed 2026-08-01:
100 Example Way, Dayton, OH 00000
CMS data as of 2026-08-01 · CCN SAMP03
CMS records 7 citation(s) for this facility in the current data. By severity:
CMS description: A resident did not receive care consistent with the plan of care.
For 2026Q1, based on 90 reported days (CMS Payroll-Based Journal; facilities report these hours to CMS from payroll and other auditable records every quarter). Hours are not adjusted for how much care residents need, and most facilities staff lower on weekends:
CMS records 1 enforcement action(s), totaling $8,000 in fines:
Ownership type: For profit - Corporation.
Each question below comes from a specific fact in this facility's record, with the fact underneath it and a note on what a good answer sounds like. They are questions, not advice; you know your family's needs best. Most administrators are glad to be asked, and a specific question gets a specific answer.
The record: 1 serious citation older than three years, most recent 2022-09-20.
A good answer sounds like: A clear sense of what is different today, including whether the administrator and director of nursing have changed since.
A good answer sounds like: A copy offered on the spot or by email; the report is required to be available to residents and families on request.
The record: Total nursing hours per resident per day: 3.30 (state median 3.40), from CMS payroll data for 2026Q1. Hours are not adjusted for how much care residents need.
A good answer sounds like: Actual head counts per shift for that unit, and how call-outs are covered.
The record: Weekend staffing: 14% fewer nursing hours on weekends than weekdays (state median 12% fewer). Most facilities staff lower on weekends.
A good answer sounds like: A named RN or a clear on-call arrangement, and real aide numbers for the Saturday evening shift.
A good answer sounds like: The sheets produced without hesitation. Facilities are required to post daily nurse staffing and keep the postings for 18 months.
The record: Largest fine: $8,000, dated 2023-02-15. CMS fines are often reduced when a facility waives its appeal, and one incident can produce a large per-day fine.
A good answer sounds like: The specific inspection it came from, whether it was paid or appealed, and what changed as a result.
A good answer sounds like: A direct yes or no with dates. A recent change can mean the inspection record reflects a previous team; ask what the new one has changed.
A good answer sounds like: A yes on Medicaid with the policy in writing, and a bed-hold policy that explains how many days and who pays.
A good answer sounds like: Arbitration cannot be required as a condition of admission, and a facility cannot require a third party to guarantee payment. A good answer says both plainly.
A good answer sounds like: Documents handed over before signing day, with someone available to walk through them.
A good answer sounds like: A named person, a promise of a same-day call for anything significant, and a way to reach a nurse directly.
A good answer sounds like: A meeting within the first weeks, family invited every time, and the option to join by phone.
A good answer sounds like: Yes, with a date. Families have a federal right to form a council, and an active one is the best window into daily life.
A good answer sounds like: Yes, without conditions. Evenings and weekends are when staffing is thinnest and the truest picture of daily life.
Print this and rate each item 1 (poor) to 5 (excellent) while you visit. Trust what you see and smell in person; it is evidence the inspection record cannot capture.
| What to notice on your visit | Score 1 to 5 | Notes |
|---|---|---|
| Cleanliness and smell, especially resident rooms and bathrooms | ____ | |
| How staff speak to and treat residents | ____ | |
| Whether call lights are answered promptly | ____ | |
| Residents appear clean, dressed, and engaged | ____ | |
| Staff visible and not rushed, including at meal times | ____ | |
| Food quality and whether residents get help eating | ____ | |
| Activities happening, not just scheduled on a board | ____ | |
| How the staff answered YOUR questions from this report | ____ | |
| Your overall gut feeling | ____ |
You are entitled to ask for these, and most are required to be available on request. Most administrators are glad to be asked; a specific request gets a specific answer.
Every state has a free, independent Long-Term Care Ombudsman who advocates for nursing-home residents and can help with problems or questions, at no cost to you. To reach the ombudsman for OH and other local help:
If you believe someone is in immediate danger, call 911.
