Staffing
CMS publishes a 5-star staffing rating for this facility.
RN staffing was 1.05 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceAsk about this facility
CMS nursing home
CORNERSTONE NSG & REHAB CENTER
Also known publicly as Cornerstone Nursing & Rehab Center
BAGLEY, MN
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 245307.
At a glance
CMS research snapshot
CMS overall rating
5 of 5 CMS stars5/5CMS health inspection rating
4 of 5 CMS stars4/5CMS staffing rating
5 of 5 CMS stars5/5CMS quality-measure rating
2 of 5 CMS stars2/5CMS 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
- DOLALIE, JENNIFERIndividual ownerINDIRECT OWNERSHIP INTEREST10% ownership interest
- DOLALIE, JENNIFERIndividual ownerINDIRECT OWNERSHIP INTEREST
- DOLALIE, JENNIFERIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST10% ownership interest
- POTVIN HOLDINGS INCORPORATEDOrganizationDIRECT OWNERSHIP INTEREST
- POTVIN HOLDINGS INCORPORATEDOrganizationDIRECT OWNERSHIP INTEREST100% ownership interest
- POTVIN HOLDINGS INCORPORATEDOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
- POTVIN, ALLENIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST
- POTVIN, ALLENIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST35% ownership interest
- POTVIN, JUDITHIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST50% ownership interest
- POTVIN, JUDITHIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST
- POTVIN, LANCEIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST10% ownership interest
- POTVIN, LANCEIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST
- SWANSON, KARIIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST10% ownership interest
- SWANSON, KARIIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST
Operators
- BREKKEN, ANDREWIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- BREKKEN, ANDREWIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- CHOICE THERAPY, P.A.Organization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- CHOICE THERAPY, P.A.Organization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- HEALTH SERVICES NETWORK INCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- HEALTH SERVICES NETWORK INCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- HERMAN, STACYIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- HERMAN, STACYIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- LEBEDA, KIRAIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- LEBEDA, KIRAIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- MORTENSEN, DAVIDIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- MORTENSEN, DAVIDIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- NEESE, SARAIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- NEESE, SARAIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- POTTI, ESTHERIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- POTTI, ESTHERIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- RENNER, JOHNIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- RENNER, JOHNIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- STEINKE, JENNIFERIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- STEINKE, JENNIFERIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- SWANSON, KARIIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- SWANSON, KARIIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- BREKKEN, ANDREWIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- BREKKEN, ANDREWIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- CHOICE THERAPY, P.A.Organization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
Showing 25 of 44 relationships from CMS/PECOS evidence.
Managers
No resolved CMS/PECOS relationships in this category.
Enrollment organizations
- CORNERSTONE NURSING AND REHAB CENTER, INCOrganization · CURRENTMedicare-enrolled legal organization
- CORNERSTONE NURSING AND REHAB CENTER, INCOrganization · 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
- DOLALIE, JENNIFERIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST10% ownership interest
- DOLALIE, JENNIFERIndividual owner · UNKNOWNINDIRECT OWNERSHIP INTEREST
- DOLALIE, JENNIFERIndividual owner · UNKNOWNINDIRECT OWNERSHIP INTEREST10% ownership interest
- POTVIN HOLDINGS INCORPORATEDOrganization · UNKNOWNDIRECT OWNERSHIP INTEREST
- POTVIN HOLDINGS INCORPORATEDOrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
- POTVIN HOLDINGS INCORPORATEDOrganization · UNKNOWNDIRECT OWNERSHIP INTEREST100% ownership interest
- POTVIN, ALLENIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST35% ownership interest
- POTVIN, ALLENIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST
- POTVIN, JUDITHIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST
- POTVIN, JUDITHIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST50% ownership interest
- POTVIN, LANCEIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST10% ownership interest
- POTVIN, LANCEIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST
- SWANSON, KARIIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST
- SWANSON, KARIIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST10% 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
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
- 47
- Ownership descriptor
- For 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
- 2186946552Verified public information · checked Aug 2026
- Also known publicly as
- Cornerstone Nursing & 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 1861674277 · enrollment O20080110000329
- NPI 1861674277 · enrollment O20080110000329
MDS quality measures
Individual CMS quality measures
These MDS quality measures are individual CMS-published scores. They are not the CMS quality-measure star rating.
