Staffing
CMS publishes a 2-star staffing rating for this facility.
RN staffing was 0.67 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceFacility record
HICKORY VLG NRSG & RHB has 74 certified beds in HICKORY HILLS, Illinois. The CMS overall rating is 3 of 5, compared with the Illinois average of 2.5. The CMS health inspection rating is 3 of 5, compared with the Illinois average of 2.7. The CMS staffing rating is 2 of 5. The latest standard health survey on Mar 21, 2025 lists 2 deficiencies, compared with the Illinois average of 7.3. CMS records a fine of $131,763 dated Jan 14, 2025. CMS records a fine of $79,590 dated Jan 25, 2024. CMS records a fine of $139,319 dated Nov 2, 2023. Total nurse staffing is 2.67 hours per resident day in 2026Q1, compared with the Illinois average of 3.45.
Nearby facilities
- ADDOLORATA VILLA WHEELING
- ADMIRAL AT THE LAKE, THE CHICAGO
- AHVA CARE OF STICKNEY STICKNEY
- ALDEN DES PLAINES REHAB & HC DES PLAINES
- ALDEN ESTATES OF BARRINGTON BARRINGTON
- ALDEN ESTATES OF EVANSTON EVANSTON
- ALDEN ESTATES OF NORTHMOOR CHICAGO
- ALDEN ESTATES OF ORLAND PARK ORLAND PARK
- ALDEN ESTATES OF SKOKIE SKOKIE
- ALDEN LAKELAND REHAB & HCC CHICAGO
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 145866.
At a glance
CMS research snapshot
CMS overall rating
3 of 5
CMS health inspection rating
3 of 5
CMS staffing rating
2 of 5
CMS quality-measure rating
3 of 5
CMS ownership-change history
CMS has published 1 ownership-change record for this provider.
These are CMS star ratings, not Trust Hub ratings. Missing evidence is shown as not reported, not as zero.
Quality & care evidence
What CMS reports about quality
- MDS quality observations are in the CMS extract.
- PBJ staffing records are in the CMS extract.
- Inspection evidence is in the CMS extract.
- Fire-safety evidence is in the CMS extract.
Staffing, inspections, and fire safety are separate CMS evidence families below.
Ownership & management
Who CMS/PECOS connects to this nursing home
Current ownership uses CURRENT OWNED_BY evidence only. UNKNOWN is not a former owner.
Current owners
- LIPSHITZ, RITAIndividual ownerDIRECT OWNERSHIP INTEREST10% ownership interest
- LIPSHITZ, RITAIndividual ownerDIRECT OWNERSHIP INTEREST
- MASHIACH, RHONDAIndividual ownerDIRECT OWNERSHIP INTEREST
- MASHIACH, RHONDAIndividual ownerDIRECT OWNERSHIP INTEREST10% ownership interest
- MASHIACH, YAACOVIndividual ownerDIRECT OWNERSHIP INTEREST23.33% ownership interest
- MASHIACH, YAACOVIndividual ownerDIRECT OWNERSHIP INTEREST
- MASHIACH, YECHIELIndividual ownerDIRECT OWNERSHIP INTEREST
- MASHIACH, YECHIELIndividual ownerDIRECT OWNERSHIP INTEREST23.33% ownership interest
- WISSATI IRREVOCABLE TRUSTOrganizationDIRECT OWNERSHIP INTEREST
- WISSATI IRREVOCABLE TRUSTOrganizationDIRECT OWNERSHIP INTEREST33.34% ownership interest
Operators
- DAVEY, JENNIFERIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- DAVEY, JENNIFERIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- GAUTAM, SAGUNIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- GAUTAM, SAGUNIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- MASHIACH, YAACOVIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- MASHIACH, YAACOVIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- MASHIACH, YECHIELIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- MASHIACH, YECHIELIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- DAVEY, JENNIFERIndividual owner · HISTORICALOPERATIONAL/MANAGERIAL CONTROL
- GAUTAM, SAGUNIndividual owner · HISTORICALOPERATIONAL/MANAGERIAL CONTROL
- MASHIACH, YAACOVIndividual owner · HISTORICALOPERATIONAL/MANAGERIAL CONTROL
- MASHIACH, YECHIELIndividual owner · HISTORICALOPERATIONAL/MANAGERIAL CONTROL
- DAVEY, JENNIFERIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- DAVEY, JENNIFERIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- GAUTAM, SAGUNIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- GAUTAM, SAGUNIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- MASHIACH, YAACOVIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- MASHIACH, YAACOVIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- MASHIACH, YECHIELIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- MASHIACH, YECHIELIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
Enrollment organizations
- HICKORY VILLAGE NURSING AND REHABILITATION CENTER LLCOrganization · CURRENTMedicare-enrolled legal organization
- HICKORY VILLAGE NURSING AND REHABILITATION CENTER LLCOrganization · UNKNOWNMedicare-enrolled legal organization
Ownership observations with UNKNOWN status
These relationships were observed in an older snapshot. UNKNOWN does not mean former owner, previous owner, or that ownership ended.
