Staffing
CMS publishes a 3-star staffing rating for this facility.
RN staffing was 1.04 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceAsk about this facility
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 245328.
At a glance
CMS research snapshot
CMS overall rating
3 of 5 CMS stars3/5CMS health inspection rating
3 of 5 CMS stars3/5CMS staffing rating
3 of 5 CMS stars3/5CMS quality-measure rating
2 of 5 CMS stars2/5CMS ownership-change history
CMS has published 1 ownership-change record for this provider.
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
- AREM, JEFFREYIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST15% ownership interest
- HALPERT, MARCIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST28% ownership interest
- HALPERT, MARCIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST28% ownership interest
- JAFFA, NOAMIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST10% ownership interest
- JAFFA, NOAMIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST10% ownership interest
- JCA HOLDINGS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST15% ownership interest
- JCA HOLDINGS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST15% ownership interest
- LEGUM, JOSHUAIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST28% ownership interest
- LEGUM, JOSHUAIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST28% ownership interest
- NIJ LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST10% ownership interest
- NIJ LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST10% ownership interest
- SPARTAN HEALTHCARE LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST28% ownership interest
- SPARTAN HEALTHCARE LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST28% ownership interest
- STERN, WILLIAMIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST19% ownership interest
- STERN, WILLIAMIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST19% ownership interest
- WBS HOLDINGS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST19% ownership interest
- WBS HOLDINGS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST19% ownership interest
- YAZOMA HOLDINGS, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST28% ownership interest
- YAZOMA HOLDINGS, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST28% ownership interest
Operators
- MONARCH HEALTHCARE OPERATING V LLCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- MONARCH HEALTHCARE OPERATING V LLCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL100% ownership interest
- MONARCH HEALTHCARE OPERATING V LLCOrganization · HISTORICALOPERATIONAL/MANAGERIAL CONTROL100% ownership interest
- MONARCH HEALTHCARE OPERATING V LLCOrganization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL100% ownership interest
- MONARCH HEALTHCARE OPERATING V LLCOrganization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
Managers
- LEGUM, JOSHUAIndividual owner · CURRENTCONTRACTED MANAGING EMPLOYEE28% ownership interest
- LEGUM, JOSHUAIndividual owner · CURRENTCONTRACTED MANAGING EMPLOYEE
- LEGUM, JOSHUAIndividual owner · HISTORICALCONTRACTED MANAGING EMPLOYEE28% ownership interest
- LEGUM, JOSHUAIndividual owner · UNKNOWNCONTRACTED MANAGING EMPLOYEE28% ownership interest
- LEGUM, JOSHUAIndividual owner · UNKNOWNCONTRACTED MANAGING EMPLOYEE
Enrollment organizations
- PARMLY ON THE LAKE LLCOrganization · CURRENTMedicare-enrolled legal organization
- PARMLY ON THE LAKE LLCOrganization · UNKNOWNMedicare-enrolled legal organization
Historical ownership observations
Historical
- AREM, JEFFREYIndividual owner · HISTORICAL5% OR GREATER INDIRECT OWNERSHIP INTEREST15% ownership interest
- HALPERT, MARCIndividual owner · HISTORICAL5% OR GREATER INDIRECT OWNERSHIP INTEREST28% ownership interest
- JAFFA, NOAMIndividual owner · HISTORICAL5% OR GREATER INDIRECT OWNERSHIP INTEREST10% ownership interest
- JCA HOLDINGS LLCOrganization · HISTORICAL5% OR GREATER DIRECT OWNERSHIP INTEREST15% ownership interest
- LEGUM, JOSHUAIndividual owner · HISTORICAL5% OR GREATER INDIRECT OWNERSHIP INTEREST28% ownership interest
- NIJ LLCOrganization · HISTORICAL5% OR GREATER DIRECT OWNERSHIP INTEREST10% ownership interest
- SPARTAN HEALTHCARE LLCOrganization · HISTORICAL5% OR GREATER DIRECT OWNERSHIP INTEREST28% ownership interest
- STERN, WILLIAMIndividual owner · HISTORICAL5% OR GREATER INDIRECT OWNERSHIP INTEREST19% ownership interest
- WBS HOLDINGS LLCOrganization · HISTORICAL5% OR GREATER DIRECT OWNERSHIP INTEREST19% ownership interest
- YAZOMA HOLDINGS, LLCOrganization · HISTORICAL5% OR GREATER DIRECT OWNERSHIP INTEREST28% ownership interest
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
- AREM, JEFFREYIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST15% ownership interest
- HALPERT, MARCIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST28% ownership interest
- HALPERT, MARCIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST28% ownership interest
- JAFFA, NOAMIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST10% ownership interest
- JAFFA, NOAMIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST10% ownership interest
- JCA HOLDINGS LLCOrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST15% ownership interest
- JCA HOLDINGS LLCOrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST15% ownership interest
- LEGUM, JOSHUAIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST28% ownership interest
- LEGUM, JOSHUAIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST28% ownership interest
- NIJ LLCOrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST10% ownership interest
- NIJ LLCOrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST10% ownership interest
- SPARTAN HEALTHCARE LLCOrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST28% ownership interest
- SPARTAN HEALTHCARE LLCOrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST28% ownership interest
- STERN, WILLIAMIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST19% ownership interest
- STERN, WILLIAMIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST19% ownership interest
- WBS HOLDINGS LLCOrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST19% ownership interest
- WBS HOLDINGS LLCOrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST19% ownership interest
- YAZOMA HOLDINGS, LLCOrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST28% ownership interest
- YAZOMA HOLDINGS, LLCOrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST28% ownership interest
Ownership change history
CMS ownership-change records
CMS publishes Change of Ownership records for this nursing home.
