SUNRISE NURSING & REHABILITATION

RAYMORE, MO

CMS provider ID 265476CMS source updated July 29, 2026

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CMS overview

CMS rating overview

CMS overall

3 of 5 CMS stars

Health inspection

2 of 5 CMS stars

Staffing

2 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
152
Ownership descriptor
For profit - Individual
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
8163221991Verified public information · checked Aug 2026

Decision guide

What to review

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

Staffing

CMS publishes a 2-star staffing rating for this facility.

RN staffing was 0.53 hours per resident day in 2026Q1, calculated from CMS PBJ records.

View staffing evidence

Ownership

CMS-published records list 60 ownership or control parties.

CMS records show an ownership change effective December 2022.

View ownership evidence

Chain context

CMS groups this facility with a chain covering 68 facilities across 5 states or territories.

View chain evidence
Enforcement record

CMS records show a $10,193 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 - IndividualCMS
Chain
OPCO SKILLED MANAGEMENTCMS identifies this facility as part of the OPCO SKILLED MANAGEMENT chain.
Related facilities
22Current CMS organization identity
Ownership changes
1 recordedCMS enrollment records

Explore ownership network →

Who is behind this facility?

SeniorTrustHub found evidence connecting this facility to:

  • 14 CMS-reported ownership organizations
  • CMS reports 17 individual ownership interests
  • a CMS chain / common-control group
  • recorded ownership-change events

Related facilities

22 currently connected nursing homes share this CMS organization identity with FIRST SWEETZER HOLDINGS LLC.

Average CMS overall rating
2.5 stars across 22 reporting facilities
CMS monetary penalties
12 of 22 facilities had a recorded monetary penalty in the available CMS period.
Recent CMS penalties
3 facilities had a CMS penalty in the last 18 months.
Recent high-value CMS enforcement
2 facilities had a high-value CMS fine or payment denial in the last 18 months.
Recent CMS complaint inspections
19 facilities had a CMS complaint inspection in the last 18 months.
Total recorded CMS fines
$581,982

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
60
Organizations shown
43
Individuals shown
17
Latest ownership source update
Jul 27, 2026

CMS-published ownership and control parties

  • 600 E SUNRISE DRIVE MO, LLC

    Organization · 5% OR GREATER MORTGAGE INTEREST

    Association date reported to CMS: Dec 12, 2022

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

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Jul 1, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • EMERALD PROPERTY PARTNERS LLC

    Organization · 5% OR GREATER MORTGAGE INTEREST

    Association date reported to CMS: Dec 12, 2022

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

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Jul 1, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • GIBRALTAR TRUST

    Organization · 5% OR GREATER MORTGAGE INTEREST

    Association date reported to CMS: Dec 12, 2022

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

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Jul 1, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • MONTGOMERY SKY TRUST

    Organization · 5% OR GREATER MORTGAGE INTEREST

    Association date reported to CMS: Dec 12, 2022

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

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Jul 1, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • OZARK HEALTHCARE REALTY LLC

    Organization · 5% OR GREATER MORTGAGE INTEREST

    Association date reported to CMS: Dec 12, 2022

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

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Jul 1, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • 600 E SUNRISE DRIVE MO, LLC

    Organization · ADP OF THE SNF

    Association date reported to CMS: Dec 12, 2022

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

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Jul 1, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • CATRON, MICHAEL

    Individual · ADP OF THE SNF

    Association date reported to CMS: Jan 9, 2023

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Jul 1, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • EMERALD PROPERTY PARTNERS LLC

    Organization · ADP OF THE SNF

    Association date reported to CMS: Dec 12, 2022

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

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Jul 1, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • ESDOV INVESTMENTS LLC

    Organization · ADP OF THE SNF

    Association date reported to CMS: Dec 12, 2022

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

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Jul 1, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • FIRST SWEETZER HOLDINGS LLC

    Organization · ADP OF THE SNF

    Association date reported to CMS: Dec 12, 2022

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

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Jul 1, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • GIBRALTAR TRUST

