Staffing
CMS publishes a 2-star staffing rating for this facility.
RN staffing was 0.55 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceFacility record
BRENTWOOD REHABILITATION AND HEALTHCARE CTR (THE) has 159 certified beds in DANVERS, Massachusetts. The CMS overall rating is 4 of 5, compared with the Massachusetts average of 3.0. The CMS health inspection rating is 4 of 5, compared with the Massachusetts average of 3.0. The CMS staffing rating is 2 of 5. The latest standard health survey on Apr 22, 2026 lists 0 deficiencies, compared with the Massachusetts average of 6.4. Total nurse staffing is 3.58 hours per resident day in 2026Q1, compared with the Massachusetts average of 3.87.
Nearby facilities
- HATHORNE HILL REHABILITATION AND HEALTHCARE CENTER DANVERS
- HUNT NURSING & REHAB CENTER DANVERS
- New England Homes for the Deaf, Inc DANVERS
- TWIN OAKS CENTER DANVERS
- ABBOTT SKILLED NURSING & REHABILITATION CENTER LYNN
- ADVINIACARE NEWBURYPORT NEWBURYPORT
- ALLIANCE HEALTH AT ROSEWOOD PEABODY
- ANDOVER FOREST POST ACUTE CARE CENTER NORTH ANDOVER
- ANDOVER MANOR REHAB AND NURSING ANDOVER
- ASPEN HILL REHABILIATION & HEALTHCARE CENTER HAVERHILL
CMS nursing home
BRENTWOOD REHABILITATION AND HEALTHCARE CTR (THE)
Also known publicly as The Brentwood Rehabilitation & Healthcare Center
DANVERS, MA
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 225223.
At a glance
CMS research snapshot
CMS overall rating
4 of 5
CMS health inspection rating
4 of 5
CMS staffing rating
2 of 5
CMS quality-measure rating
4 of 5
CMS ownership-change history
No attached CMS ownership-change event.
These are CMS star ratings, not Trust Hub ratings. Missing evidence is shown as not reported, not as zero.
Quality & care evidence
What CMS reports about quality
- MDS quality observations are in the CMS extract.
- PBJ staffing records are in the CMS extract.
- Inspection evidence is in the CMS extract.
- Fire-safety evidence is in the CMS extract.
Staffing, inspections, and fire safety are separate CMS evidence families below.
Ownership & management
Who CMS/PECOS connects to this nursing home
Current ownership uses CURRENT OWNED_BY evidence only. UNKNOWN is not a former owner.
Current owners
- KOHN FAM TR GST EXEMPT UAD 3-25-13Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST22.5% ownership interest
- NFR 2020 IRRV TROrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST22.5% ownership interest
- QUINTO GUARDIAN LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST90% ownership interest
- RSBRMK HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST22.5% ownership interest
- SK 2013 INVESTMENT TR UA 03252013Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST22.5% ownership interest
- TRYKO GUARDIAN HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST67.5% ownership interest
- UAK 2020 IRRV TROrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST9.9% ownership interest
- UKR CONSULTING LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST10% ownership interest
- YR 2013 INVESTMENT TRUST U/A/D 3/25/13Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST22.5% ownership interest
Managers
- DOYLE, STEPHENIndividual owner · CURRENTW-2 MANAGING EMPLOYEE
- DOYLE, STEPHENIndividual owner · CURRENTW-2 MANAGING EMPLOYEE
- DOYLE, STEPHENIndividual owner · UNKNOWNW-2 MANAGING EMPLOYEE
- DOYLE, STEPHENIndividual owner · UNKNOWNW-2 MANAGING EMPLOYEE
Enrollment organizations
- BRENTWOOD OPERATOR LLCOrganization · CURRENTMedicare-enrolled legal organization
- BRENTWOOD OPERATOR 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
- KOHN FAM TR GST EXEMPT UAD 3-25-13Organization · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST22.5% ownership interest
- NFR 2020 IRRV TROrganization · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST22.5% ownership interest
- QUINTO GUARDIAN LLCOrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST90% ownership interest
- RSBRMK HOLDINGS LLCOrganization · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST22.5% ownership interest
- SK 2013 INVESTMENT TR UA 03252013Organization · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST22.5% ownership interest
- TRYKO GUARDIAN HOLDINGS LLCOrganization · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST67.5% ownership interest
- UAK 2020 IRRV TROrganization · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST9.9% ownership interest
- UKR CONSULTING LLCOrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST10% ownership interest
- YR 2013 INVESTMENT TRUST U/A/D 3/25/13Organization · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST22.5% ownership interest
- YR 2013 INVESTMENT TRUST U/A/D 3/25/13Organization · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST23% ownership interest
Ownership change history
CMS ownership-change records
No CMS ownership-change event is currently attached to this profile in the Trust Hub research graph. That is not proof that ownership never changed.
