SENIORTRUST HUB

Facility record

Accura Healthcare of Toledo has 55 certified beds in Toledo, Iowa. The CMS overall rating is 3 of 5, compared with the Iowa average of 3.1. The CMS health inspection rating is 4 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 8, 2026 lists 3 deficiencies, compared with the Iowa average of 3.7. Total nurse staffing is 2.89 hours per resident day in 2026Q1, compared with the Iowa average of 3.83.

CMS nursing homes in Iowa

CMS nursing home

Accura Healthcare of Toledo

Toledo, IA

CMS CCN 1654506414845080Listed in the current CMS nursing-home directoryCMS source updated August 1, 2026

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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 165450.

At a glance

CMS research snapshot

CMS overall rating

1 of 5

CMS health inspection rating

2 of 5

CMS staffing rating

2 of 5

CMS quality-measure rating

1 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

  • ALLEN, BRADYIndividual ownerINDIRECT OWNERSHIP INTEREST5% ownership interest
  • ALLEN, BRADYIndividual ownerINDIRECT OWNERSHIP INTEREST
  • AVENUE94 LLCOrganizationINDIRECT OWNERSHIP INTEREST
  • AVENUE94 LLCOrganizationINDIRECT OWNERSHIP INTEREST5% ownership interest
  • AVIV HEALTHCARE HOLDINGS LLCOrganizationINDIRECT OWNERSHIP INTEREST
  • AVIV HEALTHCARE HOLDINGS LLCOrganizationINDIRECT OWNERSHIP INTEREST100% ownership interest
  • AVIV HEALTHCARE OF THE MIDWEST LLCOrganizationDIRECT OWNERSHIP INTEREST100% ownership interest
  • AVIV HEALTHCARE OF THE MIDWEST LLCOrganizationDIRECT OWNERSHIP INTEREST
  • KIMMONS HEALTHCARE INVESTMENTS LLCOrganizationINDIRECT OWNERSHIP INTEREST80% ownership interest
  • KIMMONS HEALTHCARE INVESTMENTS LLCOrganizationINDIRECT OWNERSHIP INTEREST
  • KLEINSASSER, MEGANIndividual ownerINDIRECT OWNERSHIP INTEREST5% ownership interest
  • KLEINSASSER, MEGANIndividual ownerINDIRECT OWNERSHIP INTEREST
  • KTL ENTERPRISES LLCOrganizationINDIRECT OWNERSHIP INTEREST
  • KTL ENTERPRISES LLCOrganizationINDIRECT OWNERSHIP INTEREST5% ownership interest
  • LENEAVE, TEDIndividual ownerINDIRECT OWNERSHIP INTEREST80% ownership interest
  • LENEAVE, TEDIndividual ownerINDIRECT OWNERSHIP INTEREST
  • LITTLE RIVER INVESTMENTS LLCOrganizationINDIRECT OWNERSHIP INTEREST5% ownership interest
  • LITTLE RIVER INVESTMENTS LLCOrganizationINDIRECT OWNERSHIP INTEREST
  • TOTI, LISAIndividual ownerINDIRECT OWNERSHIP INTEREST
  • TOTI, LISAIndividual ownerINDIRECT OWNERSHIP INTEREST5% ownership interest
  • ZRR OPCO LLCOrganizationINDIRECT OWNERSHIP INTEREST
  • ZRR OPCO LLCOrganizationINDIRECT OWNERSHIP INTEREST5% ownership interest

