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CMS nursing home

WEST WIND VILLAGE

MORRIS, MN

CMS CCN 2452623205897900Listed in the current CMS nursing-home directoryCMS source updated August 1, 2026

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Independent research from official CMS public records. No paid ranking. No Trust Hub quality score.

Research this nursing home using CMS and federal public records. CMS Certification Number 245262.

At a glance

CMS research snapshot

CMS overall rating

5 of 5 CMS stars

CMS health inspection rating

4 of 5 CMS stars

CMS staffing rating

5 of 5 CMS stars

CMS quality-measure rating

3 of 5 CMS stars

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: Available
  • PBJ staffing records: Available
  • Inspection evidence: Available
  • Fire-safety evidence: Available

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

  • ST. FRANCIS HEALTH SERVICES OF MORRIS, INCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest

Operators

  • BACH, CURTISIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • BACH, CURTISIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • BAKKE, CHRISTINEIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • BAKKE, CHRISTINEIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • BIG STONE THERAPIES, INCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • BIG STONE THERAPIES, INCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • BLACK, DAVIDIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • BLACK, DAVIDIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • BURROWS, AMANDAIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • BURROWS, AMANDAIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • CASPERS, MEGANIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • CASPERS, MEGANIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • CHRISTIANSON, HALEYIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • CHRISTIANSON, HALEYIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • DRIPPS, DANIELIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • DRIPPS, DANIELIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • EHLERS, DOUGLASIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • EHLERS, DOUGLASIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • EIDE BAILLY LLPOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • EIDE BAILLY LLPOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • GOODNOUGH, JENNIFERIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • GOODNOUGH, JENNIFERIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • GRAMM, TIMOTHYIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • GRAMM, TIMOTHYIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • HANNEKEN, MICHELLEIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL

Showing 25 of 156 relationships from CMS/PECOS evidence.

Managers

No resolved CMS/PECOS relationships in this category.

Enrollment organizations

  • MORRIS HEALTH SERVICESOrganization · CURRENTMedicare-enrolled legal organization
  • MORRIS HEALTH SERVICESOrganization · UNKNOWNMedicare-enrolled legal organization
Historical ownership observations

Historical

No resolved CMS/PECOS relationships in this category.

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

  • ST. FRANCIS HEALTH SERVICES OF MORRIS, INCOrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST100% 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
AGING · source as of 2026-08-01
nursing-home-provider-information
AGING · 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 2026-10-02. That timestamp is not CMS evidence freshness.

Methodology

How Trust Hub researches this provider

  • CMS is the source for national nursing-home evidence.
  • Trust Hub does not create the CMS star ratings.
  • Ownership evidence does not measure care quality.
  • CMS CHOW records document reported ownership-change events.
  • Missing evidence is not interpreted as zero.
  • UNKNOWN ownership history is not interpreted as divestiture.
  • Ownership evidence is not a quality measure.
  • Missing evidence is not a zero score.
  • CMS ratings are CMS ratings, not Trust Hub ratings.
  • UNKNOWN ownership does not prove an owner left.
  • CHOW records are CMS transaction records, not Trust Hub judgments or sales.

CMS overview

CMS rating overview

CMS overall

5 of 5 CMS stars

Health inspection

4 of 5 CMS stars

Staffing

5 of 5 CMS stars

Quality-measure

3 of 5 CMS stars

No proprietary TrustHub score. These ratings are published separately by CMS.

How CMS describes these ratings
CMS overall rating
The CMS overall rating summarizes health inspections, staffing, and quality measures within Medicare's Five-Star system.
Health inspection rating
The CMS health inspection rating reflects findings from standard and complaint inspections used in Medicare's Five-Star system.
Staffing rating
The CMS staffing rating reflects staffing levels and related measures used in Medicare's Five-Star system.
Quality-measure rating
The CMS quality-measure rating summarizes selected resident assessment and claims-based measures used in Medicare's Five-Star system.
CMS certified beds
45
Ownership descriptor
Non profit - Corporation
Medicare participation
Yes
Medicaid participation
Yes

Facility information

Contact

CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.

