Double Tree Post Acute Care Center

F55
CMS
★★☆☆☆2 of 5
Beds
122
Owner
For profit - Limited Liability company

Why this grade

Health inspections
F
40

Federal inspection star: 2

Staffing
B
80

Federal staffing star: 4

Quality measures
F
40

Federal quality star: 2

Safety
D
65

-5: Minor deficiency, Jan 23, 2026 · -5: Minor deficiency, Dec 22, 2025 · -5: Minor deficiency, Jul 9, 2025 · -5: Minor deficiency, Oct 24, 2024 · -5: Minor deficiency, Oct 3, 2024

Inspection history

Findings from federal nursing-home surveys published by CMS. Severity letters come from the official inspection grid.

  • ·health survey

    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.

    Nutrition and Dietary
    Severity D
    Potential for more than minimal harm
  • ·health survey

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Freedom from Abuse, Neglect, and Exploitation
    Severity D
    Potential for more than minimal harm
  • ·health survey

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Freedom from Abuse, Neglect, and Exploitation
    Severity D
    Potential for more than minimal harm
  • ·health survey

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Freedom from Abuse, Neglect, and Exploitation
    Severity D
    Potential for more than minimal harm
  • ·health survey

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Nutrition and Dietary
    Severity D
    Potential for more than minimal harm
  • ·health survey

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Freedom from Abuse, Neglect, and Exploitation
    Severity E
    Potential for more than minimal harm
  • ·health survey

    Provide and implement an infection prevention and control program.

    Infection Control
    Severity D
    Potential for more than minimal harm
  • ·health survey

    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.

    Pharmacy Service
    Severity D
    Potential for more than minimal harm

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