2 out of 5 stars overall. Comfort Creek Nursing and Rehabilitation Center has 2-star health inspection and staffing ratings, 4-star quality measures, nurse staffing below the federal benchmark (2.76 vs 4.1 hours per resident per day), and $15,880 in fines in the last 24 months with a recent federal penalty.
Last inspection: April 17, 2025Penalties, last 24 months: $15,880recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.7614.
Staffing detail
Registered nurses
0.19
Licensed practical nurses
0.63
Nurse aides
1.94
Weekend nursing
2.54
Hours per resident per day.
Total staff turnover: 33%
Registered nurse turnover: 20%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
42.9%Improving
Residents with a fall causing major injury
1.4%Steady
Residents with pressure ulcers (bedsores)
6.4%Steady
Residents with a urinary tract infection
1%Worsening
Residents who lost too much weight
5.1%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
22.8%Improving
Residents whose ability to walk got worse
12.5%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
19.3%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
3%Improving
Residents with new or worsening incontinence
20.5%Worsening
Residents with depressive symptoms
1.9%Improving
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
99.7%Improving
Short-stay residents given the seasonal flu vaccine
97.9%Steady
Short-stay residents given the pneumonia vaccine
100%Steady
What the inspectors found
The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited June 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: J
The home failed to run its operations effectively and efficiently using its available resources. Cited June 2024 — isolated incident, immediate jeopardy to residents.
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F-Tag 835 — 42 CFR §483.70 — S/S: J
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited February 2023 — widespread issue, potential for harm.
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F-Tag 727 — 42 CFR §483.35 — S/S: F
The home failed to provide enough support staff to safely and effectively run food and nutrition services. Cited February 2023 — widespread issue, potential for harm.
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F-Tag 802 — 42 CFR §483.60 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2023 — widespread issue, potential for harm.
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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.
INSPECTION
Health inspection found 8 health deficiencies.
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PENALTY
A federal fine of $15,880 was recorded.
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $15,880 in total fines.
Federal fine
Jun 7, 2024
$15,880
Operator & ownership
Ownership
For profit - Corporation
Chain
Part of BEACON HEALTH MANAGEMENT · 14 homes · 1.4 stars avg
Occupancy
73.4 residents on an average day (75% of 98 beds)
Medicare history
Certified for 23 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.