SENIORTRUST HUB

Facility record

AMBERWOOD ESTATES NURSING AND REHABILITATION has 115 certified beds in SAINT LOUIS, Missouri. The CMS overall rating is 1 of 5, compared with the Missouri average of 2.5. The CMS health inspection rating is 2 of 5, compared with the Missouri average of 2.8. The CMS staffing rating is 1 of 5. The latest standard health survey on Feb 4, 2026 lists 16 deficiencies, compared with the Missouri average of 8.4. CMS records a fine of $3,882 dated Sep 25, 2023. CMS records a fine of $9,527 dated Sep 5, 2023. Total nurse staffing is 0.71 hours per resident day in 2026Q1, compared with the Missouri average of 3.41.

Nearby facilities

CMS nursing homes in Missouri

CMS nursing home

AMBERWOOD ESTATES NURSING AND REHABILITATION

Also known publicly as Amberwood Estates Nursing & Rehab

SAINT LOUIS, MO

CMS CCN 2657193143850910Listed in the current CMS nursing-home directoryCMS source updated August 1, 2026

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

Research this nursing home using CMS and federal public records. CMS Certification Number 265719.

At a glance

CMS research snapshot

CMS overall rating

1 of 5

CMS health inspection rating

2 of 5

CMS staffing rating

1 of 5

CMS quality-measure rating

2 of 5

CMS ownership-change history

CMS has published 1 ownership-change record for this provider.

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

Quality & care evidence

What CMS reports about quality

  • MDS quality observations are in the CMS extract.
  • PBJ staffing records are in the CMS extract.
  • Inspection evidence is in the CMS extract.
  • Fire-safety evidence is in the CMS extract.

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

Ownership & management

Who CMS/PECOS connects to this nursing home

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

Current owners

  • KFT IRREVOCABLE TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST100% ownership interest

Operators

  • ALEEM, GWENDOLYNIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • ALEEM, GWENDOLYNIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • CROCKER, ANITAIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • CROCKER, ANITAIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • FARMER, ERIKAIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • FARMER, ERIKAIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • FORVIS MAZARS LLPOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • FORVIS MAZARS LLPOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • LAZAR, LEVIIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • LAZAR, LEVIIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • MAYLACK, ELIZABETHIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • MAYLACK, ELIZABETHIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • MBURU, EMMAHIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • MBURU, EMMAHIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • PHIFER, MONAIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • PHIFER, MONAIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • RICE, CICELYIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • RICE, CICELYIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • SMITH, DEMARCUSIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • SMITH, DEMARCUSIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • TAIT, KATHERINAIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • TAIT, KATHERINAIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • ZIDELE, BORUCHIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • ZIDELE, BORUCHIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • ALEEM, GWENDOLYNIndividual owner · HISTORICALOPERATIONAL/MANAGERIAL CONTROL

Showing 25 of 60 relationships from CMS/PECOS evidence.

Enrollment organizations

  • ISLAND HC OPERATIONS LLCOrganization · CURRENTMedicare-enrolled legal organization
  • ISLAND HC OPERATIONS LLCOrganization · UNKNOWNMedicare-enrolled legal organization
Historical ownership observations

Historical

  • KFT IRREVOCABLE TRUSTOrganization · HISTORICAL5% OR GREATER INDIRECT OWNERSHIP INTEREST100% ownership interest
Ownership observations with UNKNOWN status

These relationships were observed in an older snapshot. UNKNOWN does not mean former owner, previous owner, or that ownership ended.

UNKNOWN

  • KFT IRREVOCABLE TRUSTOrganization · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST100% ownership interest

Ownership change history

CMS ownership-change records

CMS publishes Change of Ownership records for this nursing home.

  1. CMS records show an ownership change effective 2025-02-01.

    CMS type
    CHANGE OF OWNERSHIP
    Buyer legal entity
    ISLAND HC OPERATIONS LLC
    Seller legal entity
    BERMUDA DRIVE HEALTHCARE LLC
    Effective date
    2025-02-01

These are CMS transaction records. They are not a Trust Hub quality, stability, or sale judgment.