All data in this report comes from official CMS records, processed 2026-08-01:
100 Example Way, Madison, WI 00000
CMS data as of 2026-08-01 · CCN SAMP04
CMS records 3 citation(s) for this facility in the current data. By severity:
For 2026Q1, based on 90 reported days (CMS Payroll-Based Journal; facilities report these hours to CMS from payroll and other auditable records every quarter). Hours are not adjusted for how much care residents need, and most facilities staff lower on weekends:
CMS records no penalties for this facility.
Ownership type: Non profit - Other.
Each question below comes from a specific fact in this facility's record, with the fact underneath it and a note on what a good answer sounds like. They are questions, not advice; you know your family's needs best. Most administrators are glad to be asked, and a specific question gets a specific answer.
The record: 3 citations on record, none at CMS's actual-harm or immediate-jeopardy levels.
A good answer sounds like: The administrator knows the last survey's findings without looking them up and names one or two things the facility is improving right now.
A good answer sounds like: A copy offered on the spot or by email; the report is required to be available to residents and families on request.
The record: Total nursing hours per resident per day: 3.50 (state median 3.40), from CMS payroll data for 2026Q1. Hours are not adjusted for how much care residents need.
A good answer sounds like: Actual head counts per shift for that unit, and how call-outs are covered.
The record: Weekend staffing: 11% fewer nursing hours on weekends than weekdays (state median 12% fewer). Most facilities staff lower on weekends.
A good answer sounds like: A named RN or a clear on-call arrangement, and real aide numbers for the Saturday evening shift.
A good answer sounds like: The sheets produced without hesitation. Facilities are required to post daily nurse staffing and keep the postings for 18 months.
A good answer sounds like: A direct yes or no with dates. A recent change can mean the inspection record reflects a previous team; ask what the new one has changed.
A good answer sounds like: A yes on Medicaid with the policy in writing, and a bed-hold policy that explains how many days and who pays.
A good answer sounds like: Arbitration cannot be required as a condition of admission, and a facility cannot require a third party to guarantee payment. A good answer says both plainly.
A good answer sounds like: Documents handed over before signing day, with someone available to walk through them.
A good answer sounds like: A named person, a promise of a same-day call for anything significant, and a way to reach a nurse directly.
A good answer sounds like: A meeting within the first weeks, family invited every time, and the option to join by phone.
A good answer sounds like: Yes, with a date. Families have a federal right to form a council, and an active one is the best window into daily life.
A good answer sounds like: Yes, without conditions. Evenings and weekends are when staffing is thinnest and the truest picture of daily life.
Print this and rate each item 1 (poor) to 5 (excellent) while you visit. Trust what you see and smell in person; it is evidence the inspection record cannot capture.
| What to notice on your visit | Score 1 to 5 | Notes |
|---|---|---|
| Cleanliness and smell, especially resident rooms and bathrooms | ____ | |
| How staff speak to and treat residents | ____ | |
| Whether call lights are answered promptly | ____ | |
| Residents appear clean, dressed, and engaged | ____ | |
| Staff visible and not rushed, including at meal times | ____ | |
| Food quality and whether residents get help eating | ____ | |
| Activities happening, not just scheduled on a board | ____ | |
| How the staff answered YOUR questions from this report | ____ | |
| Your overall gut feeling | ____ |
You are entitled to ask for these, and most are required to be available on request. Most administrators are glad to be asked; a specific request gets a specific answer.
Every state has a free, independent Long-Term Care Ombudsman who advocates for nursing-home residents and can help with problems or questions, at no cost to you. To reach the ombudsman for WI and other local help:
If you believe someone is in immediate danger, call 911.
All data in this report comes from official CMS records, processed 2026-08-01:
100 Example Way, Phoenix, AZ 00000
CMS data as of 2026-08-01 · CCN SAMP05
CMS records 9 citation(s) for this facility in the current data. By severity:
CMS description: A resident's drug regimen was not free of unnecessary medications.