    Organization · ADP OF THE SNF

    Association date reported to CMS: Dec 12, 2022

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

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Jul 1, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • HATTERAS INVESTMENTS LLC

    Organization · ADP OF THE SNF

    Association date reported to CMS: Dec 12, 2022

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

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Jul 1, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • JUBILEE MASTER HOLDINGS LLC

    Organization · ADP OF THE SNF

    Association date reported to CMS: Dec 12, 2022

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

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Jul 1, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • MONTGOMERY SKY TRUST

    Organization · ADP OF THE SNF

    Association date reported to CMS: Dec 12, 2022

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

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Jul 1, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • OZARK HEALTHCARE REALTY LLC

    Organization · ADP OF THE SNF

    Association date reported to CMS: Dec 12, 2022

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

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Jul 1, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • TADAKAMALLA, SRINATH

    Individual · ADP OF THE SNF

    Association date reported to CMS: Dec 12, 2023

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Jul 1, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • EL DORADO NURSING AND REHABILITATION LLC

    Organization · DIRECT OWNERSHIP INTEREST

    Association date reported to CMS: Dec 12, 2022

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

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Jul 1, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • CALIBER ADVISORS LLC

    Organization · INDIRECT OWNERSHIP INTEREST

    Association date reported to CMS: Dec 12, 2022

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

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Jul 1, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • CRESTVIEW TRUST

    Organization · INDIRECT OWNERSHIP INTEREST

    Association date reported to CMS: Dec 12, 2022

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

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Jul 1, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • FIRST SWEETZER HOLDINGS LLC

    Organization · INDIRECT OWNERSHIP INTEREST

    Association date reported to CMS: Dec 12, 2022

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

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Jul 1, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • HATTERAS INVESTMENTS LLC

    Organization · INDIRECT OWNERSHIP INTEREST

    Association date reported to CMS: Dec 12, 2022

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

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Jul 1, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • RIMPAU HOLDINGS TRUST

    Organization · INDIRECT OWNERSHIP INTEREST

    Association date reported to CMS: Dec 12, 2022

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

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Jul 1, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • SASEM INVESTMENTS LLC

    Organization · INDIRECT OWNERSHIP INTEREST

    Association date reported to CMS: Dec 12, 2022

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

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Jul 1, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • HAGINS, ELIZABETH

    Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF

    Association date reported to CMS: Apr 30, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Jul 1, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • KAPLAN, ESTHER

    Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF

    Association date reported to CMS: May 22, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Jul 1, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • KAPLAN, MORDECHAI

    Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF

    Association date reported to CMS: Apr 30, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Jul 1, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • KAPLAN, MOSHA

    Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF

    Association date reported to CMS: May 22, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Jul 1, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • STERNSHEIN, JENNIFER

    Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF

    Association date reported to CMS: Apr 30, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Jul 1, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • UNGER, JEFFREY

    Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF

    Association date reported to CMS: May 22, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Jul 1, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • ZIMMERMAN, CAROLINE

    Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF

    Association date reported to CMS: Apr 30, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Jul 1, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • CATRON, MICHAEL

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Jan 9, 2023

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Jul 1, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • GARETZ, DAVID

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Dec 12, 2022

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Jul 1, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • TADAKAMALLA, SRINATH

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Dec 12, 2023

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Jul 1, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • 600 E SUNRISE DRIVE MO, LLC

    Organization · 5% OR GREATER MORTGAGE INTEREST

    Published ownership percentage: 100%

    Association date reported to CMS: Dec 12, 2022

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

    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
    Jul 27, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • EMERALD PROPERTY PARTNERS LLC

    Organization · 5% OR GREATER MORTGAGE INTEREST

    Published ownership percentage: 74.5%

    Association date reported to CMS: Dec 12, 2022

    Other facilities connected through this exact CMS organization identity: 6 across MO, NM.