UNKNOWN
- LIPSHITZ, RITAIndividual owner · UNKNOWNDIRECT OWNERSHIP INTEREST
- LIPSHITZ, RITAIndividual owner · UNKNOWNDIRECT OWNERSHIP INTEREST10% ownership interest
- MASHIACH, RHONDAIndividual owner · UNKNOWNDIRECT OWNERSHIP INTEREST
- MASHIACH, RHONDAIndividual owner · UNKNOWNDIRECT OWNERSHIP INTEREST10% ownership interest
- MASHIACH, YAACOVIndividual owner · UNKNOWNDIRECT OWNERSHIP INTEREST
- MASHIACH, YAACOVIndividual owner · UNKNOWNDIRECT OWNERSHIP INTEREST23.33% ownership interest
- MASHIACH, YECHIELIndividual owner · UNKNOWNDIRECT OWNERSHIP INTEREST23.33% ownership interest
- MASHIACH, YECHIELIndividual owner · UNKNOWNDIRECT OWNERSHIP INTEREST
- WISSATI IRREVOCABLE TRUSTOrganization · UNKNOWNDIRECT OWNERSHIP INTEREST33.34% ownership interest
- WISSATI IRREVOCABLE TRUSTOrganization · UNKNOWNDIRECT OWNERSHIP INTEREST
Ownership change history
CMS ownership-change records
CMS publishes Change of Ownership records for this nursing home.
CMS records show an ownership change effective 2022-07-01.
- CMS type
- CHANGE OF OWNERSHIP
- Buyer legal entity
- HICKORY VILLAGE NURSING AND REHABILITATION CENTER LLC
- Seller legal entity
- HICKORY NURSING PAVILION
- Effective date
- 2022-07-01
These are CMS transaction records. They are not a Trust Hub quality, stability, or sale judgment.
Source freshness
How current each evidence family is
- nursing-home-mds-quality-measures
- STALE · source as of 2026-08-01
- nursing-home-provider-information
- STALE · source as of 2026-08-01
- skilled-nursing-facility-all-owners
- AGING · source as of 2026-08-17
- skilled-nursing-facility-change-of-ownership
- CURRENT · source as of 2026-08-24
Profile generated 2026-11-03. That timestamp is not CMS evidence freshness.
Methodology
How Trust Hub researches this provider
- CMS is the source for national nursing-home evidence.
- Trust Hub does not create the CMS star ratings.
- Ownership evidence does not measure care quality.
- CMS CHOW records document reported ownership-change events.
- Missing evidence is not interpreted as zero.
- UNKNOWN ownership history is not interpreted as divestiture.
- Ownership evidence is not a quality measure.
- Missing evidence is not a zero score.
- CMS ratings are CMS ratings, not Trust Hub ratings.
- UNKNOWN ownership does not prove an owner left.
- CHOW records are CMS transaction records, not Trust Hub judgments or sales.
CMS overview
CMS rating overview
No proprietary TrustHub score. These ratings are published separately by CMS. How CMS ratings and facility records are read
- CMS certified beds
- 74
- Ownership descriptor
- For profit - Limited Liability company
- Medicare participation
- Yes
- Medicaid participation
- Yes
Facility information
Contact
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
- Phone
- 7085984040Verified public information · checked Aug 2026
CMS designations
Special Focus and abuse-icon status
This CMS Certification Number appears in the latest CMS Nursing Home Provider Information extract of currently listed nursing homes.
