Staffing
CMS publishes a 3-star staffing rating for this facility.
RN staffing was 0.41 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceFacility record
Lakepointe Senior Care and Rehabilitation Center has 134 certified beds in Clinton Township, Michigan. The CMS overall rating is 5 of 5, compared with the Michigan average of 3.1. The CMS health inspection rating is 5 of 5, compared with the Michigan average of 2.8. The CMS staffing rating is 3 of 5. The latest standard health survey on Aug 27, 2025 lists 2 deficiencies, compared with the Michigan average of 6.5. Total nurse staffing is 3.54 hours per resident day in 2026Q1, compared with the Michigan average of 3.99.
Nearby facilities
- Church of Christ Care Center Clinton Township
- Harmony Village of Clinton Clinton Township
- Autumn Woods Residential Health Warren
- Father Murray, A Villa Center Center Line
- Fraser Villa Fraser
- Harmony Village of Warren Warren
- Lakeside Manor Nursing and Rehabilitation Center Sterling Heights
- Martha T Berry MCF Mount Clemems
- Medilodge of Richmond Richmond
- Medilodge of Shoreline Sterling Heights
CMS nursing home
Lakepointe Senior Care and Rehabilitation Center
Also known publicly as LakePointe Senior Care & Rehab Center
Clinton Township, MI
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 235547.
At a glance
CMS research snapshot
CMS overall rating
5 of 5
CMS health inspection rating
5 of 5
CMS staffing rating
3 of 5
CMS quality-measure rating
5 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
- BRANSCUM, JAMESIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST31% ownership interest
- EISENBERG, LEOIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST31% ownership interest
- NEXCARE HOLDINGS, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
- NEXCARE HOLDINGS, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
- ROBIN EISENBERG 2014 FAMILY TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST31% ownership interest
- WRONSKI, FRANKIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST31% ownership interest
Operators
- NEXCARE HEALTH SYSTEMS, LLCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL10% ownership interest
- NEXCARE HEALTH SYSTEMS, LLCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- PERRY, MICHAELIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- PERRY, MICHAELIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- NEXCARE HEALTH SYSTEMS, LLCOrganization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL10% ownership interest
- NEXCARE HEALTH SYSTEMS, LLCOrganization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- PERRY, MICHAELIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- PERRY, MICHAELIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
Managers
- LAURAIN, BRIANIndividual owner · CURRENTW-2 MANAGING EMPLOYEE
- LAURAIN, BRIANIndividual owner · CURRENTW-2 MANAGING EMPLOYEE
- LAURAIN, BRIANIndividual owner · UNKNOWNW-2 MANAGING EMPLOYEE
- LAURAIN, BRIANIndividual owner · UNKNOWNW-2 MANAGING EMPLOYEE
Enrollment organizations
- LAKEPOINTE SENIOR CARE AND REHAB CENTER, LLCOrganization · CURRENTMedicare-enrolled legal organization
- LAKEPOINTE SENIOR CARE AND REHAB CENTER, 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
- BRANSCUM, JAMESIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST31% ownership interest
- EISENBERG, LEOIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST31% ownership interest
- NEXCARE HOLDINGS, LLCOrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
- NEXCARE HOLDINGS, LLCOrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
- ROBIN EISENBERG 2014 FAMILY TRUSTOrganization · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST31% ownership interest
- WRONSKI, FRANKIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST31% 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
- 134
- 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
- 5864680827Verified public information · checked Aug 2026
- Also known publicly as
- LakePointe Senior Care & Rehab 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 1487704805 · enrollment O20050202000986
- NPI 1487704805 · enrollment O20050202000986
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): 99.367089
- Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (Long Stay): 100.000000
- Percentage of long-stay residents experiencing one or more falls with major injury (Long Stay): 2.531646 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents who have depressive symptoms (Long Stay): 0.000000
- Percentage of long-stay residents who lose too much weight (Long Stay): 2.054795
- Percentage of long-stay residents who received an antianxiety or hypnotic medication (Long Stay): 30.648770
- Percentage of long-stay residents who received an antipsychotic medication (Long Stay): 21.229050 · 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): 6.871860 · 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): 5.808081 · 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): 0.350863 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents with a urinary tract infection (Long Stay): 1.075269 · 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): 4.538146
- Percentage of long-stay residents with pressure ulcers (Long Stay): 6.264754 · CMS uses this measure in the quality-measure star rating
- Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (Short Stay): 85.498489
- Percentage of short-stay residents who newly received an antipsychotic medication (Short Stay): 0.609756 · 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): 78.205128
Fire-safety citations
CMS fire-safety citations
These are fire-safety citations, not health deficiencies and not a count of fires.
- 2025-08-27 · tag 0363 · scope/severity E — Install corridor and hallway doors that block smoke.
- 2025-08-27 · tag 0211 · scope/severity E — Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 2025-08-27 · tag 0362 · scope/severity E — Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- 2025-08-27 · tag 0711 · scope/severity E — Provide a written emergency evacuation plan.