Operators

  • ACCURA MANAGEMENT CONSULTING SERVICES LLCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • ACCURA MANAGEMENT CONSULTING SERVICES LLCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • ALLEN, BRADYIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • ALLEN, BRADYIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • BISHOP, ANDREWIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • BISHOP, ANDREWIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • GLASER, KRISTOPHERIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • GLASER, KRISTOPHERIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • JONES, BRENDAIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • JONES, BRENDAIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • KLEINSASSER, MEGANIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • KLEINSASSER, MEGANIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • LENEAVE, TEDIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • LENEAVE, TEDIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • TOTI, LISAIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • TOTI, LISAIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • ZESCH, CANDACEIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • ZESCH, CANDACEIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • ACCURA MANAGEMENT CONSULTING SERVICES LLCOrganization · HISTORICALOPERATIONAL/MANAGERIAL CONTROL
  • ALLEN, BRADYIndividual owner · HISTORICALOPERATIONAL/MANAGERIAL CONTROL
  • BISHOP, ANDREWIndividual owner · HISTORICALOPERATIONAL/MANAGERIAL CONTROL
  • GLASER, KRISTOPHERIndividual owner · HISTORICALOPERATIONAL/MANAGERIAL CONTROL
  • JONES, BRENDAIndividual owner · HISTORICALOPERATIONAL/MANAGERIAL CONTROL
  • KLEINSASSER, MEGANIndividual owner · HISTORICALOPERATIONAL/MANAGERIAL CONTROL
  • LENEAVE, TEDIndividual owner · HISTORICALOPERATIONAL/MANAGERIAL CONTROL

Showing 25 of 45 relationships from CMS/PECOS evidence.

Enrollment organizations

  • ACCURA HEALTHCARE OF TOLEDO LLCOrganization · CURRENTMedicare-enrolled legal organization
  • ACCURA HEALTHCARE OF TOLEDO LLCOrganization · UNKNOWNMedicare-enrolled legal organization
Ownership observations with UNKNOWN status

These relationships were observed in an older snapshot. UNKNOWN does not mean former owner, previous owner, or that ownership ended.

UNKNOWN

  • ALLEN, BRADYIndividual owner · UNKNOWNINDIRECT OWNERSHIP INTEREST5% ownership interest
  • ALLEN, BRADYIndividual owner · UNKNOWNINDIRECT OWNERSHIP INTEREST
  • AVENUE94 LLCOrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST
  • AVENUE94 LLCOrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST5% ownership interest
  • AVIV HEALTHCARE HOLDINGS LLCOrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST
  • AVIV HEALTHCARE HOLDINGS LLCOrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST100% ownership interest
  • AVIV HEALTHCARE OF THE MIDWEST LLCOrganization · UNKNOWNDIRECT OWNERSHIP INTEREST100% ownership interest
  • AVIV HEALTHCARE OF THE MIDWEST LLCOrganization · UNKNOWNDIRECT OWNERSHIP INTEREST
  • KIMMONS HEALTHCARE INVESTMENTS LLCOrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST
  • KIMMONS HEALTHCARE INVESTMENTS LLCOrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST80% ownership interest
  • KLEINSASSER, MEGANIndividual owner · UNKNOWNINDIRECT OWNERSHIP INTEREST5% ownership interest
  • KLEINSASSER, MEGANIndividual owner · UNKNOWNINDIRECT OWNERSHIP INTEREST
  • KTL ENTERPRISES LLCOrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST
  • KTL ENTERPRISES LLCOrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST5% ownership interest
  • LENEAVE, TEDIndividual owner · UNKNOWNINDIRECT OWNERSHIP INTEREST80% ownership interest
  • LENEAVE, TEDIndividual owner · UNKNOWNINDIRECT OWNERSHIP INTEREST
  • LITTLE RIVER INVESTMENTS LLCOrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST
  • LITTLE RIVER INVESTMENTS LLCOrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST5% ownership interest
  • TOTI, LISAIndividual owner · UNKNOWNINDIRECT OWNERSHIP INTEREST
  • TOTI, LISAIndividual owner · UNKNOWNINDIRECT OWNERSHIP INTEREST5% ownership interest
  • ZRR OPCO LLCOrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST
  • ZRR OPCO LLCOrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST5% ownership interest

Ownership change history

CMS ownership-change records

CMS publishes Change of Ownership records for this nursing home.

