Staffing
CMS publishes a 2-star staffing rating for this facility.
RN staffing was 0.86 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceFacility record
Harmony Dubuque has 75 certified beds in Dubuque, Iowa. The CMS overall rating is 2 of 5, compared with the Iowa average of 3.1. The CMS health inspection rating is 2 of 5, compared with the Iowa average of 2.8. The CMS staffing rating is 2 of 5. The latest standard health survey on Jan 14, 2026 lists 2 deficiencies, compared with the Iowa average of 3.7. CMS records a fine of $7,443 dated Nov 7, 2023. CMS records a fine of $11,928 dated Nov 7, 2023. Total nurse staffing is 3.39 hours per resident day in 2026Q1, compared with the Iowa average of 3.83.
Nearby facilities
- Bethany Home Dubuque
- Dubuque Specialty Care Dubuque
- Ennoble Nursing and Rehab Dubuque
- Luther Manor at Hillcrest Dubuque
- Mount Carmel Bluffs Dubuque
- Stonehill Care Center Dubuque
- Sunnycrest Manor Dubuque
- Accura Healthcare of Cascade LLC Cascade
- Grand Meadows Senior Living & Health Care Asbury
- Hawkeye Care Center Dubuque Asbury
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 165104.
At a glance
CMS research snapshot
CMS overall rating
2 of 5
CMS health inspection rating
2 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
- DOROS GENERATION TRUST U/A/D 1/3/12Organization5% OR GREATER DIRECT OWNERSHIP INTEREST26% ownership interest
- DOROS GENERATION TRUST U/A/D 1/3/12Organization5% OR GREATER DIRECT OWNERSHIP INTEREST25.5% ownership interest
- GPN FAMILY TRUST U/A/D 4/28/08Organization5% OR GREATER DIRECT OWNERSHIP INTEREST60% ownership interest
- GPN FAMILY TRUST U/A/D 4/28/08Organization5% OR GREATER DIRECT OWNERSHIP INTEREST59.5% ownership interest
- OAKWAY OPERATIONS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST15% ownership interest
- OAKWAY OPERATIONS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST15% ownership interest
Operators
- LEGACY HEALTHCARE FINANCIAL SERVICES LLCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- LEGACY HEALTHCARE FINANCIAL SERVICES LLCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- LEGACY HEALTHCARE FINANCIAL SERVICES LLCOrganization · HISTORICALOPERATIONAL/MANAGERIAL CONTROL
- LEGACY HEALTHCARE FINANCIAL SERVICES LLCOrganization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- LEGACY HEALTHCARE FINANCIAL SERVICES LLCOrganization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
Managers
- FELLER, BRANDYIndividual owner · CURRENTW-2 MANAGING EMPLOYEE
- FELLER, BRANDYIndividual owner · CURRENTW-2 MANAGING EMPLOYEE
- FELLER, BRANDYIndividual owner · HISTORICALW-2 MANAGING EMPLOYEE
- FELLER, BRANDYIndividual owner · UNKNOWNW-2 MANAGING EMPLOYEE
- FELLER, BRANDYIndividual owner · UNKNOWNW-2 MANAGING EMPLOYEE
Enrollment organizations
- DUBUQUE SKILLED NURSING FACILITY LLCOrganization · CURRENTMedicare-enrolled legal organization
- DUBUQUE SKILLED NURSING FACILITY LLCOrganization · UNKNOWNMedicare-enrolled legal organization
Historical ownership observations
Historical
- DOROS GENERATION TRUST U/A/D 1/3/12Organization · HISTORICAL5% OR GREATER DIRECT OWNERSHIP INTEREST25.5% ownership interest
- GPN FAMILY TRUST U/A/D 4/28/08Organization · HISTORICAL5% OR GREATER DIRECT OWNERSHIP INTEREST59.5% ownership interest
- OAKWAY OPERATIONS LLCOrganization · HISTORICAL5% OR GREATER DIRECT OWNERSHIP INTEREST15% ownership interest
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
- DOROS GENERATION TRUST U/A/D 1/3/12Organization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST25.5% ownership interest
- DOROS GENERATION TRUST U/A/D 1/3/12Organization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST26% ownership interest
- GPN FAMILY TRUST U/A/D 4/28/08Organization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST59.5% ownership interest
- GPN FAMILY TRUST U/A/D 4/28/08Organization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST60% ownership interest
- OAKWAY OPERATIONS LLCOrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST15% ownership interest
- OAKWAY OPERATIONS LLCOrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST15% 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 2023-04-01.