CMS payroll-based staffing data is not available for this facility in the latest reported quarter.
CMS records no penalties for this facility.
Ownership type: For profit - Limited Liability Company.
Part of the Desert Care Group (sample) chain.
Owners and officers of record:
Other facilities under the same ownership, with their CMS overall ratings:
Each question below comes from a specific fact in this facility's record, with the fact underneath it and a note on what a good answer sounds like. They are questions, not advice; you know your family's needs best. Most administrators are glad to be asked, and a specific question gets a specific answer.
The record: 2024-05-09: actual-harm citation, tag F0757, Pharmacy Services; correction date not included in the CMS record.
A good answer sounds like: A monthly pharmacist review, gradual dose reductions where appropriate, and consent before any psychotropic is started. For the revisit: a date the state came back and confirmed the fix.
A good answer sounds like: A copy offered on the spot or by email; the report is required to be available to residents and families on request.
The record: Total nursing staff turnover: 63% per year, per CMS.
A good answer sounds like: Specific retention steps (wages, scheduling, mentoring) and a sense of who the long-tenured staff are.
A good answer sounds like: The sheets produced without hesitation. Facilities are required to post daily nurse staffing and keep the postings for 18 months.
The record: 2 other facilities under the same ownership, with CMS overall ratings from 2 to 3 stars. Ratings belong to those buildings, not this one.
A good answer sounds like: A straight answer about where decisions are made and an administrator with real authority over staffing here.
A good answer sounds like: A direct yes or no with dates. A recent change can mean the inspection record reflects a previous team; ask what the new one has changed.
A good answer sounds like: A yes on Medicaid with the policy in writing, and a bed-hold policy that explains how many days and who pays.
A good answer sounds like: Arbitration cannot be required as a condition of admission, and a facility cannot require a third party to guarantee payment. A good answer says both plainly.
A good answer sounds like: Documents handed over before signing day, with someone available to walk through them.
A good answer sounds like: A named person, a promise of a same-day call for anything significant, and a way to reach a nurse directly.
A good answer sounds like: A meeting within the first weeks, family invited every time, and the option to join by phone.
A good answer sounds like: Yes, with a date. Families have a federal right to form a council, and an active one is the best window into daily life.
A good answer sounds like: Yes, without conditions. Evenings and weekends are when staffing is thinnest and the truest picture of daily life.
Print this and rate each item 1 (poor) to 5 (excellent) while you visit. Trust what you see and smell in person; it is evidence the inspection record cannot capture.
| What to notice on your visit | Score 1 to 5 | Notes |
|---|---|---|
| Cleanliness and smell, especially resident rooms and bathrooms | ____ | |
| How staff speak to and treat residents | ____ | |
| Whether call lights are answered promptly | ____ | |
| Residents appear clean, dressed, and engaged | ____ | |
| Staff visible and not rushed, including at meal times | ____ | |
| Food quality and whether residents get help eating | ____ | |
| Activities happening, not just scheduled on a board | ____ | |
| How the staff answered YOUR questions from this report | ____ | |
| Your overall gut feeling | ____ |
You are entitled to ask for these, and most are required to be available on request. Most administrators are glad to be asked; a specific request gets a specific answer.
Every state has a free, independent Long-Term Care Ombudsman who advocates for nursing-home residents and can help with problems or questions, at no cost to you. To reach the ombudsman for AZ and other local help:
If you believe someone is in immediate danger, call 911.
All data in this report comes from official CMS records, processed 2026-08-01:
Facilities may dispute findings. Citations are official records of what state inspectors found on specific dates; on their own they are not a conclusion about conditions at a facility today. This report contains no medical or placement advice and does not recommend for or against any facility. NursingHomeLens is not affiliated with, endorsed by, or sponsored by CMS, Medicare, or any government agency. The underlying data is published free by CMS; what NursingHomeLens provides is analysis, comparison, and plain-English translation. Corrections: corrections@nursinghomelens.com. We respond within 72 hours. https://nursinghomelens.com