Staffing
CMS publishes a 1-star staffing rating for this facility.
RN staffing was 2.71 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceAsk about this facility
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 295084.
At a glance
CMS research snapshot
CMS overall rating
5 of 5 CMS stars5/5CMS health inspection rating
5 of 5 CMS stars5/5CMS staffing rating
1 of 5 CMS stars1/5CMS quality-measure rating
5 of 5 CMS stars5/5CMS ownership-change history
No attached CMS ownership-change event.
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: Available
- PBJ staffing records: Available
- Inspection evidence: Available
- Fire-safety evidence: Available
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
- CELTIC INTERMEDIATE CORP.Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST
- NATIONAL MENTOR HEALTHCARE LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
- NATIONAL MENTOR HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST
- NATIONAL MENTOR HOLDINGS, INC.Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST
- NATIONAL MENTOR LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST
Operators
- CAREMERIDIAN LLCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- DUFFY, WILLIAMIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- MCKINNEY, WILLIAMIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- NATIONAL MENTOR HEALTHCARE LLCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- CAREMERIDIAN LLCOrganization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- DUFFY, WILLIAMIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- MCKINNEY, WILLIAMIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- NATIONAL MENTOR HEALTHCARE LLCOrganization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
Managers
- KULURIS, BRUCEIndividual owner · CURRENTW-2 MANAGING EMPLOYEE
- KULURIS, BRUCEIndividual owner · UNKNOWNW-2 MANAGING EMPLOYEE
Enrollment organizations
- CAREMERIDIAN LLCOrganization · CURRENTMedicare-enrolled legal organization
- CAREMERIDIAN LLCOrganization · UNKNOWNMedicare-enrolled legal organization
Historical ownership observations
Historical
No resolved CMS/PECOS relationships in this category.
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
- CELTIC INTERMEDIATE CORP.Organization · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST
- NATIONAL MENTOR HEALTHCARE LLCOrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
- NATIONAL MENTOR HOLDINGS LLCOrganization · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST
- NATIONAL MENTOR HOLDINGS, INC.Organization · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST
- NATIONAL MENTOR LLCOrganization · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST
Ownership change history
CMS ownership-change records
No CMS ownership-change event is currently attached to this profile in the Trust Hub research graph. That is not proof that ownership never changed.
Source freshness
How current each evidence family is
- nursing-home-mds-quality-measures
- AGING · source as of 2026-08-01
- nursing-home-provider-information
- AGING · 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 2026-10-02. 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
No proprietary TrustHub score. These ratings are published separately by CMS.
How CMS describes these ratings
- CMS overall rating
- The CMS overall rating summarizes health inspections, staffing, and quality measures within Medicare's Five-Star system.
- Health inspection rating
- The CMS health inspection rating reflects findings from standard and complaint inspections used in Medicare's Five-Star system.
- Staffing rating
- The CMS staffing rating reflects staffing levels and related measures used in Medicare's Five-Star system.
- Quality-measure rating
- The CMS quality-measure rating summarizes selected resident assessment and claims-based measures used in Medicare's Five-Star system.
- CMS certified beds
- 35
- Ownership descriptor
- For profit - Corporation
- 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
- 7022557399Verified 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 1083707764 · enrollment O20081218000310
- NPI 1083707764 · enrollment O20081218000310
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): 100.000000
- Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (Long Stay): 82.352941
- Percentage of long-stay residents experiencing one or more falls with major injury (Long Stay): 0.000000 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents who have depressive symptoms (Long Stay): 0.000000
- Percentage of long-stay residents who lose too much weight (Long Stay): 9.523810
- Percentage of long-stay residents who received an antianxiety or hypnotic medication (Long Stay): 44.881890
- Percentage of long-stay residents who received an antipsychotic medication (Long Stay): 3.773585 · 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): 9 · 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): 3.225806 · 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): 0.000000 · 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): 8.139206
- Percentage of long-stay residents with pressure ulcers (Long Stay): 1.280904 · CMS uses this measure in the quality-measure star rating
- Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (Short Stay): 100.000000
- 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): 9
Fire-safety citations
CMS fire-safety citations
These are fire-safety citations, not health deficiencies and not a count of fires.
- 2026-04-17 · tag 0015 · scope/severity F — Address subsistence needs for staff and patients.
- 2026-04-17 · tag 0020 · scope/severity F — Establish policies and procedures including evacuation.
- 2026-04-17 · tag 0025 · scope/severity F — Create arrangements with other facilities to receive patients.
- 2026-04-17 · tag 0345 · scope/severity F — Have approved installation, maintenance and testing program for fire alarm systems.
- 2026-04-17 · tag 0902 · scope/severity F — Meet requirements for the installation and maintenance of medical gas and medical vacuum systems.
