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Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 5 Google reviews
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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
No Medicare penalties on record
This facility has areas of concern that warrant careful consideration. Registered Nurse hours are 74% of the EveryPlace reference benchmark; ask how RN coverage is allocated across shifts. The latest standard survey recorded 14 findings, above the MA average of 8.9. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
Families should exercise extreme caution due to a reported incident of verbal abuse by staff toward a resident. While some recent ratings are high, there is a documented history of serious behavioral issues with aides that management failed to address.
Quality Themes
Tap a score for detailsConcerns
Rating Trends
Tap a year to see what changed
Distribution · 5 analyzed
Personalized based on this facility's data
Key Review Excerpts
“My mother wasn’t there for 3 hours when I came down the hall to hear an aide yelling at her! And when I complained they said they’ve had this issue with this aide before!”
RN hours are below the EveryPlace reference benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
5
measures
11
measures
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Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents who fell and were seriously hurt
Residents on anti-anxiety or sleep medication
Residents needing more daily help over time
Residents vaccinated for pneumonia
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
Pope Nursing Home shows a concerning pattern of 70 deficiencies across three surveys, with many serious issues recurring despite corrections. The facility has persistent problems with fire safety and building exits, emergency preparedness, and nursing staffing that appear in all three inspections. While all deficiencies show correction dates, the repeated nature of safety violations—particularly around exits, fire systems, and emergency procedures—suggests ongoing operational challenges that families should carefully consider.
Nutrition and Dietary Deficiencies
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Administration Deficiencies
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Emergency Preparedness Deficiencies
Conduct risk assessment and an All-Hazards approach.
Emergency Preparedness Deficiencies
Address patient/client population and determine types of services needed.
Emergency Preparedness Deficiencies
Include a process for Emergency Preparedness collaboration.
Emergency Preparedness Deficiencies
Establish procedures for tracking staff and patients during an emergency.
Emergency Preparedness Deficiencies
Establish policies and procedures including evacuation.
Emergency Preparedness Deficiencies
Establish policies and procedures for sheltering.
Emergency Preparedness Deficiencies
Establish emergency prep training and testing.
Emergency Preparedness Deficiencies
Establish staff and initial training requirements.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Construction Deficiencies
Use approved construction type or materials.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous Deficiencies
Provide a written emergency evacuation plan.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Egress Deficiencies
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Egress Deficiencies
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Egress Deficiencies
Have correct number of accessible exits for each story.
Egress Deficiencies
Have exits that are accessible at all times.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Construction Deficiencies
Use approved construction type or materials.
Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Egress Deficiencies
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Egress Deficiencies
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Egress Deficiencies
Have correct number of accessible exits for each story.
Egress Deficiencies
Have exits that are accessible at all times.
Egress Deficiencies
Meet other general requirements that are deficient.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Construction Deficiencies
Use approved construction type or materials.
Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Resident Rights Deficiencies
Honor the resident's right to manage his or her financial affairs.
Resident Rights Deficiencies
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Emergency Preparedness Deficiencies
Implement emergency and standby power systems.
Egress Deficiencies
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Egress Deficiencies
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Egress Deficiencies
Have correct number of accessible exits for each story.
Egress Deficiencies
Have exits that are accessible at all times.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Rights Deficiencies
Give the resident's representative the ability to exercise the resident's rights.
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Emergency Preparedness Deficiencies
Establish policies and procedures including evacuation.
Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Pope Nursing Home
for profit
Rehabilitation Associates
6 facilities nationwide
Chain avg rating: 3.2/5 · Rank 5 of 6
Owners
Thisse, Nicholas
Owner
Key personnel
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