Staffing
CMS publishes a 5-star staffing rating for this facility.
RN staffing was 1.43 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceFacility record
Southeast Iowa Regional Medical - Klein Center has 160 certified beds in West Burlington, Iowa. The CMS overall rating is 2 of 5, compared with the Iowa average of 3.1. The CMS health inspection rating is 1 of 5, compared with the Iowa average of 2.8. The CMS staffing rating is 5 of 5. The latest standard health survey on Jun 18, 2026 lists 8 deficiencies, compared with the Iowa average of 3.7. CMS records a fine of $57,073 dated Dec 17, 2025. CMS records a fine of $8,021 dated Nov 12, 2024. Total nurse staffing is 4.78 hours per resident day in 2026Q1, compared with the Iowa average of 3.83.
CMS nursing home
Southeast Iowa Regional Medical - Klein Center
West Burlington, IA
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 165110.
At a glance
CMS research snapshot
CMS overall rating
2 of 5
CMS health inspection rating
1 of 5
CMS staffing rating
5 of 5
CMS quality-measure rating
4 of 5
CMS ownership-change history
No attached CMS ownership-change event.
These are CMS star ratings, not Trust Hub ratings. Missing evidence is shown as not reported, not as zero.
Quality & care evidence
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
- GREAT RIVER HEALTH SYSTEM INCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
- GREAT RIVER HEALTH SYSTEM INCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
- GREAT RIVER HEALTH SYSTEM INCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
- GREAT RIVER HEALTH SYSTEM INCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
- SOUTHEAST IOWA REGIONAL MEDICAL CENTER INCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
Operators
- ALEXANDER, JEREMYIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- ALEXANDER, JEREMYIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- ALEXANDER, JEREMYIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- ALEXANDER, JEREMYIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- ANDERSON, JOYIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- ANDERSON, JOYIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- ARAMARK HEALTHCARE SUPPORT SERVICES LLCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- ARAMARK HEALTHCARE SUPPORT SERVICES LLCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- BARR, DEANNAIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- BARR, DEANNAIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- CHELF, TODDIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- CHELF, TODDIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- COLGAN, TERESAIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- COLGAN, TERESAIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- COLGAN, TERESAIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- DEETS, RYANIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- DEETS, RYANIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- DODD, NEALIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- DODD, NEALIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- ENGBERG, ROBERTIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- ENGBERG, ROBERTIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- FLEMING, BETHIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- FLEMING, BETHIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- FLEMING, BETHIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- GREAT RIVER HEALTH SYSTEM INCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
Showing 25 of 111 relationships from CMS/PECOS evidence.
Managers
- ALEXANDER, JEREMYIndividual owner · CURRENTW-2 MANAGING EMPLOYEE
- ALEXANDER, JEREMYIndividual owner · CURRENTW-2 MANAGING EMPLOYEE
- CARLSON, DAVIDIndividual owner · CURRENTCONTRACTED MANAGING EMPLOYEE
- CHELF, TODDIndividual owner · CURRENTW-2 MANAGING EMPLOYEE
- CHELF, TODDIndividual owner · CURRENTW-2 MANAGING EMPLOYEE
- COLGAN, TERESAIndividual owner · CURRENTW-2 MANAGING EMPLOYEE
- DUNN, HOPEIndividual owner · CURRENTW-2 MANAGING EMPLOYEE
- DUNN, HOPEIndividual owner · CURRENTW-2 MANAGING EMPLOYEE
- FLEMING, BETHIndividual owner · CURRENTW-2 MANAGING EMPLOYEE
- FREITAG, SHAUNAIndividual owner · CURRENTW-2 MANAGING EMPLOYEE
- FREITAG, SHAUNAIndividual owner · CURRENTW-2 MANAGING EMPLOYEE
- HAGAN, TOMIIndividual owner · CURRENTW-2 MANAGING EMPLOYEE
- HAGAN, TOMIIndividual owner · CURRENTW-2 MANAGING EMPLOYEE
- RODRIGUEZ, RUSSELLIndividual owner · CURRENTW-2 MANAGING EMPLOYEE
- RODRIGUEZ, RUSSELLIndividual owner · CURRENTW-2 MANAGING EMPLOYEE
- RYON, JOELIndividual owner · CURRENTW-2 MANAGING EMPLOYEE
- RYON, JOELIndividual owner · CURRENTW-2 MANAGING EMPLOYEE
- YOST, MICHAELIndividual owner · CURRENTW-2 MANAGING EMPLOYEE
- YOST, MICHAELIndividual owner · CURRENTW-2 MANAGING EMPLOYEE
Enrollment organizations
- SOUTHEAST IOWA REGIONAL MEDICAL CENTER INCOrganization · CURRENTMedicare-enrolled legal organization
- SOUTHEAST IOWA REGIONAL MEDICAL CENTER INCOrganization · 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
- GREAT RIVER HEALTH SYSTEM INCOrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
- GREAT RIVER HEALTH SYSTEM INCOrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
Ownership change history
CMS ownership-change records
No CMS ownership-change event is currently attached to this profile in the Trust Hub research graph. That is not proof that ownership never changed.