Phone
3205897900CMS Provider Information

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 1750339438 · enrollment O20020819000013
  • NPI 1750339438 · enrollment O20020819000013

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): 100.000000
  • 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): 5.194805 · 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): 0.781250
  • Percentage of long-stay residents who received an antianxiety or hypnotic medication (Long Stay): 13.178295
  • Percentage of long-stay residents who received an antipsychotic medication (Long Stay): 2.654867 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents who were physically restrained (Long Stay): 0.000000
  • Percentage of long-stay residents whose ability to walk independently worsened (Long Stay): 17.611055 · 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): 30.172414 · 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): 3.359680 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents with a urinary tract infection (Long Stay): 0.000000 · 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): 33.695416
  • Percentage of long-stay residents with pressure ulcers (Long Stay): 0.000000 · CMS uses this measure in the quality-measure star rating
  • Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (Short Stay): 100.000000
  • Percentage of short-stay residents who newly received an antipsychotic medication (Short Stay): 0.000000 · 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): 9

Fire-safety citations

CMS fire-safety citations

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

  • 2026-05-06 · tag 0353 · scope/severity D — Inspect, test, and maintain automatic sprinkler systems.
  • 2026-05-06 · tag 0222 · scope/severity D — 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.
  • 2026-05-06 · tag 0321 · scope/severity D — Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
  • 2025-07-30 · tag 0363 · scope/severity D — Install corridor and hallway doors that block smoke.
  • 2025-07-30 · tag 0271 · scope/severity E — Have exits that are accessible at all times.
  • 2025-07-30 · tag 0761 · scope/severity F — To conduct inspection, testing and maintenance of fire doors by qualified individuals.
  • 2025-07-30 · tag 0222 · scope/severity E — 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.
  • 2025-07-30 · tag 0226 · scope/severity E — Have horizontal exits used in accordance with safety requirements.
  • 2025-07-30 · tag 0372 · scope/severity E — Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
  • 2025-07-30 · tag 0920 · scope/severity E — Ensure proper usage of power strips and extension cords.
  • 2025-07-30 · tag 0353 · scope/severity D — Inspect, test, and maintain automatic sprinkler systems.
  • 2025-07-30 · tag 0914 · scope/severity D — Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Decision guide

What to review

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

Staffing

CMS publishes a 5-star staffing rating for this facility.

RN staffing was 0.79 hours per resident day in 2026Q1, calculated from CMS PBJ records.

View staffing evidence

Chain context

CMS groups this facility with a chain covering 14 facilities across 1 states or territories.

View chain evidence

Ownership & operation

Ownership & Operation

Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.

Ownership type
Non profit - CorporationCMS
Chain
ST. FRANCIS HEALTH SERVICESCMS identifies this facility as part of the ST. FRANCIS HEALTH SERVICES chain.

Who is behind this facility?

SeniorTrustHub found evidence connecting this facility to:

  • CMS reports 71 individual ownership interests
  • a CMS chain / common-control group

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
222
Organizations shown
4
Individuals shown
71
Latest ownership source update
Aug 1, 2026

CMS-published ownership and control parties

  • BACH, CURTIS

    Individual · ADP OF THE SNF

    Association date reported to CMS: Aug 28, 2024

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • BAKKE, CHRISTINE

    Individual · ADP OF THE SNF

    Association date reported to CMS: Sep 30, 2019

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • BIG STONE THERAPIES, INC

    Organization · ADP OF THE SNF

    Association date reported to CMS: Oct 23, 2025

    Other facilities connected through this exact CMS organization identity: 0 across MN.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • BLACK, DAVID

    Individual · ADP OF THE SNF

    Association date reported to CMS: Mar 31, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • BURROWS, AMANDA

    Individual · ADP OF THE SNF

    Association date reported to CMS: Jan 2, 2024

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • CASPERS, MEGAN

    Individual · ADP OF THE SNF

    Association date reported to CMS: Dec 29, 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
    View official CMS source
  • CHRISTIANSON, HALEY