CMS records show an ownership change effective 2017-12-29.
- CMS type
- CHANGE OF OWNERSHIP
- Buyer legal entity
- PARMLY ON THE LAKE LLC
- Seller legal entity
- ECUMEN
- Effective date
- 2017-12-29
These are CMS transaction records. They are not a Trust Hub quality, stability, or sale judgment.
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
- 91
- 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
- 6512570575Verified 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 1508370412 · enrollment O20171215002600
- NPI 1508370412 · enrollment O20171215002600
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): 98.333333
- Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (Long Stay): 95.238095
- Percentage of long-stay residents experiencing one or more falls with major injury (Long Stay): 3.750000 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents who have depressive symptoms (Long Stay): 3.846154
- Percentage of long-stay residents who lose too much weight (Long Stay): 3.797468
- Percentage of long-stay residents who received an antianxiety or hypnotic medication (Long Stay): 13.253012
- Percentage of long-stay residents who received an antipsychotic medication (Long Stay): 18.333333 · 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): 29.547928 · 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): 14.285714 · 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): 1.036701 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents with a urinary tract infection (Long Stay): 2.100840 · 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): 33.942278
- Percentage of long-stay residents with pressure ulcers (Long Stay): 4.932029 · CMS uses this measure in the quality-measure star rating
- Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (Short Stay): 96.091644
- Percentage of short-stay residents who newly received an antipsychotic medication (Short Stay): 3.289474 · 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): 87.373737
Fire-safety citations
CMS fire-safety citations
These are fire-safety citations, not health deficiencies and not a count of fires.
- 2022-02-17 · tag 0372 · scope/severity E — Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- 2022-02-17 · 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 Sep 19, 2024 cited 6 deficiencies.
View inspection evidenceOwnership
CMS-published records list 30 ownership or control parties.
CMS records show an ownership change effective December 2017.
View ownership evidenceChain context
CMS groups this facility with a chain covering 45 facilities across 1 states or territories.
View chain evidenceEnforcement record
CMS records show a $8,193 fine in the loaded enforcement dataset.
View enforcement 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
- For profit - CorporationCMS
- Chain
- MONARCH HEALTHCARE MANAGEMENTCMS identifies this facility as part of the MONARCH HEALTHCARE MANAGEMENT chain.
- Related facilities
- 42Current CMS organization identity
- Ownership changes
- 1 recordedCMS enrollment records
Who is behind this facility?
SeniorTrustHub found evidence connecting this facility to:
- 10 CMS-reported ownership organizations
- CMS reports 17 individual ownership interests
- a CMS chain / common-control group
- recorded ownership-change events
Related facilities
42 currently connected nursing homes share this CMS organization identity with SPARTAN HEALTHCARE LLC.
- Average CMS overall rating
- 2.3 stars across 42 reporting facilities
- CMS monetary penalties
- 24 of 42 facilities had a recorded monetary penalty in the available CMS period.
- Recent CMS penalties
- 11 facilities had a CMS penalty in the last 18 months.
- Recent high-value CMS enforcement
- 11 facilities had a high-value CMS fine or payment denial in the last 18 months.