  1. CMS records show an ownership change effective 2025-02-01.

    CMS type
    CHANGE OF OWNERSHIP
    Buyer legal entity
    ACCURA HEALTHCARE OF TOLEDO LLC
    Seller legal entity
    PREMIER ESTATES OF TOLEDO, LLC
    Effective date
    2025-02-01

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 2026-11-04. 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

CMS overall

3 of 5

Health inspection

4 of 5

Staffing

2 of 5

Quality measures

1 of 5

No proprietary TrustHub score. These ratings are published separately by CMS. How CMS ratings and facility records are read

CMS certified beds
55
Ownership descriptor
For 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
6414845080Verified 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 1912738642 · enrollment O20250716002947
  • NPI 1912738642 · enrollment O20250716002947

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): 83.977901
  • Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (Long Stay): 90.909091
  • Percentage of long-stay residents experiencing one or more falls with major injury (Long Stay): 4.972376 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents who have depressive symptoms (Long Stay): 5.194805
  • Percentage of long-stay residents who lose too much weight (Long Stay): 4.938272
  • Percentage of long-stay residents who received an antianxiety or hypnotic medication (Long Stay): 28.048780
  • Percentage of long-stay residents who received an antipsychotic medication (Long Stay): 23.275862 · 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): 17.444440 · 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): 20.129870 · 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): 0.631280 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents with a urinary tract infection (Long Stay): 1.675978 · 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): 14.151099
  • Percentage of long-stay residents with pressure ulcers (Long Stay): 5.834506 · CMS uses this measure in the quality-measure star rating
  • Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (Short Stay): 84.313725
  • Percentage of short-stay residents who newly received an antipsychotic medication (Short Stay): 2.127660 · 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): 68.181818

Fire-safety citations

CMS fire-safety citations

These are fire-safety citations, not health deficiencies and not a count of fires.

  • 2026-01-08 · tag 0211 · scope/severity D — Keep aisles, corridors, and exits free of obstruction in case of emergency.
  • 2026-01-08 · tag 0511 · scope/severity D — Have properly installed electrical wiring and gas equipment.
  • 2026-01-08 · tag 0004 · scope/severity F — Develop and maintain an Emergency Preparedness Program (EP).
  • 2026-01-08 · tag 0918 · scope/severity E — Have generator or other power source capable of supplying service within 10 seconds.
  • 2026-01-08 · tag 0923 · scope/severity E — Have proper medical gas storage and administration areas.
  • 2026-01-08 · tag 0741 · scope/severity D — Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
  • 2024-11-21 · tag 0363 · scope/severity D — Install corridor and hallway doors that block smoke.
  • 2024-11-21 · tag 0920 · scope/severity D — Ensure proper usage of power strips and extension cords.
  • 2024-11-21 · tag 0345 · scope/severity F — Have approved installation, maintenance and testing program for fire alarm systems.
  • 2024-11-21 · tag 0918 · scope/severity F — Have generator or other power source capable of supplying service within 10 seconds.
  • 2024-11-21 · tag 0291 · scope/severity D — Install emergency lighting that can last at least 1 1/2 hours.
  • 2023-12-12 · tag 0347 · scope/severity F — Properly provide smoke detection systems in areas open to corridors.

Decision guide

What to review

Factual evidence to examine before you decide. These summaries are not a score or recommendation.

Staffing

CMS publishes a 2-star staffing rating for this facility.

RN staffing was 0.29 hours per resident day in 2026Q1, calculated from CMS PBJ records.

View staffing evidence

Ownership

CMS-published records list 73 ownership or control parties.

CMS records show an ownership change effective February 2025.

View ownership evidence

Chain context

CMS groups this facility with a chain covering 43 facilities across 4 states or territories.

View chain 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 - CorporationCMS
Chain
ACCURA HEALTHCARECMS identifies this facility as part of the ACCURA HEALTHCARE chain.
Related facilities
10Current CMS organization identity
Ownership changes
1 recordedCMS enrollment records

Explore ownership network →

Who is behind this facility?

SeniorTrustHub found evidence connecting this facility to:

  • 14 CMS-reported ownership organizations
  • CMS reports 40 individual ownership interests
  • a CMS chain / common-control group
  • recorded ownership-change events

Related facilities

10 currently connected nursing homes share this CMS organization identity with AVIV HEALTHCARE OF THE MIDWEST LLC.