Source freshness

How current each evidence family is

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

Profile generated 2026-11-03. That timestamp is not CMS evidence freshness.

Methodology

How Trust Hub researches this provider

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

CMS overview

CMS rating overview

CMS overall

1 of 5

Health inspection

2 of 5

Staffing

1 of 5

Quality measures

2 of 5

No proprietary TrustHub score. These ratings are published separately by CMS. How CMS ratings and facility records are read

CMS certified beds
115
Ownership descriptor
For profit - Limited Liability company
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
3143850910Verified public information · checked Aug 2026
Also known publicly as
Amberwood Estates Nursing & RehabVerified public information · checked Aug 2026

CMS designations

Special Focus and abuse-icon status

This CMS Certification Number appears in the latest CMS Nursing Home Provider Information extract of currently listed nursing homes.

Not currently SFF or candidate

CMS does not currently identify this nursing home as a Special Focus Facility or candidate in the loaded Provider Information extract.

CMS field value: (blank). Observed Aug 1, 2026.

CMS abuse-icon designation

CMS does not currently apply its abuse-icon designation to this facility in the loaded Provider Information extract.

CMS field value: N. Observed Aug 1, 2026.

Enrollment identity

Medicare enrollment organization NPI associated with this CMS Certification Number

These identifiers come from CMS SNF enrollment records linked to this CCN. They are not a substitute for the CMS Certification Number.

  • NPI 1427854777 · enrollment O20250305003288
  • NPI 1427854777 · enrollment O20250305003288

MDS quality measures

Individual CMS quality measures

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

MDS source release 2026-08-01.

View individual MDS measures
  • Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (Long Stay): 88.410596
  • Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (Long Stay): 77.777778
  • Percentage of long-stay residents experiencing one or more falls with major injury (Long Stay): 3.311258 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents who have depressive symptoms (Long Stay): 5.622490
  • Percentage of long-stay residents who lose too much weight (Long Stay): 0.709220
  • Percentage of long-stay residents who received an antianxiety or hypnotic medication (Long Stay): 13.194444
  • Percentage of long-stay residents who received an antipsychotic medication (Long Stay): 21.025641 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents who were physically restrained (Long Stay): 0.000000
  • Percentage of long-stay residents whose ability to walk independently worsened (Long Stay): 23.668162 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents whose need for help with daily activities has increased (Long Stay): 19.424460 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents with a catheter inserted and left in their bladder (Long Stay): 0.000000 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents with a urinary tract infection (Long Stay): 0.337838 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents with new or worsened bowel or bladder incontinence (Long Stay): 23.884116
  • Percentage of long-stay residents with pressure ulcers (Long Stay): 7.646799 · CMS uses this measure in the quality-measure star rating
  • Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (Short Stay): 59.171598
  • Percentage of short-stay residents who newly received an antipsychotic medication (Short Stay): 0.000000 · CMS uses this measure in the quality-measure star rating
  • Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (Short Stay): 45.000000

Fire-safety citations

CMS fire-safety citations

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

  • 2026-02-04 · tag 0291 · scope/severity F — Install emergency lighting that can last at least 1 1/2 hours.
  • 2026-02-04 · tag 0914 · scope/severity F — Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
  • 2026-02-04 · tag 0161 · scope/severity E — Use approved construction type or materials.
  • 2026-02-04 · tag 0223 · scope/severity E — Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
  • 2026-02-04 · tag 0324 · scope/severity E — Provide properly protected cooking facilities.
  • 2026-02-04 · tag 0345 · scope/severity E — Have approved installation, maintenance and testing program for fire alarm systems.
  • 2026-02-04 · tag 0353 · scope/severity E — Inspect, test, and maintain automatic sprinkler systems.
  • 2026-02-04 · tag 0355 · scope/severity E — Properly select, install, inspect, or maintain portable fire extinguishes.
  • 2026-02-04 · tag 0363 · scope/severity E — Install corridor and hallway doors that block smoke.
  • 2026-02-04 · tag 0372 · scope/severity E — Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
  • 2026-02-04 · tag 0511 · scope/severity E — Have properly installed electrical wiring and gas equipment.
  • 2026-02-04 · tag 0004 · scope/severity F — Develop and maintain an Emergency Preparedness Program (EP).