Source freshness
How current each evidence family is
- nursing-home-mds-quality-measures
- STALE · source as of 2026-08-01
- nursing-home-provider-information
- STALE · source as of 2026-08-01
- skilled-nursing-facility-all-owners
- AGING · source as of 2026-08-17
- skilled-nursing-facility-change-of-ownership
- CURRENT · source as of 2026-08-24
Profile generated 2026-11-03. That timestamp is not CMS evidence freshness.
Methodology
How Trust Hub researches this provider
- CMS is the source for national nursing-home evidence.
- Trust Hub does not create the CMS star ratings.
- Ownership evidence does not measure care quality.
- CMS CHOW records document reported ownership-change events.
- Missing evidence is not interpreted as zero.
- UNKNOWN ownership history is not interpreted as divestiture.
- Ownership evidence is not a quality measure.
- Missing evidence is not a zero score.
- CMS ratings are CMS ratings, not Trust Hub ratings.
- UNKNOWN ownership does not prove an owner left.
- CHOW records are CMS transaction records, not Trust Hub judgments or sales.
CMS overview
CMS rating overview
No proprietary TrustHub score. These ratings are published separately by CMS. How CMS ratings and facility records are read
- CMS certified beds
- 159
- Ownership descriptor
- For profit - Limited Liability company
- Medicare participation
- Yes
- Medicaid participation
- Yes
Facility information
Contact
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
- Phone
- 9787772700Verified public information · checked Aug 2026
- Also known publicly as
- The Brentwood Rehabilitation & Healthcare CenterVerified 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 1851731665 · enrollment O20131025000843
- NPI 1851731665 · enrollment O20131025000843
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): 98.636364
- Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (Long Stay): 98.230088
- Percentage of long-stay residents experiencing one or more falls with major injury (Long Stay): 0.909091 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents who have depressive symptoms (Long Stay): 34.500000
- Percentage of long-stay residents who lose too much weight (Long Stay): 2.820513
- Percentage of long-stay residents who received an antianxiety or hypnotic medication (Long Stay): 17.814727
- Percentage of long-stay residents who received an antipsychotic medication (Long Stay): 10.034602 · 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): 12.649286 · 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): 17.603912 · 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): 0.000000 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents with a urinary tract infection (Long Stay): 0.239234 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents with new or worsened bowel or bladder incontinence (Long Stay): 23.609945
- Percentage of long-stay residents with pressure ulcers (Long Stay): 2.699287 · CMS uses this measure in the quality-measure star rating
- Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (Short Stay): 95.913734
- Percentage of short-stay residents who newly received an antipsychotic medication (Short Stay): 0.359066 · 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): 85.774059
Fire-safety citations
CMS fire-safety citations
These are fire-safety citations, not health deficiencies and not a count of fires.
- 2026-04-22 · tag 0353 · scope/severity C — Inspect, test, and maintain automatic sprinkler systems.
- 2026-04-22 · tag 0911 · scope/severity F — Meet requirements for the installation and maintenance of electrical systems.
- 2026-04-22 · tag 0311 · scope/severity E — Have an enclosure around a vertical opening shaft.
- 2026-04-22 · tag 0711 · scope/severity E — Provide a written emergency evacuation plan.
- 2026-04-22 · tag 0341 · scope/severity D — Install a fire alarm system that can be heard throughout the facility.
- 2026-04-22 · tag 0511 · scope/severity D — Have properly installed electrical wiring and gas equipment.
- 2025-03-13 · tag 0222 · scope/severity F — Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Decision guide
What to review
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
Inspections
The latest standard inspection on Apr 22, 2026 cited 0 deficiencies.
