Double Tree Post Acute Care Center

Inspection history (47)

• August 17, 2023 · E

  Citation F0809

  Federal surveyors cited this nursing home on 2023-08-17 under CMS tag F0809 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. The deficiency was recorded as corrected on 2023-09-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-17.GOV

• August 17, 2023 · E

  Citation F0908

  Federal surveyors cited this nursing home on 2023-08-17 under CMS tag F0908 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Keep all essential equipment working safely. The deficiency was recorded as corrected on 2023-09-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-17.GOV

• August 17, 2023 · E

  Citation F0761

  Federal surveyors cited this nursing home on 2023-08-17 under CMS tag F0761 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2023-09-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-17.GOV

• August 17, 2023 · E

  Citation F0880

  Federal surveyors cited this nursing home on 2023-08-17 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2023-09-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-17.GOV

• August 17, 2023 · E

  Citation F0921

  Federal surveyors cited this nursing home on 2023-08-17 under CMS tag F0921 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. The deficiency was recorded as corrected on 2023-09-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-17.GOV

• July 18, 2023 · D

  Citation F0552

  Federal surveyors cited this nursing home on 2023-07-18 under CMS tag F0552 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that residents are fully informed and understand their health status, care and treatments. The deficiency was recorded as corrected on 2023-08-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-07-18.GOV

• June 15, 2023 · D

  Citation F0656

  Federal surveyors cited this nursing home on 2023-06-15 under CMS tag F0656 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2023-07-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-06-15.GOV

Penalties

Total fines on file: $10,842

Staffing

Latest: 4.11 nurse staffing hours per resident per day (2026-06-01)

Ownership

For profit - Limited Liability company

1. Parent organization: Bvhc, LLC

   parent · PAC 1355680588