Staffing
CMS publishes a 3-star staffing rating for this facility.
RN staffing was 0.63 hours per resident day in 2026Q1, calculated from CMS PBJ records.
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COVINA REHABILITATION CENTER has 99 certified beds in COVINA, California. The CMS overall rating is 2 of 5, compared with the California average of 3.2. The CMS health inspection rating is 2 of 5, compared with the California average of 2.8. The CMS staffing rating is 3 of 5. The latest standard health survey on Jun 18, 2026 lists 11 deficiencies, compared with the California average of 11.3. CMS records a fine of $9,110 dated May 30, 2025. CMS records a fine of $10,800 dated Apr 19, 2025. CMS records a fine of $9,318 dated Dec 1, 2023. Total nurse staffing is 4.78 hours per resident day in 2026Q1, compared with the California average of 4.53.
Independent research from official CMS public records. No paid ranking. No Trust Hub quality score.
Research this nursing home using CMS and federal public records. CMS Certification Number 055449.
At a glance
2 of 5
2 of 5
3 of 5
3 of 5
No attached CMS ownership-change event.
These are CMS star ratings, not Trust Hub ratings. Missing evidence is shown as not reported, not as zero.
Quality & care evidence
Staffing, inspections, and fire safety are separate CMS evidence families below.
Ownership & management
Current ownership uses CURRENT OWNED_BY evidence only. UNKNOWN is not a former owner.
These relationships were observed in an older snapshot. UNKNOWN does not mean former owner, previous owner, or that ownership ended.
Ownership change history
No CMS ownership-change event is currently attached to this profile in the Trust Hub research graph. That is not proof that ownership never changed.
Source freshness
Profile generated 2026-11-04. That timestamp is not CMS evidence freshness.
Methodology
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS. How CMS ratings and facility records are read
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
State regulatory evidence
California Department of Public Health is the state source for this license record. It does not replace CMS federal certification, ratings, or certified-bed counts.
California Department of Public Health
State regulatory data · checked Aug 2026
CMS designations
This CMS Certification Number appears in the latest CMS Nursing Home Provider Information extract of currently listed nursing homes.
CMS does not currently identify this nursing home as a Special Focus Facility or candidate in the loaded Provider Information extract.
CMS field value: (blank). Observed Aug 1, 2026.
CMS does not currently apply its abuse-icon designation to this facility in the loaded Provider Information extract.
CMS field value: N. Observed Aug 1, 2026.
Enrollment identity
These identifiers come from CMS SNF enrollment records linked to this CCN. They are not a substitute for the CMS Certification Number.
MDS quality measures
These MDS quality measures are individual CMS-published scores. They are not the CMS quality-measure star rating.
MDS source release 2026-08-01.
Fire-safety citations
These are fire-safety citations, not health deficiencies and not a count of fires.
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
CMS publishes a 3-star staffing rating for this facility.
RN staffing was 0.63 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Jun 18, 2026 cited 11 deficiencies.
View inspection evidenceCMS-published records list 63 ownership or control parties.
View ownership evidenceCMS groups this facility with a chain covering 38 facilities across 1 states or territories.
View chain evidenceCMS records show a $9,110 fine in the loaded enforcement dataset.
View enforcement evidence →Ownership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
Supported by multiple government sources
SeniorTrustHub found evidence connecting this facility to:
10 currently connected nursing homes share this CMS organization identity with FRIEDMAN FAMILY TRUST.
Ownership
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 20%
Association date reported to CMS: Jun 30, 2023
Other facilities connected through this exact CMS organization identity: 0 across CA.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 20%
Association date reported to CMS: Jun 30, 2023
Other facilities connected through this exact CMS organization identity: 0 across CA.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 20%
Association date reported to CMS: Jun 30, 2023
Other facilities connected through this exact CMS organization identity: 0 across CA.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 20%
Association date reported to CMS: Jun 30, 2023
Other facilities connected through this exact CMS organization identity: 0 across CA.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 20%
Association date reported to CMS: Jun 30, 2023
Other facilities connected through this exact CMS organization identity: 0 across CA.
Individual · ADP OF THE SNF
Association date reported to CMS: Feb 10, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 30, 2023
Other facilities connected through this exact CMS organization identity: 0 across CA.
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 30, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 30, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 16, 1986
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across CA.
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 22, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 30, 2025
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jun 30, 2023
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jun 30, 2023
Individual · CORPORATE OFFICER
Association date reported to CMS: Jun 30, 2023
Individual · CORPORATE OFFICER
Association date reported to CMS: Dec 1, 2022
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Feb 10, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 30, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Dec 1, 2022
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 22, 2025
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: Jun 30, 2023
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: Jun 30, 2025
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: Jun 30, 2023
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: Jun 30, 2023
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: Jun 30, 2023
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 20%
Association date reported to CMS: Jun 30, 2023
Other facilities connected through this exact CMS organization identity: 30 across CA.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 20%
Association date reported to CMS: Jun 30, 2023
Other facilities connected through this exact CMS organization identity: 30 across CA.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 20%
Association date reported to CMS: Jun 30, 2023
Other facilities connected through this exact CMS organization identity: 29 across CA.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 20%
Association date reported to CMS: Jun 30, 2023
Other facilities connected through this exact CMS organization identity: 30 across CA.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 20%
Association date reported to CMS: Jun 30, 2023
Other facilities connected through this exact CMS organization identity: 30 across CA.
Individual · ADP OF THE SNF
Association date reported to CMS: Feb 10, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 30, 2023
Other facilities connected through this exact CMS organization identity: 114 across CA, CT, FL, IA, IL, KY, MA, MI, MN, NM, OH, PA, RI, TX, WI.
