Safety Report: Ormsby Post Acute Rehabilitation
Official ratings
Medicare's star ratings compare nursing homes within the same state for health inspections. A 5-star facility performed better than most in its state; a 1-star facility performed worse than most.
Stars are calculated by CMS, not by us. We do not create our own safety score.
Serious documented violations
Citations by topic
Topics use CMS's own deficiency categories; “accidents & supervision” counts tag F689 (free of accident hazards / adequate supervision). Counts cover the last three inspection cycles, including complaint investigations.
Is it getting better or worse?
More citations in the most recent cycle (27) than in the cycle before (10).
An inspection cycle is roughly one year and includes the standard inspection plus complaint investigations. Counts depend partly on how many complaint investigations occurred, so treat small changes with caution. Red bars include at least one serious citation.
Staffing and rating trends will appear as we collect monthly CMS releases. We have one month so far, so a staffing trend cannot yet be determined.
Repeat findings
These requirements were cited on more than one inspection date in the last three cycles.
| Requirement | Times cited | Inspection dates |
|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (F600) | 6 | May 14, 2026; March 26, 2026; September 18, 2024; May 29, 2024; February 16, 2024; October 16, 2023 |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F656) | 4 | May 14, 2026; March 27, 2025; May 29, 2024; February 16, 2024 |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F812) | 3 | May 14, 2026; March 27, 2025; May 29, 2024 |
| 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. (F761) | 3 | May 14, 2026; March 27, 2025; May 29, 2024 |
| Respond appropriately to all alleged violations. (F610) | 3 | May 14, 2026; March 26, 2026; May 29, 2024 |
| Ensure that residents are fully informed and understand their health status, care and treatments. (F552) | 3 | May 14, 2026; May 29, 2024; February 16, 2024 |
| Provide and implement an infection prevention and control program. (F880) | 2 | May 14, 2026; May 29, 2024 |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. (F943) | 2 | May 14, 2026; May 29, 2024 |
| Have a plan that describes the process for conducting QAPI and QAA activities. (F865) | 2 | May 14, 2026; May 29, 2024 |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. (F849) | 2 | May 14, 2026; March 27, 2025 |
| Provide appropriate treatment and care according to orders, resident’s preferences and goals. (F684) | 2 | May 14, 2026; May 29, 2024 |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. (F678) | 2 | May 14, 2026; May 29, 2024 |
| Reasonably accommodate the needs and preferences of each resident. (F558) | 2 | May 14, 2026; May 29, 2024 |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (F582) | 2 | May 14, 2026; March 27, 2025 |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (F842) | 2 | March 27, 2025; May 29, 2024 |
| Ensure each resident’s drug regimen must be free from unnecessary drugs. (F757) | 2 | March 27, 2025; September 18, 2024 |
| Ensure services provided by the nursing facility meet professional standards of quality. (F658) | 2 | September 18, 2024; May 29, 2024 |
| Protect each resident from the wrongful use of the resident's belongings or money. (F602) | 2 | September 18, 2024; May 29, 2024 |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (F657) | 2 | May 29, 2024; February 16, 2024 |
Fines and enforcement
| Date | Type | Amount / length |
|---|---|---|
| May 29, 2024 | Payment Denial | Payment denial for 6 days, starting July 18, 2024 |
| May 29, 2024 | Fine | $60,464 |
Federal civil money penalties and Medicare/Medicaid payment denials. State-level penalties may not be included.
Complete inspection history
May 14, 2026 — 25 citations
March 26, 2026 — 2 citations · complaint investigation
March 27, 2025 — 10 citations
September 18, 2024 — 4 citations · complaint investigation
May 29, 2024 — 41 citations (includes serious)
February 16, 2024 — 5 citations · complaint investigation
October 16, 2023 — 1 citation · complaint investigation
Source: CMS Health Deficiencies dataset (data as of October 1, 2026); full inspection narratives on Medicare Care Compare