Staffing
CMS publishes a 3-star staffing rating for this facility.
RN staffing was 0.57 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceAsk Trust Hub Network
Also known publicly as Hilltop Lodge Health and Rehabilitation
BELOIT, KS
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 0.57 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Jan 13, 2026 cited 9 deficiencies.
View inspection evidenceCMS-published records list 64 ownership or control parties.
CMS records show an ownership change effective December 2020.
View ownership evidenceCMS groups this facility with a chain covering 27 facilities across 3 states or territories.
View chain evidenceCMS records show a $12,054 fine 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:
31 currently connected nursing homes share this CMS organization identity with NATR TRUST.
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.
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 10, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 28, 2025
Other facilities connected through this exact CMS organization identity: 0 across KS.
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 28, 2025
Other facilities connected through this exact CMS organization identity: 0 across KS.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 10, 2025
Other facilities connected through this exact CMS organization identity: 0 across KS.
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 28, 2025
Other facilities connected through this exact CMS organization identity: 0 across KS.
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 28, 2025
Other facilities connected through this exact CMS organization identity: 0 across KS.
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 28, 2025
Other facilities connected through this exact CMS organization identity: 0 across KS.
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 28, 2025
Other facilities connected through this exact CMS organization identity: 0 across KS.
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 16, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 28, 2025
Other facilities connected through this exact CMS organization identity: 0 across KS.
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Feb 28, 2025
Organization · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Feb 28, 2025
Other facilities connected through this exact CMS organization identity: 0 across KS.
Organization · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Feb 28, 2025
Other facilities connected through this exact CMS organization identity: 0 across KS.
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Feb 28, 2025
Other facilities connected through this exact CMS organization identity: 0 across KS.
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Feb 28, 2025
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Feb 28, 2025
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Feb 28, 2025
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Feb 28, 2025
Other facilities connected through this exact CMS organization identity: 0 across KS.
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Feb 28, 2025
Other facilities connected through this exact CMS organization identity: 0 across KS.
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Feb 28, 2025
Other facilities connected through this exact CMS organization identity: 0 across KS.
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Feb 28, 2025
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Feb 28, 2025
Other facilities connected through this exact CMS organization identity: 0 across KS.
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Feb 28, 2025
Other facilities connected through this exact CMS organization identity: 0 across KS.
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Feb 28, 2025
Other facilities connected through this exact CMS organization identity: 0 across KS.
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Feb 28, 2025
Other facilities connected through this exact CMS organization identity: 0 across KS.
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Feb 28, 2025
Other facilities connected through this exact CMS organization identity: 0 across KS.
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Feb 28, 2025
Other facilities connected through this exact CMS organization identity: 0 across KS.
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Feb 28, 2025
Other facilities connected through this exact CMS organization identity: 0 across KS.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Feb 28, 2025
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Dec 1, 2020
Other facilities connected through this exact CMS organization identity: 0 across KS.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 7, 2022
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 10, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 19, 2025
Other facilities connected through this exact CMS organization identity: 0 across KS.
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 28, 2025
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 23 across KS, NH, OH.
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 28, 2025
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 25 across KS, NH, OH.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 10, 2025
CMS classifications: Management services company
Other facilities connected through this exact CMS organization identity: 23 across KS.
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 28, 2025
Other facilities connected through this exact CMS organization identity: 30 across KS, NH, OH.
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 28, 2025
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 22 across KS, NH, OH.
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 28, 2025
Other facilities connected through this exact CMS organization identity: 29 across KS, NH, OH.
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 28, 2025
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 29 across KS, NH, OH.
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 16, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 28, 2025
Other facilities connected through this exact CMS organization identity: 29 across KS, NH, OH.
Individual · CORPORATE DIRECTOR
Published ownership percentage: 0%
Association date reported to CMS: Feb 28, 2025
Organization · DIRECT OWNERSHIP INTEREST
Published ownership percentage: 99.9%
Association date reported to CMS: Feb 28, 2025
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 11 across KS.
Organization · DIRECT OWNERSHIP INTEREST
Published ownership percentage: 0.1%
Association date reported to CMS: Feb 28, 2025
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 10 across KS.
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 22.5%
Association date reported to CMS: Feb 28, 2025
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 21 across KS.
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 22.5%
Association date reported to CMS: Feb 28, 2025
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 2.49%
Association date reported to CMS: Feb 28, 2025
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 2.49%
Association date reported to CMS: Feb 28, 2025
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 4.99%
Association date reported to CMS: Feb 28, 2025
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 17 across KS, NH, OH.
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 50%
Association date reported to CMS: Feb 28, 2025
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 23 across KS, NH, OH.
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 16.66%
Association date reported to CMS: Feb 28, 2025
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 25 across KS, NH, OH.
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 22.5%
Association date reported to CMS: Feb 28, 2025
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 16.66%
Association date reported to CMS: Feb 28, 2025
Other facilities connected through this exact CMS organization identity: 30 across KS, NH, OH.