    Individual · ADP OF THE SNF

    Association date reported to CMS: Feb 15, 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
    View official CMS source
  • DRIPPS, DANIEL

    Individual · ADP OF THE SNF

    Association date reported to CMS: Jan 1, 2016

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • EHLERS, DOUGLAS

    Individual · ADP OF THE SNF

    Association date reported to CMS: Jan 1, 2023

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • EIDE BAILLY LLP

    Organization · ADP OF THE SNF

    Association date reported to CMS: Oct 23, 2025

    Other facilities connected through this exact CMS organization identity: 0 across MN.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • GOODNOUGH, JENNIFER

    Individual · ADP OF THE SNF

    Association date reported to CMS: Jan 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
    View official CMS source
  • GRAMM, TIMOTHY

    Individual · ADP OF THE SNF

    Association date reported to CMS: Jan 1, 2023

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • HANNEKEN, MICHELLE

    Individual · ADP OF THE SNF

    Association date reported to CMS: Jul 20, 2022

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • HEJHAL, ROXANNE

    Individual · ADP OF THE SNF

    Association date reported to CMS: Apr 10, 2023

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • HOFMANN, REED

    Individual · ADP OF THE SNF

    Association date reported to CMS: May 8, 2023

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • JOHNSON, TODD

    Individual · ADP OF THE SNF

    Association date reported to CMS: Jan 1, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • LAIR, MICHAEL

    Individual · ADP OF THE SNF

    Association date reported to CMS: Jan 1, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • LIEN, SHANNON

    Individual · ADP OF THE SNF

    Association date reported to CMS: Oct 28, 2010

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • LIENEMANN, STEVEN

    Individual · ADP OF THE SNF

    Association date reported to CMS: Jan 1, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • LUETMER, JOHN

    Individual · ADP OF THE SNF

    Association date reported to CMS: Jan 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
    View official CMS source
  • MARLOW, JINA

    Individual · ADP OF THE SNF

    Association date reported to CMS: Jun 6, 2022

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • MECKLENBURG, JENNY

    Individual · ADP OF THE SNF

    Association date reported to CMS: Nov 8, 1989

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • MOSER, KATHRYN

    Individual · ADP OF THE SNF

    Association date reported to CMS: May 9, 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
    View official CMS source
  • NELSON, PATRICK

    Individual · ADP OF THE SNF

    Association date reported to CMS: Jan 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • PETERSON-DEVRIES, CAMI

    Individual · ADP OF THE SNF

    Association date reported to CMS: May 8, 2022

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • PUCHALSKI, SHANNON

    Individual · ADP OF THE SNF

    Association date reported to CMS: Jan 10, 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
    View official CMS source
  • RAW, CAROL

    Individual · ADP OF THE SNF

    Association date reported to CMS: Aug 16, 2005

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • RENTZ, LAURA

    Individual · ADP OF THE SNF

    Association date reported to CMS: Jan 1, 2024

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • RENTZ, MARK

    Individual · ADP OF THE SNF

    Association date reported to CMS: Apr 22, 2024

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • RENTZ, PAUL

    Individual · ADP OF THE SNF

    Association date reported to CMS: Jan 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
    View official CMS source
  • RYAN, BEN

    Individual · ADP OF THE SNF

    Association date reported to CMS: Dec 27, 2012

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • SCHIELE, JOYCE

    Individual · ADP OF THE SNF

    Association date reported to CMS: Nov 19, 2012

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • SCHNEIDER, TODD

    Individual · ADP OF THE SNF

    Association date reported to CMS: Jul 1, 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
    View official CMS source
  • SMITH, KIMBERLY

    Individual · ADP OF THE SNF

    Association date reported to CMS: Mar 9, 2024

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • SOMMERS, ADAM

    Individual · ADP OF THE SNF

    Association date reported to CMS: Jan 1, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • ST. FRANCIS HEALTH SERVICES OF MORRIS, INC