Average CMS overall rating
2.6 stars across 10 reporting facilities
CMS monetary penalties
1 of 10 facilities had a recorded monetary penalty in the available CMS period.
Recent CMS complaint inspections
8 facilities had a CMS complaint inspection in the last 18 months.
Total recorded CMS fines
$16,801

How connected-facility figures are read

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
73
Organizations shown
33
Individuals shown
40
Latest ownership source update
Aug 17, 2026

CMS-published ownership and control parties

  • ACCURA MANAGEMENT CONSULTING SERVICES LLC

    Organization · ADP OF THE SNF

    Association date reported to CMS: Feb 1, 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
    View official CMS source
  • ALLEN, BRADY

    Individual · ADP OF THE SNF

    Association date reported to CMS: Feb 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
    View official CMS source
  • AVIV FINANCING II LLC

    Organization · ADP OF THE SNF

    Association date reported to CMS: Feb 1, 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
    View official CMS source
  • AVIV HEALTHCARE OF THE MIDWEST LLC

    Organization · ADP OF THE SNF

    Association date reported to CMS: Jul 28, 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
    View official CMS source
  • AVIV HEALTHCARE PROPERTIES OPERATING PARTNERSHIP I LP

    Organization · ADP OF THE SNF

    Association date reported to CMS: Feb 1, 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
    View official CMS source
  • AVIV OP LIMITED PARTNER LLC

    Organization · ADP OF THE SNF

    Association date reported to CMS: Feb 1, 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
    View official CMS source
  • BISHOP, ANDREW

    Individual · ADP OF THE SNF

    Association date reported to CMS: Feb 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
    View official CMS source
  • GLASER, KRISTOPHER

    Individual · ADP OF THE SNF

    Association date reported to CMS: Sep 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
    View official CMS source
  • JONES, BRENDA

    Individual · ADP OF THE SNF

    Association date reported to CMS: Jun 22, 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
    View official CMS source
  • KLEINSASSER, MEGAN

    Individual · ADP OF THE SNF

    Association date reported to CMS: Feb 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
    View official CMS source
  • LENEAVE, TED

    Individual · ADP OF THE SNF

    Association date reported to CMS: Feb 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
    View official CMS source
  • MUSCATINE TOLEDO PROPERTIES LLC

    Organization · ADP OF THE SNF

    Association date reported to CMS: Feb 1, 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
    View official CMS source
  • OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP

    Organization · ADP OF THE SNF

    Association date reported to CMS: Feb 1, 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
    View official CMS source
  • OMEGA HEALTHCARE INVESTORS INC

    Organization · ADP OF THE SNF

    Association date reported to CMS: Feb 1, 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
    View official CMS source
  • TOTI, LISA

    Individual · ADP OF THE SNF

    Association date reported to CMS: Feb 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
    View official CMS source
  • ZESCH, CANDACE

    Individual · ADP OF THE SNF

    Association date reported to CMS: Feb 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
    View official CMS source
  • AVIV HEALTHCARE OF THE MIDWEST LLC

    Organization · DIRECT OWNERSHIP INTEREST

    Association date reported to CMS: Apr 1, 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
    View official CMS source
  • ALLEN, BRADY

    Individual · INDIRECT OWNERSHIP INTEREST

    Association date reported to CMS: Feb 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
    View official CMS source
  • AVENUE94 LLC

    Organization · INDIRECT OWNERSHIP INTEREST

    Association date reported to CMS: Feb 1, 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
    View official CMS source
  • AVIV HEALTHCARE HOLDINGS LLC

    Organization · INDIRECT OWNERSHIP INTEREST

    Association date reported to CMS: Feb 1, 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
    View official CMS source
  • KIMMONS HEALTHCARE INVESTMENTS LLC

    Organization · INDIRECT OWNERSHIP INTEREST

    Association date reported to CMS: Feb 1, 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
    View official CMS source
  • KLEINSASSER, MEGAN

    Individual · INDIRECT OWNERSHIP INTEREST

    Association date reported to CMS: Feb 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
    View official CMS source
  • KTL ENTERPRISES LLC

    Organization · INDIRECT OWNERSHIP INTEREST

    Association date reported to CMS: Feb 1, 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
    View official CMS source
  • LENEAVE, TED

    Individual · INDIRECT OWNERSHIP INTEREST

    Association date reported to CMS: Feb 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
    View official CMS source
  • LITTLE RIVER INVESTMENTS LLC

    Organization · INDIRECT OWNERSHIP INTEREST

    Association date reported to CMS: Feb 1, 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
    View official CMS source
  • TOTI, LISA