Source freshness
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
- 160
- Ownership descriptor
- Non profit - Corporation
- 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
- 3197681000CMS Provider Information
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 1265411144 · enrollment O20110103000059
- NPI 1265411144 · enrollment O20110103000059
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): 93.464052
- Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (Long Stay): 93.269231
- Percentage of long-stay residents experiencing one or more falls with major injury (Long Stay): 4.139434 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents who have depressive symptoms (Long Stay): 1.694915
- Percentage of long-stay residents who lose too much weight (Long Stay): 2.743142
- Percentage of long-stay residents who received an antianxiety or hypnotic medication (Long Stay): 22.195122
- Percentage of long-stay residents who received an antipsychotic medication (Long Stay): 14.084507 · 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): 8.945298 · 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): 18.229167 · 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): 1.400479 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents with a urinary tract infection (Long Stay): 2.217295 · 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): 23.776260
- Percentage of long-stay residents with pressure ulcers (Long Stay): 9.071671 · CMS uses this measure in the quality-measure star rating
- Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (Short Stay): 71.276596
- Percentage of short-stay residents who newly received an antipsychotic medication (Short Stay): 0.280112 · 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): 89.166667
Fire-safety citations
CMS fire-safety citations
These are fire-safety citations, not health deficiencies and not a count of fires.
- 2026-06-18 · tag 0347 · scope/severity F — Properly provide smoke detection systems in areas open to corridors.
- 2026-06-18 · tag 0926 · scope/severity F — Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
- 2026-06-18 · tag 0353 · scope/severity E — Inspect, test, and maintain automatic sprinkler systems.
- 2025-05-01 · tag 0346 · scope/severity F — Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- 2025-05-01 · tag 0354 · scope/severity F — Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- 2025-05-01 · tag 0711 · scope/severity F — Provide a written emergency evacuation plan.
- 2025-05-01 · tag 0921 · scope/severity F — Ensure that testing and maintenance of electrical equipment is performed.
- 2025-05-01 · tag 0353 · scope/severity E — Inspect, test, and maintain automatic sprinkler systems.
- 2024-06-13 · tag 0004 · scope/severity F — Develop and maintain an Emergency Preparedness Program (EP).
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 Jun 18, 2026 cited 8 deficiencies.
View inspection evidenceOwnership
CMS-published records list 111 ownership or control parties.
View ownership evidenceEnforcement record
CMS records show a $57,073 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
- Non profit - CorporationCMS
- Related facilities
- 113Current CMS organization identity
Who is behind this facility?
SeniorTrustHub found evidence connecting this facility to:
- 2 CMS-reported ownership organizations
- CMS reports 64 individual ownership interests
Related facilities
113 currently connected nursing homes share this CMS organization identity with CLIFTONLARSONALLEN LLP.