    Organization · ADP OF THE SNF

    Association date reported to CMS: Dec 1, 2025

    Other facilities connected through this exact CMS organization identity: 0 across MN.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • STOCK, KELSEY

    Individual · ADP OF THE SNF

    Association date reported to CMS: Jun 1, 2022

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • THOMPSON, RENEE

    Individual · ADP OF THE SNF

    Association date reported to CMS: Oct 10, 2018

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • TOMOSON, APRIL

    Individual · ADP OF THE SNF

    Association date reported to CMS: Jul 12, 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
    View official CMS source
  • WALKER, AMY

    Individual · ADP OF THE SNF

    Association date reported to CMS: May 13, 2024

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • WIESE, LORRAINE

    Individual · ADP OF THE SNF

    Association date reported to CMS: Jul 25, 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
    View official CMS source
  • DRIPPS, DANIEL

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Jan 1, 2016

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • EHLERS, DOUGLAS

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Jan 1, 2023

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • GOODNOUGH, JENNIFER

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Jan 1, 2023

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • GRAMM, TIMOTHY

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Jan 1, 2023

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • LAIR, MICHAEL

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Jan 1, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • LIENEMANN, STEVEN

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Jan 1, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • LUETMER, JOHN

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Jan 1, 2023

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • MARLOW, JINA

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Jun 6, 2022

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • NELSON, PATRICK

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Jan 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • PETERSON-DEVRIES, CAMI

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: May 8, 2022

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • RAW, CAROL

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Aug 16, 2005

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • RENTZ, LAURA

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Jan 1, 2024

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • RENTZ, PAUL

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Jan 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
    View official CMS source
  • SCHNEIDER, TODD

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Jul 1, 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
    View official CMS source
  • WIESE, LORRAINE

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Jan 1, 2016

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • BACH, CURTIS

    Individual · CORPORATE OFFICER

    Association date reported to CMS: Aug 28, 2024

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • PETERSON-DEVRIES, CAMI

    Individual · CORPORATE OFFICER

    Association date reported to CMS: May 8, 2022

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • RAW, CAROL

    Individual · CORPORATE OFFICER

    Association date reported to CMS: Aug 16, 2005

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • DRIPPS, DANIEL

    Individual · MANAGING CONTROL - GOVERNING BODY

    Association date reported to CMS: Jan 1, 2016

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • EHLERS, DOUGLAS

    Individual · MANAGING CONTROL - GOVERNING BODY

    Association date reported to CMS: Jan 1, 2023

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • GOODNOUGH, JENNIFER

    Individual · MANAGING CONTROL - GOVERNING BODY

    Association date reported to CMS: Jan 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
    View official CMS source
  • GRAMM, TIMOTHY

    Individual · MANAGING CONTROL - GOVERNING BODY

    Association date reported to CMS: Jan 1, 2023

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • LAIR, MICHAEL

    Individual · MANAGING CONTROL - GOVERNING BODY

    Association date reported to CMS: Jan 1, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • LIENEMANN, STEVEN

    Individual · MANAGING CONTROL - GOVERNING BODY

    Association date reported to CMS: Jan 1, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • LUETMER, JOHN

    Individual · MANAGING CONTROL - GOVERNING BODY

    Association date reported to CMS: Jan 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
    View official CMS source
  • NELSON, PATRICK

    Individual · MANAGING CONTROL - GOVERNING BODY

    Association date reported to CMS: Jan 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • RENTZ, LAURA

    Individual · MANAGING CONTROL - GOVERNING BODY

    Association date reported to CMS: Jan 1, 2024

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • RENTZ, PAUL

    Individual · MANAGING CONTROL - GOVERNING BODY

    Association date reported to CMS: Jan 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
    View official CMS source
  • SCHNEIDER, TODD

    Individual · MANAGING CONTROL - GOVERNING BODY

    Association date reported to CMS: Jul 1, 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
    View official CMS source
  • WIESE, LORRAINE

    Individual · MANAGING CONTROL - GOVERNING BODY

    Association date reported to CMS: Jul 25, 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
    View official CMS source
  • BACH, CURTIS

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Aug 28, 2024

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • BAKKE, CHRISTINE

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Sep 30, 2019

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • BIG STONE THERAPIES, INC

    Organization · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Feb 3, 2015

    Other facilities connected through this exact CMS organization identity: 0 across MN.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • BLACK, DAVID

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Mar 31, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source

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?

