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CMS nursing home

LAKEWOOD HEALTH SYSTEM

STAPLES, MN

CMS CCN 2454202188941515Listed in the current CMS nursing-home directoryCMS source updated August 1, 2026

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

Research this nursing home using CMS and federal public records. CMS Certification Number 245420.

At a glance

CMS research snapshot

CMS overall rating

5 of 5 CMS stars

CMS health inspection rating

4 of 5 CMS stars

CMS staffing rating

5 of 5 CMS stars

CMS quality-measure rating

5 of 5 CMS stars

CMS ownership-change history

No attached CMS ownership-change event.

These are CMS star ratings, not Trust Hub ratings. Missing evidence is shown as not reported, not as zero.

Quality & care evidence

What CMS reports about quality

  • MDS quality observations: Available
  • PBJ staffing records: Available
  • Inspection evidence: Available
  • Fire-safety evidence: Available

Staffing, inspections, and fire safety are separate CMS evidence families below.

Ownership & management

Who CMS/PECOS connects to this nursing home

Current ownership uses CURRENT OWNED_BY evidence only. UNKNOWN is not a former owner.

Current owners

No resolved CMS/PECOS relationships in this category.

Operators

  • ALBRECHT, CHRISTINEIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • ANDERSON, BRADIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • BAUMAN, ALICIAIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • BJERGA, LISAIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • DOBSON, KATHLEENIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • LINDOW, MELISSAIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • NEISESS, CORRINEIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • NEWTON RICE, LYNNIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • REYCRAFT, JOSEPHIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • ROEDER, JAMESIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • WOLHOWE, CRAIGIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • ALBRECHT, CHRISTINEIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
  • ANDERSON, BRADIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
  • BAUMAN, ALICIAIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
  • BJERGA, LISAIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
  • DOBSON, KATHLEENIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
  • LINDOW, MELISSAIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
  • NEISESS, CORRINEIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
  • NEWTON RICE, LYNNIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
  • REYCRAFT, JOSEPHIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
  • ROEDER, JAMESIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
  • WOLHOWE, CRAIGIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL

Managers

  • DANIELS, MELISSAIndividual owner · CURRENTW-2 MANAGING EMPLOYEE
  • DANIELS, MELISSAIndividual owner · UNKNOWNW-2 MANAGING EMPLOYEE

Enrollment organizations

No resolved CMS/PECOS relationships in this category.

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

No resolved CMS/PECOS relationships in this category.

Ownership change history

CMS ownership-change records

No CMS ownership-change event is currently attached to this profile in the Trust Hub research graph. That is not proof that ownership never changed.

Source freshness

How current each evidence family is

nursing-home-mds-quality-measures
AGING · source as of 2026-08-01
nursing-home-provider-information
AGING · source as of 2026-08-01
skilled-nursing-facility-all-owners
AGING · source as of 2026-08-17
skilled-nursing-facility-change-of-ownership
CURRENT · source as of 2026-08-24

Profile generated 2026-10-02. That timestamp is not CMS evidence freshness.

Methodology

How Trust Hub researches this provider

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

CMS overview

CMS rating overview

CMS overall

5 of 5 CMS stars

Health inspection

4 of 5 CMS stars

Staffing

5 of 5 CMS stars

Quality-measure

5 of 5 CMS stars

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

How CMS describes these ratings
CMS overall rating
The CMS overall rating summarizes health inspections, staffing, and quality measures within Medicare's Five-Star system.
Health inspection rating
The CMS health inspection rating reflects findings from standard and complaint inspections used in Medicare's Five-Star system.
Staffing rating
The CMS staffing rating reflects staffing levels and related measures used in Medicare's Five-Star system.
Quality-measure rating
The CMS quality-measure rating summarizes selected resident assessment and claims-based measures used in Medicare's Five-Star system.
CMS certified beds
87
Ownership descriptor
Non profit - Corporation
Medicare participation
Yes
Medicaid participation
Yes

Facility information

Contact

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

Phone
2188941515Verified 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.

MDS quality measures

Individual CMS quality measures

These MDS quality measures are individual CMS-published scores. They are not the CMS quality-measure star rating.

MDS source release 2026-08-01.

View individual MDS measures
  • Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (Long Stay): 100.000000
  • Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (Long Stay): 97.297297
  • Percentage of long-stay residents experiencing one or more falls with major injury (Long Stay): 4.377104 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents who have depressive symptoms (Long Stay): 1.111111
  • Percentage of long-stay residents who lose too much weight (Long Stay): 3.496503
  • Percentage of long-stay residents who received an antianxiety or hypnotic medication (Long Stay): 12.237762
  • Percentage of long-stay residents who received an antipsychotic medication (Long Stay): 17.142857 · 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): 16.949730 · 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): 14.963504 · 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): 1.352252 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents with a urinary tract infection (Long Stay): 0.673401 · 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): 19.896760
  • Percentage of long-stay residents with pressure ulcers (Long Stay): 1.851614 · CMS uses this measure in the quality-measure star rating
  • Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (Short Stay): 94.252874
  • Percentage of short-stay residents who newly received an antipsychotic medication (Short Stay): 0.000000 · CMS uses this measure in the quality-measure star rating
  • Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (Short Stay): 86.792453