    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
    Jul 27, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • GIBRALTAR TRUST

    Organization · 5% OR GREATER MORTGAGE INTEREST

    Published ownership percentage: 20%

    Association date reported to CMS: Dec 12, 2022

    Other facilities connected through this exact CMS organization identity: 19 across IN, MO, NM, TX.

    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
    Jul 27, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • MONTGOMERY SKY TRUST

    Organization · 5% OR GREATER MORTGAGE INTEREST

    Published ownership percentage: 99%

    Association date reported to CMS: Dec 12, 2022

    Other facilities connected through this exact CMS organization identity: 8 across MO, TX.

    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
    Jul 27, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • OZARK HEALTHCARE REALTY LLC

    Organization · 5% OR GREATER MORTGAGE INTEREST

    Published ownership percentage: 100%

    Association date reported to CMS: Dec 12, 2022

    Other facilities connected through this exact CMS organization identity: 5 across MO.

    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
    Jul 27, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • 600 E SUNRISE DRIVE MO, LLC

    Organization · ADP OF THE SNF

    Association date reported to CMS: Dec 12, 2022

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

    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
    Jul 27, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • CATRON, MICHAEL

    Individual · ADP OF THE SNF

    Association date reported to CMS: Jan 9, 2023

    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
    Jul 27, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • EMERALD PROPERTY PARTNERS LLC

    Organization · ADP OF THE SNF

    Association date reported to CMS: Dec 12, 2022

    Other facilities connected through this exact CMS organization identity: 6 across MO, NM.

    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
    Jul 27, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • ESDOV INVESTMENTS LLC

    Organization · ADP OF THE SNF

    Association date reported to CMS: Dec 12, 2022

    Other facilities connected through this exact CMS organization identity: 11 across IN, MO, NM, TX.

    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
    Jul 27, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • FIRST SWEETZER HOLDINGS LLC

    Organization · ADP OF THE SNF

    Association date reported to CMS: Dec 12, 2022

    Other facilities connected through this exact CMS organization identity: 21 across MO, NM, TX.

    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
    Jul 27, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • GIBRALTAR TRUST

    Organization · ADP OF THE SNF

    Association date reported to CMS: Dec 12, 2022

    Other facilities connected through this exact CMS organization identity: 19 across IN, MO, NM, TX.

    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
    Jul 27, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • HATTERAS INVESTMENTS LLC

    Organization · ADP OF THE SNF

    Association date reported to CMS: Dec 12, 2022

    Other facilities connected through this exact CMS organization identity: 12 across MO, NM.

    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
    Jul 27, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • JUBILEE MASTER HOLDINGS LLC

    Organization · ADP OF THE SNF

    Association date reported to CMS: Dec 12, 2022

    Other facilities connected through this exact CMS organization identity: 6 across IN, MO.

    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
    Jul 27, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • MONTGOMERY SKY TRUST

    Organization · ADP OF THE SNF

    Association date reported to CMS: Dec 12, 2022

    Other facilities connected through this exact CMS organization identity: 8 across MO, TX.

    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
    Jul 27, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • OZARK HEALTHCARE REALTY LLC

    Organization · ADP OF THE SNF

    Association date reported to CMS: Dec 12, 2022

    Other facilities connected through this exact CMS organization identity: 5 across MO.

    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
    Jul 27, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • TADAKAMALLA, SRINATH

    Individual · ADP OF THE SNF

    Association date reported to CMS: Dec 12, 2023

    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
    Jul 27, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • EL DORADO NURSING AND REHABILITATION LLC

    Organization · DIRECT OWNERSHIP INTEREST

    Published ownership percentage: 100%

    Association date reported to CMS: Dec 12, 2022

    Other facilities connected through this exact CMS organization identity: 5 across MO.

    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
    Jul 27, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • CALIBER ADVISORS LLC

    Organization · INDIRECT OWNERSHIP INTEREST

    Published ownership percentage: 97%

    Association date reported to CMS: Dec 12, 2022

    Other facilities connected through this exact CMS organization identity: 12 across MO, NM, TX.