- Average CMS overall rating
- 3 stars across 113 reporting facilities
- CMS monetary penalties
- 51 of 113 facilities had a recorded monetary penalty in the available CMS period.
- Recent CMS penalties
- 26 facilities had a CMS penalty in the last 18 months.
- Recent high-value CMS enforcement
- 26 facilities had a high-value CMS fine or payment denial in the last 18 months.
- Recent CMS complaint inspections
- 82 facilities had a CMS complaint inspection in the last 18 months.
- Total recorded CMS fines
- $3,994,793
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
- 111
- Organizations shown
- 11
- Individuals shown
- 64
- Latest ownership source update
- Aug 17, 2026
CMS-published ownership and control parties
GREAT RIVER HEALTH SYSTEM INC
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Aug 1, 2018
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
ALEXANDER, JEREMY
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 16, 2019
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
ARAMARK HEALTHCARE SUPPORT SERVICES LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 19, 2025
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
CHELF, TODD
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 18, 2021
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
CLIFTONLARSONALLEN LLP
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 14, 2021
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
DUNN, HOPE
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 27, 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
FLEMING, BETH
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 20, 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
HAGAN, TOMI
Individual · ADP OF THE SNF
Association date reported to CMS: Dec 3, 2018
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
KLOPFENSTEIN, MARY
Individual · ADP OF THE SNF
Association date reported to CMS: Dec 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
LINHART, DANIEL
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2021
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
RASHID, JOHN
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
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
SOUTHEAST IOWA REGIONAL MEDICAL CENTER INC
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 1, 2013
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
WEST, AMY
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 26, 2024
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
YOST, MICHAEL
Individual · ADP OF THE SNF
Association date reported to CMS: Feb 13, 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
ANDERSON, JOY
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Mar 1, 2021
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
BARR, DEANNA
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Mar 1, 2021
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
DEETS, RYAN
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jan 27, 2026
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
DODD, NEAL
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jan 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
ENGBERG, ROBERT
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jan 1, 2019
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
HICKEY, MICHAEL
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jul 1, 2024
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
HUFFMAN, ROBERT
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jan 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
MARTIN, DOUGLAS
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jan 1, 2019
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
MCCOY, MICHAEL
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Nov 16, 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
MCKILLIP, JOHN
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jan 1, 2019
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
MCNAMEE, CARLA
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Mar 1, 2021
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
RIHERD, GINA
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jul 1, 2025
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
STEPHENSON, VICTORIA
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jan 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
COLGAN, TERESA
Individual · CORPORATE OFFICER
Association date reported to CMS: Jul 1, 2021
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
MCCOY, MICHAEL
Individual · CORPORATE OFFICER
Association date reported to CMS: Oct 12, 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
ALEXANDER, JEREMY
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 16, 2019
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
ANDERSON, JOY
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 1, 2021
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
ARAMARK HEALTHCARE SUPPORT SERVICES LLC
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Feb 23, 2024
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
BARR, DEANNA
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 1, 2021
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
CHELF, TODD
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 18, 2021
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
COLGAN, TERESA
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 1, 2021
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
DEETS, RYAN
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 27, 2026
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
DODD, NEAL
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 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
ENGBERG, ROBERT
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2019
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
FLEMING, BETH
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 20, 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
GREAT RIVER HEALTH SYSTEM INC
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 1, 2018
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
HAGAN, TOMI
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Dec 3, 2018
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
HICKEY, MICHAEL
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 1, 2024
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
HUFFMAN, ROBERT
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 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
KLOPFENSTEIN, MARY
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Dec 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
MARTIN, DOUGLAS
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2019
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
MCCOY, MICHAEL
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 16, 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
MCKILLIP, JOHN
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2019
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
MCNAMEE, CARLA
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 1, 2021
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
RASHID, JOHN
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2025
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
RODRIGUEZ, RUSSELL
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 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
RYON, JOEL
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 23, 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
SOUTHEAST IOWA REGIONAL MEDICAL CENTER INC
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Dec 16, 2010
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
STEPHENSON, VICTORIA
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 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
WEST, AMY
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 26, 2024
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
YOST, MICHAEL
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Feb 13, 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
GREAT RIVER HEALTH SYSTEM INC
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Aug 1, 2018
CMS classifications: Parent company, Chain / home office
Other facilities connected through this exact CMS organization identity: 1 across IA.