Chain context

CMS groups this facility with ST. FRANCIS HEALTH SERVICES

Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 487 is a grouping identifier, not a legal organization.

Facilities
14
States and territories
1
Average overall rating
2.9
Average staffing rating
4.6
Average total nurse HPRD
3.9
Total fines
15
Review CMS chain evidence

CMS-published history

Monthly chain measures
MonthFacilitiesOverall ratingStaffing rating
Wed Jul142.94.6
Mon Jun142.74.4
Fri May142.64.4
Wed Apr142.84.4
Sun Mar142.94.4
Sun Feb142.94.4

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 15 fines across the chain in this dataset. What compliance functions are managed centrally?
CMS chain source and methodology

Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.

View official CMS source

Inspections & deficiencies

What CMS inspection records show

Scope and severity terms below are CMS classifications. They are not a TrustHub score.

Latest recorded inspection

Date
May 6, 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
245262
Source record locator
csv-row:65783:ccn:245262
View official CMS source
May 6, 2026 — Fire Safety Standard — 0 linked findings

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

May 6, 2026 — Health Standard — 1 linked finding
  • 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 (Jun 3, 2026)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    245262
    Source record locator
    csv-row:185150:ccn:245262
    View official CMS source
Jul 30, 2025 — Fire Safety Standard — 0 linked findings

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

Jul 30, 2025 — Health Standard — 3 linked findings
  • F0580 — Resident Rights Deficiencies

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the 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 (Aug 26, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    245262
    Source record locator
    csv-row:185152:ccn:245262
    View official CMS source
  • 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 (Aug 26, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    245262
    Source record locator
    csv-row:185151:ccn:245262
    View official CMS source
  • F0689 — Quality of Life and Care Deficiencies

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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

    Correction status: Deficient, Provider has date of correction (Aug 26, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    245262
    Source record locator
    csv-row:185153:ccn:245262
    View official CMS source
May 1, 2024 — Fire Safety Standard — 0 linked findings

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

May 1, 2024 — Health Complaint — 0 linked findings

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

May 1, 2024 — Health Standard — 3 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 (May 27, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    245262
    Source record locator
    csv-row:185156:ccn:245262
    View official CMS source
  • F0851 — Administration Deficiencies

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    CMS scope/severity 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 (May 27, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    245262
    Source record locator
    csv-row:185154:ccn:245262
    View official CMS source
  • F0880 — Infection Control Deficiencies

    Provide and implement an infection prevention and control program.

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

    Correction status: Deficient, Provider has date of correction (May 27, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    245262
    Source record locator
    csv-row:185155:ccn:245262
    View official CMS source

Tags appearing across inspections

  • F0880 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 F0880 in 2 inspections in the available record. What changes has the facility made to address this issue?

Facility history

Facility History

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

What changed recently?

  • Health inspection completed1 deficiency was recorded.
  • RN staffing increasedRN staffing increased from 0.62 to 0.79 hours per resident day between 2025Q4 and 2026Q1. Staffing improved across those reported periods.

2026

  1. Health inspection completed

    1 deficiency was recorded.

    CMS · Recorded event date · View related evidence

  2. RN staffing increased

    RN staffing increased from 0.62 to 0.79 hours per resident day between 2025Q4 and 2026Q1. Staffing improved across those reported periods.

    0.62 → 0.79

    CMS · Reported in a source release · View related evidence

2025

  1. RN staffing decreased

    RN staffing decreased from 0.73 to 0.62 hours per resident day between 2025Q3 and 2025Q4. Staffing declined across those reported periods.