- 2026-04-17 · tag 0013 · scope/severity E — Develop Emergency Preparedness policies and procedures.
- 2026-04-17 · tag 0222 · scope/severity E — Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- 2026-04-17 · tag 0324 · scope/severity E — Provide properly protected cooking facilities.
- 2026-04-17 · tag 0521 · scope/severity E — Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- 2026-04-17 · tag 0918 · scope/severity E — Have generator or other power source capable of supplying service within 10 seconds.
- 2026-04-17 · tag 0923 · scope/severity E — Have proper medical gas storage and administration areas.
- 2026-04-17 · tag 0353 · scope/severity F — Inspect, test, and maintain automatic sprinkler systems.
Decision guide
What to review
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
Inspections
The latest standard inspection on Apr 17, 2026 cited 4 deficiencies.
View inspection evidenceOwnership
CMS-published records list 17 ownership or control parties.
View ownership evidenceChain context
CMS groups this facility with a chain covering 5 facilities across 3 states or territories.
View chain evidenceOwnership & 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 - CorporationCMS
- Chain
- NEURORESTORATIVECMS identifies this facility as part of the NEURORESTORATIVE chain.
- Related facilities
- 5Current CMS organization identity
Who is behind this facility?
SeniorTrustHub found evidence connecting this facility to:
- 5 CMS-reported ownership organizations
- CMS reports 9 individual ownership interests
- a CMS chain / common-control group
Related facilities
5 currently connected nursing homes share this CMS organization identity with CAREMERIDIAN LLC.
- Average CMS overall rating
- 3.8 stars across 5 reporting facilities
- CMS monetary penalties
- 3 of 5 facilities had a recorded monetary penalty in the available CMS period.
- Recent CMS penalties
- 2 facilities had a CMS penalty in the last 18 months.
- Recent high-value CMS enforcement
- 2 facilities had a high-value CMS fine or payment denial in the last 18 months.
- Recent CMS complaint inspections
- 2 facilities had a CMS complaint inspection in the last 18 months.
- Total recorded CMS fines
- $179,940
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
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
- 17
- Organizations shown
- 8
- Individuals shown
- 9
- Latest ownership source update
- Aug 17, 2026
CMS-published ownership and control parties
NATIONAL MENTOR HEALTHCARE LLC
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Aug 15, 2008
Other facilities connected through this exact CMS organization identity: 0 across NV.
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
CELTIC INTERMEDIATE CORP.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Mar 8, 2019
Other facilities connected through this exact CMS organization identity: 0 across NV.
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
NATIONAL MENTOR HOLDINGS LLC
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Nov 22, 2000
Other facilities connected through this exact CMS organization identity: 0 across NV.
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
NATIONAL MENTOR HOLDINGS, INC.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Nov 22, 2000
Other facilities connected through this exact CMS organization identity: 0 across NV.
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
NATIONAL MENTOR LLC
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Nov 6, 2002
Other facilities connected through this exact CMS organization identity: 0 across NV.
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
KULURIS, BRUCE
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jan 17, 2018
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
COHEN, BRETT
Individual · CORPORATE OFFICER
Association date reported to CMS: Dec 14, 2015
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
DUFFY, WILLIAM
Individual · CORPORATE OFFICER
Association date reported to CMS: Nov 1, 2017
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
GLADITSCH, PETER
Individual · CORPORATE OFFICER
Association date reported to CMS: Feb 1, 2020
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
MARTIN, GINA
Individual · CORPORATE OFFICER
Association date reported to CMS: Jan 1, 2019
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
MCKINNEY, WILLIAM
Individual · CORPORATE OFFICER
Association date reported to CMS: Oct 21, 2019
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
CAREMERIDIAN LLC
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 1, 2008
Other facilities connected through this exact CMS organization identity: 0 across NV.
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
DUFFY, WILLIAM
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 1, 2017
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
MCKINNEY, WILLIAM
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 21, 2019
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
NATIONAL MENTOR HEALTHCARE LLC
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 1, 2008
Other facilities connected through this exact CMS organization identity: 0 across NV.
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
KULURIS, BRUCE
Individual · W-2 MANAGING EMPLOYEE
Association date reported to CMS: Jan 17, 2018
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
CAREMERIDIAN LLC
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 4 across CO, NV, UT.
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
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 records connect CAREMERIDIAN LLC to 5 facilities. Which policies and staffing decisions are managed centrally versus locally?
Chain context
CMS groups this facility with NEURORESTORATIVE
Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 367 is a grouping identifier, not a legal organization.