    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
    Jul 27, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • CRESTVIEW TRUST

    Organization · INDIRECT OWNERSHIP INTEREST

    Published ownership percentage: 63.33%

    Association date reported to CMS: Dec 12, 2022

    Other facilities connected through this exact CMS organization identity: 7 across MO, NM, TX.

    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
    Jul 27, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • FIRST SWEETZER HOLDINGS LLC

    Organization · INDIRECT OWNERSHIP INTEREST

    Published ownership percentage: 2%

    Association date reported to CMS: Dec 12, 2022

    Other facilities connected through this exact CMS organization identity: 21 across MO, NM, TX.

    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
    Jul 27, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • HATTERAS INVESTMENTS LLC

    Organization · INDIRECT OWNERSHIP INTEREST

    Published ownership percentage: 1%

    Association date reported to CMS: Dec 12, 2022

    Other facilities connected through this exact CMS organization identity: 12 across MO, NM.

    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
    Jul 27, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • RIMPAU HOLDINGS TRUST

    Organization · INDIRECT OWNERSHIP INTEREST

    Published ownership percentage: 34.1%

    Association date reported to CMS: Dec 12, 2022

    Other facilities connected through this exact CMS organization identity: 17 across MO, NM, TX.

    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
    Jul 27, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • SASEM INVESTMENTS LLC

    Organization · INDIRECT OWNERSHIP INTEREST

    Published ownership percentage: 2.58%

    Association date reported to CMS: Dec 12, 2022

    Other facilities connected through this exact CMS organization identity: 20 across MO, NM.

    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
    Jul 27, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • CATRON, MICHAEL

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Jan 9, 2023

    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
    Jul 27, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • GARETZ, DAVID

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Dec 12, 2022

    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
    Jul 27, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • TADAKAMALLA, SRINATH

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Dec 12, 2023

    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
    Jul 27, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • 600 OPCO LLC

    Organization · Medicare-enrolled legal organization

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

    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
    Jul 27, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source

Ownership changes reported in CMS enrollment records

  1. CHANGE OF OWNERSHIPRAYMORE MO CONSULTING LLC to 600 OPCO 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
    Jul 27, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source

What this means

Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.

Questions to ask

  • CMS records list several organizations with ownership or control roles. Which entity is responsible for day-to-day operations at this facility?
  • CMS enrollment records show a change of ownership effective Dec 12, 2022. What operational or leadership changes followed that event?
  • CMS records connect EMERALD PROPERTY PARTNERS LLC to 7 facilities. Which policies and staffing decisions are managed centrally versus locally?

Chain context

CMS groups this facility with OPCO SKILLED MANAGEMENT

Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 773 is a grouping identifier, not a legal organization.

Facilities
68
States and territories
5
Average overall rating
2.2
Average staffing rating
1.7
Average total nurse HPRD
3.1
Total fines
103
Review CMS chain evidence

CMS-published history

Monthly chain measures
MonthFacilitiesOverall ratingStaffing rating
Wed Jul682.21.7
Mon Jun662.31.8
Fri May642.41.8
Wed Apr622.31.7
Sun Mar522.41.8
Sun Feb472.31.8

Questions to ask

  • CMS groups facilities in 5 states or territories under this chain. Which operational policies are set at the chain level?
  • CMS reports 103 fines across the chain in this dataset. What compliance functions are managed centrally?
CMS chain source and methodology

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

View official CMS source

Inspections & deficiencies

What CMS inspection records show

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

Latest recorded inspection

Date
May 21, 2026
Survey type
Health Complaint
Linked findings
1
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
Jul 1, 2026
CMS provider ID
265476
Source record locator
csv-row:71812:ccn:265476
View official CMS source
May 21, 2026Health Complaint 1 linked finding
  • F0551Resident Rights Deficiencies

    Give the resident's representative the ability to exercise the resident's 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 no plan of correction

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    265476
    Source record locator
    csv-row:201225:ccn:265476
    View official CMS source
Jun 26, 2025Fire Safety Standard 0 linked findings

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

Jun 26, 2025Health Standard 12 linked findings
  • F0552Resident Rights Deficiencies

    Ensure that residents are fully informed and understand their health status, care and treatments.