- CMS type
- CHANGE OF OWNERSHIP
- Buyer legal entity
- DUBUQUE SKILLED NURSING FACILITY LLC
- Seller legal entity
- MANOR CARE OF DUBUQUE IA, LLC
- Effective date
- 2023-04-01
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
- 75
- 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
- 5635561161Verified 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 1104530286 · enrollment O20230613001069
- NPI 1104530286 · enrollment O20230613001069
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): 81.081081
- Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (Long Stay): 89.473684
- Percentage of long-stay residents experiencing one or more falls with major injury (Long Stay): 5.945946 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents who have depressive symptoms (Long Stay): 10.059172
- Percentage of long-stay residents who lose too much weight (Long Stay): 2.666667
- Percentage of long-stay residents who received an antianxiety or hypnotic medication (Long Stay): 16.666667
- Percentage of long-stay residents who received an antipsychotic medication (Long Stay): 9.615385 · 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): 1.192125 · 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): 3.496503 · 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): 0.683279 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents with a urinary tract infection (Long Stay): 1.621622 · 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): 35.660490
- Percentage of long-stay residents with pressure ulcers (Long Stay): 7.133474 · CMS uses this measure in the quality-measure star rating
- Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (Short Stay): 50.234742
- Percentage of short-stay residents who newly received an antipsychotic medication (Short Stay): 5.102041 · 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): 63.829787
Fire-safety citations
CMS fire-safety citations
These are fire-safety citations, not health deficiencies and not a count of fires.
- 2026-01-14 · 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.
- 2026-01-14 · tag 0291 · scope/severity F — Install emergency lighting that can last at least 1 1/2 hours.
- 2026-01-14 · tag 0712 · scope/severity F — Have simulated fire drills held at unexpected times.
- 2026-01-14 · 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.
- 2024-10-24 · tag 0291 · scope/severity F — Install emergency lighting that can last at least 1 1/2 hours.
- 2024-10-24 · tag 0712 · scope/severity F — Have simulated fire drills held at unexpected times.
- 2024-10-24 · 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.
- 2024-10-24 · tag 0918 · scope/severity F — Have generator or other power source capable of supplying service within 10 seconds.
- 2024-10-24 · tag 0921 · scope/severity F — Ensure that testing and maintenance of electrical equipment is performed.
- 2023-11-07 · tag 0353 · scope/severity F — Inspect, test, and maintain automatic sprinkler systems.
- 2023-11-07 · tag 0712 · scope/severity F — Have simulated fire drills held at unexpected times.
- 2023-11-07 · tag 0918 · scope/severity F — Have generator or other power source capable of supplying service within 10 seconds.
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 Jan 14, 2026 cited 2 deficiencies.
View inspection evidenceOwnership
CMS-published records list 13 ownership or control parties.
CMS records show an ownership change effective April 2023.
View ownership evidenceChain context
CMS groups this facility with a chain covering 89 facilities across 3 states or territories.
View chain evidenceEnforcement record
CMS records show a $7,443 fine 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
- LEGACY HEALTHCARECMS identifies this facility as part of the LEGACY HEALTHCARE chain.
- Related facilities
- 90Current CMS organization identity
- Ownership changes
- 1 recordedCMS enrollment records
Who is behind this facility?
SeniorTrustHub found evidence connecting this facility to:
- 6 CMS-reported ownership organizations
- CMS reports 4 individual ownership interests
- a CMS chain / common-control group
- recorded ownership-change events
Related facilities
90 currently connected nursing homes share this CMS organization identity with GPN FAMILY TRUST U/A/D 4/28/08.
- Average CMS overall rating
- 3 stars across 89 reporting facilities
- CMS monetary penalties
- 54 of 90 facilities had a recorded monetary penalty in the available CMS period.
- Recent CMS penalties
- 33 facilities had a CMS penalty in the last 18 months.
- Recent high-value CMS enforcement
- 29 facilities had a high-value CMS fine or payment denial in the last 18 months.
- Recent CMS complaint inspections
- 76 facilities had a CMS complaint inspection in the last 18 months.
- Total recorded CMS fines
- $4,185,478
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
- 13
- Organizations shown
- 9
- Individuals shown
- 4
- Latest ownership source update
- Aug 17, 2026
CMS-published ownership and control parties
DOROS GENERATION TRUST U/A/D 1/3/12
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 26%
Association date reported to CMS: Apr 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across IA.
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
GPN FAMILY TRUST U/A/D 4/28/08
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 60%
Association date reported to CMS: Apr 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across IA.
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
OAKWAY OPERATIONS LLC
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 15%
Association date reported to CMS: Apr 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across IA.
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
SHABAT, MENACHEM
Individual · CORPORATE OFFICER
Association date reported to CMS: Apr 1, 2023
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
LEGACY HEALTHCARE FINANCIAL SERVICES LLC
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Apr 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across IA.
