Staffing
CMS publishes a 1-star staffing rating for this facility.
RN staffing was 0.25 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 0.25 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Jan 29, 2025 cited 17 deficiencies.
View inspection evidenceCMS-published records list 44 ownership or control parties.
View ownership evidenceCMS groups this facility with a chain covering 36 facilities across 2 states or territories.
View chain evidenceCMS records show a 10-day payment denial in the loaded enforcement dataset.
View enforcement evidence →Ownership & 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:
25 currently connected nursing homes share this CMS organization identity with CIRCLE B ENTERPRISES HOLDING COMPANY INC.
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.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: May 18, 2001
Other facilities connected through this exact CMS organization identity: 0 across MO.
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 25, 2025
Other facilities connected through this exact CMS organization identity: 0 across MO.
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2022
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2022
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 11, 2025
Other facilities connected through this exact CMS organization identity: 0 across MO.
Organization · ADP OF THE SNF
Association date reported to CMS: Dec 2, 2016
Other facilities connected through this exact CMS organization identity: 0 across MO.
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 16, 2021
Other facilities connected through this exact CMS organization identity: 0 across MO.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2010
Other facilities connected through this exact CMS organization identity: 0 across MO.
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2010
Other facilities connected through this exact CMS organization identity: 0 across MO.
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 12, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 6, 2025
Other facilities connected through this exact CMS organization identity: 0 across MO.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2000
Other facilities connected through this exact CMS organization identity: 0 across MO.
Individual · CORPORATE DIRECTOR
Association date reported to CMS: May 18, 2001
Individual · CORPORATE OFFICER
Association date reported to CMS: Jan 1, 2022
Individual · CORPORATE OFFICER
Association date reported to CMS: May 18, 2001
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: May 12, 2025
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Dec 2, 2016
Other facilities connected through this exact CMS organization identity: 0 across MO.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 1, 2022
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 18, 2001
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 12, 2025
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Apr 23, 2021
Other facilities connected through this exact CMS organization identity: 0 across MO.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: May 18, 2001
CMS classifications: Parent company, Holding company
Other facilities connected through this exact CMS organization identity: 24 across MO.
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 25, 2025
CMS classifications: Management services company
Other facilities connected through this exact CMS organization identity: 32 across MO.
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2022
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2022
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 11, 2025
Other facilities connected through this exact CMS organization identity: 23 across MO.
Organization · ADP OF THE SNF
Association date reported to CMS: Dec 2, 2016
Other facilities connected through this exact CMS organization identity: 32 across MO.
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 16, 2021
Other facilities connected through this exact CMS organization identity: 215 across FL, GA, IA, IN, KS, KY, MA, MI, MO, MS, MT, NC, NE, NM, OH, OK, PA, SC, SD, TX, VA, WI.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2010
Other facilities connected through this exact CMS organization identity: 0 across MO.
Individual · ADP OF THE SNF
Association date reported to CMS: Dec 8, 2004
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2000
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2010
CMS classifications: Management services company
Other facilities connected through this exact CMS organization identity: 32 across MO.
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 12, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 6, 2025
Other facilities connected through this exact CMS organization identity: 32 across MO.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2000
Other facilities connected through this exact CMS organization identity: 31 across MO.
Individual · CORPORATE DIRECTOR
Association date reported to CMS: May 18, 2001
Individual · CORPORATE OFFICER
Published ownership percentage: 0%
Association date reported to CMS: Jan 1, 2022
Individual · CORPORATE OFFICER
Published ownership percentage: 100%
Association date reported to CMS: May 18, 2001
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Dec 2, 2016
CMS classifications: Management services company
Other facilities connected through this exact CMS organization identity: 32 across MO.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 1, 2022
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 18, 2001
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 12, 2025
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Apr 23, 2021
Other facilities connected through this exact CMS organization identity: 32 across 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 145 is a grouping identifier, not a legal organization.