Fire-safety citations

CMS fire-safety citations

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

  • 2026-02-19 · tag 0345 · scope/severity F — Have approved installation, maintenance and testing program for fire alarm systems.
  • 2024-12-04 · tag 0521 · scope/severity F — Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
  • 2024-12-04 · tag 0753 · scope/severity E — Have restrictions on the use of highly flammable decorations.
  • 2024-12-04 · tag 0923 · scope/severity D — Have proper medical gas storage and administration areas.
  • 2023-11-08 · tag 0920 · scope/severity E — Ensure proper usage of power strips and extension cords.
  • 2023-11-08 · tag 0211 · scope/severity D — Keep aisles, corridors, and exits free of obstruction in case of emergency.
  • 2023-11-08 · tag 0324 · scope/severity D — Provide properly protected cooking facilities.

Decision guide

What to review

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

Staffing

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

RN staffing was 0.82 hours per resident day in 2026Q1, calculated from CMS PBJ records.

View staffing evidence

Ownership & operation

Ownership & Operation

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

Ownership type
Non profit - CorporationCMS

Who is behind this facility?

SeniorTrustHub found evidence connecting this facility to:

  • CMS reports 36 individual ownership interests

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
36
Organizations shown
0
Individuals shown
36
Latest ownership source update
Aug 1, 2026

CMS-published ownership and control parties

  • BJERGA, JUDITH

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Jan 1, 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
    View official CMS source

  • BRICHACEK, AMY

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Jan 1, 2021

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

  • CICHOS, JEF

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Jul 1, 2016

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

  • GROVE, SARA

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Apr 24, 2014

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

  • HAEHNEL, BILLY

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Nov 1, 2015

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

  • HANSEN, LANA

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Jan 1, 2008

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

  • HOEMBERG, BEVERLY

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Jan 1, 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
    View official CMS source

  • JORDAHL, STEPHANIE

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Jul 1, 2021

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

  • KRAUSE, NORMAN

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Jul 1, 2018

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

  • KRAY, RYAN

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Oct 1, 2021

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

  • LEVEILLE, LINDSAY

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Jul 1, 2023

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

  • MUELLER, ROBERT

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Jun 25, 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
    View official CMS source

  • NELSON, KEVIN

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Apr 1, 2018

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

  • PEET, SUSAN

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Jan 1, 2021

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

  • POTTRATZ, ELIZABETH

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Jan 1, 2023

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

  • SCHOECK, KAITLYN

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Aug 7, 2017

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

  • STORBAKKEN, RONALD

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Jan 1, 2000

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

  • SWENSON, WADE

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Jan 1, 2023

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

  • WICHT, EMIL

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Jan 1, 1973

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

  • BJERGA, LISA

    Individual · CORPORATE OFFICER

    Association date reported to CMS: Mar 7, 2016

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

  • MCILRAVY, CURTIS

    Individual · CORPORATE OFFICER

    Association date reported to CMS: Jul 1, 2014

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

  • REYCRAFT, JOSEPH

    Individual · CORPORATE OFFICER

    Association date reported to CMS: Aug 28, 2022

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

  • THEURER, MARY

    Individual · CORPORATE OFFICER

    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
    View official CMS source

  • WOLHOWE, CRAIG

    Individual · CORPORATE OFFICER

    Association date reported to CMS: Jun 11, 1997

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

  • ALBRECHT, CHRISTINE

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Jun 1, 2020

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

  • ANDERSON, BRAD

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Aug 13, 2014

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

  • BAUMAN, ALICIA

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Oct 9, 2022

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

  • BJERGA, LISA

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Mar 7, 2016

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

  • DOBSON, KATHLEEN

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Dec 1, 2014

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

  • LINDOW, MELISSA

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Aug 27, 2023

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

  • NEISESS, CORRINE

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Sep 1, 2018

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

  • NEWTON RICE, LYNN

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Jun 30, 1980

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

  • REYCRAFT, JOSEPH

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Aug 28, 2022

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

  • ROEDER, JAMES

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Oct 15, 2017

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

  • WOLHOWE, CRAIG

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Jun 11, 1997

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

  • DANIELS, MELISSA

    Individual · W-2 MANAGING EMPLOYEE

    Association date reported to CMS: Sep 15, 2016

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

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.

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
Feb 19, 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
245420
Source record locator
csv-row:66912:ccn:245420
View official CMS source
Feb 19, 2026 — Fire Safety Standard — 0 linked findings

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

Feb 19, 2026 — Health Standard — 2 linked findings

  • F0554 — Resident Rights Deficiencies

    Allow residents to self-administer drugs if determined clinically appropriate.

    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 6, 2026)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    245420
    Source record locator
    csv-row:187938:ccn:245420
    View official CMS source

  • F0677 — Quality of Life and Care Deficiencies

    Provide care and assistance to perform activities of daily living for any resident who is unable.