    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 8, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    265476
    Source record locator
    csv-row:201233:ccn:265476
    View official CMS source
  • F0607Freedom from Abuse, Neglect, and Exploitation Deficiencies

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

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

    Correction status: Deficient, Provider has date of correction (Aug 8, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    265476
    Source record locator
    csv-row:201229:ccn:265476
    View official CMS source
  • F0658Resident Assessment and Care Planning Deficiencies

    Ensure services provided by the nursing facility meet professional standards of quality.

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

    Correction status: Deficient, Provider has date of correction (Aug 8, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    265476
    Source record locator
    csv-row:201230:ccn:265476
    View official CMS source
  • F0689Quality of Life and Care Deficiencies

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

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

    Correction status: Deficient, Provider has date of correction (Aug 8, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    265476
    Source record locator
    csv-row:201234:ccn:265476
    View official CMS source
  • F0690Quality 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 (Aug 8, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    265476
    Source record locator
    csv-row:201235:ccn:265476
    View official CMS source
  • F0695Quality of Life and Care Deficiencies

    Provide safe and appropriate respiratory care for a resident when needed.

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

    Correction status: Deficient, Provider has date of correction (Aug 8, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    265476
    Source record locator
    csv-row:201231:ccn:265476
    View official CMS source
  • F0755Pharmacy Service Deficiencies

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

    Correction status: Deficient, Provider has date of correction (Aug 8, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    265476
    Source record locator
    csv-row:201236:ccn:265476
    View official CMS source
  • F0759Pharmacy Service Deficiencies

    Ensure medication error rates are not 5 percent or greater.

    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 8, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    265476
    Source record locator
    csv-row:201237:ccn:265476
    View official CMS source
  • F0761Pharmacy 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 F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Aug 8, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    265476
    Source record locator
    csv-row:201226:ccn:265476
    View official CMS source
  • F0812Nutrition and Dietary Deficiencies

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

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

    Correction status: Deficient, Provider has date of correction (Aug 8, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    265476
    Source record locator
    csv-row:201227:ccn:265476
    View official CMS source
  • F0836Administration Deficiencies

    Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

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

    Correction status: Deficient, Provider has date of correction (Aug 8, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    265476
    Source record locator
    csv-row:201232:ccn:265476
    View official CMS source
  • F0880Infection Control Deficiencies

    Provide and implement an infection prevention and control program.

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

    Correction status: Deficient, Provider has date of correction (Aug 8, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    265476
    Source record locator
    csv-row:201228:ccn:265476
    View official CMS source
Feb 20, 2025Fire Safety Complaint 0 linked findings

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

Apr 11, 2024Health Complaint 2 linked findings
  • F0561Resident 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 (Apr 25, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    265476
    Source record locator
    csv-row:201245:ccn:265476
    View official CMS source
  • F0689Quality 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 G: Isolated; Actual harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Apr 25, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    265476
    Source record locator
    csv-row:201244:ccn:265476
    View official CMS source
Oct 17, 2023Health Complaint 1 linked finding
  • F0600Freedom 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: Past Non-Compliance (Oct 16, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    265476
    Source record locator
    csv-row:201246:ccn:265476
    View official CMS source
Aug 7, 2023Fire Safety Standard 0 linked findings

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

Aug 7, 2023Health Complaint 0 linked findings

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

Aug 7, 2023Health Standard 5 linked findings
  • F0607Freedom from Abuse, Neglect, and Exploitation Deficiencies

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

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

    Correction status: Past Non-Compliance (Jul 23, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    265476
    Source record locator
    csv-row:201239:ccn:265476
    View official CMS source
  • F0756Pharmacy 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 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 8, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    265476
    Source record locator
    csv-row:201240:ccn:265476
    View official CMS source
  • F0812Nutrition and Dietary Deficiencies

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

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

    Correction status: Deficient, Provider has date of correction (Sep 8, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    265476
    Source record locator
    csv-row:201238:ccn:265476
    View official CMS source
  • F0880Infection 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 8, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    265476
    Source record locator
    csv-row:201241:ccn:265476
    View official CMS source
  • F0881Infection Control Deficiencies

    Implement a program that monitors antibiotic use.