- Recent CMS complaint inspections
- 36 facilities had a CMS complaint inspection in the last 18 months.
- Total recorded CMS fines
- $1,381,790
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
- 30
- Organizations shown
- 13
- Individuals shown
- 17
- Latest ownership source update
- Aug 17, 2026
CMS-published ownership and control parties
JCA HOLDINGS LLC
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 15%
Association date reported to CMS: Dec 29, 2017
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
NIJ LLC
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 10%
Association date reported to CMS: Dec 29, 2017
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
SPARTAN HEALTHCARE LLC
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 28%
Association date reported to CMS: Dec 29, 2017
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
WBS HOLDINGS LLC
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 19%
Association date reported to CMS: Dec 29, 2017
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
YAZOMA HOLDINGS, LLC
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 28%
Association date reported to CMS: Dec 29, 2017
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
HALPERT, MARC
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 28%
Association date reported to CMS: Dec 29, 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
JAFFA, NOAM
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 10%
Association date reported to CMS: Dec 29, 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
LEGUM, JOSHUA
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 28%
Association date reported to CMS: Dec 29, 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
STERN, WILLIAM
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 19%
Association date reported to CMS: Dec 29, 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
LEGUM, JOSHUA
Individual · CONTRACTED MANAGING EMPLOYEE
Association date reported to CMS: Dec 29, 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
JAFFA, NOAM
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Dec 29, 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
HALPERT, MARC
Individual · CORPORATE OFFICER
Association date reported to CMS: Dec 29, 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
STERN, WILLIAM
Individual · CORPORATE OFFICER
Association date reported to CMS: Dec 29, 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
MONARCH HEALTHCARE OPERATING V LLC
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Dec 29, 2017
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
JCA HOLDINGS LLC
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 15%
Association date reported to CMS: Dec 29, 2017
Other facilities connected through this exact CMS organization identity: 5 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
NIJ LLC
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 10%
Association date reported to CMS: Dec 29, 2017
Other facilities connected through this exact CMS organization identity: 40 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
SPARTAN HEALTHCARE LLC
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 28%
Association date reported to CMS: Dec 29, 2017
Other facilities connected through this exact CMS organization identity: 41 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
WBS HOLDINGS LLC
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 19%
Association date reported to CMS: Dec 29, 2017
Other facilities connected through this exact CMS organization identity: 23 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
YAZOMA HOLDINGS, LLC
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 28%
Association date reported to CMS: Dec 29, 2017
Other facilities connected through this exact CMS organization identity: 40 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
AREM, JEFFREY
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 15%
Association date reported to CMS: Dec 29, 2017
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
HALPERT, MARC
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 28%
Association date reported to CMS: Dec 29, 2017
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
JAFFA, NOAM
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 10%
Association date reported to CMS: Dec 29, 2017
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
LEGUM, JOSHUA
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 28%
Association date reported to CMS: Dec 29, 2017
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
STERN, WILLIAM
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 19%
Association date reported to CMS: Dec 29, 2017
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
LEGUM, JOSHUA
Individual · CONTRACTED MANAGING EMPLOYEE
Published ownership percentage: 28%
Association date reported to CMS: Dec 29, 2017
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
JAFFA, NOAM
Individual · CORPORATE DIRECTOR
Published ownership percentage: 10%
Association date reported to CMS: Dec 29, 2017
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
HALPERT, MARC
Individual · CORPORATE OFFICER
Published ownership percentage: 28%
Association date reported to CMS: Dec 29, 2017
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
STERN, WILLIAM
Individual · CORPORATE OFFICER
Published ownership percentage: 19%
Association date reported to CMS: Dec 29, 2017
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
MONARCH HEALTHCARE OPERATING V LLC
Organization · OPERATIONAL/MANAGERIAL CONTROL
Published ownership percentage: 100%
Association date reported to CMS: Dec 29, 2017
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
PARMLY ON THE LAKE LLC
Organization · Medicare-enrolled legal organization
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 Enrollments
- CMS dataset identifier
- 5f2c306f-3b1c-42cd-b037-187b2ce22126
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
Ownership changes reported in CMS enrollment records
- CHANGE OF OWNERSHIPECUMEN to PARMLY ON THE LAKE LLC
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility Change of Ownership
- CMS dataset identifier
- f557a6ed-95b3-4a22-8433-4175db2dec1c
- Source updated
- Aug 24, 2026
- Retrieved
- Aug 15, 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 enrollment records show a change of ownership effective Dec 29, 2017. What operational or leadership changes followed that event?
