Staffing
CMS publishes a 3-star staffing rating for this facility.
RN staffing was 0.38 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceAsk Trust Hub Network
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS.
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
CMS publishes a 3-star staffing rating for this facility.
RN staffing was 0.38 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Jun 3, 2026 cited 15 deficiencies.
View inspection evidenceCMS-published records list 80 ownership or control parties.
View ownership evidenceCMS groups this facility with a chain covering 20 facilities across 3 states or territories.
View chain evidenceCMS records show a 10-day payment denial in the loaded enforcement dataset.
View enforcement evidence →Ownership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
SeniorTrustHub found evidence connecting this facility to:
3 currently connected nursing homes share this CMS organization identity with KS PORTFOLIO MASTER SNF HOLDCO, LLC.
These figures summarize currently connected CMS-certified nursing homes. Some facilities have incomplete measures; missing values are omitted, not treated as zero. Ownership structures can change. State operator or licensee evidence may differ from CMS ownership disclosures.
Ownership
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
Organization · 5% OR GREATER MORTGAGE INTEREST
Association date reported to CMS: Nov 1, 2015
Other facilities connected through this exact CMS organization identity: 0 across KS.
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2015
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2018
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 13, 2025
Other facilities connected through this exact CMS organization identity: 0 across KS.
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2015
Other facilities connected through this exact CMS organization identity: 0 across KS.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 17, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2015
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 3, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 28, 2024
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2015
Other facilities connected through this exact CMS organization identity: 0 across KS.
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2015
Other facilities connected through this exact CMS organization identity: 0 across KS.
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2015
Other facilities connected through this exact CMS organization identity: 0 across KS.
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2015
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2015
Other facilities connected through this exact CMS organization identity: 0 across KS.
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2015
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2015
Individual · CORPORATE OFFICER
Association date reported to CMS: Oct 31, 2015
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Nov 1, 2015
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Nov 1, 2015
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Nov 1, 2015
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Nov 1, 2015
Other facilities connected through this exact CMS organization identity: 0 across KS.
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Nov 1, 2015
Other facilities connected through this exact CMS organization identity: 0 across KS.
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Nov 1, 2015
Other facilities connected through this exact CMS organization identity: 0 across KS.
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Nov 1, 2015
Other facilities connected through this exact CMS organization identity: 0 across KS.
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Nov 1, 2015
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Nov 1, 2015
Other facilities connected through this exact CMS organization identity: 0 across KS.
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Nov 1, 2015
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Nov 1, 2015
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Nov 1, 2015
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2018
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 1, 2022
Other facilities connected through this exact CMS organization identity: 0 across KS.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Apr 3, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 28, 2024
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 1, 2015
Other facilities connected through this exact CMS organization identity: 0 across KS.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Nov 1, 2015
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 2 across KS.
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 6.52%
Association date reported to CMS: Nov 1, 2015
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 11.1%
Association date reported to CMS: Nov 1, 2015
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 95%
Association date reported to CMS: Oct 31, 2015
CMS classifications: Investment firm
Other facilities connected through this exact CMS organization identity: 2 across KS.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Nov 1, 2015
CMS classifications: Parent company, Holding company
Other facilities connected through this exact CMS organization identity: 2 across KS.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 5%
Association date reported to CMS: Nov 1, 2015
Other facilities connected through this exact CMS organization identity: 2 across KS.
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 16.29%
Association date reported to CMS: Nov 1, 2015
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 9.77%
Association date reported to CMS: Nov 1, 2015
CMS classifications: Investment firm
Other facilities connected through this exact CMS organization identity: 1 across KS.
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 6.52%
Association date reported to CMS: Nov 1, 2015
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 5.7%
Association date reported to CMS: Nov 1, 2015
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 5.7%
Association date reported to CMS: Nov 1, 2015
Organization · 5% OR GREATER MORTGAGE INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Nov 1, 2015
Other facilities connected through this exact CMS organization identity: 0 across KS.
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2015
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2018
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 13, 2025
CMS classifications: Chain / home office, Management services company
Other facilities connected through this exact CMS organization identity: 19 across IA, KS, MN.
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2015
Other facilities connected through this exact CMS organization identity: 0 across KS.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 17, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2015
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 3, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 28, 2024
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2015
CMS classifications: Investment firm
Other facilities connected through this exact CMS organization identity: 2 across KS.
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2015
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 2 across KS.
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2015
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 2 across KS.
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2015
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2015
CMS classifications: Investment firm
Other facilities connected through this exact CMS organization identity: 1 across KS.
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2015
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2015
Individual · CORPORATE OFFICER
Published ownership percentage: 100%
Association date reported to CMS: Oct 31, 2015
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 6.52%
Association date reported to CMS: Nov 1, 2015
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 2%
Association date reported to CMS: Nov 1, 2015
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 11.1%
Association date reported to CMS: Nov 1, 2015
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 95%
Association date reported to CMS: Nov 1, 2015
CMS classifications: Investment firm
Other facilities connected through this exact CMS organization identity: 2 across KS.