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 30, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 30, 2023
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 30, 2023
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 0 across CA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 30, 2023
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 0 across CA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2026
Other facilities connected through this exact CMS organization identity: 0 across CA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 30, 2023
Other facilities connected through this exact CMS organization identity: 0 across CA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 30, 2023
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 0 across CA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 30, 2023
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 0 across CA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 30, 2023
CMS classifications: Investment firm
Other facilities connected through this exact CMS organization identity: 0 across CA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 30, 2023
Other facilities connected through this exact CMS organization identity: 0 across CA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 30, 2023
Other facilities connected through this exact CMS organization identity: 0 across CA.
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 30, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 16, 1986
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2023
CMS classifications: Chain / home office
Other facilities connected through this exact CMS organization identity: 36 across CA.
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 22, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 30, 2025
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jun 30, 2023
Individual · CORPORATE DIRECTOR
Published ownership percentage: 20%
Association date reported to CMS: Jun 30, 2023
Individual · CORPORATE OFFICER
Association date reported to CMS: Jun 30, 2023
Individual · CORPORATE OFFICER
Association date reported to CMS: Dec 1, 2022
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Feb 10, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 30, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Dec 1, 2022
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 22, 2025
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: Jun 30, 2023
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: Jun 30, 2025
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: Jun 30, 2023
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: Jun 30, 2023
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: Jun 30, 2023
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across CA.
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Chain context
Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 323 is a grouping identifier, not a legal organization.
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 38 | 2.1 | 3.3 |
| Mon Jun | 38 | 2.2 | 3.2 |
| Fri May | 38 | 2.3 | 3.2 |
| Wed Apr | 38 | 2.2 | 3.2 |
| Sun Mar | 38 | 2.2 | 3.1 |
| Sun Feb | 38 | 2 | 3.1 |
Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.
View official CMS sourceInspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
No health-deficiency rows were deterministically linked to this inspection.
Ensure that residents are fully informed and understand their health status, care and treatments.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 1, 2026)
Reasonably accommodate the needs and preferences of each resident.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 1, 2026)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 30, 2026)
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 16, 2026)
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.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 16, 2026)
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 1, 2026)
Provide safe and appropriate respiratory care for a resident when needed.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 1, 2026)
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 29, 2026)
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 30, 2026)
Provide and implement an infection prevention and control program.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 29, 2026)
Implement a program that monitors antibiotic use.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 30, 2026)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 20, 2025)
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 19, 2025)
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 20, 2025)
No health-deficiency rows were deterministically linked to this inspection.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 12, 2025)
Reasonably accommodate the needs and preferences of each resident.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 12, 2025)
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 9, 2025)
Ensure each resident receives an accurate assessment.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 9, 2025)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 10, 2025)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 12, 2025)
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 12, 2025)
Provide safe and appropriate respiratory care for a resident when needed.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 12, 2025)
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 10, 2025)
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 12, 2025)
Observe each nurse aide's job performance and give regular training.
CMS scope/severity B: Pattern; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (May 9, 2025)
Post nurse staffing information every day.
CMS scope/severity B: Pattern; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (May 12, 2025)
Ensure that residents are free from significant medication errors.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 19, 2025)
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 12, 2025)
Provide and implement an infection prevention and control program.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 12, 2025)
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 8, 2024)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 8, 2024)
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 25, 2024)
Provide safe, appropriate pain management for a resident who requires such services.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 24, 2024)
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 24, 2024)
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 10, 2024)
Reasonably accommodate the needs and preferences of each resident.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 30, 2024)
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 23, 2024)
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 23, 2024)
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 23, 2024)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 1, 2024)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 23, 2024)
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 23, 2024)
Provide and implement an infection prevention and control program.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 23, 2024)
Develop and implement policies and procedures for flu and pneumonia vaccinations.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 23, 2024)
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 23, 2024)
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 9, 2024)
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 9, 2024)
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 9, 2024)
Provide and implement an infection prevention and control program.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 9, 2024)
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 6, 2024)
No health-deficiency rows were deterministically linked to this inspection.
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 scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 30, 2024)
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 3, 2024)
Keep residents' personal and medical records private and confidential.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 3, 2024)
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 3, 2024)
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 3, 2024)
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 3, 2024)
Provide safe, appropriate dialysis care/services for a resident who requires such services.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 3, 2024)
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 3, 2024)
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 limited.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 3, 2024)
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 3, 2024)
Provide and implement an infection prevention and control program.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 3, 2024)
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 29, 2024)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Jan 3, 2024)
Provide and implement an infection prevention and control program.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 3, 2024)
Post nurse staffing information every day.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 12, 2023)
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 18, 2023)
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 18, 2023)
Penalties & enforcement
Published fine amount: $9,110.00
Published fine amount: $10,800.00
Payment denial length: 30 days
Published fine amount: $9,318.00
Questions to ask
Facility history
29 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
3 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
CMS recorded a $9,110 civil monetary penalty.
CMS · Recorded event date · View related evidence
CMS recorded a $10,800 civil monetary penalty.
CMS · Recorded event date · View related evidence
15 deficiencies were recorded.
CMS · Recorded event date · View related evidence
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
10 deficiencies were recorded.
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4 deficiencies were recorded.
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1 deficiency was recorded.
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11 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 3 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 4.911 | 4.447 |
| RN categories | 0.677 | 0.52 |
Contract staff accounted for 0% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.050 lower than the prior loaded quarter.
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 4.902 | 0.629 | 1.671 | 2.603 | 5.3% | 91 |
| 2025Q3 | 4.917 | 0.653 | 1.636 | 2.627 | 1.3% | 92 |
| 2025Q4 | 4.929 | 0.682 | 1.678 | 2.57 | 0.1% | 92 |
| 2026Q1 | 4.777 | 0.631 | 1.619 | 2.526 | 0% | 90 |
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
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