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
ALEXANDER, JEREMY
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 16, 2019
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
ARAMARK HEALTHCARE SUPPORT SERVICES LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 19, 2025
Other facilities connected through this exact CMS organization identity: 2 across IA, VA.
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
CHELF, TODD
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 18, 2021
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
CLIFTONLARSONALLEN LLP
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 14, 2021
Other facilities connected through this exact CMS organization identity: 114 across CA, CT, FL, IA, IL, KY, MA, MI, MN, NM, OH, PA, RI, TX, WI.
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
DUNN, HOPE
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 27, 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
FLEMING, BETH
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 20, 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
HAGAN, TOMI
Individual · ADP OF THE SNF
Association date reported to CMS: Dec 3, 2018
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
KLOPFENSTEIN, MARY
Individual · ADP OF THE SNF
Association date reported to CMS: Dec 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
LINHART, DANIEL
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2021
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
RASHID, JOHN
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
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
SOUTHEAST IOWA REGIONAL MEDICAL CENTER INC
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 1, 2013
Other facilities connected through this exact CMS organization identity: 2 across IA.
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
WEST, AMY
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 26, 2024
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
YOST, MICHAEL
Individual · ADP OF THE SNF
Association date reported to CMS: Feb 13, 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
ANDERSON, JOY
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Mar 1, 2021
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
BARR, DEANNA
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Mar 1, 2021
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
DEETS, RYAN
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jan 27, 2026
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
DODD, NEAL
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jan 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
ENGBERG, ROBERT
Individual · CORPORATE DIRECTOR
Published ownership percentage: 0%
Association date reported to CMS: Jan 1, 2019
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
HICKEY, MICHAEL
Individual · CORPORATE DIRECTOR
Published ownership percentage: 0%
Association date reported to CMS: Jul 1, 2024
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
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 records connect GREAT RIVER HEALTH SYSTEM INC to 2 facilities. Which policies and staffing decisions are managed centrally versus locally?
Inspections & 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 18, 2026
- Survey type
- Fire Safety Standard
- Linked findings
- 0
- Highest linked CMS classification
- No linked health-deficiency finding in the loaded record
View source details
- Dataset
- Inspection Dates
- CMS dataset ID
- svdt-c123
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165110
- Source record locator
- csv-row:44687:ccn:165110
Jun 18, 2026 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Jun 18, 2026 — Health Standard — 8 linked findings
F0552 — Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 17, 2026)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165110
- Source record locator
- csv-row:119961:ccn:165110
F0578 — Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 17, 2026)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165110
- Source record locator
- csv-row:119964:ccn:165110
F0583 — Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 17, 2026)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165110
- Source record locator
- csv-row:119965:ccn:165110
F0605 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 17, 2026)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165110
- Source record locator
- csv-row:119966:ccn:165110
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 (Jul 17, 2026)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165110
- Source record locator
- csv-row:119967:ccn:165110
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 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 17, 2026)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165110
- Source record locator
- csv-row:119968:ccn:165110
F0725 — Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 17, 2026)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165110
- Source record locator
- csv-row:119962:ccn:165110
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 (Jul 17, 2026)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165110
- Source record locator
- csv-row:119963:ccn:165110
Dec 17, 2025 — Health Complaint — 1 linked finding
F0684 — Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Dec 22, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165110
- Source record locator
- csv-row:119969:ccn:165110
Oct 30, 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 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 13, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165110
- Source record locator
- csv-row:119970:ccn:165110
Jun 26, 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 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 3, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165110
- Source record locator
- csv-row:119971:ccn:165110
May 1, 2025 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
May 1, 2025 — Health Complaint — 1 linked finding
F0804 — Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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 23, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165110
- Source record locator
- csv-row:119976:ccn:165110
May 1, 2025 — Health Standard — 1 linked finding
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 E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 23, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165110
- Source record locator
- csv-row:119972:ccn:165110
Nov 13, 2024 — 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 (Dec 5, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165110
- Source record locator
- csv-row:119977:ccn:165110
Jun 13, 2024 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Jun 13, 2024 — Health Standard — 2 linked findings
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 (Jul 12, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165110
- Source record locator
- csv-row:119979:ccn:165110
F0804 — Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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 12, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165110
- Source record locator
- csv-row:119978:ccn:165110
Tags appearing across inspections
- F0689 appears in 4 linked inspections.