    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 8, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    265476
    Source record locator
    csv-row:201242:ccn:265476
    View official CMS source
Aug 17, 2021Fire Safety Standard 0 linked findings

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

Aug 17, 2021Health Standard 12 linked findings
  • F0554Resident 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 (Nov 16, 2021)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    265476
    Source record locator
    csv-row:201253:ccn:265476
    View official CMS source
  • F0563Resident Rights Deficiencies

    Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

    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 16, 2021)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    265476
    Source record locator
    csv-row:201249:ccn:265476
    View official CMS source
  • F0584Resident Rights Deficiencies

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

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

    Correction status: Deficient, Provider has date of correction (Oct 1, 2021)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    265476
    Source record locator
    csv-row:201250:ccn:265476
    View official CMS source
  • F0600Freedom 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 (Nov 16, 2021)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    265476
    Source record locator
    csv-row:201254:ccn:265476
    View official CMS source
  • F0658Resident Assessment and Care Planning Deficiencies

    Ensure services provided by the nursing facility meet professional standards of quality.

    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 1, 2021)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    265476
    Source record locator
    csv-row:201255:ccn:265476
    View official CMS source
  • F0689Quality 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 1, 2021)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    265476
    Source record locator
    csv-row:201256:ccn:265476
    View official CMS source
  • F0695Quality 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 (Oct 1, 2021)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    265476
    Source record locator
    csv-row:201257:ccn:265476
    View official CMS source
  • F0755Pharmacy Service Deficiencies

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    CMS scope/severity 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 1, 2021)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    265476
    Source record locator
    csv-row:201251:ccn:265476
    View official CMS source
  • F0812Nutrition and Dietary Deficiencies

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

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

    Correction status: Deficient, Provider has date of correction (Oct 1, 2021)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    265476
    Source record locator
    csv-row:201247:ccn:265476
    View official CMS source
  • F0814Nutrition and Dietary Deficiencies

    Dispose of garbage and refuse properly.

    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 1, 2021)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    265476
    Source record locator
    csv-row:201258:ccn:265476
    View official CMS source
  • F0886Infection Control Deficiencies

    Perform COVID19 testing on residents and staff.

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

    Correction status: Deficient, Provider has date of correction (Oct 1, 2021)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    265476
    Source record locator
    csv-row:201248:ccn:265476
    View official CMS source
  • F0921Environmental Deficiencies

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    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 1, 2021)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    265476
    Source record locator
    csv-row:201252:ccn:265476
    View official CMS source

Tags appearing across inspections

  • F0689 appears in 3 linked inspections.
  • F0812 appears in 3 linked inspections.
  • F0600 appears in 2 linked inspections.
  • F0607 appears in 2 linked inspections.
  • F0658 appears in 2 linked inspections.
  • F0695 appears in 2 linked inspections.
  • F0755 appears in 2 linked inspections.
  • F0880 appears in 2 linked inspections.

Penalties & enforcement

CMS penalty records in the loaded three-year dataset

  • FineApr 11, 2024

    Published fine amount: $10,193.00

    View source details
    Dataset
    Penalties
    CMS dataset ID
    g6vv-u9sr
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    265476
    Source record locator
    csv-row:7862:ccn:265476
    View official CMS source

Questions to ask

Questions generated from the evidence above

  • CMS records show F0689 in 3 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0812 in 3 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0600 in 2 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0607 in 2 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0658 in 2 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0695 in 2 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0755 in 2 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0880 in 2 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show a monetary penalty dated Apr 11, 2024. 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

  1. Complaint inspection recorded

    1 deficiency was recorded.