View inspection evidenceOwnership
CMS-published records list 18 ownership or control parties.
View ownership evidenceChain context
CMS groups this facility with a chain covering 89 facilities across 9 states or territories.
View chain evidenceOwnership & operation
Ownership & Operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
- Ownership type
- For profit - Limited Liability companyCMS
- Chain
- MARQUIS HEALTH SERVICESCMS identifies this facility as part of the MARQUIS HEALTH SERVICES chain.
- Related facilities
- 79Current CMS organization identity
Who is behind this facility?
SeniorTrustHub found evidence connecting this facility to:
- 9 CMS-reported ownership organizations
- CMS reports 6 individual ownership interests
- a CMS chain / common-control group
Related facilities
79 currently connected nursing homes share this CMS organization identity with UAK 2020 IRRV TR.
- Average CMS overall rating
- 3 stars across 79 reporting facilities
- CMS monetary penalties
- 43 of 79 facilities had a recorded monetary penalty in the available CMS period.
- Recent CMS penalties
- 26 facilities had a CMS penalty in the last 18 months.
- Recent high-value CMS enforcement
- 21 facilities had a high-value CMS fine or payment denial in the last 18 months.
- Recent CMS complaint inspections
- 59 facilities had a CMS complaint inspection in the last 18 months.
- Total recorded CMS fines
- $2,835,484
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
- 18
- Organizations shown
- 12
- Individuals shown
- 6
- Latest ownership source update
- Aug 17, 2026
CMS-published ownership and control parties
CIBC BANK USA
Organization · 5% OR GREATER SECURITY INTEREST
Association date reported to CMS: Jun 17, 2013
Other facilities connected through this exact CMS organization identity: 0 across MA.
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
DOYLE, STEPHEN
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Feb 1, 2021
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
POSEN, MINDEE
Individual · CORPORATE OFFICER
Association date reported to CMS: May 12, 2014
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
DOYLE, STEPHEN
Individual · W-2 MANAGING EMPLOYEE
Association date reported to CMS: Feb 1, 2021
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
QUINTO GUARDIAN LLC
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 90%
Association date reported to CMS: Oct 1, 2014
Other facilities connected through this exact CMS organization identity: 13 across MA, MD, NJ.
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
UKR CONSULTING LLC
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 10%
Association date reported to CMS: Jun 17, 2013
Other facilities connected through this exact CMS organization identity: 27 across MA, MD, NJ, PA, RI, VA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
KOHN FAM TR GST EXEMPT UAD 3-25-13
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 22.5%
Association date reported to CMS: Dec 31, 2021
Other facilities connected through this exact CMS organization identity: 20 across MA, MD, NJ, PA, VA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
NFR 2020 IRRV TR
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 22.5%
Association date reported to CMS: Dec 31, 2021
Other facilities connected through this exact CMS organization identity: 80 across FL, MA, MD, NH, NJ, PA, RI, VA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
RSBRMK HOLDINGS LLC
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 22.5%
Association date reported to CMS: Dec 31, 2021
Other facilities connected through this exact CMS organization identity: 79 across FL, MA, MD, NH, NJ, PA, RI, VA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
SK 2013 INVESTMENT TR UA 03252013
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 22.5%
Association date reported to CMS: Dec 31, 2021
Other facilities connected through this exact CMS organization identity: 15 across MA, MD, NJ, 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
TRYKO GUARDIAN HOLDINGS LLC
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 67.5%
Association date reported to CMS: Oct 1, 2014
Other facilities connected through this exact CMS organization identity: 13 across MA, MD, NJ.
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
UAK 2020 IRRV TR
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 9.9%
Association date reported to CMS: Dec 31, 2021
Other facilities connected through this exact CMS organization identity: 81 across FL, MA, MD, NH, NJ, PA, RI, VA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
YR 2013 INVESTMENT TRUST U/A/D 3/25/13
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 22.5%
Association date reported to CMS: Dec 31, 2021
Other facilities connected through this exact CMS organization identity: 6 across MA, MD, NJ, 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
CIBC BANK USA
Organization · 5% OR GREATER SECURITY INTEREST
Association date reported to CMS: Jun 17, 2013
Other facilities connected through this exact CMS organization identity: 144 across CA, CO, FL, IL, IN, KS, KY, MA, MD, MI, MN, MO, NC, NH, NJ, NY, OH, PA, RI, SD, TN, TX, VA, VT, WI.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
DOYLE, STEPHEN
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Feb 1, 2021
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
POSEN, MINDEE
Individual · CORPORATE OFFICER
Association date reported to CMS: May 12, 2014
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
DOYLE, STEPHEN
Individual · W-2 MANAGING EMPLOYEE
Association date reported to CMS: Feb 1, 2021
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
BRENTWOOD OPERATOR LLC
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across MA.