Not currently SFF or candidate
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 abuse-icon designation
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
Medicare enrollment organization NPI associated with this CMS Certification Number
These identifiers come from CMS SNF enrollment records linked to this CCN. They are not a substitute for the CMS Certification Number.
- NPI 1417688649 · enrollment O20220914001386
- NPI 1417688649 · enrollment O20220914001386
MDS quality measures
Individual CMS 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.
View individual MDS measures
- Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (Long Stay): 100.000000
- Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (Long Stay): 92.647059
- Percentage of long-stay residents experiencing one or more falls with major injury (Long Stay): 4.198473 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents who have depressive symptoms (Long Stay): 99.148936
- Percentage of long-stay residents who lose too much weight (Long Stay): 3.292181
- Percentage of long-stay residents who received an antianxiety or hypnotic medication (Long Stay): 26.984127
- Percentage of long-stay residents who received an antipsychotic medication (Long Stay): 82.380952 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents who were physically restrained (Long Stay): 0.000000
- Percentage of long-stay residents whose ability to walk independently worsened (Long Stay): 5.197192 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents whose need for help with daily activities has increased (Long Stay): 5.394191 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents with a catheter inserted and left in their bladder (Long Stay): 0.651637 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents with a urinary tract infection (Long Stay): 0.395257 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents with new or worsened bowel or bladder incontinence (Long Stay): 8.991281
- Percentage of long-stay residents with pressure ulcers (Long Stay): 3.393164 · CMS uses this measure in the quality-measure star rating
- Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (Short Stay): 59.090909
- Percentage of short-stay residents who newly received an antipsychotic medication (Short Stay): 9 · CMS uses this measure in the quality-measure star rating
- Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (Short Stay): 51.851852
Fire-safety citations
CMS fire-safety citations
These are fire-safety citations, not health deficiencies and not a count of fires.
- 2025-03-21 · tag 0353 · scope/severity F — Inspect, test, and maintain automatic sprinkler systems.
- 2025-03-21 · tag 0363 · scope/severity F — Install corridor and hallway doors that block smoke.
- 2025-03-21 · tag 0271 · scope/severity E — Have exits that are accessible at all times.
- 2024-05-16 · tag 0222 · scope/severity F — 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.
- 2024-05-16 · tag 0345 · scope/severity F — Have approved installation, maintenance and testing program for fire alarm systems.
- 2024-05-16 · tag 0353 · scope/severity F — Inspect, test, and maintain automatic sprinkler systems.
- 2024-05-16 · tag 0355 · scope/severity F — Properly select, install, inspect, or maintain portable fire extinguishes.
- 2024-05-16 · tag 0712 · scope/severity F — Have simulated fire drills held at unexpected times.
- 2024-05-16 · tag 0914 · scope/severity F — Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- 2024-05-16 · tag 0918 · scope/severity F — Have generator or other power source capable of supplying service within 10 seconds.
- 2024-05-16 · tag 0923 · scope/severity F — Have proper medical gas storage and administration areas.
- 2024-05-16 · tag 0321 · scope/severity E — Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Decision guide
What to review
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
Inspections
The latest standard inspection on Mar 21, 2025 cited 2 deficiencies.
View inspection evidenceOwnership
CMS-published records list 41 ownership or control parties.
CMS records show an ownership change effective July 2022.
View ownership evidenceChain context
CMS groups this facility with a chain covering 5 facilities across 1 states or territories.
View chain evidenceEnforcement record
CMS records show a 1-day payment denial in the loaded enforcement dataset.
View enforcement evidence →Ownership & operation
Ownership & Operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
- Ownership type
- For profit - Limited Liability companyCMS
- Chain
- WISSATI IRREVOCABLE TRUSTCMS identifies this facility as part of the WISSATI IRREVOCABLE TRUST chain.
- Related facilities
- 14Current CMS organization identity
- Ownership changes
- 1 recordedCMS enrollment records
Who is behind this facility?