- F0658 appears in 2 linked inspections.
- F0804 appears in 2 linked inspections.
Penalties & enforcement
CMS penalty records in the loaded three-year dataset
Fine — Dec 17, 2025
Published fine amount: $57,073.00
View source details
- Dataset
- Penalties
- CMS dataset ID
- g6vv-u9sr
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165110
- Source record locator
- csv-row:4736:ccn:165110
Fine — Nov 12, 2024
Published fine amount: $8,021.00
View source details
- Dataset
- Penalties
- CMS dataset ID
- g6vv-u9sr
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 165110
- Source record locator
- csv-row:4735:ccn:165110
Questions to ask
Questions generated from the evidence above
- CMS records show F0689 in 4 inspections in the available record. What changes has the facility made to address this issue?
- CMS records show F0658 in 2 inspections in the available record. What changes has the facility made to address this issue?
- CMS records show F0804 in 2 inspections in the available record. What changes has the facility made to address this issue?
- CMS records show a monetary penalty dated Dec 17, 2025. What changes were made after that enforcement action?
Facility history
Facility History
12 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
What changed recently?
- Total nurse staffing increasedTotal nurse staffing increased from 4.53 to 4.80 hours per resident day between 2025Q3 and 2025Q4. Staffing improved across those reported periods.
- Complaint inspection recorded1 deficiencies were recorded. That includes 1 higher-severity deficiency.
- Civil monetary penalty recordedCMS recorded a $57,073 civil monetary penalty.
2025
- Total nurse staffing increased
Total nurse staffing increased from 4.53 to 4.80 hours per resident day between 2025Q3 and 2025Q4. Staffing improved across those reported periods.
4.53 → 4.80
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
- Civil monetary penalty recorded
CMS recorded a $57,073 civil monetary penalty.
CMS · Recorded event date · View related evidence
- Complaint inspection recorded
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
- Total nurse staffing increased
Total nurse staffing increased from 4.29 to 4.53 hours per resident day between 2025Q2 and 2025Q3. Staffing improved across those reported periods.
4.29 → 4.53
CMS · Reported in a source release · View related evidence
- Complaint inspection recorded
1 deficiency was 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
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
2024
- Complaint inspection recorded
1 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
- Civil monetary penalty recorded
CMS recorded a $8,021 civil monetary penalty.
CMS · Recorded event date · View related evidence
- Health inspection completed
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
2023
- Health inspection completed
3 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Staffing
Reported nursing staffing at a glance
CMS staffing rating: 5 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
- 4.783 reported hours per resident day
- RN categories
- 1.427 reported hours per resident day
- LPN/LVN categories
- 0.425 reported hours per resident day
- CNA
- 2.931 reported hours per resident day
Weekday and weekend calculations
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 4.982 | 4.291 |
| RN categories | 1.603 | 0.993 |
Contract staff accounted for 0.7% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.034 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 | 4.292 | 1.305 | 0.438 | 2.55 | 0.9% | 91 |
| 2025Q3 | 4.528 | 1.334 | 0.48 | 2.714 | 1.2% | 92 |
| 2025Q4 | 4.803 | 1.393 | 0.486 | 2.924 | 1% | 92 |
| 2026Q1 | 4.783 | 1.427 | 0.425 | 2.931 | 0.7% | 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 1-star health inspection rating.
- CMS reports a 5-star staffing rating.
- CMS reports a 4-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
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