MDS source release 2026-08-01.
View individual MDS measures
- Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (Long Stay): 98.639456
- Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (Long Stay): 97.500000
- Percentage of long-stay residents experiencing one or more falls with major injury (Long Stay): 7.482993 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents who have depressive symptoms (Long Stay): 2.380952
- Percentage of long-stay residents who lose too much weight (Long Stay): 8.633094
- Percentage of long-stay residents who received an antianxiety or hypnotic medication (Long Stay): 40.559441
- Percentage of long-stay residents who received an antipsychotic medication (Long Stay): 13.445378 · 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): 21.323960 · 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): 29.838710 · 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): 1.209969 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents with a urinary tract infection (Long Stay): 4.195804 · 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): 26.716912
- Percentage of long-stay residents with pressure ulcers (Long Stay): 6.316061 · CMS uses this measure in the quality-measure star rating
- Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (Short Stay): 96.026490
- Percentage of short-stay residents who newly received an antipsychotic medication (Short Stay): 3.773585 · 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): 91.176471
Fire-safety citations
CMS fire-safety citations
These are fire-safety citations, not health deficiencies and not a count of fires.
- 2025-07-09 · tag 0353 · scope/severity D — Inspect, test, and maintain automatic sprinkler systems.
- 2025-07-09 · tag 0324 · scope/severity F — Provide properly protected cooking facilities.
- 2025-07-09 · tag 0920 · scope/severity F — Ensure proper usage of power strips and extension cords.
- 2025-07-09 · tag 0912 · scope/severity E — Have power receptacles that are properly grounded.
- 2025-07-09 · tag 0761 · scope/severity D — To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- 2025-07-09 · tag 0918 · scope/severity D — Have generator or other power source capable of supplying service within 10 seconds.
- 2024-07-17 · tag 0353 · scope/severity F — Inspect, test, and maintain automatic sprinkler systems.
- 2024-07-17 · tag 0521 · scope/severity F — Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- 2024-07-17 · 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.
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 Jul 7, 2026 cited 1 deficiencies.
View inspection evidenceOwnership
CMS-published records list 95 ownership or control parties.
View ownership 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 - CorporationCMS
- Related facilities
- 113Current CMS organization identity
Who is behind this facility?
SeniorTrustHub found evidence connecting this facility to:
- 2 CMS-reported ownership organizations
- CMS reports 61 individual ownership interests
Related facilities
113 currently connected nursing homes share this CMS organization identity with CLIFTONLARSONALLEN LLP.
- Average CMS overall rating
- 3 stars across 113 reporting facilities
- CMS monetary penalties
- 51 of 113 facilities had a recorded monetary penalty in the available CMS period.
- Recent CMS penalties
- 26 facilities had a CMS penalty in the last 18 months.
- Recent high-value CMS enforcement
- 26 facilities had a high-value CMS fine or payment denial in the last 18 months.
- Recent CMS complaint inspections
- 82 facilities had a CMS complaint inspection in the last 18 months.
- Total recorded CMS fines
- $3,994,793
These figures summarize currently connected CMS-certified nursing homes. Some facilities have incomplete measures; missing values are omitted, not treated as zero. Ownership structures can change. State operator or licensee evidence may differ from CMS ownership disclosures.