SeniorTrustHub found evidence connecting this facility to:
- 2 CMS-reported ownership organizations
- CMS reports 32 individual ownership interests
- a CMS chain / common-control group
- recorded ownership-change events
Related facilities
14 currently connected nursing homes share this CMS organization identity with WISSATI IRREVOCABLE TRUST.
- Average CMS overall rating
- 1.6 stars across 14 reporting facilities
- CMS monetary penalties
- 11 of 14 facilities had a recorded monetary penalty in the available CMS period.
- Recent CMS penalties
- 9 facilities had a CMS penalty in the last 18 months.
- Recent high-value CMS enforcement
- 9 facilities had a high-value CMS fine or payment denial in the last 18 months.
- Recent CMS complaint inspections
- 14 facilities had a CMS complaint inspection in the last 18 months.
- Total recorded CMS fines
- $3,693,188
Ownership
Who CMS records show is connected to this facility
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.
- Reported party records
- 41
- Organizations shown
- 9
- Individuals shown
- 32
- Latest ownership source update
- Aug 17, 2026
CMS-published ownership and control parties
MIDLAND STATES BANCORP INC
Organization · 5% OR GREATER SECURITY INTEREST
Association date reported to CMS: Dec 11, 2024
Other facilities connected through this exact CMS organization identity: 0 across IL.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
DAVEY, JENNIFER
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
GAUTAM, SAGUN
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
JADE FINANCIAL SERVICES LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2022
Other facilities connected through this exact CMS organization identity: 0 across IL.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
LIPSHITZ, RITA
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
MASHIACH, RHONDA
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
MASHIACH, YAACOV
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
MASHIACH, YECHIEL
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
LIPSHITZ, RITA
Individual · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jul 1, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
MASHIACH, RHONDA
Individual · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jul 1, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
MASHIACH, YAACOV
Individual · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jul 1, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
MASHIACH, YECHIEL
Individual · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jul 1, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
WISSATI IRREVOCABLE TRUST
Organization · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jul 1, 2022
Other facilities connected through this exact CMS organization identity: 0 across IL.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
DAVEY, JENNIFER
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 1, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
GAUTAM, SAGUN
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 1, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
MASHIACH, YAACOV
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 1, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
MASHIACH, YECHIEL
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 1, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
GRASSO, ALBERT
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: Jul 1, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
MIRETZKY, STEVEN
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: Jul 1, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
MIDLAND STATES BANCORP INC
Organization · 5% OR GREATER SECURITY INTEREST
Published ownership percentage: 0%
Association date reported to CMS: Dec 11, 2024
Other facilities connected through this exact CMS organization identity: 1 across IL.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
DAVEY, JENNIFER
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
GAUTAM, SAGUN
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
Individual name not published by CMS
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2022
Other facilities connected through this exact CMS organization identity: 0 across IL.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
Individual name not published by CMS
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2022
Other facilities connected through this exact CMS organization identity: 0 across IL.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
JADE FINANCIAL SERVICES LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2022
CMS classifications: Chain / home office
Other facilities connected through this exact CMS organization identity: 0 across IL.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
LIPSHITZ, RITA
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
MASHIACH, RHONDA
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
MASHIACH, YAACOV
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
MASHIACH, YECHIEL
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
LIPSHITZ, RITA
Individual · DIRECT OWNERSHIP INTEREST
Published ownership percentage: 10%
Association date reported to CMS: Jul 1, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
MASHIACH, RHONDA
Individual · DIRECT OWNERSHIP INTEREST
Published ownership percentage: 10%
Association date reported to CMS: Jul 1, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
MASHIACH, YAACOV
Individual · DIRECT OWNERSHIP INTEREST
Published ownership percentage: 23.33%
Association date reported to CMS: Jul 1, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
MASHIACH, YECHIEL
Individual · DIRECT OWNERSHIP INTEREST
Published ownership percentage: 23.33%
Association date reported to CMS: Jul 1, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
WISSATI IRREVOCABLE TRUST
Organization · DIRECT OWNERSHIP INTEREST
Published ownership percentage: 33.34%
Association date reported to CMS: Jul 1, 2022
Other facilities connected through this exact CMS organization identity: 15 across AZ, IL.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
DAVEY, JENNIFER
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 1, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
GAUTAM, SAGUN
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 1, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
MASHIACH, YAACOV
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 1, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
MASHIACH, YECHIEL
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 1, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
GRASSO, ALBERT
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: Jul 1, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
MIRETZKY, STEVEN
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: Jul 1, 2022
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
HICKORY VILLAGE NURSING AND REHABILITATION CENTER LLC
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across IL.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility Enrollments
- CMS dataset identifier
- 5f2c306f-3b1c-42cd-b037-187b2ce22126
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
Ownership changes reported in CMS enrollment records
- CHANGE OF OWNERSHIPHICKORY NURSING PAVILION to HICKORY VILLAGE NURSING AND REHABILITATION CENTER LLC
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility Change of Ownership
- CMS dataset identifier
- f557a6ed-95b3-4a22-8433-4175db2dec1c
- Source updated
- Aug 24, 2026
- Retrieved
- Aug 15, 2026
What this means
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.