- CMS records connect JCA HOLDINGS LLC to 6 facilities. Which policies and staffing decisions are managed centrally versus locally?
Chain context
CMS groups this facility with MONARCH HEALTHCARE MANAGEMENT
Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 361 is a grouping identifier, not a legal organization.
- Facilities
- 45
- States and territories
- 1
- Average overall rating
- 2.3
- Average staffing rating
- 3.7
- Average total nurse HPRD
- 3.5
- Total fines
- 82
CMS-published history
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 45 | 2.3 | 3.7 |
| Mon Jun | 45 | 2.2 | 3.5 |
| Fri May | 45 | 2.2 | 3.5 |
| Wed Apr | 45 | 2.3 | 3.5 |
| Sun Mar | 45 | 2.3 | 3.3 |
| Sun Feb | 45 | 2.2 | 3.3 |
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 82 fines across the chain in this dataset. What compliance functions are managed centrally?
CMS chain source and methodology
Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.
View official CMS sourceInspections & deficiencies
What CMS inspection records show
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
Latest recorded inspection
- Date
- Jun 15, 2026
- Survey type
- Health Complaint
- Linked findings
- 3
- Highest linked CMS classification
- D — Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy
View source details
- Dataset
- Inspection Dates
- CMS dataset ID
- svdt-c123
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 245328
- Source record locator
- csv-row:66269:ccn:245328
Jun 15, 2026 — Health Complaint — 3 linked findings
F0684 — Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 12, 2026)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 245328
- Source record locator
- csv-row:186512:ccn:245328
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 (Jun 12, 2026)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 245328
- Source record locator
- csv-row:186511:ccn:245328
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 12, 2026)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 245328
- Source record locator
- csv-row:186513:ccn:245328
May 26, 2026 — Health Complaint — 1 linked finding
F0695 — Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 28, 2026)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 245328
- Source record locator
- csv-row:186514:ccn:245328
Jun 12, 2025 — Health Complaint — 1 linked finding
F0600 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 5, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 245328
- Source record locator
- csv-row:186521:ccn:245328
Feb 11, 2025 — Health Complaint — 1 linked finding
F0684 — Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 14, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 245328
- Source record locator
- csv-row:186522:ccn:245328
Sep 19, 2024 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Sep 19, 2024 — Health Standard — 6 linked findings
F0604 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
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 (Oct 18, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 245328
- Source record locator
- csv-row:186516:ccn:245328
F0684 — Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 18, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 245328
- Source record locator
- csv-row:186517:ccn:245328
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 (Oct 18, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 245328
- Source record locator
- csv-row:186518:ccn:245328
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 (Oct 18, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 245328
- Source record locator
- csv-row:186519:ccn:245328
F0756 — Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
CMS scope/severity 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 (Oct 18, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 245328
- Source record locator
- csv-row:186520:ccn:245328
F0880 — Infection Control Deficiencies
Provide and implement an infection prevention and control program.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 18, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 245328
- Source record locator
- csv-row:186515:ccn:245328
Sep 14, 2023 — Health Complaint — 1 linked finding
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 (Sep 25, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 245328
- Source record locator
- csv-row:186527:ccn:245328
Sep 8, 2023 — Health Complaint — 2 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 (Sep 8, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 245328
- Source record locator
- csv-row:186529:ccn:245328
F0684 — Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Sep 8, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 245328
- Source record locator
- csv-row:186528:ccn:245328
Jul 13, 2023 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Jul 13, 2023 — Health Standard — 4 linked findings
F0561 — Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 1, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 245328
- Source record locator
- csv-row:186524:ccn:245328
F0684 — Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 1, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 245328
- Source record locator
- csv-row:186525:ccn:245328
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 (Sep 1, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 245328
- Source record locator
- csv-row:186526:ccn:245328
F0880 — Infection Control Deficiencies
Provide and implement an infection prevention and control program.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 1, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 245328
- Source record locator
- csv-row:186523:ccn:245328
Feb 17, 2022 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Feb 17, 2022 — Health Standard — 4 linked findings
F0578 — Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
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 (Mar 18, 2022)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 245328
- Source record locator
- csv-row:186531:ccn:245328
F0657 — Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 18, 2022)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 245328
- Source record locator
- csv-row:186532:ccn:245328
F0690 — Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 18, 2022)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 245328
- Source record locator
- csv-row:186533:ccn:245328
F0760 — Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Mar 18, 2022)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 245328
- Source record locator
- csv-row:186530:ccn:245328
Tags appearing across inspections
- F0684 appears in 5 linked inspections.