    Individual · INDIRECT OWNERSHIP INTEREST

    Association date reported to CMS: Feb 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
    View official CMS source
  • ZRR OPCO LLC

    Organization · INDIRECT OWNERSHIP INTEREST

    Association date reported to CMS: Feb 1, 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
    View official CMS source
  • ACCURA MANAGEMENT CONSULTING SERVICES LLC

    Organization · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Feb 1, 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
    View official CMS source
  • ALLEN, BRADY

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Feb 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
    View official CMS source
  • BISHOP, ANDREW

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Feb 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
    View official CMS source
  • GLASER, KRISTOPHER

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Sep 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
    View official CMS source
  • JONES, BRENDA

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Jun 22, 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
    View official CMS source
  • KLEINSASSER, MEGAN

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Feb 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
    View official CMS source
  • LENEAVE, TED

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Feb 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
    View official CMS source
  • TOTI, LISA

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Feb 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
    View official CMS source
  • ZESCH, CANDACE

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Feb 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
    View official CMS source
  • ACCURA MANAGEMENT CONSULTING SERVICES LLC

    Organization · ADP OF THE SNF

    Association date reported to CMS: Feb 1, 2025

    CMS classifications: Management services company

    Other facilities connected through this exact CMS organization identity: 9 across IA, NE.

    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
    View official CMS source
  • ALLEN, BRADY

    Individual · ADP OF THE SNF

    Association date reported to CMS: Feb 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
    View official CMS source
  • AVIV FINANCING II LLC

    Organization · ADP OF THE SNF

    Association date reported to CMS: Feb 1, 2025

    CMS classifications: Holding company

    Other facilities connected through this exact CMS organization identity: 10 across IA, NE, PA.

    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
    View official CMS source
  • AVIV HEALTHCARE OF THE MIDWEST LLC

    Organization · ADP OF THE SNF

    Association date reported to CMS: Jul 28, 2025

    CMS classifications: Holding company

    Other facilities connected through this exact CMS organization identity: 9 across IA, NE.

    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
    View official CMS source
  • AVIV HEALTHCARE PROPERTIES OPERATING PARTNERSHIP I LP

    Organization · ADP OF THE SNF

    Association date reported to CMS: Feb 1, 2025

    CMS classifications: Holding company

    Other facilities connected through this exact CMS organization identity: 10 across IA, NE, PA.

    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
    View official CMS source
  • AVIV OP LIMITED PARTNER LLC

    Organization · ADP OF THE SNF

    Association date reported to CMS: Feb 1, 2025

    CMS classifications: Holding company

    Other facilities connected through this exact CMS organization identity: 5 across IA, PA.

    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
    View official CMS source
  • BISHOP, ANDREW

    Individual · ADP OF THE SNF

    Association date reported to CMS: Feb 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
    View official CMS source
  • GLASER, KRISTOPHER

    Individual · ADP OF THE SNF

    Association date reported to CMS: Sep 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
    View official CMS source
  • JONES, BRENDA

    Individual · ADP OF THE SNF

    Association date reported to CMS: Jun 22, 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
    View official CMS source
  • KLEINSASSER, MEGAN

    Individual · ADP OF THE SNF

    Association date reported to CMS: Feb 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
    View official CMS source
  • LENEAVE, TED

    Individual · ADP OF THE SNF

    Association date reported to CMS: Feb 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
    View official CMS source
  • MUSCATINE TOLEDO PROPERTIES LLC

    Organization · ADP OF THE SNF

    Association date reported to CMS: Feb 1, 2025

    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
    View official CMS source
  • OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP

    Organization · ADP OF THE SNF

    Association date reported to CMS: Feb 1, 2025

    CMS classifications: Holding company

    Other facilities connected through this exact CMS organization identity: 12 across AZ, IA, NE, PA, TX.

    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
    View official CMS source
  • OMEGA HEALTHCARE INVESTORS INC

    Organization · ADP OF THE SNF

    Association date reported to CMS: Feb 1, 2025

    CMS classifications: Holding company, Private equity company

    Other facilities connected through this exact CMS organization identity: 15 across AZ, IA, IN, NE, PA, TX.