Decision guide

What to review

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

Staffing

CMS publishes a 1-star staffing rating for this facility.

RN staffing was 0.14 hours per resident day in 2026Q1, calculated from CMS PBJ records.

View staffing evidence

Ownership

CMS-published records list 47 ownership or control parties.

CMS records show an ownership change effective February 2025.

View ownership evidence
Enforcement record

CMS records show a $3,882 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 - Limited Liability companyCMS
Related facilities
216Current CMS organization identity
Ownership changes
1 recordedCMS enrollment records

Explore ownership network →

Who is behind this facility?

SeniorTrustHub found evidence connecting this facility to:

  • 1 CMS-reported ownership organization
  • CMS reports 31 individual ownership interests
  • recorded ownership-change events

Related facilities

216 currently connected nursing homes share this CMS organization identity with FORVIS MAZARS LLP.

Average CMS overall rating
2.9 stars across 213 reporting facilities
CMS monetary penalties
87 of 216 facilities had a recorded monetary penalty in the available CMS period.
Recent CMS penalties
39 facilities had a CMS penalty in the last 18 months.
Recent high-value CMS enforcement
34 facilities had a high-value CMS fine or payment denial in the last 18 months.
Recent CMS complaint inspections
124 facilities had a CMS complaint inspection in the last 18 months.
Total recorded CMS fines
$5,689,323

How connected-facility figures are read

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
47
Organizations shown
16
Individuals shown
31
Latest ownership source update
Aug 17, 2026

CMS-published ownership and control parties

  • GS CAPITAL FUNDING LLC

    Organization · 5% OR GREATER SECURITY INTEREST

    Association date reported to CMS: Feb 1, 2025

    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
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • FORVIS MAZARS LLP

    Organization · ADP OF THE SNF

    Association date reported to CMS: Jun 1, 2023

    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
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • GS CAPITAL FUNDING LLC

    Organization · ADP OF THE SNF

    Association date reported to CMS: Feb 1, 2025

    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
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • MAYLACK, ELIZABETH

    Individual · ADP OF THE SNF

    Association date reported to CMS: May 20, 2025

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

    Organization · ADP OF THE SNF

    Association date reported to CMS: Feb 1, 2025

    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
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • ZIDELE, BORUCH

    Individual · ADP OF THE SNF

    Association date reported to CMS: May 20, 2025

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

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Feb 1, 2025

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

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Feb 1, 2025

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

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Feb 1, 2025

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

    Organization · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Jan 1, 2025

    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
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • LAZAR, LEVI

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Feb 1, 2025

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

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Feb 1, 2025

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

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Apr 7, 2025

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

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Feb 1, 2025

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

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Feb 1, 2025

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

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Feb 1, 2025

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

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Feb 1, 2025

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

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Feb 1, 2025

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

    Individual · TRUSTEE OF THE SNF

    Association date reported to CMS: Feb 1, 2025

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

    Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Published ownership percentage: 100%

    Association date reported to CMS: Feb 1, 2025

    CMS classifications: Parent company

    Other facilities connected through this exact CMS organization identity: 1 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
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • GS CAPITAL FUNDING LLC

    Organization · 5% OR GREATER SECURITY INTEREST

    Published ownership percentage: 62.5%

    Association date reported to CMS: Feb 1, 2025

    CMS classifications: Private equity company

    Other facilities connected through this exact CMS organization identity: 1 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
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • FORVIS MAZARS LLP

    Organization · ADP OF THE SNF

    Association date reported to CMS: Jun 1, 2023

    Other facilities connected through this exact CMS organization identity: 227 across AL, AZ, FL, GA, IA, IN, KS, KY, MA, MI, MO, MS, MT, NC, NE, NM, OH, OK, PA, SC, SD, TX, VA, WI.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • GS CAPITAL FUNDING LLC

