Staffing
CMS publishes a 1-star staffing rating for this facility.
RN staffing was 0.50 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 0.50 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Mar 4, 2025 cited 8 deficiencies.
View inspection evidenceCMS-published records list 47 ownership or control parties.
View ownership evidenceCMS groups this facility with a chain covering 5 facilities across 2 states or territories.
View chain evidenceCMS records show a 15-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:
4 currently connected nursing homes share this CMS organization identity with KISMET HD LLC.
These figures summarize currently connected CMS-certified nursing homes. Some facilities have incomplete measures; missing values are omitted, not treated as zero. Ownership structures can change. State operator or licensee evidence may differ from CMS ownership disclosures.
Ownership
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 1, 2018
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 1, 2018
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 1, 2018
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 1, 2018
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 1, 2018
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 15, 2025
Organization · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Sep 1, 2018
Other facilities connected through this exact CMS organization identity: 0 across NE.
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Sep 1, 2018
Other facilities connected through this exact CMS organization identity: 0 across NE.
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Sep 1, 2018
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Sep 1, 2018
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Sep 1, 2018
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Sep 1, 2018
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Sep 1, 2018
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Sep 1, 2018
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Sep 1, 2018
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Sep 1, 2018
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Sep 1, 2018
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 1, 2018
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 1, 2018
Other facilities connected through this exact CMS organization identity: 0 across NE.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 1, 2018
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 1, 2018
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 15, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 1, 2018
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 26, 2026
Other facilities connected through this exact CMS organization identity: 0 across NE.
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 1, 2018
Other facilities connected through this exact CMS organization identity: 0 across NE.
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 1, 2018
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 1, 2018
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 1, 2018
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 1, 2018
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 15, 2025
Organization · DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Sep 1, 2018
Other facilities connected through this exact CMS organization identity: 3 across IA, NE.
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Sep 1, 2018
CMS classifications: Parent company
Other facilities connected through this exact CMS organization identity: 3 across IA, NE.
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 12%
Association date reported to CMS: Sep 1, 2018
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 52%
Association date reported to CMS: Sep 1, 2018
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 12%
Association date reported to CMS: Sep 1, 2018
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 12%
Association date reported to CMS: Sep 1, 2018
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 12%
Association date reported to CMS: Sep 1, 2018
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Sep 1, 2018
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Sep 1, 2018
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Sep 1, 2018
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Sep 1, 2018
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 1, 2018
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 1, 2018
CMS classifications: Chain / home office
Other facilities connected through this exact CMS organization identity: 0 across NE.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 1, 2018
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 1, 2018
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 15, 2025
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across NE.
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 304 is a grouping identifier, not a legal organization.
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 5 | 1.6 | 2.8 |
| Mon Jun | 5 | 1.6 | 2.8 |
| Fri May | 5 | 1.4 | 2.8 |
| Wed Apr | 5 | 1.4 | 2.8 |
| Sun Mar | 5 | 1.6 | 2.8 |
| Sun Feb | 5 | 1.6 | 2.8 |
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.
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 no plan of correction
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 (Mar 27, 2026)
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
Ensure each resident receives an accurate assessment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 11, 2025)
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
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 11, 2025)
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 11, 2025)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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 11, 2025)
Observe each nurse aide's job performance and give regular training.
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 (Mar 11, 2025)
Provide and implement an infection prevention and control program.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 11, 2025)
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
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 (Mar 11, 2025)
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 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 (Mar 11, 2025)
No health-deficiency rows were deterministically linked to this inspection.
Reasonably accommodate the needs and preferences of each 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 (May 15, 2024)
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 F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 15, 2024)
Ensure each resident receives an accurate assessment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 15, 2024)
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 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 15, 2024)
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 (May 15, 2024)
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 (May 15, 2024)
Provide enough food/fluids to maintain a resident's health.
CMS scope/severity H: Pattern; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 15, 2024)
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 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 15, 2024)
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 15, 2024)
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 15, 2024)
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 F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 15, 2024)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 15, 2024)
Have a plan that describes the process for conducting QAPI and QAA activities.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 15, 2024)
Provide and implement an infection prevention and control program.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 15, 2024)
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 15, 2024)
No health-deficiency rows were deterministically linked to this inspection.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 21, 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 F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 21, 2023)
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
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 21, 2023)
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 21, 2023)
Penalties & enforcement
Payment denial length: 15 days
Questions to ask
Facility history
10 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
Total nurse staffing decreased from 2.79 to 2.56 hours per resident day between 2025Q4 and 2026Q1. Staffing declined across those reported periods.
2.79 → 2.56
CMS · Reported in a source release · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
Total nurse staffing decreased from 3.14 to 2.79 hours per resident day between 2025Q3 and 2025Q4. Staffing declined across those reported periods.
3.14 → 2.79
CMS · Reported in a source release · View related evidence
Total nurse staffing decreased from 3.42 to 3.14 hours per resident day between 2025Q2 and 2025Q3. Staffing declined across those reported periods.
3.42 → 3.14
CMS · Reported in a source release · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
8 deficiencies were recorded.
CMS · Recorded event date · View related evidence
15 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
CMS recorded a Medicare payment denial lasting 15 days.
CMS · Recorded event date · View related evidence
4 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 1 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 2.655 | 2.335 |
| RN categories | 0.526 | 0.441 |
Contract staff accounted for 0% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.045 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 | 3.42 | 0.719 | 0.4 | 1.678 | 7.4% | 91 |
| 2025Q3 | 3.138 | 0.64 | 0.428 | 1.529 | 0.4% | 92 |
| 2025Q4 | 2.789 | 0.546 | 0.44 | 1.148 | 0.1% | 92 |
| 2026Q1 | 2.563 | 0.502 | 0.355 | 0.98 | 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.