Staffing
CMS publishes a 4-star staffing rating for this facility.
RN staffing was 0.46 hours per resident day in 2026Q1, calculated from CMS PBJ records.
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BURBANK HEALTHCARE & REHAB has 188 certified beds in BURBANK, California. The CMS overall rating is 1 of 5, compared with the California average of 3.2. The CMS health inspection rating is 1 of 5, compared with the California average of 2.8. The CMS staffing rating is 4 of 5. The latest standard health survey on Mar 12, 2026 lists 31 deficiencies, compared with the California average of 11.3. CMS records a fine of $14,425 dated Jan 14, 2026. CMS records a fine of $17,378 dated Jan 31, 2025. Total nurse staffing is 4.06 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 056129.
At a glance
1 of 5
1 of 5
4 of 5
2 of 5
No attached CMS ownership-change event.
CMS currently identifies Special Focus Facility or candidate status in the loaded Provider Information extract. That is a CMS designation, not a Trust Hub watchlist.
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.
Showing 25 of 27 relationships from CMS/PECOS evidence.
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 currently identifies this nursing home as a Special Focus Facility candidate. Candidate status is not the same as being designated a Special Focus Facility.
CMS field value: SFF Candidate. Observed Aug 1, 2026.
CMS currently applies its abuse-icon designation to this facility. That is CMS's published designation, not a Trust Hub verdict.
CMS field value: Y. 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 4-star staffing rating for this facility.
RN staffing was 0.46 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Mar 12, 2026 cited 31 deficiencies.
View inspection evidenceCMS-published records list 53 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 $14,425 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: 18%
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: 18%
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: 18%
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: 18%
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: 18%
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 24, 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: 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: Nov 16, 1986
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: 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: Jan 1, 2013
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2026
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 · CORPORATE DIRECTOR
Association date reported to CMS: Jun 30, 2023
Individual · CORPORATE OFFICER
Association date reported to CMS: Jun 30, 2023
Organization · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jun 30, 2023
Other facilities connected through this exact CMS organization identity: 0 across CA.
Organization · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jun 30, 2023
Other facilities connected through this exact CMS organization identity: 0 across CA.
Organization · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jun 30, 2023
Other facilities connected through this exact CMS organization identity: 0 across CA.
Organization · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jun 30, 2023
Other facilities connected through this exact CMS organization identity: 0 across CA.
Organization · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jun 30, 2023
Other facilities connected through this exact CMS organization identity: 0 across CA.
Organization · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jun 30, 2023
Other facilities connected through this exact CMS organization identity: 0 across CA.
Organization · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jun 30, 2023
Other facilities connected through this exact CMS organization identity: 0 across CA.
Organization · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jun 30, 2023
Other facilities connected through this exact CMS organization identity: 0 across CA.
Organization · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jun 30, 2023
Other facilities connected through this exact CMS organization identity: 0 across CA.
Organization · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jun 30, 2023
Other facilities connected through this exact CMS organization identity: 0 across CA.
Organization · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jun 30, 2023
Other facilities connected through this exact CMS organization identity: 0 across CA.
Organization · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jun 30, 2023
Other facilities connected through this exact CMS organization identity: 0 across CA.
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: May 22, 2026
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: May 22, 2026
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: May 22, 2026
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Feb 24, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Feb 10, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Dec 1, 2022
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 1, 2026
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: 18%
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: 18%
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: 18%
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: 18%
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: 18%
Association date reported to CMS: Jun 30, 2023
Other facilities connected through this exact CMS organization identity: 30 across CA.
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 20%
Association date reported to CMS: Jun 30, 2023
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 20%
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 DIRECTOR
Published ownership percentage: 20%
Association date reported to CMS: Jun 30, 2023
Individual · CORPORATE OFFICER
Published ownership percentage: 20%
Association date reported to CMS: Jun 30, 2023
Organization · OTHER
Published ownership percentage: 0%
Association date reported to CMS: Aug 11, 2003
Other facilities connected through this exact CMS organization identity: 36 across CA.
Individual · OTHER
Published ownership percentage: 0%
Association date reported to CMS: Jan 7, 2022
Individual · W-2 MANAGING EMPLOYEE
Association date reported to CMS: Jan 10, 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.
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 no plan of correction
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 no plan of correction
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
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 no plan of correction
Provide and implement an infection prevention and control program.