    Organization · ADP OF THE SNF

    Association date reported to CMS: Feb 1, 2025

    CMS classifications: Private equity company

    Other facilities connected through this exact CMS organization identity: 1 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
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • Individual name not published by CMS

    Organization · ADP OF THE SNF

    Association date reported to CMS: Feb 1, 2025

    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
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • Individual name not published by CMS

    Organization · ADP OF THE SNF

    Association date reported to CMS: Feb 1, 2025

    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
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • Individual name not published by CMS

    Individual · ADP OF THE SNF

    Association date reported to CMS: Jun 1, 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
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • Individual name not published by CMS

    Organization · ADP OF THE SNF

    Association date reported to CMS: Feb 1, 2025

    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
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • Individual name not published by CMS

    Organization · ADP OF THE SNF

    Association date reported to CMS: Feb 1, 2025

    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
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • MAYLACK, ELIZABETH

    Individual · ADP OF THE SNF

    Association date reported to CMS: May 20, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • REVACH LLC

    Organization · ADP OF THE SNF

    Association date reported to CMS: Feb 1, 2025

    Other facilities connected through this exact CMS organization identity: 1 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
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • ZIDELE, BORUCH

    Individual · ADP OF THE SNF

    Association date reported to CMS: May 20, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • ALEEM, GWENDOLYN

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Feb 1, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • CROCKER, ANITA

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Feb 1, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • FARMER, ERIKA

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Feb 1, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • FORVIS MAZARS LLP

    Organization · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Jan 1, 2025

    Other facilities connected through this exact CMS organization identity: 227 across AL, AZ, FL, GA, IA, IN, KS, KY, MA, MI, MO, MS, MT, NC, NE, NM, OH, OK, PA, SC, SD, TX, VA, WI.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • LAZAR, LEVI

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Feb 1, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • MAYLACK, ELIZABETH

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Feb 1, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • MBURU, EMMAH

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Apr 7, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • PHIFER, MONA

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Feb 1, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • RICE, CICELY

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Feb 1, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • SMITH, DEMARCUS

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Feb 1, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • TAIT, KATHERINA

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Feb 1, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • ZIDELE, BORUCH

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Feb 1, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • Individual name not published by CMS

    Individual · TRUSTEE OF THE SNF

    Association date reported to CMS: Feb 1, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • Individual name not published by CMS

    Individual · TRUSTEE OF THE SNF

    Association date reported to CMS: Feb 1, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • NEUBERGER, ISAAC

    Individual · TRUSTEE OF THE SNF

    Association date reported to CMS: Feb 1, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • ISLAND HC OPERATIONS 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
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source

Ownership changes reported in CMS enrollment records

  1. CHANGE OF OWNERSHIPBERMUDA DRIVE HEALTHCARE LLC to ISLAND HC OPERATIONS LLC
    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility Change of Ownership
    CMS dataset identifier
    f557a6ed-95b3-4a22-8433-4175db2dec1c
    Source updated
    Aug 24, 2026
    Retrieved
    Aug 15, 2026
    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 Feb 1, 2025. What operational or leadership changes followed that event?
  • CMS records connect KFT IRREVOCABLE TRUST to 2 facilities. Which policies and staffing decisions are managed centrally versus locally?

Inspections & deficiencies

What CMS inspection records show

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

Latest recorded inspection

Date
Feb 4, 2026
Survey type
Fire Safety Standard
Linked findings
0
Highest linked CMS classification
No linked health-deficiency finding in the loaded record
View source details
Dataset
Inspection Dates
CMS dataset ID
svdt-c123
CMS source updated
Aug 1, 2026
CMS provider ID
265719
Source record locator
csv-row:73485:ccn:265719
View official CMS source
Feb 4, 2026 — Fire Safety Standard — 0 linked findings

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

Feb 4, 2026 — Health Complaint — 0 linked findings

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

Feb 4, 2026 — Health Standard — 16 linked findings
  • F0561 — Resident Rights Deficiencies

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

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

    Correction status: Deficient, Provider has date of correction (Mar 16, 2026)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:206857:ccn:265719
    View official CMS source
  • F0567 — Resident Rights Deficiencies

    Honor the resident's right to manage his or her financial affairs.