- Facilities
- 5
- States and territories
- 3
- Average overall rating
- 3.8
- Average staffing rating
- 3.2
- Average total nurse HPRD
- 8
- Total fines
- 5
CMS-published history
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 5 | 3.8 | 3.2 |
| Mon Jun | 5 | 3.4 | 3 |
| Fri May | 5 | 3.2 | 3 |
| Wed Apr | 5 | 3 | 3 |
| Sun Mar | 5 | 3 | 3.2 |
| Sun Feb | 5 | 3.2 | 3.8 |
Questions to ask
- CMS groups facilities in 3 states or territories under this chain. Which operational policies are set at the chain level?
- CMS reports 5 fines across the chain in this dataset. What compliance functions are managed centrally?
CMS chain source and methodology
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
What CMS inspection records show
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
Latest recorded inspection
- Date
- Apr 17, 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
- 295084
- Source record locator
- csv-row:77653:ccn:295084
Apr 17, 2026 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Apr 17, 2026 — Health Standard — 4 linked findings
F0657 — Resident Assessment and Care Planning Deficiencies
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 (Jun 1, 2026)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 295084
- Source record locator
- csv-row:219013:ccn:295084
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 (Jun 1, 2026)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 295084
- Source record locator
- csv-row:219014:ccn:295084
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 (Jun 1, 2026)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 295084
- Source record locator
- csv-row:219015:ccn:295084
F0757 — Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary 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 (Jun 1, 2026)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 295084
- Source record locator
- csv-row:219016:ccn:295084
Apr 18, 2025 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Apr 18, 2025 — Health Standard — 1 linked finding
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 (May 8, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 295084
- Source record locator
- csv-row:219017:ccn:295084
May 24, 2024 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
May 24, 2024 — Health Standard — 1 linked finding
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 (Jun 11, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 295084
- Source record locator
- csv-row:219018:ccn:295084
Tags appearing across inspections
- F0689 appears in 2 linked inspections.
Penalties & enforcement
CMS penalty records in the loaded three-year dataset
No penalty records were found for this provider in the currently loaded CMS Penalties dataset.
Questions to ask
Questions generated from the evidence above
- CMS records show F0689 in 2 inspections in the available record. What changes has the facility made to address this issue?
Facility history
Facility History
5 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
What changed recently?
- Health inspection completed4 deficiencies were recorded.
- Total nurse staffing increasedTotal nurse staffing increased from 6.85 to 7.24 hours per resident day between 2025Q2 and 2025Q3. Staffing improved across those reported periods.
2026
- Health inspection completed
4 deficiencies were recorded.
CMS · Recorded event date · View related evidence
2025
- Total nurse staffing increased
Total nurse staffing increased from 6.85 to 7.24 hours per resident day between 2025Q2 and 2025Q3. Staffing improved across those reported periods.
6.85 → 7.24
CMS · Reported in a source release · View related evidence
- RN staffing increased
RN staffing increased from 2.24 to 2.48 hours per resident day between 2025Q2 and 2025Q3. Staffing improved across those reported periods.
2.24 → 2.48
CMS · Reported in a source release · View related evidence
- Health inspection completed
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
2024
- Health inspection completed
1 deficiency was 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).
- Total nursing
- 7.121 reported hours per resident day
- RN categories
- 2.713 reported hours per resident day
- LPN/LVN categories
- 1.065 reported hours per resident day
- CNA
- 3.343 reported hours per resident day
Weekday and weekend calculations
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 7.472 | 6.259 |
| RN categories | 2.901 | 2.249 |
Contract staff accounted for 1.8% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.137 higher than the prior loaded quarter.
Staffing over time
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 6.854 | 2.235 | 1.375 | 3.244 | 4.1% | 91 |
| 2025Q3 | 7.237 | 2.481 | 1.406 | 3.35 | 2.6% | 92 |
| 2025Q4 | 7.05 | 2.576 | 1.251 | 3.223 | 4.5% | 92 |
| 2026Q1 | 7.121 | 2.713 | 1.065 | 3.343 | 1.8% | 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?
- PBJ records show that some reported nursing hours were contract hours. How does the facility orient and integrate contract staff?
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 sourceWhat 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 5-star overall rating.
- CMS reports a 5-star health inspection rating.
- CMS reports a 1-star staffing rating.
- CMS reports a 5-star quality-measure rating.
Planned evidence layers
Additional public-source research
These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.
- Home health national spine remains a separate CMS provider class, not this profile.
- Hospice national spine remains a separate CMS provider class, not this profile.
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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
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
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
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
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
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
Nursing Home Chain Performance Measures
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- 97ecfad1-d3f1-4d42-b774-d74661d830bc
- Coverage
- Wed Jul
- Source updated
- Aug 12, 2026
- Retrieved
- Aug 16, 2026
- Supports
- CMS chain context, performance, and monthly history
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.
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