- 2024-08-09 · tag 0345 · scope/severity F — Have approved installation, maintenance and testing program for fire alarm systems.
- 2024-08-09 · tag 0353 · scope/severity F — Inspect, test, and maintain automatic sprinkler systems.
- 2024-08-09 · tag 0521 · scope/severity F — Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- 2024-08-09 · tag 0711 · scope/severity F — Provide a written emergency evacuation plan.
- 2024-08-09 · tag 0224 · scope/severity E — Provide sliding doors free of hazards, operable without special knowledge or effort, and meet weight requirements to set door in motion.
- 2024-08-09 · tag 0511 · scope/severity E — Have properly installed electrical wiring and gas equipment.
- 2024-08-09 · tag 0920 · scope/severity E — Ensure proper usage of power strips and extension cords.
- 2023-06-28 · tag 0353 · scope/severity E — Inspect, test, and maintain automatic sprinkler systems.
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 Aug 27, 2025 cited 2 deficiencies.
View inspection evidenceOwnership
CMS-published records list 15 ownership or control parties.
View ownership evidenceChain context
CMS groups this facility with a chain covering 20 facilities across 1 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
- NEXCARE HEALTH SYSTEMSCMS identifies this facility as part of the NEXCARE HEALTH SYSTEMS chain.
- Related facilities
- 20Current CMS organization identity
Who is behind this facility?
SeniorTrustHub found evidence connecting this facility to:
- 3 CMS-reported ownership organizations
- CMS reports 9 individual ownership interests
- a CMS chain / common-control group
Related facilities
20 currently connected nursing homes share this CMS organization identity with ROBIN EISENBERG 2014 FAMILY TRUST.
- Average CMS overall rating
- 3.8 stars across 20 reporting facilities
- CMS monetary penalties
- 8 of 20 facilities had a recorded monetary penalty in the available CMS period.
- Recent CMS penalties
- 4 facilities had a CMS penalty in the last 18 months.
- Recent high-value CMS enforcement
- 4 facilities had a high-value CMS fine or payment denial in the last 18 months.
- Recent CMS complaint inspections
- 12 facilities had a CMS complaint inspection in the last 18 months.
- Total recorded CMS fines
- $321,295
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
- 15
- Organizations shown
- 6
- Individuals shown
- 9
- Latest ownership source update
- Aug 17, 2026
CMS-published ownership and control parties
NEXCARE HOLDINGS, LLC
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Nov 1, 2013
Other facilities connected through this exact CMS organization identity: 0 across MI.
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
SANGSTER, TODD
Individual · CORPORATE OFFICER
Association date reported to CMS: Nov 4, 2013
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
NEXCARE HEALTH SYSTEMS, LLC
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2005
Other facilities connected through this exact CMS organization identity: 0 across MI.
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
PERRY, MICHAEL
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 1, 2015
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
LAURAIN, BRIAN
Individual · W-2 MANAGING EMPLOYEE
Association date reported to CMS: Jan 9, 2017
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
NEXCARE HOLDINGS, LLC
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Nov 1, 2013
Other facilities connected through this exact CMS organization identity: 14 across MI.
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
BRANSCUM, JAMES
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 31%
Association date reported to CMS: Dec 1, 2013
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
EISENBERG, LEO
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 31%
Association date reported to CMS: Apr 1, 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
ROBIN EISENBERG 2014 FAMILY TRUST
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 31%
Association date reported to CMS: Apr 1, 2014
Other facilities connected through this exact CMS organization identity: 19 across MI.
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
WRONSKI, FRANK
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 31%
Association date reported to CMS: Apr 1, 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
SANGSTER, TODD
Individual · CORPORATE OFFICER
Association date reported to CMS: Nov 4, 2013
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
NEXCARE HEALTH SYSTEMS, LLC
Organization · OPERATIONAL/MANAGERIAL CONTROL
Published ownership percentage: 10%
Association date reported to CMS: Jan 1, 2005
Other facilities connected through this exact CMS organization identity: 27 across MI.
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
PERRY, MICHAEL
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 1, 2015
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
LAURAIN, BRIAN
Individual · W-2 MANAGING EMPLOYEE
Association date reported to CMS: Jan 9, 2017
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
LAKEPOINTE SENIOR CARE AND REHAB CENTER, LLC
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across MI.
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 NEXCARE HOLDINGS, LLC to 15 facilities. Which policies and staffing decisions are managed centrally versus locally?
Chain context
CMS groups this facility with NEXCARE HEALTH SYSTEMS
Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 369 is a grouping identifier, not a legal organization.
- Facilities
- 20
- States and territories
- 1
- Average overall rating
- 3.8
- Average staffing rating
- 3.8
- Average total nurse HPRD
- 3.7
- Total fines
- 12
CMS-published history
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 20 | 3.8 | 3.8 |
| Mon Jun | 20 | 3.8 | 3.7 |
| Fri May | 20 | 3.8 | 3.7 |
| Wed Apr | 20 | 3.7 | 3.7 |
| Sun Mar | 20 | 3.6 | 4 |
| Sun Feb | 20 | 3.6 | 4 |
Questions to ask
- CMS groups facilities in 1 states or territories under this chain. Which operational policies are set at the chain level?