    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 16, 2026)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:206845:ccn:265719
    View official CMS source
  • F0568 — Resident Rights Deficiencies

    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

    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 26, 2026)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:206846:ccn:265719
    View official CMS source
  • F0569 — Resident Rights Deficiencies

    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

    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 16, 2026)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:206858:ccn:265719
    View official CMS source
  • F0577 — Resident Rights Deficiencies

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    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 16, 2026)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:206859:ccn:265719
    View official CMS source
  • F0582 — Resident Rights Deficiencies

    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 (Mar 16, 2026)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:206860:ccn:265719
    View official CMS source
  • F0607 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

    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 16, 2026)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:206861:ccn:265719
    View official CMS source
  • F0658 — Resident 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 (Mar 16, 2026)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:206862:ccn:265719
    View official CMS source
  • F0692 — Quality of Life and Care Deficiencies

    Provide enough food/fluids to maintain a resident's health.

    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 16, 2026)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:206863:ccn:265719
    View official CMS source
  • F0693 — Quality of Life and Care Deficiencies

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    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 16, 2026)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:206864:ccn:265719
    View official CMS source
  • F0745 — Quality of Life and Care Deficiencies

    Provide medically-related social services to help each resident achieve the highest possible quality of life.

    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 27, 2026)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:206865:ccn:265719
    View official CMS source
  • F0756 — Pharmacy Service Deficiencies

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    CMS scope/severity 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 16, 2026)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:206851:ccn:265719
    View official CMS source
  • F0761 — Pharmacy Service Deficiencies

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    CMS scope/severity 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 16, 2026)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:206866:ccn:265719
    View official CMS source
  • F0868 — Administration Deficiencies

    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 (Mar 16, 2026)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:206853:ccn:265719
    View official CMS source
  • F0882 — Infection Control Deficiencies

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    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 16, 2026)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:206855:ccn:265719
    View official CMS source
  • F0947 — Nursing and Physician Services Deficiencies

    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 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 16, 2026)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:206856:ccn:265719
    View official CMS source
Sep 9, 2025 — Health Complaint — 1 linked finding
  • F0584 — Resident 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 (Sep 19, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:206868:ccn:265719
    View official CMS source
Aug 6, 2025 — Health Complaint — 1 linked finding
  • F0610 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

    Respond appropriately to all alleged violations.

    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 7, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:206869:ccn:265719
    View official CMS source
May 1, 2025 — Health Complaint — 1 linked finding
  • F0658 — Resident 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 (Jun 10, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:206870:ccn:265719
    View official CMS source
Nov 22, 2024 — Health Complaint — 3 linked findings
  • F0583 — Resident Rights Deficiencies

    Keep residents' personal and medical records private and confidential.

    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 9, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:206873:ccn:265719
    View official CMS source
  • F0584 — Resident 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 (Dec 9, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:206871:ccn:265719
    View official CMS source
  • F0689 — Quality of Life and Care Deficiencies

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

    CMS scope/severity 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 (Dec 9, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:206872:ccn:265719
    View official CMS source
Sep 19, 2024 — Health Complaint — 6 linked findings
  • F0583 — Resident Rights Deficiencies

    Keep residents' personal and medical records private and confidential.

    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 9, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:206876:ccn:265719
    View official CMS source
  • F0584 — Resident 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 (Dec 9, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:206874:ccn:265719
    View official CMS source
  • F0609 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    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 2, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:206877:ccn:265719
    View official CMS source
  • F0610 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

    Respond appropriately to all alleged violations.