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
What this means
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Questions to ask
- CMS records list several organizations with ownership or control roles. Which entity is responsible for day-to-day operations at this facility?
- CMS records connect QUINTO GUARDIAN LLC to 14 facilities. Which policies and staffing decisions are managed centrally versus locally?
Chain context
CMS groups this facility with MARQUIS HEALTH SERVICES
Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 336 is a grouping identifier, not a legal organization.
- Facilities
- 89
- States and territories
- 9
- Average overall rating
- 3.1
- Average staffing rating
- 2.3
- Average total nurse HPRD
- 3.6
- Total fines
- 81
CMS-published history
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 89 | 3.1 | 2.3 |
| Mon Jun | 88 | 3 | 2.5 |
| Fri May | 88 | 3 | 2.5 |
| Wed Apr | 84 | 3.1 | 2.5 |
| Sun Mar | 81 | 3 | 2.3 |
| Sun Feb | 80 | 2.9 | 2.3 |
Questions to ask
- CMS groups facilities in 9 states or territories under this chain. Which operational policies are set at the chain level?
- CMS reports 81 fines across the chain in this dataset. What compliance functions are managed centrally?
CMS chain source and methodology
Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.
View official CMS sourceInspections & deficiencies
What CMS inspection records show
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
Latest recorded inspection
- Date
- Apr 22, 2026
- Survey type
- Fire Safety Standard
- Linked findings
- 0
- Highest linked CMS classification
- No linked health-deficiency finding in the loaded record
View source details
- Dataset
- Inspection Dates
- CMS dataset ID
- svdt-c123
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 225223
- Source record locator
- csv-row:58080:ccn:225223
Apr 22, 2026 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Apr 22, 2026 — Health Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Mar 13, 2025 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Mar 13, 2025 — Health Standard — 12 linked findings
F0550 — Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 18, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 225223
- Source record locator
- csv-row:160931:ccn:225223
F0585 — Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
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 18, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 225223
- Source record locator
- csv-row:160932:ccn:225223
F0658 — Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 18, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 225223
- Source record locator
- csv-row:160933:ccn:225223
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 (Apr 18, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 225223
- Source record locator
- csv-row:160934:ccn:225223
F0686 — Quality of Life and Care Deficiencies
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 18, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 225223
- Source record locator
- csv-row:160935:ccn:225223
F0692 — Quality of Life and Care Deficiencies
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 18, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 225223
- Source record locator
- csv-row:160936:ccn:225223
F0694 — Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids 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 (Apr 18, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 225223
- Source record locator
- csv-row:160937:ccn:225223
F0759 — Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
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 18, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 225223
- Source record locator
- csv-row:160929:ccn:225223
F0760 — Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
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 18, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 225223
- Source record locator
- csv-row:160938:ccn:225223
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 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 18, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 225223
- Source record locator
- csv-row:160939:ccn:225223
F0842 — Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted 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 (Apr 18, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 225223
- Source record locator
- csv-row:160930:ccn:225223
F0880 — Infection Control Deficiencies
Provide and implement an infection prevention and control program.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 18, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 225223
- Source record locator
- csv-row:160940:ccn:225223
Mar 28, 2024 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Mar 28, 2024 — Health Standard — 8 linked findings
F0550 — Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS scope/severity 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 17, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 225223
- Source record locator
- csv-row:160941:ccn:225223
F0641 — Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
CMS scope/severity B: Pattern; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (Apr 17, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 225223
- Source record locator
- csv-row:160948:ccn:225223
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 (Apr 17, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 225223
- Source record locator
- csv-row:160945:ccn:225223
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 (Apr 17, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 225223
- Source record locator
- csv-row:160946:ccn:225223
F0725 — Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 17, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 225223
- Source record locator
- csv-row:160942:ccn:225223
F0761 — Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 17, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 225223
- Source record locator
- csv-row:160947:ccn:225223
F0804 — Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 17, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 225223
- Source record locator
- csv-row:160943:ccn:225223
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 (Apr 17, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 225223
- Source record locator
- csv-row:160944:ccn:225223
Tags appearing across inspections
- F0550 appears in 2 linked inspections.