Questions to ask
- CMS records list several organizations with ownership or control roles. Which entity is responsible for day-to-day operations at this facility?
- CMS enrollment records show a change of ownership effective Jul 1, 2022. What operational or leadership changes followed that event?
- CMS records connect MIDLAND STATES BANCORP INC to 2 facilities. Which policies and staffing decisions are managed centrally versus locally?
Chain context
CMS groups this facility with WISSATI IRREVOCABLE TRUST
Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 861 is a grouping identifier, not a legal organization.
- Facilities
- 5
- States and territories
- 1
- Average overall rating
- 2
- Average staffing rating
- 1.4
- Average total nurse HPRD
- 2.7
- Total fines
- 3
CMS-published history
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 5 | 2 | 1.4 |
| Mon Jun | 5 | 2 | 1.4 |
| Fri May | 5 | 1.8 | 1.4 |
| Wed Apr | 5 | 1.8 | 1.4 |
Questions to ask
- CMS groups facilities in 1 states or territories under this chain. Which operational policies are set at the chain level?
- CMS reports 3 fines across the chain in this dataset. What compliance functions are managed centrally?
CMS chain source and methodology
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
What CMS inspection records show
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
Latest recorded inspection
- Date
- Jun 17, 2025
- Survey type
- Health Complaint
- Linked findings
- 1
- Highest linked CMS classification
- F — Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy
View source details
- Dataset
- Inspection Dates
- CMS dataset ID
- svdt-c123
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 145866
- Source record locator
- csv-row:35804:ccn:145866
Jun 17, 2025 — Health Complaint — 1 linked finding
F0921 — Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 2, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 145866
- Source record locator
- csv-row:98586:ccn:145866
Mar 21, 2025 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Mar 21, 2025 — Health Standard — 2 linked findings
F0568 — Resident Rights Deficiencies
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
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 8, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 145866
- Source record locator
- csv-row:98584:ccn:145866
F0644 — Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as 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 8, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 145866
- Source record locator
- csv-row:98585:ccn:145866
Feb 7, 2025 — Health Complaint — 1 linked finding
F0689 — Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Feb 8, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 145866
- Source record locator
- csv-row:98587:ccn:145866
Jan 14, 2025 — Health Complaint — 2 linked findings
F0580 — Resident Rights Deficiencies
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 (Jan 31, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 145866
- Source record locator
- csv-row:98589:ccn:145866
F0689 — Quality of Life and Care Deficiencies
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 (Jan 31, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 145866
- Source record locator
- csv-row:98588:ccn:145866
Dec 19, 2024 — Health Complaint — 1 linked finding
F0600 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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 30, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 145866
- Source record locator
- csv-row:98590:ccn:145866
Sep 25, 2024 — Health Complaint — 4 linked findings
F0600 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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 22, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 145866
- Source record locator
- csv-row:98591:ccn:145866
F0609 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
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 (Oct 15, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 145866
- Source record locator
- csv-row:98592:ccn:145866
F0656 — Resident Assessment and Care Planning Deficiencies
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 (Oct 15, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 145866
- Source record locator
- csv-row:98593:ccn:145866
F0741 — Quality of Life and Care Deficiencies
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
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 15, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 145866
- Source record locator
- csv-row:98594:ccn:145866
Jul 19, 2024 — Health Complaint — 1 linked finding
F0600 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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 7, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 145866
- Source record locator
- csv-row:98598:ccn:145866
May 16, 2024 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
May 16, 2024 — Health Standard — 3 linked findings
F0759 — Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
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 7, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 145866
- Source record locator
- csv-row:98597:ccn:145866
F0812 — Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 7, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 145866