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 no plan of correction
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 (Jul 1, 2026)
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 (Jul 1, 2026)
Protect each resident from the wrongful use of the resident's belongings or money.
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 4, 2026)
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
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 4, 2026)
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
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 4, 2026)
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 (May 15, 2026)
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 15, 2026)
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 (May 15, 2026)
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 15, 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 (May 15, 2026)
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 (May 14, 2026)
Ensure each resident’s drug regimen must be free from unnecessary drugs.
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 14, 2026)
Implement a program that monitors antibiotic use.
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 14, 2026)
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 (Apr 28, 2026)
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 (Apr 16, 2026)
Provide and implement an infection prevention and control program.
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 (Apr 3, 2026)
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 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 3, 2026)
Ensure that residents are fully informed and understand their health status, care and treatments.
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 (Apr 3, 2026)
Allow residents to self-administer drugs if determined clinically appropriate.
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 3, 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 (Apr 3, 2026)
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 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 (Apr 3, 2026)
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
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 3, 2026)
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
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 (Apr 3, 2026)
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
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 (Apr 3, 2026)
Ensure each resident receives an accurate assessment.
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 (Apr 3, 2026)
PASARR screening for Mental disorders or Intellectual Disabilities
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 3, 2026)
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 (Apr 3, 2026)
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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 (Apr 3, 2026)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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 3, 2026)
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 (Apr 3, 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 (Apr 3, 2026)
Provide for the safe, appropriate administration of IV fluids 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 (Apr 3, 2026)
Provide safe and appropriate respiratory care 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 (Apr 3, 2026)
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 (Apr 3, 2026)
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 (Apr 3, 2026)
Provide medically-related social services to help each resident achieve the highest possible quality of life.
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 (Apr 3, 2026)
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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 3, 2026)
Ensure medication error rates are not 5 percent or greater.
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 3, 2026)
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 3, 2026)
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 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 3, 2026)
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
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 (Apr 3, 2026)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with 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 (Apr 3, 2026)
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 (Apr 3, 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 (Apr 3, 2026)
Implement a program that monitors antibiotic use.
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 (Apr 3, 2026)
Keep all essential equipment working 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 (Apr 3, 2026)
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
CMS scope/severity B: Pattern; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (Apr 3, 2026)
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 (Mar 21, 2026)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with 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 (Mar 21, 2026)
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 (Feb 20, 2026)
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 (Feb 20, 2026)
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 (Feb 20, 2026)
Provide and implement an infection prevention and control program.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Feb 20, 2026)
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 (Jan 30, 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 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 (Jan 30, 2026)
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 (Jan 30, 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 (Jan 30, 2026)
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
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 (Dec 10, 2025)
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 (Dec 10, 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 (Dec 10, 2025)
Ensure that residents are free from significant medication errors.
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 (Dec 9, 2025)
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS scope/severity B: Pattern; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (Dec 9, 2025)
Provide and implement an infection prevention and control program.
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 (Dec 9, 2025)
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 (Dec 11, 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 1, 2025)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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 1, 2025)
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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 1, 2025)
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 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 1, 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 1, 2025)
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Feb 21, 2025)
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
Penalties & enforcement
Published fine amount: $14,425.00
Published fine amount: $17,378.00
Payment denial length: 22 days
Questions to ask
Facility history
47 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
3 deficiencies were recorded.
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5 deficiencies were recorded.
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3 deficiencies were recorded.
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1 deficiency was recorded.
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1 deficiency was recorded.
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1 deficiency was recorded.
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31 deficiencies were recorded.
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2 deficiencies were recorded.
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4 deficiencies were recorded. That includes 1 higher-severity deficiency.
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CMS recorded a $14,425 civil monetary penalty.
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4 deficiencies were recorded.
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3 deficiencies were recorded.
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Staffing
CMS staffing rating: 4 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 | 4.159 | 3.83 |
| RN categories | 0.485 | 0.384 |
Contract staff accounted for 0.2% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.036 higher 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 | 4.032 | 0.428 | 1.074 | 2.53 | 0.1% | 91 |
| 2025Q3 | 4.102 | 0.428 | 1.067 | 2.607 | 0.1% | 92 |
| 2025Q4 | 4.05 | 0.42 | 1.046 | 2.584 | 0.1% | 92 |
| 2026Q1 | 4.065 | 0.456 | 1.05 | 2.559 | 0.2% | 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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Representation claims are reviewed manually. Live profile-management tools are not yet enabled for this facility.
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