    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
    View official CMS source
  • TOTI, LISA

    Individual · ADP OF THE SNF

    Association date reported to CMS: Feb 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
    View official CMS source
  • ZESCH, CANDACE

    Individual · ADP OF THE SNF

    Association date reported to CMS: Feb 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
    View official CMS source
  • AVIV HEALTHCARE OF THE MIDWEST LLC

    Organization · DIRECT OWNERSHIP INTEREST

    Published ownership percentage: 100%

    Association date reported to CMS: Apr 1, 2025

    CMS classifications: Holding company

    Other facilities connected through this exact CMS organization identity: 9 across IA, NE.

    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
    View official CMS source
  • ALLEN, BRADY

    Individual · INDIRECT OWNERSHIP INTEREST

    Published ownership percentage: 5%

    Association date reported to CMS: Feb 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
    View official CMS source
  • AVENUE94 LLC

    Organization · INDIRECT OWNERSHIP INTEREST

    Published ownership percentage: 5%

    Association date reported to CMS: Feb 1, 2025

    Other facilities connected through this exact CMS organization identity: 9 across IA, NE.

    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
    View official CMS source
  • AVIV HEALTHCARE HOLDINGS LLC

    Organization · INDIRECT OWNERSHIP INTEREST

    Published ownership percentage: 100%

    Association date reported to CMS: Feb 1, 2025

    CMS classifications: Holding company

    Other facilities connected through this exact CMS organization identity: 9 across IA, NE.

    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
    View official CMS source
  • KIMMONS HEALTHCARE INVESTMENTS LLC

    Organization · INDIRECT OWNERSHIP INTEREST

    Published ownership percentage: 80%

    Association date reported to CMS: Feb 1, 2025

    Other facilities connected through this exact CMS organization identity: 9 across IA, NE.

    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
    View official CMS source
  • KLEINSASSER, MEGAN

    Individual · INDIRECT OWNERSHIP INTEREST

    Published ownership percentage: 5%

    Association date reported to CMS: Feb 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
    View official CMS source
  • KTL ENTERPRISES LLC

    Organization · INDIRECT OWNERSHIP INTEREST

    Published ownership percentage: 5%

    Association date reported to CMS: Feb 1, 2025

    Other facilities connected through this exact CMS organization identity: 9 across IA, NE.

    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
    View official CMS source
  • LENEAVE, TED

    Individual · INDIRECT OWNERSHIP INTEREST

    Published ownership percentage: 80%

    Association date reported to CMS: Feb 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
    View official CMS source
  • LITTLE RIVER INVESTMENTS LLC

    Organization · INDIRECT OWNERSHIP INTEREST

    Published ownership percentage: 5%

    Association date reported to CMS: Feb 1, 2025

    Other facilities connected through this exact CMS organization identity: 9 across IA, NE.

    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
    View official CMS source
  • TOTI, LISA

    Individual · INDIRECT OWNERSHIP INTEREST

    Published ownership percentage: 5%

    Association date reported to CMS: Feb 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
    View official CMS source
  • ZRR OPCO LLC

    Organization · INDIRECT OWNERSHIP INTEREST

    Published ownership percentage: 5%

    Association date reported to CMS: Feb 1, 2025

    Other facilities connected through this exact CMS organization identity: 9 across IA, NE.

    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
    View official CMS source
  • ACCURA MANAGEMENT CONSULTING SERVICES LLC

    Organization · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Feb 1, 2025

    CMS classifications: Management services company

    Other facilities connected through this exact CMS organization identity: 9 across IA, NE.

    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
    View official CMS source
  • ALLEN, BRADY

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Feb 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
    View official CMS source
  • BISHOP, ANDREW

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Feb 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
    View official CMS source
  • GLASER, KRISTOPHER

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Sep 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
    View official CMS source
  • JONES, BRENDA

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Jun 22, 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
    View official CMS source
  • KLEINSASSER, MEGAN

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Feb 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
    View official CMS source
  • LENEAVE, TED

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Feb 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
    View official CMS source
  • TOTI, LISA

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Feb 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
    View official CMS source
  • ZESCH, CANDACE

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Feb 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
    View official CMS source
  • ACCURA HEALTHCARE OF TOLEDO 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
    View official CMS source

Ownership changes reported in CMS enrollment records

  1. CHANGE OF OWNERSHIPPREMIER ESTATES OF TOLEDO, LLC to ACCURA HEALTHCARE OF TOLEDO 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
    View official CMS source

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 Feb 1, 2025. What operational or leadership changes followed that event?
  • CMS records connect ACCURA MANAGEMENT CONSULTING SERVICES LLC to 10 facilities. Which policies and staffing decisions are managed centrally versus locally?