- Source record locator
- csv-row:98595:ccn:145866
F0882 — Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 7, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 145866
- Source record locator
- csv-row:98596:ccn:145866
Jan 25, 2024 — Health Complaint — 1 linked finding
F0600 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Feb 7, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 145866
- Source record locator
- csv-row:98599:ccn:145866
Nov 2, 2023 — Health Complaint — 4 linked findings
F0600 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Nov 27, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 145866
- Source record locator
- csv-row:98600:ccn:145866
F0609 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
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 (Nov 27, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 145866
- Source record locator
- csv-row:98602:ccn:145866
F0684 — Quality of Life and Care Deficiencies
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 27, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 145866
- Source record locator
- csv-row:98603:ccn:145866
F0921 — Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
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 (Nov 27, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 145866
- Source record locator
- csv-row:98601:ccn:145866
Apr 28, 2023 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Apr 28, 2023 — Health Standard — 3 linked findings
F0692 — Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
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 19, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 145866
- Source record locator
- csv-row:98606:ccn:145866
F0812 — Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 19, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 145866
- Source record locator
- csv-row:98604:ccn:145866
F0880 — Infection Control Deficiencies
Provide and implement an infection prevention and control program.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 19, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 145866
- Source record locator
- csv-row:98605:ccn:145866
Tags appearing across inspections
- F0600 appears in 5 linked inspections.
- F0609 appears in 2 linked inspections.
- F0689 appears in 2 linked inspections.
- F0812 appears in 2 linked inspections.
- F0921 appears in 2 linked inspections.
Penalties & enforcement
CMS penalty records in the loaded three-year dataset
Payment Denial — Jan 14, 2025
Payment denial length: 1 days
View source details
- Dataset
- Penalties
- CMS dataset ID
- g6vv-u9sr
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 145866
- Source record locator
- csv-row:3870:ccn:145866
Fine — Jan 14, 2025
Published fine amount: $131,763.00
View source details
- Dataset
- Penalties
- CMS dataset ID
- g6vv-u9sr
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 145866
- Source record locator
- csv-row:3868:ccn:145866
Fine — Jan 25, 2024
Published fine amount: $79,590.00
View source details
- Dataset
- Penalties
- CMS dataset ID
- g6vv-u9sr
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 145866
- Source record locator
- csv-row:3867:ccn:145866
Fine — Nov 2, 2023
Published fine amount: $139,319.00
View source details
- Dataset
- Penalties
- CMS dataset ID
- g6vv-u9sr
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 145866
- Source record locator
- csv-row:3869:ccn:145866
Questions to ask
Questions generated from the evidence above
- CMS records show F0600 in 5 inspections in the available record. What changes has the facility made to address this issue?
- CMS records show F0609 in 2 inspections in the available record. What changes has the facility made to address this issue?
- CMS records show F0689 in 2 inspections in the available record. What changes has the facility made to address this issue?
- CMS records show F0812 in 2 inspections in the available record. What changes has the facility made to address this issue?
- CMS records show F0921 in 2 inspections in the available record. What changes has the facility made to address this issue?
- CMS records show a monetary penalty dated Jan 14, 2025. What changes were made after that enforcement action?
Facility history
Facility History
17 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
What changed recently?
- RN staffing increasedRN staffing increased from 0.51 to 0.67 hours per resident day between 2025Q4 and 2026Q1. Staffing improved across those reported periods.
- Complaint inspection recorded1 deficiency was recorded.
2026
- RN staffing increased
RN staffing increased from 0.51 to 0.67 hours per resident day between 2025Q4 and 2026Q1. Staffing improved across those reported periods.
0.51 → 0.67
CMS · Reported in a source release · View related evidence
2025
- Complaint inspection recorded
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
- Health inspection completed
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
- Complaint inspection recorded
1 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
- Complaint inspection recorded
2 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
- Civil monetary penalty recorded
CMS recorded a $131,763 civil monetary penalty.
