Staffing
CMS publishes a 5-star staffing rating for this facility.
RN staffing was 1.42 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 5-star staffing rating for this facility.
RN staffing was 1.42 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Mar 12, 2025 cited 5 deficiencies.
View inspection evidenceCMS-published records list 36 ownership or control parties.
View ownership evidenceCMS groups this facility with a chain covering 3 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:
3 currently connected nursing homes share this CMS organization identity with IMMANUEL LONG TERM CARE.
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 · CONTRACTED MANAGING EMPLOYEE
Association date reported to CMS: Nov 13, 2017
Individual · CONTRACTED MANAGING EMPLOYEE
Association date reported to CMS: Apr 5, 2013
Individual · CONTRACTED MANAGING EMPLOYEE
Association date reported to CMS: Jul 1, 2017
Individual · CONTRACTED MANAGING EMPLOYEE
Association date reported to CMS: Jul 1, 2014
Individual · CONTRACTED MANAGING EMPLOYEE
Association date reported to CMS: Apr 5, 2013
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jan 1, 2018
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jul 1, 2024
Individual · CORPORATE DIRECTOR
Association date reported to CMS: May 14, 2020
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jul 1, 2022
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jul 1, 2023
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jul 1, 2020
Individual · CORPORATE DIRECTOR
Association date reported to CMS: May 14, 2020
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jul 1, 2021
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Apr 5, 2013
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jul 1, 2024
Individual · CORPORATE DIRECTOR
Association date reported to CMS: May 14, 2020
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Oct 1, 2022
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jan 1, 2018
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jul 1, 2024
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jan 1, 2018
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jul 1, 2022
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jul 1, 2019
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jul 1, 2024
Individual · CORPORATE OFFICER
Association date reported to CMS: Nov 13, 2017
Individual · CORPORATE OFFICER
Association date reported to CMS: Jul 1, 2024
Individual · CORPORATE OFFICER
Association date reported to CMS: Apr 5, 2013
Individual · CORPORATE OFFICER
Association date reported to CMS: Jul 1, 2017
Individual · CORPORATE OFFICER
Association date reported to CMS: Jul 1, 2024
Individual · CORPORATE OFFICER
Association date reported to CMS: Jan 1, 2014
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 13, 2017
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Apr 5, 2013
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 1, 2017
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Apr 5, 2013
Individual · W-2 MANAGING EMPLOYEE
Association date reported to CMS: Nov 1, 2022
Individual · W-2 MANAGING EMPLOYEE
Association date reported to CMS: Oct 1, 2022
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 2 across IA, 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 281 is a grouping identifier, not a legal organization.
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 3 | 4.7 | 5 |
| Mon Jun | 3 | 4.7 | 5 |
| Fri May | 3 | 4.7 | 5 |
| Wed Apr | 3 | 4.7 | 5 |
| Sun Mar | 3 | 4.7 | 5 |
| Sun Feb | 3 | 4.7 | 5 |
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.
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 (Jun 9, 2026)
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 (Jun 9, 2026)
No health-deficiency rows were deterministically linked to this inspection.
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 24, 2025)
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS scope/severity 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 24, 2025)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 24, 2025)
Ensure medication error rates are not 5 percent or greater.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 24, 2025)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 24, 2025)
No health-deficiency rows were deterministically linked to this inspection.
Ensure each resident receives an accurate assessment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 25, 2024)
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 (Apr 25, 2024)
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 (Apr 25, 2024)
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 (Apr 24, 2023)
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 (Apr 24, 2023)
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
CMS scope/severity 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 24, 2023)
Penalties & enforcement
No penalty records were found for this provider in the currently loaded CMS Penalties dataset.
Questions to ask
Facility history
8 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
RN staffing increased from 1.16 to 1.42 hours per resident day between 2025Q4 and 2026Q1. Staffing improved across those reported periods.
1.16 → 1.42
CMS · Reported in a source release · View related evidence
RN staffing decreased from 1.60 to 1.16 hours per resident day between 2025Q3 and 2025Q4. Staffing declined across those reported periods.
1.60 → 1.16
CMS · Reported in a source release · View related evidence
Total nurse staffing decreased from 6.25 to 5.40 hours per resident day between 2025Q3 and 2025Q4. Staffing declined across those reported periods.
6.25 → 5.40
CMS · Reported in a source release · View related evidence
Total nurse staffing increased from 5.26 to 6.25 hours per resident day between 2025Q2 and 2025Q3. Staffing improved across those reported periods.
5.26 → 6.25
CMS · Reported in a source release · View related evidence
5 deficiencies were recorded.
CMS · Recorded event date · 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: 5 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 | 5.584 | 4.636 |
| RN categories | 1.556 | 1.084 |
Contract staff accounted for 11.2% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.265 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 | 5.259 | 1.604 | 0.616 | 3.038 | 9.1% | 91 |
| 2025Q3 | 6.252 | 1.601 | 1.143 | 3.508 | 15.7% | 92 |
| 2025Q4 | 5.399 | 1.155 | 1.187 | 3.057 | 15.8% | 92 |
| 2026Q1 | 5.311 | 1.42 | 0.896 | 2.996 | 11.2% | 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.