    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 2, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:206878:ccn:265719
    View official CMS source
  • F0686 — Quality of Life and Care Deficiencies

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Correction status: Deficient, Provider has date of correction (Nov 2, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:206879:ccn:265719
    View official CMS source
  • F0689 — Quality of Life and Care Deficiencies

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

    CMS scope/severity 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 (Dec 9, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:206875:ccn:265719
    View official CMS source
Apr 18, 2024 — Fire Safety Standard — 0 linked findings

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

Apr 18, 2024 — Health Complaint — 0 linked findings

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

Apr 18, 2024 — Health Standard — 13 linked findings
  • F0550 — Resident Rights Deficiencies

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

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

    Correction status: Deficient, Provider has date of correction (May 28, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:206886:ccn:265719
    View official CMS source
  • F0561 — Resident Rights Deficiencies

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    CMS scope/severity 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 (May 28, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:206880:ccn:265719
    View official CMS source
  • F0684 — Quality of Life and Care Deficiencies

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Correction status: Deficient, Provider has date of correction (May 28, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:206888:ccn:265719
    View official CMS source
  • F0688 — Quality of Life and Care Deficiencies

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

    Correction status: Deficient, Provider has date of correction (May 28, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:206889:ccn:265719
    View official CMS source
  • F0689 — Quality of Life and Care Deficiencies

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

    CMS scope/severity 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 (May 28, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:206883:ccn:265719
    View official CMS source
  • F0698 — Quality of Life and Care Deficiencies

    Provide safe, appropriate dialysis care/services for a resident who requires such 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 (May 30, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:206890:ccn:265719
    View official CMS source
  • F0732 — Nursing and Physician Services Deficiencies

    Post nurse staffing information every day.

    CMS scope/severity C: Widespread; No actual harm with potential for minimal harm.

    Correction status: Deficient, Provider has date of correction (May 28, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:206896:ccn:265719
    View official CMS source
  • F0756 — Pharmacy Service Deficiencies

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

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

    Correction status: Deficient, Provider has date of correction (May 28, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:206891:ccn:265719
    View official CMS source
  • F0758 — Pharmacy Service Deficiencies

    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 28, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:206892:ccn:265719
    View official CMS source
  • F0761 — Pharmacy Service Deficiencies

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

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

    Correction status: Deficient, Provider has date of correction (May 30, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:206885:ccn:265719
    View official CMS source
  • F0842 — Resident Assessment and Care Planning Deficiencies

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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

    Correction status: Deficient, Provider has date of correction (May 28, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:206893:ccn:265719
    View official CMS source
  • F0880 — Infection Control Deficiencies

    Provide and implement an infection prevention and control program.

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

    Correction status: Deficient, Provider has date of correction (May 30, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:206894:ccn:265719
    View official CMS source
  • F0919 — Environmental Deficiencies

    Make sure that a working call system is available in each resident's bathroom and bathing area.

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

    Correction status: Deficient, Provider has date of correction (May 28, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:206895:ccn:265719
    View official CMS source
Feb 9, 2024 — Health Complaint — 2 linked findings
  • F0641 — Resident Assessment and Care Planning Deficiencies

    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 (Mar 21, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:206897:ccn:265719
    View official CMS source
  • F0689 — Quality of Life and Care Deficiencies

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

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

    Correction status: Deficient, Provider has date of correction (Mar 21, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:206898:ccn:265719
    View official CMS source
Jan 3, 2024 — Health Complaint — 3 linked findings
  • F0580 — Resident Rights Deficiencies

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

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

    Correction status: Deficient, Provider has date of correction (Jan 29, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:206900:ccn:265719
    View official CMS source
  • F0600 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

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

    Correction status: Past Non-Compliance (Nov 30, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:206901:ccn:265719
    View official CMS source
  • F0727 — Nursing and Physician Services Deficiencies

    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 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 (Jan 29, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:206899:ccn:265719
    View official CMS source
Sep 9, 2022 — Fire Safety Standard — 0 linked findings

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

Sep 9, 2022 — Health Standard — 9 linked findings
  • F0583 — Resident Rights Deficiencies

    Keep residents' personal and medical records private and confidential.