Ownership
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
- 95
- Organizations shown
- 14
- Individuals shown
- 61
- Latest ownership source update
- Aug 17, 2026
CMS-published ownership and control parties
POTVIN, ALLEN
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
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
POTVIN, JUDITH
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Oct 31, 2011
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
POTVIN, LANCE
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
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
SWANSON, KARI
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
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
BREKKEN, ANDREW
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 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
CHOICE THERAPY, P.A.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2018
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
CLIFTONLARSONALLEN LLP
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2008
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
DOLALIE, JENNIFER
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
HEADWATERS NUTRITION COUNSELING, LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2024
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
HEALTH SERVICES NETWORK INC
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2008
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
HERMAN, STACY
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 4, 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
MORTENSEN, DAVID
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 2, 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
NEESE, SARA
Individual · ADP OF THE SNF
Association date reported to CMS: May 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
POTTI, ESTHER
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 1, 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
POTVIN HOLDINGS INCORPORATED
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 31, 2011
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
POTVIN, ALLEN
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
POTVIN, JUDITH
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
POTVIN, LANCE
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 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
RENNER, JOHN
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 4, 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
STEINKE, JENNIFER
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 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
SWANSON, KARI
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
DOLALIE, JENNIFER
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
POTVIN, ALLEN
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Dec 21, 2007
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
POTVIN, JUDITH
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Dec 21, 2007
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
POTVIN, LANCE
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
SWANSON, KARI
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
MORTENSEN, DAVID
Individual · CORPORATE OFFICER
Association date reported to CMS: Aug 12, 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
SWANSON, KARI
Individual · CORPORATE OFFICER
Association date reported to CMS: May 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
POTVIN HOLDINGS INCORPORATED
Organization · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Oct 31, 2011
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
DOLALIE, JENNIFER
Individual · INDIRECT OWNERSHIP INTEREST
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
DOLALIE, JENNIFER
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
POTVIN, ALLEN
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
POTVIN, JUDITH
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
POTVIN, LANCE
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
SWANSON, KARI
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
BREKKEN, ANDREW
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 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
CHOICE THERAPY, P.A.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2018
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
HEALTH SERVICES NETWORK INC
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2008
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
HERMAN, STACY
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 4, 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
LEBEDA, KIRA
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Apr 10, 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
MORTENSEN, DAVID
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 12, 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
NEESE, SARA
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 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
POTTI, ESTHER
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Apr 1, 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
RENNER, JOHN
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 14, 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
STEINKE, JENNIFER
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 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
SWANSON, KARI
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 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
POTVIN HOLDINGS INCORPORATED
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Oct 31, 2011
CMS classifications: Parent company, Holding company
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
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
DOLALIE, JENNIFER
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 10%
Association date reported to CMS: Jan 1, 2020
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
POTVIN, ALLEN
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 35%
Association date reported to CMS: Jan 1, 2020
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
POTVIN, JUDITH
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 50%
Association date reported to CMS: Oct 31, 2011
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
POTVIN, LANCE
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 10%
Association date reported to CMS: Jan 1, 2020
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
SWANSON, KARI
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 10%
Association date reported to CMS: Jan 1, 2020
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
BREKKEN, ANDREW
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 13, 2024
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
CHOICE THERAPY, P.A.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2018
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
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
CLIFTONLARSONALLEN LLP
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2008
Other facilities connected through this exact CMS organization identity: 114 across CA, CT, FL, IA, IL, KY, MA, MI, MN, NM, OH, PA, RI, TX, WI.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
DOLALIE, JENNIFER
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
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
HEADWATERS NUTRITION COUNSELING, LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2024
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
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
HEALTH SERVICES NETWORK INC
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2008
CMS classifications: Management services company
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
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
HERMAN, STACY
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 4, 2025
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
MORTENSEN, DAVID
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 2, 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
NEESE, SARA
Individual · ADP OF THE SNF
Association date reported to CMS: May 31, 2025
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
POTTI, ESTHER
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 1, 2019
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
POTVIN HOLDINGS INCORPORATED
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 31, 2011
CMS classifications: Holding company
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
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
POTVIN, ALLEN
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
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
POTVIN, JUDITH
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
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
POTVIN, LANCE
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2010
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
RENNER, JOHN
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 4, 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
STEINKE, JENNIFER
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
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
SWANSON, KARI
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
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
DOLALIE, JENNIFER
Individual · CORPORATE DIRECTOR
Published ownership percentage: 10%
Association date reported to CMS: Jan 1, 2020
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
POTVIN, ALLEN
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Dec 21, 2007
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
POTVIN, JUDITH
Individual · CORPORATE DIRECTOR
Published ownership percentage: 35%
Association date reported to CMS: Dec 21, 2007
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
POTVIN, LANCE
Individual · CORPORATE DIRECTOR
Published ownership percentage: 10%
Association date reported to CMS: Jan 1, 2020
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
SWANSON, KARI
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jan 1, 2020
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
MORTENSEN, DAVID
Individual · CORPORATE OFFICER
Association date reported to CMS: Aug 12, 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
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 CLIFTONLARSONALLEN LLP to 115 facilities. Which policies and staffing decisions are managed centrally versus locally?
