Staffing
CMS publishes a 4-star staffing rating for this facility.
RN staffing was 0.63 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 4-star staffing rating for this facility.
RN staffing was 0.63 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Mar 11, 2026 cited 2 deficiencies.
View inspection evidenceCMS-published records list 49 ownership or control parties.
View ownership evidenceCMS groups this facility with a chain covering 9 facilities across 2 states or territories.
View chain evidenceOwnership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
SeniorTrustHub found evidence connecting this facility to:
10 currently connected nursing homes share this CMS organization identity with RURAL HEALTH DEVELOPMENT INC..
These figures summarize currently connected CMS-certified nursing homes. Some facilities have incomplete measures; missing values are omitted, not treated as zero. Ownership structures can change. State operator or licensee evidence may differ from CMS ownership disclosures.
Ownership
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Jul 1, 1971
Other facilities connected through this exact CMS organization identity: 0 across NE.
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 25, 2025
Other facilities connected through this exact CMS organization identity: 0 across NE.
Individual · ADP OF THE SNF
Association date reported to CMS: Feb 12, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 12, 2025
Other facilities connected through this exact CMS organization identity: 0 across NE.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2013
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 1, 1971
Other facilities connected through this exact CMS organization identity: 0 across NE.
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Dec 15, 1997
Individual · CORPORATE DIRECTOR
Association date reported to CMS: May 1, 2010
Individual · CORPORATE DIRECTOR
Association date reported to CMS: May 15, 1985
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jan 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across NE.
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Dec 15, 1997
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: May 1, 2002
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: May 1, 2010
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: May 15, 1985
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: May 24, 2022
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 15, 2013
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Feb 1, 1995
Other facilities connected through this exact CMS organization identity: 0 across NE.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2013
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: Dec 15, 1997
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: May 1, 2002
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: May 1, 2010
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: May 15, 1985
Organization · TRUSTEE OF THE SNF
Association date reported to CMS: Jul 1, 1971
Other facilities connected through this exact CMS organization identity: 0 across NE.
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: May 24, 2022
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Jul 1, 1971
Other facilities connected through this exact CMS organization identity: 0 across NE.
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 25, 2025
Other facilities connected through this exact CMS organization identity: 0 across NE.
Individual · ADP OF THE SNF
Association date reported to CMS: Feb 12, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 12, 2025
Other facilities connected through this exact CMS organization identity: 9 across NE, SD.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2013
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 1, 1971
Other facilities connected through this exact CMS organization identity: 0 across NE.
Individual · CORPORATE DIRECTOR
Published ownership percentage: 20%
Association date reported to CMS: Dec 15, 1997
Individual · CORPORATE DIRECTOR
Published ownership percentage: 20%
Association date reported to CMS: May 1, 2010
Individual · CORPORATE DIRECTOR
Published ownership percentage: 20%
Association date reported to CMS: May 15, 1985
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 0%
Association date reported to CMS: Jan 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across NE.
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Dec 15, 1997
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: May 1, 2002
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: May 1, 2010
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: May 15, 1985
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: May 24, 2022
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 15, 2013
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Feb 1, 1995
Other facilities connected through this exact CMS organization identity: 9 across NE, SD.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2013
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: Dec 15, 1997
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: May 1, 2002
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: May 1, 2010
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: May 15, 1985
Organization · TRUSTEE OF THE SNF
Association date reported to CMS: Jul 1, 1971
Other facilities connected through this exact CMS organization identity: 0 across NE.
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: May 24, 2022
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 879 is a grouping identifier, not a legal organization.
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 9 | 3.8 | 3.7 |
| Mon Jun | 9 | 3.9 | 3.6 |
| Fri May | 9 | 4.1 | 3.6 |
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.
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 23, 2026)
Implement a program that monitors antibiotic use.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 1, 2026)
No health-deficiency rows were deterministically linked to this inspection.
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 (Mar 25, 2025)
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
CMS scope/severity 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 25, 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 25, 2025)
No health-deficiency rows were deterministically linked to this inspection.
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 (Feb 21, 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 (Feb 21, 2024)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with 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 (Feb 21, 2024)
No health-deficiency rows were deterministically linked to this inspection.
Penalties & enforcement
No penalty records were found for this provider in the currently loaded CMS Penalties dataset.
Facility history
4 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Total nurse staffing decreased from 3.88 to 3.64 hours per resident day between 2025Q2 and 2025Q3. Staffing declined across those reported periods.
3.88 → 3.64
CMS · Reported in a source release · View related evidence
3 deficiencies were recorded.
CMS · Recorded event date · View related evidence
3 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 4 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 3.642 | 3.214 |
| RN categories | 0.715 | 0.416 |
Contract staff accounted for 16.2% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.034 higher 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 | 3.879 | 0.585 | 0.674 | 2.61 | 15.5% | 91 |
| 2025Q3 | 3.645 | 0.59 | 0.668 | 2.347 | 10.5% | 92 |
| 2025Q4 | 3.575 | 0.594 | 0.697 | 2.284 | 13.3% | 92 |
| 2026Q1 | 3.519 | 0.628 | 0.696 | 2.194 | 16.2% | 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.