    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 7, 2022)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:206905:ccn:265719
    View official CMS source
  • F0641 — Resident Assessment and Care Planning Deficiencies

    Ensure each resident receives an accurate assessment.

    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 7, 2022)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:206903:ccn:265719
    View official CMS source
  • F0656 — Resident Assessment and Care Planning Deficiencies

    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 7, 2022)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:206904:ccn:265719
    View official CMS source
  • F0686 — Quality of Life and Care Deficiencies

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Correction status: Deficient, Provider has date of correction (Oct 7, 2022)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:206906:ccn:265719
    View official CMS source
  • F0689 — Quality of Life and Care Deficiencies

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

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

    Correction status: Deficient, Provider has date of correction (Oct 7, 2022)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:206907:ccn:265719
    View official CMS source
  • F0693 — Quality of Life and Care Deficiencies

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    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 7, 2022)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:206908:ccn:265719
    View official CMS source
  • F0759 — Pharmacy 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 (Oct 7, 2022)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:206909:ccn:265719
    View official CMS source
  • F0812 — Nutrition 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 7, 2022)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:206902:ccn:265719
    View official CMS source
  • F0880 — Infection Control Deficiencies

    Provide and implement an infection prevention and control program.

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

    Correction status: Deficient, Provider has date of correction (Oct 7, 2022)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:206910:ccn:265719
    View official CMS source

Tags appearing across inspections

  • F0689 appears in 5 linked inspections.
  • F0583 appears in 3 linked inspections.
  • F0584 appears in 3 linked inspections.
  • F0561 appears in 2 linked inspections.
  • F0610 appears in 2 linked inspections.
  • F0641 appears in 2 linked inspections.
  • F0658 appears in 2 linked inspections.
  • F0686 appears in 2 linked inspections.
  • F0693 appears in 2 linked inspections.
  • F0756 appears in 2 linked inspections.
  • F0761 appears in 2 linked inspections.
  • F0880 appears in 2 linked inspections.

Penalties & enforcement

CMS penalty records in the loaded three-year dataset

  • Fine — Sep 25, 2023

    Published fine amount: $3,882.00

    View source details
    Dataset
    Penalties
    CMS dataset ID
    g6vv-u9sr
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:7790:ccn:265719
    View official CMS source
  • Fine — Sep 5, 2023

    Published fine amount: $9,527.00

    View source details
    Dataset
    Penalties
    CMS dataset ID
    g6vv-u9sr
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    265719
    Source record locator
    csv-row:7791:ccn:265719
    View official CMS source

Questions to ask

Questions generated from the evidence above

  • CMS records show F0689 in 5 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0583 in 3 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0584 in 3 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0561 in 2 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0610 in 2 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0641 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 F0686 in 2 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0693 in 2 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0756 in 2 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0761 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 Sep 25, 2023. What changes were made after that enforcement action?

Facility history

Facility History

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

What changed recently?

  • Total nurse staffing decreasedTotal nurse staffing decreased from 2.59 to 0.71 hours per resident day between 2025Q4 and 2026Q1. Staffing declined across those reported periods.
  • Complaint inspection recordedNo linked health-deficiency findings were recorded for this survey.

2026

  1. Total nurse staffing decreased

    Total nurse staffing decreased from 2.59 to 0.71 hours per resident day between 2025Q4 and 2026Q1. Staffing declined across those reported periods.

    2.59 → 0.71

    CMS · Reported in a source release · View related evidence

  2. Complaint inspection recorded

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

    CMS · Recorded event date · View related evidence

  3. Health inspection completed

    16 deficiencies were recorded.

    CMS · Recorded event date · View related evidence

2025

  1. Total nurse staffing decreased

    Total nurse staffing decreased from 2.93 to 2.59 hours per resident day between 2025Q3 and 2025Q4. Staffing declined across those reported periods.