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 27.5%
Association date reported to CMS: Feb 28, 2025
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 14 across KS, NH.
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 16.67%
Association date reported to CMS: Feb 28, 2025
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 22 across KS, NH, OH.
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 16.67%
Association date reported to CMS: Feb 28, 2025
Other facilities connected through this exact CMS organization identity: 29 across KS, NH, OH.
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 22.5%
Association date reported to CMS: Feb 28, 2025
Other facilities connected through this exact CMS organization identity: 6 across KS, OH.
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 16.67%
Association date reported to CMS: Feb 28, 2025
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 29 across KS, NH, OH.
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 16.66%
Association date reported to CMS: Feb 28, 2025
Other facilities connected through this exact CMS organization identity: 29 across KS, NH, OH.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Feb 28, 2025
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Dec 1, 2020
CMS classifications: Management services company
Other facilities connected through this exact CMS organization identity: 23 across KS.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 7, 2022
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across KS.
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 438 is a grouping identifier, not a legal organization.
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 27 | 2.4 | 2.4 |
| Mon Jun | 27 | 2.4 | 2.3 |
| Fri May | 27 | 2.4 | 2.3 |
| Wed Apr | 26 | 2.4 | 2.3 |
| Sun Mar | 25 | 2.5 | 2.2 |
| Sun Feb | 26 | 2.3 | 2.1 |
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.
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 (Feb 6, 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 date of correction (Feb 6, 2026)
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for 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 (Feb 6, 2026)
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 (Feb 6, 2026)
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 6, 2026)
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 6, 2026)
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 (Feb 6, 2026)
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
CMS scope/severity C: Widespread; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (Feb 6, 2026)
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 (Feb 6, 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: Past Non-Compliance (Oct 30, 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 (Apr 3, 2024)
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 D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 3, 2024)
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 3, 2024)
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 3, 2024)
Respond appropriately to all alleged violations.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 3, 2024)
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 (Apr 3, 2024)
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 (Apr 3, 2024)
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 3, 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 (Apr 3, 2024)
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 3, 2024)
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for 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 (Apr 3, 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 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 (Apr 3, 2024)
Provide enough food/fluids to maintain a resident's health.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 3, 2024)
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 3, 2024)
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 (Apr 3, 2024)
Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 3, 2024)
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 (Apr 3, 2024)
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
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 (Apr 3, 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 (Apr 3, 2024)
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 29, 2024)
Respond appropriately to all alleged violations.
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 (Jan 29, 2024)
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
CMS scope/severity K: Pattern; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Jan 29, 2024)
Protect each resident from the wrongful use of the resident's belongings or money.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 24, 2023)
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 (Jul 20, 2022)
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 (Jul 20, 2022)
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for 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 (Jul 20, 2022)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 20, 2022)
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 (Jul 20, 2022)
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 20, 2022)
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 20, 2022)
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 (Jul 20, 2022)
Provide and implement an infection prevention and control program.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 20, 2022)
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 20, 2022)
Penalties & enforcement
Published fine amount: $12,054.00
Published fine amount: $16,883.00
Questions to ask
Facility history
13 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
Total nurse staffing decreased from 3.79 to 3.42 hours per resident day between 2025Q4 and 2026Q1. Staffing declined across those reported periods.
3.79 → 3.42
CMS · Reported in a source release · View related evidence
RN staffing decreased from 0.72 to 0.57 hours per resident day between 2025Q4 and 2026Q1. Staffing declined across those reported periods.
0.72 → 0.57
CMS · Reported in a source release · View related evidence
9 deficiencies were recorded.
CMS · Recorded event date · View related evidence
RN staffing increased from 0.53 to 0.71 hours per resident day between 2025Q2 and 2025Q3. Staffing improved across those reported periods.
0.53 → 0.71
CMS · Reported in a source release · View related evidence
Total nurse staffing increased from 3.21 to 3.78 hours per resident day between 2025Q2 and 2025Q3. Staffing improved across those reported periods.
3.21 → 3.78
CMS · Reported in a source release · View related evidence
1 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
CMS recorded a $12,054 civil monetary penalty.
CMS · Recorded event date · View related evidence
19 deficiencies were recorded.
CMS · Recorded event date · View related evidence
CMS recorded a $16,883 civil monetary penalty.
CMS · Recorded event date · View related evidence
3 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
10 deficiencies were recorded.
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 | 3.539 | 3.131 |
| RN categories | 0.638 | 0.416 |
Contract staff accounted for 1.4% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.146 lower than the prior loaded quarter.
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 3.214 | 0.525 | 0.419 | 1.855 | 6.9% | 91 |
| 2025Q3 | 3.78 | 0.706 | 0.516 | 1.962 | 0.8% | 92 |
| 2025Q4 | 3.791 | 0.72 | 0.509 | 1.752 | 1% | 92 |
| 2026Q1 | 3.421 | 0.574 | 0.477 | 1.653 | 1.4% | 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.