    0.73 → 0.62

    CMS · Reported in a source release · View related evidence

  2. Health inspection completed

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

    CMS · Recorded event date · View related evidence

2024

  1. Health inspection completed

    3 deficiencies were recorded.

    CMS · Recorded event date · View related evidence

  2. Complaint inspection recorded

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

    CMS · Recorded event date · View related evidence

Staffing

Reported nursing staffing at a glance

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

Inspect a PBJ quarter
Total nursing
3.768
reported hours per resident day
RN categories
0.791
reported hours per resident day
LPN/LVN categories
0.623
reported hours per resident day
CNA
2.289
reported hours per resident day

Weekday and weekend calculations

2026Q1 reported hours per resident day
MeasureMonday–FridaySaturday–Sunday
Total nursing3.9493.322
RN categories0.9590.378

Contract staff accounted for 0.5% of reported nursing hours included in this quarter calculation.

Reported RN-category hours per resident day were 0.168 higher than the prior loaded quarter.

Staffing over time

Solid bar: Total nursing · Outlined bar: RN categories

Calculated reported hours per resident day by PBJ quarter
QuarterTotal nursingRN categoriesLPN/LVNCNAContract shareDays
2025Q23.9860.7170.892.3510.5%91
2025Q33.8920.7270.8142.3291.1%92
2025Q43.7840.6230.7782.3180.6%92
2026Q13.7680.7910.6232.2890.5%90

Questions to ask

  • PBJ records show lower calculated RN-category hours per resident day on weekends this quarter. How does the facility plan RN coverage on Saturdays and Sundays?
  • PBJ records show that some reported nursing hours were contract hours. How does the facility orient and integrate contract staff?
Staffing source and calculation details
Source
Centers for Medicare & Medicaid Services (CMS)
Dataset
Payroll Based Journal Daily Nurse Staffing
CMS dataset ID
7e0d53ba-8f02-4c66-98a5-14a1c997c50d
Quarter
2026Q1
Coverage
Jan 1, 2026–Mar 31, 2026
Days represented
90 (90 with positive MDS census)
CMS source updated
Jul 29, 2026
Calculation version
pbj-quarter-ratio-of-sums-v1

Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.

View official CMS PBJ source

What we can verify today

Current Provider Information facts

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

  • CMS reports a 5-star overall rating.
  • CMS reports a 4-star health inspection rating.
  • CMS reports a 5-star staffing rating.
  • CMS reports a 3-star quality-measure rating.

Planned evidence layers

Additional public-source research

These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.

  • Home health national spine remains a separate CMS provider class, not this profile.
  • Hospice national spine remains a separate CMS provider class, not this profile.

Trust participation

See something that needs correction?

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

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

How corrections work

Source register

See where this record came from

Provider Information
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
4pq5-n9py
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
Supports
Overview, facility facts, and CMS ratings
View official CMS source
Inspection Dates
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
svdt-c123
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
Supports
Inspections and facility history
View official CMS source
Health Deficiencies
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
r5ix-sfxw
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
Supports
Health deficiencies and facility history
View official CMS source
Payroll Based Journal Daily Nurse Staffing
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
7e0d53ba-8f02-4c66-98a5-14a1c997c50d
Coverage
Apr 1, 2025–Mar 31, 2026
Source updated
Jul 29, 2026
Retrieved
Aug 15, 2026
Supports
PBJ staffing cards, history, and transparent calculations
View official CMS source
Ownership
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
Supports
Ownership parties, organization connections, and ownership history
View official CMS source
Nursing Home Chain Performance Measures
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
97ecfad1-d3f1-4d42-b774-d74661d830bc
Coverage
Wed Jul
Source updated
Aug 12, 2026
Retrieved
Aug 16, 2026
Supports
CMS chain context, performance, and monthly history
View official CMS source
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
Exact CMS chain affiliation
View official CMS source

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