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 36 | 2.5 | 2 |
| Mon Jun | 36 | 2.5 | 2 |
| Fri May | 36 | 2.5 | 2 |
| Wed Apr | 29 | 2.4 | 1.9 |
| Sun Mar | 29 | 2.3 | 1.9 |
| Sun Feb | 29 | 2.3 | 1.9 |
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.
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: Past Non-Compliance (Jun 10, 2025)
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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 (Mar 12, 2025)
Honor the resident's right to organize and participate in resident/family groups in 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 (Mar 12, 2025)
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 (Mar 12, 2025)
Give residents a notice of rights, rules, services and charges.
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 (Mar 12, 2025)
The resident has the right to receive notices in a format and a language he or she understands.
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 (Mar 12, 2025)
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 (Mar 12, 2025)
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 (Mar 12, 2025)
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 (Mar 12, 2025)
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 (Mar 12, 2025)
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS scope/severity 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 (Mar 12, 2025)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 12, 2025)
Assist a resident in gaining access to vision and hearing services.
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 12, 2025)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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 (Mar 12, 2025)
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 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 (Mar 12, 2025)
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 12, 2025)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 12, 2025)
Keep all essential equipment working 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 (Mar 12, 2025)
Provide care and assistance to perform activities of daily living for any resident who is unable.
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 21, 2024)
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 (Jun 14, 2024)
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS scope/severity B: Pattern; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (Apr 26, 2024)
No health-deficiency rows were deterministically linked to this inspection.
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 28, 2023)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity 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 28, 2023)
Provide care and assistance to perform activities of daily living for any resident who is unable.
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 28, 2023)
Provide activities to meet all resident's needs.
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 28, 2023)
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
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 28, 2023)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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 28, 2023)
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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 28, 2023)
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
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 28, 2023)
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 (Oct 28, 2023)
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
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 28, 2023)
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
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 28, 2023)
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
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 28, 2023)
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 28, 2023)
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted 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 28, 2023)
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
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 28, 2023)
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 (Oct 28, 2023)
Put firmly secured handrails on each side of hallways.
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 28, 2023)
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 (Oct 28, 2023)
No health-deficiency rows were deterministically linked to this inspection.
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
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 15, 2021)
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 (Oct 15, 2021)
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 15, 2021)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 15, 2021)
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
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 15, 2021)
Penalties & enforcement
Payment denial length: 10 days
Published fine amount: $13,033.00
Questions to ask
Facility history
13 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
Total nurse staffing decreased from 3.30 to 3.01 hours per resident day between 2025Q4 and 2026Q1. Staffing declined across those reported periods.
3.30 → 3.01
CMS · Reported in a source release · View related evidence
Total nurse staffing increased from 3.08 to 3.30 hours per resident day between 2025Q3 and 2025Q4. Staffing improved across those reported periods.
3.08 → 3.30
CMS · Reported in a source release · View related evidence
Total nurse staffing increased from 2.76 to 3.08 hours per resident day between 2025Q2 and 2025Q3. Staffing improved across those reported periods.
2.76 → 3.08
CMS · Reported in a source release · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
17 deficiencies were recorded.
CMS · Recorded event date · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
CMS recorded a Medicare payment denial lasting 10 days.
CMS · Recorded event date · View related evidence
CMS recorded a $13,033 civil monetary penalty.
CMS · Recorded event date · View related evidence
18 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 | 3.109 | 2.772 |
| RN categories | 0.295 | 0.155 |
Contract staff accounted for 0% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.064 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 | 2.756 | 0.378 | 0.505 | 0.736 | 0% | 91 |
| 2025Q3 | 3.08 | 0.314 | 0.472 | 1.096 | 0% | 92 |
| 2025Q4 | 3.298 | 0.319 | 0.408 | 1.476 | 0% | 92 |
| 2026Q1 | 3.012 | 0.254 | 0.289 | 1.38 | 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.