CMS · Recorded event date · View related evidence
- Medicare payment denial recorded
CMS recorded a Medicare payment denial lasting 1 day.
CMS · Recorded event date · View related evidence
2024
- Complaint inspection recorded
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
- Complaint inspection recorded
4 deficiencies were recorded.
CMS · Recorded event date · View related evidence
- Complaint inspection recorded
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
- Health inspection completed
3 deficiencies were recorded.
CMS · Recorded event date · View related evidence
- Complaint inspection recorded
1 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
Staffing
Reported nursing staffing at a glance
CMS staffing rating: 2 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).
- Total nursing
- 2.666 reported hours per resident day
- RN categories
- 0.673 reported hours per resident day
- LPN/LVN categories
- 0.562 reported hours per resident day
- CNA
- 1.431 reported hours per resident day
Weekday and weekend calculations
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 2.916 | 2.047 |
| RN categories | 0.806 | 0.344 |
Contract staff accounted for 0.1% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.162 higher than the prior loaded quarter.
Staffing over time
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 2.442 | 0.54 | 0.562 | 1.34 | 0.1% | 91 |
| 2025Q3 | 2.375 | 0.478 | 0.568 | 1.329 | 0.1% | 92 |
| 2025Q4 | 2.507 | 0.511 | 0.626 | 1.37 | 0% | 92 |
| 2026Q1 | 2.666 | 0.673 | 0.562 | 1.431 | 0.1% | 90 |
Questions to ask
- PBJ records show lower calculated RN-category hours per resident day on weekends this quarter. How does the facility plan RN coverage on Saturdays and Sundays?
- PBJ records show that some reported nursing hours were contract hours. How does the facility orient and integrate contract staff?
Staffing source and calculation details
- Source
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Payroll Based Journal Daily Nurse Staffing
- CMS dataset ID
- 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
- Quarter
- 2026Q1
- Coverage
- Jan 1, 2026–Mar 31, 2026
- Days represented
- 90 (90 with positive MDS census)
- CMS source updated
- Jul 29, 2026
- Calculation version
- pbj-quarter-ratio-of-sums-v1
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
Current Provider Information facts
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
- CMS reports a 3-star overall rating.
- CMS reports a 3-star health inspection rating.
- CMS reports a 2-star staffing rating.
- CMS reports a 3-star quality-measure rating.
Trust participation
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Provider Information
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- 4pq5-n9py
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Overview, facility facts, and CMS ratings
Inspection Dates
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- svdt-c123
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Inspections and facility history
Health Deficiencies
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- r5ix-sfxw
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Health deficiencies and facility history
Penalties
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- g6vv-u9sr
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Penalties, enforcement, and facility history
Payroll Based Journal Daily Nurse Staffing
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
- Coverage
- Apr 1, 2025–Mar 31, 2026
- Source updated
- Jul 29, 2026
- Retrieved
- Aug 15, 2026
- Supports
- PBJ staffing cards, history, and transparent calculations
Ownership
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Ownership parties, organization connections, and ownership history
Skilled Nursing Facility All Owners
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Ownership parties, organization connections, and ownership history
Skilled Nursing Facility Enrollments
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- 5f2c306f-3b1c-42cd-b037-187b2ce22126
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Ownership parties, organization connections, and ownership history
Skilled Nursing Facility Change of Ownership
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- f557a6ed-95b3-4a22-8433-4175db2dec1c
- Source updated
- Aug 24, 2026
- Retrieved
- Aug 15, 2026
- Supports
- Ownership parties, organization connections, and ownership history
Nursing Home Chain Performance Measures
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- 97ecfad1-d3f1-4d42-b774-d74661d830bc
- Coverage
- Wed Jul
- Source updated
- Aug 12, 2026
- Retrieved
- Aug 16, 2026
- Supports
- CMS chain context, performance, and monthly history
Verified public facility information
- Source organization
- Public facility listing
- Dataset identifier
- commercial-corroboration:public-listing
- Source updated
- Aug 18, 2026
- Retrieved
- Aug 18, 2026
- Supports
- Independently verified public website, phone, or publicly used name. Not a CMS rating or regulatory status.
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