Staffing
CMS publishes a 3-star staffing rating for this facility.
RN staffing was 0.39 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 3-star staffing rating for this facility.
RN staffing was 0.39 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Jan 15, 2026 cited 12 deficiencies.
View inspection evidenceCMS-published records list 68 ownership or control parties.
CMS records show an ownership change effective August 2023.
View ownership evidenceCMS groups this facility with a chain covering 44 facilities across 6 states or territories.
View chain evidenceCMS records show a $25,675 fine 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:
9 currently connected nursing homes share this CMS organization identity with PACIFIC NORTHWEST 12 LEASED OPERATIONS HOLDINGS 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.
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 16, 2025
Other facilities connected through this exact CMS organization identity: 0 across NV.
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 16, 2025
Other facilities connected through this exact CMS organization identity: 0 across NV.
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 16, 2025
Other facilities connected through this exact CMS organization identity: 0 across NV.
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 16, 2025
Other facilities connected through this exact CMS organization identity: 0 across NV.
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
Organization · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across NV.
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across NV.
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Aug 31, 2023
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across NV.
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Aug 31, 2023
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Aug 31, 2023
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Aug 31, 2023
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across NV.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across NV.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across NV.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across NV.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 16, 2025
CMS classifications: Chain / home office
Other facilities connected through this exact CMS organization identity: 34 across MT, NV, OR, SD, WA, WY.
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 16, 2025
Other facilities connected through this exact CMS organization identity: 39 across CA, MT, NV, OR, SD, WA, WY.
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
CMS classifications: Real estate investment trust (REIT)
Other facilities connected through this exact CMS organization identity: 0 across NV.
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 16, 2025
Other facilities connected through this exact CMS organization identity: 5 across MT, NV, OR.
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 16, 2025
Other facilities connected through this exact CMS organization identity: 8 across MT, NV, OR, WA.
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
Organization · DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Aug 31, 2023
CMS classifications: Parent company, Holding company
Other facilities connected through this exact CMS organization identity: 8 across MT, NV, OR, WA.
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 66.5%
Association date reported to CMS: Aug 31, 2023
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 8 across MT, NV, OR, WA.
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 66.5%
Association date reported to CMS: Aug 31, 2023
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 2.25%
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across NV.
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 1%
Association date reported to CMS: Aug 31, 2023
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 2.25%
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across NV.
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 2.25%
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across NV.
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 3%
Association date reported to CMS: Aug 31, 2023
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 2.25%
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across NV.
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 3%
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across NV.
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 1%
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across NV.
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 25%
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 8 across MT, NV, OR, WA.
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 25%
Association date reported to CMS: Aug 31, 2023
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Aug 31, 2023
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Aug 31, 2023
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
CMS classifications: Chain / home office
Other facilities connected through this exact CMS organization identity: 34 across MT, NV, OR, SD, WA, WY.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 39 across CA, MT, NV, OR, SD, WA, WY.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 5 across MT, NV, OR.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 8 across MT, NV, OR, WA.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across NV.
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 846 is a grouping identifier, not a legal organization.
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 44 | 2.5 | 3.3 |
| Mon Jun | 43 | 2.4 | 3.3 |
| Fri May | 43 | 2.4 | 3.3 |
| Wed Apr | 43 | 2.4 | 3.3 |
| Sun Mar | 41 | 2.3 | 3.1 |
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.
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
Honor the resident's right to 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 (Mar 15, 2026)
Protect each resident from the wrongful use of the resident's belongings or money.
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 15, 2026)
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 15, 2026)
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 15, 2026)
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 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 15, 2026)
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 (Mar 15, 2026)
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
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 15, 2026)
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 15, 2026)
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 (Mar 15, 2026)
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 (Mar 15, 2026)
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 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 15, 2026)
Provide behavior health training consistent with the requirements and as determined by a facility 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 15, 2026)
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 (Dec 11, 2025)
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
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 11, 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 (Apr 2, 2025)
No health-deficiency rows were deterministically linked to this inspection.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 8, 2024)
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 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 18, 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 (Nov 7, 2024)
Ensure residents do not lose the ability to perform activities of daily living unless there is 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 (Nov 17, 2024)
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 (Dec 18, 2024)
Provide safe and appropriate respiratory care for a resident when needed.
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 22, 2024)
Provide care or services that was trauma informed and/or culturally competent.
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 13, 2024)
Ensure medication error rates are not 5 percent or greater.
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 23, 2024)
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 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 (Nov 22, 2024)
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 (Nov 22, 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 (Nov 22, 2024)
Develop and implement policies and procedures for flu and pneumonia vaccinations.
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 12, 2024)
No health-deficiency rows were deterministically linked to this inspection.
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 (Oct 27, 2023)
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 (Dec 15, 2023)
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 (Dec 15, 2023)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity 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 22, 2023)
Ensure residents do not lose the ability to perform activities of daily living unless there is 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 (Dec 15, 2023)
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 (Dec 22, 2023)
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
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 15, 2023)
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 (Dec 22, 2023)
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 (Dec 22, 2023)
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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 22, 2023)
Provide safe, appropriate pain management 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 (Dec 22, 2023)
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
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 22, 2023)
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
CMS scope/severity 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 22, 2023)
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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 (Dec 22, 2023)
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 (Dec 22, 2023)
Ensure medication error rates are not 5 percent or greater.
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 22, 2023)
Provide routine and 24-hour emergency dental care for 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 (Dec 15, 2023)
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
CMS scope/severity C: Widespread; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (Dec 15, 2023)
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
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 15, 2023)
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 (Dec 22, 2023)
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: Deficient, Provider has date of correction (Oct 12, 2023)
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 12, 2023)
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
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 (May 1, 2023)
Penalties & enforcement
Published fine amount: $25,675.00
Questions to ask
Facility history
12 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
12 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Total nurse staffing increased from 2.80 to 3.11 hours per resident day between 2025Q3 and 2025Q4. Staffing improved across those reported periods.
2.80 → 3.11
CMS · Reported in a source release · View related evidence
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
CMS recorded a $25,675 civil monetary penalty.
CMS · Recorded event date · View related evidence
1 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
11 deficiencies were recorded.
CMS · Recorded event date · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
19 deficiencies were recorded.
CMS · Recorded event date · View related evidence
An ownership change was recorded. New organization: MV SNF OPERATIONS LLC.
EVERGREEN AT MOUNTAIN VIEW, L.L.C. → MV SNF OPERATIONS LLC
CMS · Recorded event date · View related evidence
3 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 3 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 | 3.398 | 2.776 |
| RN categories | 0.411 | 0.327 |
Contract staff accounted for 6.8% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.070 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 | 2.767 | 0.232 | 0.744 | 1.665 | 4.8% | 91 |
| 2025Q3 | 2.8 | 0.243 | 0.733 | 1.74 | 6.7% | 92 |
| 2025Q4 | 3.111 | 0.317 | 0.846 | 1.818 | 9.8% | 92 |
| 2026Q1 | 3.218 | 0.387 | 0.812 | 1.929 | 6.8% | 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.