AVERY NURSING HOME/NOBLE BUILDING has a 1 out of 5 overall rating, with 1-star health inspections but stronger 4-star staffing and quality scores. It reports 3.35 nursing hours per resident per day versus the 4.1 federal benchmark, and it had $30,440 in fines in the last 24 months with a recent federal penalty.
Last inspection: October 6, 2025Penalties, last 24 months: $30,440recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3525.
Staffing detail
Registered nurses
0.60
Licensed practical nurses
0.66
Nurse aides
2.10
Weekend nursing
3.20
Hours per resident per day.
Total staff turnover: 25%
Registered nurse turnover: 14%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
21.3%23.3%Worsening
Residents with a fall causing major injury
3.7%3.1%Improving
Residents with pressure ulcers (bedsores)
8.9%2.5%Improving
Residents with a urinary tract infection
1.2%1.3%No change
Residents who lost too much weight
6.1%4.8%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
29.2%30.6%Worsening
Residents whose ability to walk got worse
19.6%28.5%Worsening
Long-stay residents on antianxiety or sleep medication
21.9%22.3%No change
Short-stay residents newly given an antipsychotic
2%2.8%Worsening
Residents with a long-term catheter
2.4%1.3%Improving
Residents with new or worsening incontinence
27%30.2%Worsening
Residents with depressive symptoms
9%5.3%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—74.4%—
Long-stay residents given the pneumonia vaccine
77.9%75.8%Worsening
Short-stay residents given the seasonal flu vaccine
—30%—
Short-stay residents given the pneumonia vaccine
49.5%38.9%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited December 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to protect residents from abuse and neglect by others. Cited December 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited April 2025 — isolated incident, actual harm.
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F-Tag 684 — 42 CFR §483.25 — S/S: G
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited August 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
PENALTY
A federal fine of $15,935 was recorded.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 13 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $14,505 was recorded.
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 4 fines · $87,416 in total fines.
Federal fine
Oct 6, 2025
$15,935
Federal fine
Apr 8, 2025
$14,505
Federal fine
Dec 12, 2023
$45,065
Federal fine
Aug 8, 2023
$11,911
Operator & ownership
Ownership
Non profit - Church related
Occupancy
168.3 residents on an average day (87% of 194 beds)
Resident voice
Resident council
Medicare history
Certified for 59 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.