Chain context

CMS groups this facility with ACCURA HEALTHCARE

Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 8 is a grouping identifier, not a legal organization.

Facilities
43
States and territories
4
Average overall rating
2.3
Average staffing rating
3.1
Average total nurse HPRD
3.5
Total fines
22
Review CMS chain evidence

CMS-published history

Monthly chain measures
MonthFacilitiesOverall ratingStaffing rating
Wed Jul432.33.1
Mon Jun422.53.2
Fri May412.43.2
Wed Apr382.43.3
Sun Mar372.43.1
Sun Feb372.43.1

Questions to ask

  • CMS groups facilities in 4 states or territories under this chain. Which operational policies are set at the chain level?
  • CMS reports 22 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 source

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
Apr 28, 2026
Survey type
Health Complaint
Linked findings
1
Highest linked CMS classification
D — Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy
View source details
Dataset
Inspection Dates
CMS dataset ID
svdt-c123
CMS source updated
Aug 1, 2026
CMS provider ID
165450
Source record locator
csv-row:46908:ccn:165450
View official CMS source
Apr 28, 2026 — 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 (May 22, 2026)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    165450
    Source record locator
    csv-row:125207:ccn:165450
    View official CMS source
Jan 8, 2026 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Jan 8, 2026 — Health Standard — 3 linked findings
  • 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 (Jan 30, 2026)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    165450
    Source record locator
    csv-row:125208:ccn:165450
    View official CMS source
  • F0695 — Quality of Life and Care Deficiencies

    Provide safe and appropriate respiratory care for a resident when needed.

    CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Jan 30, 2026)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    165450
    Source record locator
    csv-row:125209:ccn:165450
    View official CMS source
  • F0791 — Quality of Life and Care Deficiencies

    Provide or obtain dental services for each resident.

    CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Jan 30, 2026)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    165450
    Source record locator
    csv-row:125210:ccn:165450
    View official CMS source
Nov 21, 2024 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Nov 21, 2024 — Health Complaint — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Nov 21, 2024 — Health Standard — 2 linked findings
  • 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 (Dec 9, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    165450
    Source record locator
    csv-row:125211:ccn:165450
    View official CMS source
  • 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 B: Pattern; No actual harm with potential for minimal harm.

    Correction status: Deficient, Provider has date of correction (Dec 9, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    165450
    Source record locator
    csv-row:125214:ccn:165450
    View official CMS source
Aug 22, 2024 — Health Complaint — 2 linked findings
  • 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 (Sep 8, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    165450
    Source record locator
    csv-row:125215:ccn:165450
    View official CMS source
  • F0825 — Quality of Life and Care Deficiencies

    Provide or get specialized rehabilitative services as required for a 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 (Sep 8, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    165450
    Source record locator
    csv-row:125216:ccn:165450
    View official CMS source
Dec 12, 2023 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Dec 12, 2023 — Health Complaint — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Dec 12, 2023 — Health Standard — 4 linked findings
  • 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 (Jan 5, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    165450
    Source record locator
    csv-row:125218:ccn:165450
    View official CMS source
  • F0641 — Resident Assessment and Care Planning Deficiencies

    Ensure each resident receives an accurate assessment.

    CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Jan 5, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    165450
    Source record locator
    csv-row:125219:ccn:165450
    View official CMS source
  • F0656 — Resident Assessment and Care Planning Deficiencies

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Jan 5, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    165450
    Source record locator
    csv-row:125220:ccn:165450
    View official CMS source
  • 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 (Jan 5, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    165450
    Source record locator
    csv-row:125221:ccn:165450
    View official CMS source

Tags appearing across inspections

  • F0689 appears in 2 linked inspections.