- F0684 appears in 2 linked inspections.
- F0812 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 F0550 in 2 inspections in the available record. What changes has the facility made to address this issue?
- CMS records show F0684 in 2 inspections in the available record. What changes has the facility made to address this issue?
- CMS records show F0812 in 2 inspections in the available record. What changes has the facility made to address this issue?
Facility history
Facility History
3 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
What changed recently?
- Health inspection completedNo linked health-deficiency findings were recorded for this survey.
2026
- Health inspection completed
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
2025
- Health inspection completed
12 deficiencies were recorded.
CMS · Recorded event date · View related evidence
2024
- Health inspection completed
8 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Staffing
Reported nursing staffing at a glance
CMS staffing rating: 2 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
- Total nursing
- 3.584 reported hours per resident day
- RN categories
- 0.546 reported hours per resident day
- LPN/LVN categories
- 0.935 reported hours per resident day
- CNA
- 2.102 reported hours per resident day
Weekday and weekend calculations
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 3.728 | 3.229 |
| RN categories | 0.564 | 0.501 |
Contract staff accounted for 0.7% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.043 higher than the prior loaded quarter.
Staffing over time
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 3.624 | 0.474 | 1.111 | 2.025 | 1.6% | 91 |
| 2025Q3 | 3.479 | 0.46 | 1.022 | 1.997 | 0.1% | 92 |
| 2025Q4 | 3.587 | 0.503 | 1.006 | 2.078 | 0.1% | 92 |
| 2026Q1 | 3.584 | 0.546 | 0.935 | 2.102 | 0.7% | 90 |
Questions to ask
- PBJ records show lower calculated RN-category hours per resident day on weekends this quarter. How does the facility plan RN coverage on Saturdays and Sundays?
- PBJ records show that some reported nursing hours were contract hours. How does the facility orient and integrate contract staff?
Staffing source and calculation details
- Source
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Payroll Based Journal Daily Nurse Staffing
- CMS dataset ID
- 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
- Quarter
- 2026Q1
- Coverage
- Jan 1, 2026–Mar 31, 2026
- Days represented
- 90 (90 with positive MDS census)
- CMS source updated
- Jul 29, 2026
- Calculation version
- pbj-quarter-ratio-of-sums-v1
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
Current Provider Information facts
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
- CMS reports a 4-star overall rating.
- CMS reports a 4-star health inspection rating.
- CMS reports a 2-star staffing rating.
- CMS reports a 4-star quality-measure rating.
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Provider Information
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- 4pq5-n9py
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Overview, facility facts, and CMS ratings
Inspection Dates
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- svdt-c123
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Inspections and facility history
Health Deficiencies
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- r5ix-sfxw
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Health deficiencies and facility history
Payroll Based Journal Daily Nurse Staffing
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
- Coverage
- Apr 1, 2025–Mar 31, 2026
- Source updated
- Jul 29, 2026
- Retrieved
- Aug 15, 2026
- Supports
- PBJ staffing cards, history, and transparent calculations
Ownership
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Ownership parties, organization connections, and ownership history
Skilled Nursing Facility All Owners
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Ownership parties, organization connections, and ownership history
Skilled Nursing Facility Enrollments
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- 5f2c306f-3b1c-42cd-b037-187b2ce22126
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Ownership parties, organization connections, and ownership history
Nursing Home Chain Performance Measures
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- 97ecfad1-d3f1-4d42-b774-d74661d830bc
- Coverage
- Wed Jul
- Source updated
- Aug 12, 2026
- Retrieved
- Aug 16, 2026
- Supports
- CMS chain context, performance, and monthly history
Verified public facility information
- Source organization
- Public facility listing
- Dataset identifier
- commercial-corroboration:public-listing
- Source updated
- Aug 18, 2026
- Retrieved
- Aug 18, 2026
- Supports
- Independently verified public website, phone, or publicly used name. Not a CMS rating or regulatory status.
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