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Nov 1, 2015
CMS classifications: Parent company, Holding company
Other facilities connected through this exact CMS organization identity: 2 across KS.
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Nov 1, 2015
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 2 across KS.
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 5%
Association date reported to CMS: Nov 1, 2015
Other facilities connected through this exact CMS organization identity: 2 across KS.
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 16.29%
Association date reported to CMS: Nov 1, 2015
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 9.77%
Association date reported to CMS: Nov 1, 2015
CMS classifications: Investment firm
Other facilities connected through this exact CMS organization identity: 1 across KS.
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 6.52%
Association date reported to CMS: Nov 1, 2015
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 5.7%
Association date reported to CMS: Nov 1, 2015
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 5.7%
Association date reported to CMS: Nov 1, 2015
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2018
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Chain context
Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 99 is a grouping identifier, not a legal organization.
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 20 | 2.2 | 2.3 |
| Mon Jun | 20 | 2.2 | 2.6 |
| Fri May | 20 | 2.1 | 2.7 |
| Wed Apr | 19 | 2.1 | 2.8 |
| Sun Mar | 16 | 2.1 | 2.7 |
| Sun Feb | 17 | 2 | 2.6 |
Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.
View official CMS sourceInspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
Reasonably accommodate the needs and preferences of each resident.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has plan of correction (Jun 30, 2026)
Honor the resident's right to organize and participate in resident/family groups in the facility.
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 plan of correction (Jun 30, 2026)
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
CMS scope/severity C: Widespread; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has plan of correction (Jun 30, 2026)
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 plan of correction (Jun 30, 2026)
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has plan of correction (Jun 30, 2026)
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has plan of correction (Jun 30, 2026)
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has plan of correction (Jun 30, 2026)
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has plan of correction (Jun 30, 2026)
Provide activities to meet all resident's needs.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has plan of correction (Jun 30, 2026)
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 plan of correction (Jun 30, 2026)
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has plan of correction (Jun 30, 2026)
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 plan of correction (Jun 30, 2026)
Provide safe, appropriate dialysis care/services for a resident who requires such services.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has plan of correction (Jun 30, 2026)
Post nurse staffing information every day.
CMS scope/severity C: Widespread; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has plan of correction (Jun 30, 2026)
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 plan of correction (Jun 26, 2026)
No health-deficiency rows were deterministically linked to this inspection.
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 20, 2025)
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 (Jun 20, 2025)
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 20, 2025)
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
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 (Aug 23, 2024)
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 (Aug 23, 2024)
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 23, 2024)
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 23, 2024)
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 23, 2024)
Provide and implement an infection prevention and control program.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 23, 2024)
No health-deficiency rows were deterministically linked to this inspection.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 15, 2023)
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 15, 2023)
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS scope/severity L: Widespread; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Jun 15, 2023)
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS scope/severity K: Pattern; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Jun 15, 2023)
Respond appropriately to all alleged violations.
CMS scope/severity L: Widespread; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Jun 15, 2023)
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 15, 2023)
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 15, 2023)
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 (Jun 15, 2023)
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 15, 2023)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 15, 2023)
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 15, 2023)
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 15, 2023)
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 15, 2023)
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 F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 15, 2023)
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 15, 2023)
Observe each nurse aide's job performance and give regular training.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 15, 2023)
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 15, 2023)
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 15, 2023)
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 15, 2023)
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 15, 2023)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 15, 2023)
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 15, 2023)
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 15, 2023)
Provide and implement an infection prevention and control program.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 15, 2023)
Make sure that a working call system is available in each resident's bathroom and bathing area.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 15, 2023)
No health-deficiency rows were deterministically linked to this inspection.
Penalties & enforcement
Payment denial length: 10 days
Published fine amount: $8,413.00
Published fine amount: $34,775.00
Questions to ask
Facility history
10 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
15 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
3 deficiencies were recorded.
CMS · Recorded event date · View related evidence
CMS recorded a Medicare payment denial lasting 10 days.
CMS · Recorded event date · View related evidence
CMS recorded a $8,413 civil monetary penalty.
CMS · Recorded event date · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
6 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
CMS recorded a $34,775 civil monetary penalty.
CMS · Recorded event date · View related evidence
25 deficiencies were recorded. That includes 4 higher-severity deficiencies.
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 3 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 4.104 | 3.207 |
| RN categories | 0.432 | 0.265 |
Contract staff accounted for 2.3% 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 0.023 higher than the prior loaded quarter.
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 3.883 | 0.254 | 0.804 | 2.107 | 0.1% | 91 |
| 2025Q3 | 3.858 | 0.309 | 0.816 | 2.041 | 0.2% | 92 |
| 2025Q4 | 3.824 | 0.36 | 0.631 | 1.993 | 0.2% | 92 |
| 2026Q1 | 3.845 | 0.383 | 0.636 | 2.134 | 2.3% | 90 |
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
Planned evidence layers
These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.
Trust participation
Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.
Source register
No paid placements. Facilities cannot pay to rank higher. We cite. You decide.