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
FELLER, BRANDY
Individual · W-2 MANAGING EMPLOYEE
Association date reported to CMS: Jul 17, 2023
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
DOROS GENERATION TRUST U/A/D 1/3/12
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 25.5%
Association date reported to CMS: Apr 1, 2023
Other facilities connected through this exact CMS organization identity: 89 across AL, IA, IL, SD.
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
GPN FAMILY TRUST U/A/D 4/28/08
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 59.5%
Association date reported to CMS: Apr 1, 2023
Other facilities connected through this exact CMS organization identity: 91 across AL, IA, IL, SD.
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
OAKWAY OPERATIONS LLC
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 15%
Association date reported to CMS: Apr 1, 2023
Other facilities connected through this exact CMS organization identity: 61 across IA, IL, SD.
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
SHABAT, MENACHEM
Individual · CORPORATE OFFICER
Association date reported to CMS: Apr 1, 2023
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
LEGACY HEALTHCARE FINANCIAL SERVICES LLC
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Apr 1, 2023
CMS classifications: Management services company
Other facilities connected through this exact CMS organization identity: 78 across IA, IL, SD.
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
FELLER, BRANDY
Individual · W-2 MANAGING EMPLOYEE
Association date reported to CMS: Jul 17, 2023
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
DUBUQUE SKILLED NURSING FACILITY LLC
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across IA.
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 OWNERSHIPMANOR CARE OF DUBUQUE IA, LLC to DUBUQUE SKILLED NURSING FACILITY 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 Apr 1, 2023. What operational or leadership changes followed that event?
- CMS records connect DOROS GENERATION TRUST U/A/D 1/3/12 to 90 facilities. Which policies and staffing decisions are managed centrally versus locally?
Chain context
CMS groups this facility with LEGACY HEALTHCARE
Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 306 is a grouping identifier, not a legal organization.
- Facilities
- 89
- States and territories
- 3
- Average overall rating
- 3
- Average staffing rating
- 2.5
- Average total nurse HPRD
- 3.4
- Total fines
- 110
CMS-published history
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 89 | 3 | 2.5 |
| Mon Jun | 89 | 2.9 | 2.6 |
| Fri May | 89 | 2.9 | 2.6 |
| Wed Apr | 93 | 3 | 2.5 |
| Sun Mar | 90 | 3 | 2.6 |
| Sun Feb | 90 | 3 | 2.6 |
Questions to ask
- CMS groups facilities in 3 states or territories under this chain. Which operational policies are set at the chain level?
- CMS reports 110 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
- Mar 12, 2026
- Survey type
- Health Complaint
- Linked findings
- 1
- Highest linked CMS classification
- G — Isolated; Actual 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
- 165104
- Source record locator
- csv-row:44673:ccn:165104
Mar 12, 2026 — Health Complaint — 1 linked finding
F0697 — Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 6, 2026)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165104
- Source record locator
- csv-row:119933:ccn:165104
Jan 14, 2026 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Jan 14, 2026 — Health Complaint — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Jan 14, 2026 — Health Standard — 2 linked findings
F0865 — Administration Deficiencies
Have a plan that describes the process for conducting QAPI and QAA activities.
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 (Feb 13, 2026)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165104
- Source record locator
- csv-row:119934:ccn:165104
F0880 — Infection Control Deficiencies
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 (Feb 13, 2026)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165104
- Source record locator
- csv-row:119935:ccn:165104
Nov 13, 2025 — Health Complaint — 1 linked finding
F0550 — Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 13, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165104
- Source record locator
- csv-row:119938:ccn:165104
Jan 29, 2025 — Health Complaint — 1 linked finding
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 (Feb 10, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165104
- Source record locator
- csv-row:119939:ccn:165104
Oct 24, 2024 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Oct 24, 2024 — Health Standard — 5 linked findings
F0677 — Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 18, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165104
- Source record locator
- csv-row:119943:ccn:165104
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 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 18, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165104
- Source record locator
- csv-row:119941:ccn:165104
F0851 — Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
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 (Nov 18, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165104
- Source record locator
- csv-row:119940:ccn:165104
F0865 — Administration Deficiencies
Have a plan that describes the process for conducting QAPI and QAA activities.