- CMS reports 12 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
- Aug 27, 2025
- 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
- 235547
- Source record locator
- csv-row:63701:ccn:235547
Aug 27, 2025 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Aug 27, 2025 — Health Standard — 2 linked findings
F0657 — Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 15, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 235547
- Source record locator
- csv-row:179437:ccn:235547
F0677 — Quality of Life and Care Deficiencies
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 (Sep 15, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 235547
- Source record locator
- csv-row:179438:ccn:235547
Aug 9, 2024 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Aug 9, 2024 — Health Complaint — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Aug 9, 2024 — Health Standard — 5 linked findings
F0657 — Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 21, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 235547
- Source record locator
- csv-row:179442:ccn:235547
F0693 — Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
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 21, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 235547
- Source record locator
- csv-row:179443:ccn:235547
F0695 — Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 21, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 235547
- Source record locator
- csv-row:179444:ccn:235547
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 (Aug 21, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 235547
- Source record locator
- csv-row:179445:ccn:235547
F0919 — Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
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 (Aug 21, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 235547
- Source record locator
- csv-row:179439:ccn:235547
Jun 28, 2023 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Jun 28, 2023 — Health Standard — 9 linked findings
F0558 — Resident Rights Deficiencies
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 date of correction (Jul 24, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 235547
- Source record locator
- csv-row:179449:ccn:235547
F0576 — Resident Rights Deficiencies
Ensure residents have reasonable access to and privacy in their use of communication methods.
CMS scope/severity C: Widespread; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (Jul 24, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 235547
- Source record locator
- csv-row:179454:ccn:235547
F0584 — Resident Rights Deficiencies
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 (Jul 24, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 235547
- Source record locator
- csv-row:179447:ccn:235547
F0676 — Quality of Life and Care Deficiencies
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 (Jul 24, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 235547
- Source record locator
- csv-row:179450:ccn:235547
F0677 — Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
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 24, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 235547
- Source record locator
- csv-row:179448:ccn:235547
F0688 — Quality of Life and Care Deficiencies
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 G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 24, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 235547
- Source record locator
- csv-row:179446:ccn:235547
F0698 — Quality of Life and Care Deficiencies
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 date of correction (Jul 24, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 235547
- Source record locator
- csv-row:179451:ccn:235547
F0755 — Pharmacy Service Deficiencies
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 (Jul 24, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 235547
- Source record locator
- csv-row:179452:ccn:235547
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 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 24, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 235547
- Source record locator
- csv-row:179453:ccn:235547
Tags appearing across inspections
- F0657 appears in 2 linked inspections.
- F0677 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 F0657 in 2 inspections in the available record. What changes has the facility made to address this issue?
- CMS records show F0677 in 2 inspections in the available record. What changes has the facility made to address this issue?
Facility history
Facility History
5 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
What changed recently?
- Total nurse staffing decreasedTotal nurse staffing decreased from 3.74 to 3.54 hours per resident day between 2025Q4 and 2026Q1. Staffing declined across those reported periods.
- Health inspection completed2 deficiencies were recorded.
2026
- Total nurse staffing decreased
Total nurse staffing decreased from 3.74 to 3.54 hours per resident day between 2025Q4 and 2026Q1. Staffing declined across those reported periods.
3.74 → 3.54
CMS · Reported in a source release · View related evidence
2025
- Health inspection completed
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
2024
- Complaint inspection recorded
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
- Health inspection completed
5 deficiencies were recorded.
CMS · Recorded event date · View related evidence
2023
- Health inspection completed
9 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
Staffing
Reported nursing staffing at a glance
CMS staffing rating: 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).
- Total nursing
- 3.536 reported hours per resident day
- RN categories
- 0.405 reported hours per resident day
- LPN/LVN categories
- 1.054 reported hours per resident day
- CNA
- 2.076 reported hours per resident day
Weekday and weekend calculations
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 3.679 | 3.182 |
| RN categories | 0.488 | 0.201 |
Contract staff accounted for 0% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.011 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 | 3.801 | 0.467 | 1.014 | 2.32 | 0% | 91 |
| 2025Q3 | 3.605 | 0.455 | 1.071 | 2.079 | 0% | 92 |
| 2025Q4 | 3.741 | 0.395 | 1.126 | 2.221 | 0% | 92 |
| 2026Q1 | 3.536 | 0.405 | 1.054 | 2.076 | 0% | 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?
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 5-star overall rating.
- CMS reports a 5-star health inspection rating.
- CMS reports a 3-star staffing rating.
- CMS reports a 5-star quality-measure rating.
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See where this record came from
Provider Information
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- 4pq5-n9py
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Overview, facility facts, and CMS ratings
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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