    CMS · Recorded event date · View related evidence

2025

  1. Health inspection completed

    12 deficiencies were recorded.

    CMS · Recorded event date · View related evidence

  2. Fire-safety complaint inspection recorded

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

    CMS · Recorded event date · View related evidence

2024

  1. Complaint inspection recorded

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

    CMS · Recorded event date · View related evidence

  2. Civil monetary penalty recorded

    CMS recorded a $10,193 civil monetary penalty.

    CMS · Recorded event date · View related evidence

2023

  1. Complaint inspection recorded

    1 deficiency was recorded.

    CMS · Recorded event date · View related evidence

  2. Health inspection completed

    5 deficiencies were recorded.

    CMS · Recorded event date · View related evidence

  3. Complaint inspection recorded

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

    CMS · Recorded event date · View related evidence

2022

  1. Ownership change recorded

    An ownership change was recorded. New organization: 600 OPCO LLC.

    RAYMORE MO CONSULTING LLC600 OPCO LLC

    CMS · Recorded event date · View related evidence

2021

  1. Health inspection completed

    12 deficiencies were recorded.

    CMS · Recorded event date · View related evidence

Staffing

Reported nursing staffing at a glance

CMS staffing rating: 2 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
2.722
reported hours per resident day
RN categories
0.528
reported hours per resident day
LPN/LVN categories
0.502
reported hours per resident day
CNA
1.322
reported hours per resident day

Weekday and weekend calculations

2026Q1 reported hours per resident day
MeasureMonday–FridaySaturday–Sunday
Total nursing2.8452.419
RN categories0.5580.454

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

Reported RN-category hours per resident day were 0.042 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
2025Q22.9380.4510.5651.6050.4%91
2025Q32.8510.4880.5631.4160%92
2025Q42.8210.570.5011.3330%92
2026Q12.7220.5280.5021.3220%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, 2026Mar 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 3-star overall rating.
  • CMS reports a 2-star health inspection rating.
  • CMS reports a 2-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.

    Trust participation

    See something that needs correction?

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

    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
    Jul 29, 2026
    Retrieved
    Aug 14, 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
    Jul 1, 2026
    Retrieved
    Aug 14, 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
    Jul 1, 2026
    Retrieved
    Aug 14, 2026
    Supports
    Health deficiencies and facility history
    View official CMS source
    Penalties
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset identifier
    g6vv-u9sr
    Source updated
    Jul 1, 2026
    Retrieved
    Aug 14, 2026
    Supports
    Penalties, enforcement, 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
    Jul 1, 2026
    Retrieved
    Aug 15, 2026
    Supports
    Ownership parties, organization connections, and ownership history
    View official CMS source
    Skilled Nursing Facility All Owners
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Jul 27, 2026
    Retrieved
    Aug 15, 2026
    Supports
    Ownership parties, organization connections, and ownership history
    View official CMS source
    Skilled Nursing Facility Enrollments
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset identifier
    5f2c306f-3b1c-42cd-b037-187b2ce22126
    Source updated
    Jul 27, 2026
    Retrieved
    Aug 15, 2026
    Supports
    Ownership parties, organization connections, and ownership history
    View official CMS source
    Skilled Nursing Facility Change of Ownership
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset identifier
    f557a6ed-95b3-4a22-8433-4175db2dec1c
    Source updated
    Jul 27, 2026
    Retrieved
    Aug 15, 2026
    Supports
    Ownership parties, organization connections, and ownership history
    View official CMS source
    Nursing Home Chain Performance Measures
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset identifier
    97ecfad1-d3f1-4d42-b774-d74661d830bc
    Coverage
    Wed Jul
    Source updated
    Aug 12, 2026
    Retrieved
    Aug 16, 2026
    Supports
    CMS chain context, performance, and monthly history
    View official CMS source
    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.