Thunder Care and Rehabilitation

Certification

Medicare-certified.

Ratings

Inspection history (42)

Records from January 2023 to October 2025.

• December 21, 2023

  Tag F0803

  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.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 23, 2024.

• December 21, 2023

  Tag F0695

  Provide safe and appropriate respiratory care for a resident when needed.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 23, 2024.

• December 21, 2023

  Tag F0580

  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 23, 2024.

• December 21, 2023

  Tag F0688

  Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 23, 2024.

• December 21, 2023

  Tag F0645

  PASARR screening for Mental disorders or Intellectual Disabilities.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 23, 2024.

• December 21, 2023

  Tag F0759

  Ensure medication error rates are not 5 percent or greater.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 23, 2024.

• December 21, 2023

  Tag F0812

  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 23, 2024.

• December 21, 2023

  Tag F0880

  Provide and implement an infection prevention and control program.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 23, 2024.

• December 21, 2023

  Tag F0755

  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 23, 2024.

• December 21, 2023

  Tag F0700

  Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 23, 2024.

• January 10, 2023

  Tag F0758

  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 l….

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 15, 2023.

• January 10, 2023

  Tag F0760

  Ensure that residents are free from significant medication errors.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 15, 2023.

• January 10, 2023

  Tag F0695

  Provide safe and appropriate respiratory care for a resident when needed.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 15, 2023.

• January 10, 2023

  Tag F0757

  Ensure each resident’s drug regimen must be free from unnecessary drugs.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 15, 2023.

• January 10, 2023

  Tag F0578

  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 15, 2023.

• January 10, 2023

  Tag F0880

  Provide and implement an infection prevention and control program.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 15, 2023.

• January 10, 2023

  Tag F0755

  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 15, 2023.

• January 10, 2023

  Tag F0606

  Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 15, 2023.

• January 10, 2023

  Tag F0727

  Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 15, 2023.

• January 10, 2023

  Tag F0770

  Provide timely, quality laboratory services/tests to meet the needs of residents.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 15, 2023.

Penalties (2)

Total fines: $30,137

• August 7, 2025 · Payment Denial

  CMS recorded a Medicare/Medicaid payment denial for new admissions starting November 7, 2025, lasting 21 days (triggered by inspection on August 7, 2025).

• February 14, 2025 · Fine

  CMS recorded a civil money penalty of $30,137 against this nursing home on February 14, 2025.

Staffing

3.16 nurse hours per resident per day in Q2 2026, down from 3.30 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

For profit