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 18, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165104
- Source record locator
- csv-row:119942:ccn:165104
F0880 — Infection Control Deficiencies
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 (Nov 18, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165104
- Source record locator
- csv-row:119944:ccn:165104
Jul 3, 2024 — Health Complaint — 2 linked findings
F0584 — Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 22, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165104
- Source record locator
- csv-row:119945:ccn:165104
F0803 — Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
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 22, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165104
- Source record locator
- csv-row:119946:ccn:165104
Jun 5, 2024 — Health Complaint — 1 linked finding
F0658 — Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
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 18, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165104
- Source record locator
- csv-row:119947:ccn:165104
Jan 8, 2024 — Health Complaint — 2 linked findings
F0584 — Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 1, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165104
- Source record locator
- csv-row:119948:ccn:165104
F0761 — Pharmacy Service Deficiencies
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 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 1, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165104
- Source record locator
- csv-row:119949:ccn:165104
Nov 7, 2023 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Nov 7, 2023 — Health Complaint — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Nov 7, 2023 — Health Standard — 7 linked findings
F0625 — Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
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 29, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165104
- Source record locator
- csv-row:119954:ccn:165104
F0657 — Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 29, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165104
- Source record locator
- csv-row:119955:ccn:165104
F0677 — Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 29, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165104
- Source record locator
- csv-row:119957:ccn:165104
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 29, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165104
- Source record locator
- csv-row:119958:ccn:165104
F0698 — Quality of Life and Care Deficiencies
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 (Nov 29, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165104
- Source record locator
- csv-row:119959:ccn:165104
F0758 — Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 29, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165104
- Source record locator
- csv-row:119960:ccn:165104
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 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 29, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165104
- Source record locator
- csv-row:119952:ccn:165104
Tags appearing across inspections
- F0584 appears in 2 linked inspections.
- F0677 appears in 2 linked inspections.
- F0812 appears in 2 linked inspections.
- F0865 appears in 2 linked inspections.
- F0880 appears in 2 linked inspections.
Penalties & enforcement
CMS penalty records in the loaded three-year dataset
Fine — Nov 7, 2023
Published fine amount: $7,443.00
View source details
- Dataset
- Penalties
- CMS dataset ID
- g6vv-u9sr
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165104
- Source record locator
- csv-row:4733:ccn:165104
Fine — Nov 7, 2023
Published fine amount: $11,928.00
View source details
- Dataset
- Penalties
- CMS dataset ID
- g6vv-u9sr
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165104
- Source record locator
- csv-row:4734:ccn:165104
Questions to ask
Questions generated from the evidence above
- CMS records show F0584 in 2 inspections in the available record. What changes has the facility made to address this issue?
- CMS records show F0677 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 F0865 in 2 inspections in the available record. What changes has the facility made to address this issue?
- CMS records show F0880 in 2 inspections in the available record. What changes has the facility made to address this issue?
- CMS records show a monetary penalty dated Nov 7, 2023. What changes were made after that enforcement action?
Facility history
Facility History
18 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
What changed recently?
- Total nurse staffing decreasedTotal nurse staffing decreased from 3.67 to 3.39 hours per resident day between 2025Q4 and 2026Q1. Staffing declined across those reported periods.
- Complaint inspection recorded1 deficiencies were recorded. That includes 1 higher-severity deficiency.
2026
- Total nurse staffing decreased
Total nurse staffing decreased from 3.67 to 3.39 hours per resident day between 2025Q4 and 2026Q1. Staffing declined across those reported periods.
3.67 → 3.39
CMS · Reported in a source release · View related evidence
- RN staffing decreased
RN staffing decreased from 1.01 to 0.86 hours per resident day between 2025Q4 and 2026Q1. Staffing declined across those reported periods.
1.01 → 0.86
CMS · Reported in a source release · View related evidence
- Complaint inspection recorded
1 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
- Health inspection completed
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
- Complaint inspection recorded
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
2025
- Complaint inspection recorded
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
- RN staffing decreased
RN staffing decreased from 1.11 to 0.95 hours per resident day between 2025Q2 and 2025Q3. Staffing declined across those reported periods.
1.11 → 0.95
CMS · Reported in a source release · View related evidence
- Complaint inspection recorded
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
2024
- Health inspection completed
5 deficiencies were recorded.
CMS · Recorded event date · View related evidence
- Complaint inspection recorded
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
- Complaint inspection recorded
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
- Complaint inspection recorded
2 deficiencies were recorded.
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
- 3.394 reported hours per resident day
- RN categories
- 0.86 reported hours per resident day
- LPN/LVN categories
- 0.368 reported hours per resident day
- CNA
- 2.153 reported hours per resident day
Weekday and weekend calculations
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 3.501 | 3.13 |
| RN categories | 0.988 | 0.542 |
Contract staff accounted for 31.4% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.146 lower 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 | 3.758 | 1.106 | 0.532 | 2.113 | 21% | 91 |
| 2025Q3 | 3.578 | 0.947 | 0.42 | 2.036 | 16.7% | 92 |
| 2025Q4 | 3.666 | 1.006 | 0.519 | 2.026 | 25.6% | 92 |
| 2026Q1 | 3.394 | 0.86 | 0.368 | 2.153 | 31.4% | 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 2-star overall rating.
- CMS reports a 2-star health inspection rating.
- CMS reports a 2-star staffing rating.
- CMS reports a 3-star quality-measure rating.
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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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