- F0880 appears in 3 linked inspections.
- F0580 appears in 2 linked inspections.
- F0689 appears in 2 linked inspections.
Penalties & enforcement
CMS penalty records in the loaded three-year dataset
Fine — Sep 8, 2023
Published fine amount: $8,193.00
View source details
- Dataset
- Penalties
- CMS dataset ID
- g6vv-u9sr
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 245328
- Source record locator
- csv-row:6968:ccn:245328
Questions to ask
Questions generated from the evidence above
- CMS records show F0684 in 5 inspections in the available record. What changes has the facility made to address this issue?
- CMS records show F0880 in 3 inspections in the available record. What changes has the facility made to address this issue?
- CMS records show F0580 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 a monetary penalty dated Sep 8, 2023. What changes were made after that enforcement action?
Facility history
Facility History
10 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.
2026
- Complaint inspection recorded
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
2025
- Complaint inspection recorded
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
- Complaint inspection recorded
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
2024
- Health inspection completed
6 deficiencies were recorded.
CMS · Recorded event date · View related evidence
2023
- Complaint inspection recorded
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
- Complaint inspection recorded
2 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
- Civil monetary penalty recorded
CMS recorded a $8,193 civil monetary penalty.
CMS · Recorded event date · View related evidence
- Health inspection completed
4 deficiencies were recorded.
CMS · Recorded event date · View related evidence
2022
- Health inspection completed
4 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
2017
- Ownership change recorded
An ownership change was recorded. New organization: PARMLY ON THE LAKE LLC.
ECUMEN → PARMLY ON THE LAKE LLC
CMS · Recorded event date · View related evidence
Staffing
Reported nursing staffing at a glance
CMS staffing rating: 3 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
- Total nursing
- 3.476 reported hours per resident day
- RN categories
- 1.039 reported hours per resident day
- LPN/LVN categories
- 0.548 reported hours per resident day
- CNA
- 1.556 reported hours per resident day
Weekday and weekend calculations
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 3.626 | 3.109 |
| RN categories | 1.176 | 0.703 |
Contract staff accounted for 20.2% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.052 higher than the prior loaded quarter.
Staffing over time
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 3.681 | 0.828 | 0.768 | 1.646 | 13.8% | 91 |
| 2025Q3 | 3.634 | 0.891 | 0.769 | 1.575 | 15.5% | 92 |
| 2025Q4 | 3.633 | 0.987 | 0.588 | 1.713 | 15.5% | 92 |
| 2026Q1 | 3.476 | 1.039 | 0.548 | 1.556 | 20.2% | 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 2-star overall rating.
- CMS reports a 2-star health inspection rating.
- CMS reports a 3-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.
Trust participation
See something that needs correction?
Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.
Suggest a correctionReport a source-data concernRepresent this facility? Submit a representation claim
Representation claims are reviewed manually. Live profile-management tools are not yet enabled for this facility.
How corrections workSource register
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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
Penalties
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- g6vv-u9sr
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Penalties, enforcement, and facility history
Payroll Based Journal Daily Nurse Staffing
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
- Coverage
- Apr 1, 2025–Mar 31, 2026
- Source updated
- Jul 29, 2026
- Retrieved
- Aug 15, 2026
- Supports
- PBJ staffing cards, history, and transparent calculations
Ownership
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Ownership parties, organization connections, and ownership history
Skilled Nursing Facility All Owners
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Ownership parties, organization connections, and ownership history
Skilled Nursing Facility Enrollments
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- 5f2c306f-3b1c-42cd-b037-187b2ce22126
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Ownership parties, organization connections, and ownership history
Skilled Nursing Facility Change of Ownership
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- f557a6ed-95b3-4a22-8433-4175db2dec1c
- Source updated
- Aug 24, 2026
- Retrieved
- Aug 15, 2026
- Supports
- Ownership parties, organization connections, and ownership history
Nursing Home Chain Performance Measures
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- 97ecfad1-d3f1-4d42-b774-d74661d830bc
- Coverage
- Wed Jul
- Source updated
- Aug 12, 2026
- Retrieved
- Aug 16, 2026
- Supports
- CMS chain context, performance, and monthly history
Verified public facility information
- Source organization
- Public facility listing
- Dataset identifier
- commercial-corroboration:public-listing
- Source updated
- Aug 18, 2026
- Retrieved
- Aug 18, 2026
- Supports
- Independently verified public website, phone, or publicly used name. Not a CMS rating or regulatory status.
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