Metcalfe Nursing and Rehabilitation Center

CMS flags

CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

1. CMS update of October 8, 2026

   • Name

     CMS lists a new legal business name for this home.

2. CMS update of July 29, 2026

   • Star rating

     The CMS overall star rating changed from 2 of 5 to 1 of 5.

   • Star rating

     The CMS staffing star rating changed from 3 of 5 to 1 of 5.

3. CMS update of May 27, 2026

   • Name

     CMS lists a new name for this home. It was Metcalfe Health Care Center.

4. CMS update of April 29, 2026

   • Star rating

     The CMS staffing star rating changed from 4 of 5 to 3 of 5.

   • Name

     CMS lists a new legal business name for this home.

   • Staffing

     Total nurse staffing reported to CMS went from 4.4 to 3.9 hours per resident per day.

5. CMS update of February 25, 2026

   • Star rating

     The CMS quality measures star rating changed from 3 of 5 to 2 of 5.

6. CMS update of November 20, 2025

   • Star rating

     The CMS quality measures star rating changed from 2 of 5 to 3 of 5.

7. CMS update of July 30, 2025

   • Star rating

     The CMS staffing star rating changed from 3 of 5 to 4 of 5.

8. CMS update of February 26, 2025

   • Star rating

     The CMS overall star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

   • Star rating

     The CMS quality measures star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

9. CMS update of October 30, 2024

   • Star rating

     The CMS overall star rating changed from 2 of 5 to 1 of 5.

   • Star rating

     The CMS staffing star rating changed from 4 of 5 to 3 of 5.

   • Star rating

     The CMS quality measures star rating changed from 2 of 5 to 1 of 5.

10. CMS update of September 26, 2024

    • Star rating

      The CMS overall star rating changed from 1 of 5 to 2 of 5.

    • Star rating

      The CMS health inspection star rating changed from 1 of 5 to 2 of 5.

11. CMS update of February 29, 2024

    • Fine

      CMS changed the fine from October 22, 2022 from $10,000 to $6,500.

12. Health inspection on October 22, 2022

    10 citations

    CMS lists this as a standard inspection.

    Show the 10 citations

    • Citation F0576. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure residents have reasonable access to and privacy in their use of communication methods.

      CMS lists it as corrected on February 22, 2023.

    • Citation F0880. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on February 22, 2023.

    • Citation F0679. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide activities to meet all resident's needs.

      CMS lists it as corrected on February 22, 2023.

    • Citation F0695. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on February 22, 2023.

    • Citation F0761. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on February 22, 2023.

    • Citation F0578. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on February 22, 2023.

    • Citation F0657. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

      CMS lists it as corrected on February 22, 2023.

    • Citation F0689. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on February 22, 2023.

    • Citation F0812. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on February 22, 2023.

      CMS has cited this home for F0812 2 times since 2019.

    • Citation F0842. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

      CMS lists it as corrected on February 22, 2023.

      CMS has cited this home for F0842 2 times since 2018.

    See this home on CMS Care Compare

13. Fire safety inspection on October 22, 2022

    5 citations

    CMS lists this as a standard inspection.

    Show the 5 citations

    • Citation K0353. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on January 26, 2023.

    • Citation K0918. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.

      CMS lists it as corrected on January 26, 2023.

    • Citation K0222. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

      CMS lists it as corrected on January 26, 2023.

    • Citation K0321. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

      CMS lists it as corrected on January 26, 2023.

    • Citation K0920. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure proper usage of power strips and extension cords.

      CMS lists it as corrected on January 26, 2023.

    See this home on CMS Care Compare

14. Health inspection on October 31, 2019

    1 citation

    CMS lists this as a standard inspection.

    Show the 1 citation

    • Citation F0812. Severity F: potential for more than minimal harm, widespread.

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

      CMS lists it as corrected on November 7, 2019.

    See this home on CMS Care Compare

15. Health inspection on October 25, 2018

    3 citations

    CMS lists this as a standard inspection.

    Show the 3 citations

    • Citation F0804. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

      CMS lists it as corrected on November 16, 2018.

    • Citation F0567. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Honor the resident's right to manage his or her financial affairs.

      CMS lists it as corrected on November 16, 2018.

    • Citation F0842. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

      CMS lists it as corrected on November 16, 2018.

    See this home on CMS Care Compare

CMS star ratings

• 1 of 5CMS overall star rating
• 2 of 5CMS health inspection star rating
• 1 of 5CMS staffing star rating
• 2 of 5CMS quality measures star rating

Facts from CMS

Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

• METCALF OPCO HOLDCO LLC5% or greater direct ownership interest · no percentage provided · since 01/01/2026
• KYME FT OP LLC5% or greater indirect ownership interest · no percentage provided · since 01/01/2026
• KYME HB OP LLC5% or greater indirect ownership interest · no percentage provided · since 01/01/2026
• KYME MK OP LLC5% or greater indirect ownership interest · no percentage provided · since 01/01/2026
• SNF OPCO LLC5% or greater indirect ownership interest · no percentage provided · since 01/01/2026

Questions