Penalties & enforcement

CMS penalty records in the loaded three-year dataset

No penalty records were found for this provider in the currently loaded CMS Penalties dataset.

Questions to ask

Questions generated from the evidence above

  • CMS records show F0689 in 2 inspections in the available record. What changes has the facility made to address this issue?

Facility history

Facility History

10 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.

What changed recently?

  • Complaint inspection recorded1 deficiency was recorded.
  • Total nurse staffing decreasedTotal nurse staffing decreased from 3.27 to 2.97 hours per resident day between 2025Q3 and 2025Q4. Staffing declined across those reported periods.

2026

  1. Complaint inspection recorded

    1 deficiency was recorded.

    CMS · Recorded event date · View related evidence

  2. Health inspection completed

    3 deficiencies were recorded.

    CMS · Recorded event date · View related evidence

2025

  1. Total nurse staffing decreased

    Total nurse staffing decreased from 3.27 to 2.97 hours per resident day between 2025Q3 and 2025Q4. Staffing declined across those reported periods.

    3.27 → 2.97

    CMS · Reported in a source release · View related evidence

  2. Ownership change recorded

    An ownership change was recorded. New organization: ACCURA HEALTHCARE OF TOLEDO LLC.

    PREMIER ESTATES OF TOLEDO, LLC → ACCURA HEALTHCARE OF TOLEDO LLC

    CMS · Recorded event date · View related evidence

2024

  1. Complaint inspection recorded

    No linked health-deficiency findings were recorded for this survey.

    CMS · Recorded event date · View related evidence

  2. Health inspection completed

    2 deficiencies were recorded.

    CMS · Recorded event date · View related evidence

  3. Complaint inspection recorded

    2 deficiencies were recorded.

    CMS · Recorded event date · View related evidence

2023

  1. Complaint inspection recorded

    No linked health-deficiency findings were recorded for this survey.

    CMS · Recorded event date · View related evidence

  2. Health inspection completed

    4 deficiencies were recorded.

    CMS · Recorded event date · View related evidence

  3. Complaint inspection recorded

    2 deficiencies were recorded. That includes 1 higher-severity deficiency.

    CMS · Recorded event date · View related evidence

Staffing

Reported nursing staffing at a glance

CMS staffing rating: 2 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).

Inspect a PBJ quarter
Total nursing
2.893
reported hours per resident day
RN categories
0.288
reported hours per resident day
LPN/LVN categories
0.299
reported hours per resident day
CNA
1.368
reported hours per resident day

Weekday and weekend calculations

2026Q1 reported hours per resident day
MeasureMonday–FridaySaturday–Sunday
Total nursing3.0042.619
RN categories0.2990.261

Contract staff accounted for 24.5% of reported nursing hours included in this quarter calculation.

PBJ reports zero combined RN-category hours on 1 day with a positive MDS census in this quarter.

Reported RN-category hours per resident day were 0.052 lower than the prior loaded quarter.

Staffing over time

Solid bar: Total nursing · Outlined bar: RN categories

Calculated reported hours per resident day by PBJ quarter
QuarterTotal nursingRN categoriesLPN/LVNCNAContract shareDays
2025Q23.2530.3950.4771.86814.7%91
2025Q33.2730.4090.3412.06523.5%92
2025Q42.9680.340.2971.38116.4%92
2026Q12.8930.2880.2991.36824.5%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 source

What we can verify today

Current Provider Information facts

These measures come from the current successfully ingested CMS Nursing Home Provider Information release.

  • CMS reports a 3-star overall rating.
  • CMS reports a 4-star health inspection rating.
  • CMS reports a 2-star staffing rating.
  • CMS reports a 1-star quality-measure rating.

Trust participation

See something that needs correction?

Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.

Representation claims are reviewed manually. Live profile-management tools are not yet enabled for this facility.

How corrections work

Source register

See where this record came from

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
View official CMS source
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
View official CMS source
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
View official CMS source
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
View official CMS source
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
View official CMS source
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
View official CMS source
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
View official CMS source
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
View official CMS source
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
View official CMS source
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.
How sources work

No paid placements. Facilities cannot pay to rank higher. We cite. You decide.