    2.93 → 2.59

    CMS · Reported in a source release · View related evidence

  2. RN staffing increased

    RN staffing increased from 0.09 to 0.21 hours per resident day between 2025Q3 and 2025Q4. Staffing improved across those reported periods.

    0.09 → 0.21

    CMS · Reported in a source release · View related evidence

  3. Total nurse staffing increased

    Total nurse staffing increased from 1.61 to 2.93 hours per resident day between 2025Q2 and 2025Q3. Staffing improved across those reported periods.

    1.61 → 2.93

    CMS · Reported in a source release · View related evidence

  4. Complaint inspection recorded

    1 deficiency was recorded.

    CMS · Recorded event date · View related evidence

  5. Complaint inspection recorded

    1 deficiency was recorded.

    CMS · Recorded event date · View related evidence

  6. Complaint inspection recorded

    1 deficiency was recorded.

    CMS · Recorded event date · View related evidence

  7. Ownership change recorded

    An ownership change was recorded. New organization: ISLAND HC OPERATIONS LLC.

    BERMUDA DRIVE HEALTHCARE LLC → ISLAND HC OPERATIONS LLC

    CMS · Recorded event date · View related evidence

2024

  1. Complaint inspection recorded

    3 deficiencies were recorded.

    CMS · Recorded event date · View related evidence

  2. Complaint inspection recorded

    6 deficiencies were recorded.

    CMS · Recorded event date · View related evidence

Staffing

Reported nursing staffing at a glance

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).

Inspect a PBJ quarter
Total nursing
0.71
reported hours per resident day
RN categories
0.142
reported hours per resident day
LPN/LVN categories
0.178
reported hours per resident day
CNA
0.312
reported hours per resident day

Weekday and weekend calculations

2026Q1 reported hours per resident day
MeasureMonday–FridaySaturday–Sunday
Total nursing0.7470.619
RN categories0.1550.111

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.

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
2025Q21.6150.050.3680.8680%91
2025Q32.9260.0910.7671.4670%92
2025Q42.5920.2060.6421.3880%92
2026Q10.710.1420.1780.3120%90

Questions to ask

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

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

View official CMS PBJ source

What we can verify today

Current Provider Information facts

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

  • CMS reports a 1-star overall rating.
  • CMS reports a 2-star health inspection rating.
  • CMS reports a 1-star staffing rating.
  • CMS reports a 2-star quality-measure rating.

Trust participation

See something that needs correction?

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

Representation claims are reviewed manually. Live profile-management tools are not yet enabled for this facility.

How corrections work

Source register

See where this record came from

Provider Information
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
4pq5-n9py
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
Supports
Overview, facility facts, and CMS ratings
View official CMS source
Inspection Dates
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
svdt-c123
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
Supports
Inspections and facility history
View official CMS source
Health Deficiencies
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
r5ix-sfxw
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
Supports
Health deficiencies and facility history
View official CMS source
Penalties
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
g6vv-u9sr
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
Supports
Penalties, enforcement, and facility history
View official CMS source
Payroll Based Journal Daily Nurse Staffing
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
7e0d53ba-8f02-4c66-98a5-14a1c997c50d
Coverage
Apr 1, 2025–Mar 31, 2026
Source updated
Jul 29, 2026
Retrieved
Aug 15, 2026
Supports
PBJ staffing cards, history, and transparent calculations
View official CMS source
Ownership
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
Supports
Ownership parties, organization connections, and ownership history
View official CMS source
Skilled Nursing Facility All Owners
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
Supports
Ownership parties, organization connections, and ownership history
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
Aug 17, 2026
Retrieved
Aug 26, 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
Aug 24, 2026
Retrieved
Aug 15, 2026
Supports
Ownership parties, organization connections, and ownership history
View official CMS source
Verified public facility information
Source organization
Public facility listing
Dataset identifier
commercial-corroboration:public-listing
Source updated
Aug 18, 2026
Retrieved
Aug 18, 2026
Supports
Independently verified public website, phone, or publicly used name. Not a CMS rating or regulatory status.
How sources work

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