Staffing
CMS publishes a 1-star staffing rating for this facility.
RN staffing was 0.59 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceAsk Trust Hub Network
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS.
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
CMS publishes a 1-star staffing rating for this facility.
RN staffing was 0.59 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Jul 31, 2025 cited 10 deficiencies.
View inspection evidenceCMS-published records list 27 ownership or control parties.
View ownership evidenceCMS groups this facility with a chain covering 33 facilities across 2 states or territories.
View chain evidenceOwnership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
SeniorTrustHub found evidence connecting this facility to:
24 currently connected nursing homes share this CMS organization identity with RICHARD J. DESTEFANE REVOCABLE LIVING TRUST.
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
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.
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 15, 2024
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2010
Other facilities connected through this exact CMS organization identity: 0 across MO.
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2018
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 27, 2024
Organization · ADP OF THE SNF
Association date reported to CMS: May 13, 2025
Other facilities connected through this exact CMS organization identity: 0 across MO.
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2018
Other facilities connected through this exact CMS organization identity: 0 across MO.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2010
Other facilities connected through this exact CMS organization identity: 0 across MO.
Individual · CORPORATE OFFICER
Association date reported to CMS: Oct 1, 2010
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 15, 2024
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 1, 2010
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 27, 2024
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 1, 2010
Other facilities connected through this exact CMS organization identity: 0 across MO.
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Mar 1, 2018
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Mar 1, 2018
Other facilities connected through this exact CMS organization identity: 23 across KS, MO.
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 15, 2024
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2010
Other facilities connected through this exact CMS organization identity: 0 across MO.
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2018
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 27, 2024
Organization · ADP OF THE SNF
Association date reported to CMS: May 13, 2025
CMS classifications: Chain / home office, Management services company
Other facilities connected through this exact CMS organization identity: 33 across KS, MO.
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 1, 2018
Other facilities connected through this exact CMS organization identity: 23 across KS, MO.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2010
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 17 across KS, MO.
Individual · CORPORATE OFFICER
Published ownership percentage: 100%
Association date reported to CMS: Oct 1, 2010
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 15, 2024
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 1, 2010
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 27, 2024
Organization · OPERATIONAL/MANAGERIAL CONTROL
Published ownership percentage: 0%
Association date reported to CMS: Oct 1, 2010
CMS classifications: Chain / home office, Management services company
Other facilities connected through this exact CMS organization identity: 33 across KS, MO.
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across MO.
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.
Chain context
Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 446 is a grouping identifier, not a legal organization.
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 33 | 1.2 | 1 |
| Mon Jun | 32 | 1.2 | 1 |
| Fri May | 32 | 1.2 | 1 |
| Wed Apr | 31 | 1.2 | 1 |
| Sun Mar | 29 | 1.1 | 1 |
| Sun Feb | 30 | 1.2 | 1 |
Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.
View official CMS sourceInspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
Assure the security of all personal funds of residents deposited with the facility.
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 9, 2025)
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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, 2025)
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
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, 2025)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 9, 2025)
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 (Sep 9, 2025)
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 (Sep 9, 2025)
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 9, 2025)
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 9, 2025)
Implement a program that monitors antibiotic use.
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 9, 2025)
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
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 9, 2025)
No health-deficiency rows were deterministically linked to this inspection.
Ensure each resident receives an accurate assessment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 1, 2024)
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 1, 2024)
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 1, 2024)
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 (May 1, 2024)
Develop and implement policies and procedures for flu and pneumonia vaccinations.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 1, 2024)
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 1, 2024)
No health-deficiency rows were deterministically linked to this inspection.
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 2, 2022)
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 2, 2022)
Ensure each resident receives an accurate assessment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 2, 2022)
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 2, 2022)
Penalties & enforcement
No penalty records were found for this provider in the currently loaded CMS Penalties dataset.
Questions to ask
Facility history
7 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
Total nurse staffing decreased from 2.83 to 2.57 hours per resident day between 2025Q4 and 2026Q1. Staffing declined across those reported periods.
2.83 → 2.57
CMS · Reported in a source release · View related evidence
RN staffing decreased from 0.72 to 0.59 hours per resident day between 2025Q3 and 2025Q4. Staffing declined across those reported periods.
0.72 → 0.59
CMS · Reported in a source release · View related evidence
Total nurse staffing increased from 2.53 to 2.83 hours per resident day between 2025Q3 and 2025Q4. Staffing improved across those reported periods.
2.53 → 2.83
CMS · Reported in a source release · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
10 deficiencies were recorded.
CMS · Recorded event date · View related evidence
6 deficiencies were recorded.
CMS · Recorded event date · View related evidence
4 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 1 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).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 2.666 | 2.347 |
| RN categories | 0.708 | 0.291 |
Contract staff accounted for 0% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.004 lower than the prior loaded quarter.
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 2.556 | 0.67 | 0.157 | 1.334 | 0% | 91 |
| 2025Q3 | 2.528 | 0.72 | 0.066 | 1.33 | 0% | 92 |
| 2025Q4 | 2.832 | 0.591 | 0.206 | 1.254 | 0% | 92 |
| 2026Q1 | 2.574 | 0.587 | 0.213 | 0.997 | 0% | 90 |
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
Planned evidence layers
These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.
Trust participation
Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.
Source register
No paid placements. Facilities cannot pay to rank higher. We cite. You decide.