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
- Jul 7, 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
- 245307
- Source record locator
- csv-row:66150:ccn:245307
Jul 7, 2026 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Jul 7, 2026 — Health Standard — 1 linked finding
F0699 — Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
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 23, 2026)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 245307
- Source record locator
- csv-row:186195:ccn:245307
Sep 26, 2025 — Health Complaint — 1 linked finding
F0686 — Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 17, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 245307
- Source record locator
- csv-row:186196:ccn:245307
Jul 9, 2025 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Jul 9, 2025 — Health Standard — 3 linked findings
F0641 — Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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 18, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 245307
- Source record locator
- csv-row:186198:ccn:245307
F0812 — Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 18, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 245307
- Source record locator
- csv-row:186197:ccn:245307
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 (Aug 25, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 245307
- Source record locator
- csv-row:186199:ccn:245307
Jul 17, 2024 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Jul 17, 2024 — Health Standard — 7 linked findings
F0656 — Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 23, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 245307
- Source record locator
- csv-row:186201:ccn:245307
F0686 — Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 23, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 245307
- Source record locator
- csv-row:186202:ccn:245307
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 23, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 245307
- Source record locator
- csv-row:186203:ccn:245307
F0758 — Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 23, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 245307
- Source record locator
- csv-row:186204:ccn:245307
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 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 23, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 245307
- Source record locator
- csv-row:186200:ccn:245307
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 (Aug 23, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 245307
- Source record locator
- csv-row:186205:ccn:245307
F0883 — Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 23, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 245307
- Source record locator
- csv-row:186206:ccn:245307
Apr 16, 2024 — Health Complaint — 1 linked finding
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 (May 13, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 245307
- Source record locator
- csv-row:186207:ccn:245307
Sep 20, 2023 — Health Complaint — 1 linked finding
F0626 — Resident Rights Deficiencies
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 3, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 245307
- Source record locator
- csv-row:186208:ccn:245307
Tags appearing across inspections
- F0686 appears in 2 linked inspections.
- F0689 appears in 2 linked 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 F0686 in 2 inspections in the available record. What changes has the facility made to address this issue?
- CMS records show F0689 in 2 inspections in the available record. What changes has the facility made to address this issue?
- 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
7 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
What changed recently?
- Complaint inspection recorded1 deficiency was recorded.
2025
- Complaint inspection recorded
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
- Health inspection completed
3 deficiencies were recorded.
CMS · Recorded event date · View related evidence
2024
- Health inspection completed
7 deficiencies were recorded.
CMS · Recorded event date · View related evidence
- Complaint inspection recorded
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
2023
- Health inspection completed
7 deficiencies were recorded.
CMS · Recorded event date · View related evidence
- Complaint inspection recorded
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
- Complaint inspection recorded
2 deficiencies were recorded.
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).
- Total nursing
- 4.795 reported hours per resident day
- RN categories
- 1.048 reported hours per resident day
- LPN/LVN categories
- 0.415 reported hours per resident day
- CNA
- 1.971 reported hours per resident day
Weekday and weekend calculations
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 5.149 | 3.916 |
| RN categories | 1.248 | 0.551 |
Contract staff accounted for 1.5% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.044 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 | 4.831 | 0.868 | 0.639 | 2.192 | 2.4% | 91 |
| 2025Q3 | 4.797 | 0.965 | 0.537 | 2.383 | 0.3% | 92 |
| 2025Q4 | 4.671 | 1.004 | 0.486 | 2.026 | 1.3% | 92 |
| 2026Q1 | 4.795 | 1.048 | 0.415 | 1.971 | 1.5% | 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 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 4-star health inspection rating.
- CMS reports a 5-star staffing rating.
- CMS reports a 2-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.
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Provider Information
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- 4pq5-n9py
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Overview, facility facts, and CMS ratings
Inspection Dates
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- svdt-c123
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Inspections and facility history
Health Deficiencies
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- r5ix-sfxw
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Health deficiencies and facility history
Payroll Based Journal Daily Nurse Staffing
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
- Coverage
- Apr 1, 2025–Mar 31, 2026
- Source updated
- Jul 29, 2026
- Retrieved
- Aug 15, 2026
- Supports
- PBJ staffing cards, history, and transparent calculations
Ownership
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Ownership parties, organization connections, and ownership history
Skilled Nursing Facility All Owners
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Ownership parties, organization connections, and ownership history
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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