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

    Correction status: Deficient, Provider has date of correction (Mar 6, 2026)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    245420
    Source record locator
    csv-row:187939:ccn:245420
    View official CMS source
Dec 4, 2024 — Fire Safety Standard — 0 linked findings

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

Dec 4, 2024 — Health Standard — 0 linked findings

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

Jul 17, 2024 — 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 G: Isolated; Actual harm that is not immediate jeopardy.

    Correction status: Past Non-Compliance (Jul 5, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    245420
    Source record locator
    csv-row:187940:ccn:245420
    View official CMS source
Nov 8, 2023 — Fire Safety Standard — 0 linked findings

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

Nov 8, 2023 — Health Complaint — 0 linked findings

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

Nov 8, 2023 — Health Standard — 3 linked findings

  • F0576 — Resident Rights Deficiencies

    Ensure residents have reasonable access to and privacy in their use of communication methods.

    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 (Nov 20, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    245420
    Source record locator
    csv-row:187941:ccn:245420
    View official CMS source

  • F0585 — Resident Rights Deficiencies

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    CMS scope/severity 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 (Nov 20, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    245420
    Source record locator
    csv-row:187942:ccn:245420
    View official CMS source

  • F0623 — Resident Rights Deficiencies

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

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

    Correction status: Deficient, Provider has date of correction (Nov 20, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    245420
    Source record locator
    csv-row:187943:ccn:245420
    View official CMS source
Aug 11, 2023 — 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 (Sep 9, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    245420
    Source record locator
    csv-row:187945:ccn:245420
    View official CMS source

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.

Facility history

Facility History

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

What changed recently?

  • Total nurse staffing increasedTotal nurse staffing increased from 4.11 to 4.41 hours per resident day between 2025Q4 and 2026Q1. Staffing improved across those reported periods.
  • Health inspection completed2 deficiencies were recorded.

2026

  1. Total nurse staffing increased

    Total nurse staffing increased from 4.11 to 4.41 hours per resident day between 2025Q4 and 2026Q1. Staffing improved across those reported periods.

    4.11 → 4.41

    CMS · Reported in a source release · View related evidence

  2. Health inspection completed

    2 deficiencies were recorded.

    CMS · Recorded event date · View related evidence

2025

  1. Total nurse staffing decreased

    Total nurse staffing decreased from 4.51 to 4.23 hours per resident day between 2025Q2 and 2025Q3. Staffing declined across those reported periods.

    4.51 → 4.23

    CMS · Reported in a source release · View related evidence

2024

  1. Health inspection completed

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

    CMS · Recorded event date · View related evidence

  2. Complaint inspection recorded

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

    CMS · Recorded event date · View related evidence

2023

  1. Complaint inspection recorded

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

    CMS · Recorded event date · View related evidence

  2. Health inspection completed

    3 deficiencies were recorded.

    CMS · Recorded event date · View related evidence

  3. Complaint inspection recorded

    1 deficiency was 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).

Inspect a PBJ quarter
Total nursing
4.406
reported hours per resident day
RN categories
0.821
reported hours per resident day
LPN/LVN categories
0.521
reported hours per resident day
CNA
2.414
reported hours per resident day

Weekday and weekend calculations

2026Q1 reported hours per resident day
MeasureMonday–FridaySaturday–Sunday
Total nursing4.6173.883
RN categories0.9780.432

Contract staff accounted for 0% of reported nursing hours included in this quarter calculation.

Reported RN-category hours per resident day were 0.019 lower than the prior loaded quarter.

Staffing over time

Solid bar: Total nursing · Outlined bar: RN categories

Calculated reported hours per resident day by PBJ quarter
QuarterTotal nursingRN categoriesLPN/LVNCNAContract shareDays
2025Q24.5070.9670.4312.3170%91
2025Q34.2310.8940.5342.2850%92
2025Q44.1060.840.5662.2580%92
2026Q14.4060.8210.5212.4140%90

Questions to ask

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

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

View official CMS PBJ source

What we can verify today

Current Provider Information facts

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

  • CMS reports a 5-star overall rating.
  • CMS reports a 4-star health inspection rating.
  • CMS reports a 5-star staffing rating.
  • CMS reports a 5-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 work

Source register

See where this record came from

Provider Information
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
4pq5-n9py
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
Supports
Overview, facility facts, and CMS ratings
View official CMS source
Inspection Dates
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
svdt-c123
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
Supports
Inspections and facility history
View official CMS source
Health Deficiencies
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
r5ix-sfxw
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
Supports
Health deficiencies and facility history
View official CMS source
Payroll Based Journal Daily Nurse Staffing
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
7e0d53ba-8f02-4c66-98a5-14a1c997c50d
Coverage
Apr 1, 2025–Mar 31, 2026
Source updated
Jul 29, 2026
Retrieved
Aug 15, 2026
Supports
PBJ staffing cards, history, and transparent calculations
View official CMS source
Ownership
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
Supports
Ownership parties, organization connections, and ownership history
View official CMS source
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.
How sources work

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