Staffing
CMS publishes a 2-star staffing rating for this facility.
RN staffing was 0.62 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 2-star staffing rating for this facility.
RN staffing was 0.62 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Sep 13, 2025 cited 17 deficiencies.
View inspection evidenceCMS-published records list 78 ownership or control parties.
CMS records show an ownership change effective June 2024.
View ownership evidenceCMS groups this facility with a chain covering 69 facilities across 5 states or territories.
View chain evidenceCMS records show a 60-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:
9 currently connected nursing homes share this CMS organization identity with ML MILANO 2022 FAMILY TRUST.
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: Jun 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across NC.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across NC.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across NC.
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 8, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2024
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across NC.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across NC.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across NC.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 8, 2025
Other facilities connected through this exact CMS organization identity: 0 across NC.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across NC.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across NC.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across NC.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across NC.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across NC.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across NC.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across NC.
Individual · CORPORATE OFFICER
Association date reported to CMS: Jun 1, 2024
Individual · CORPORATE OFFICER
Association date reported to CMS: Jun 1, 2024
Individual · CORPORATE OFFICER
Association date reported to CMS: Jun 1, 2024
Individual · CORPORATE OFFICER
Association date reported to CMS: Jun 1, 2024
Individual · CORPORATE OFFICER
Association date reported to CMS: Jun 1, 2024
Individual · CORPORATE OFFICER
Association date reported to CMS: Jun 1, 2024
Individual · CORPORATE OFFICER
Association date reported to CMS: Jun 1, 2025
Individual · CORPORATE OFFICER
Association date reported to CMS: Jun 1, 2024
Individual · CORPORATE OFFICER
Association date reported to CMS: Jun 1, 2024
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jun 1, 2024
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 1, 2024
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 1, 2024
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: Jun 1, 2024
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: Jun 1, 2024
Organization · TRUSTEE OF THE SNF
Association date reported to CMS: Jun 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across NC.
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: Jun 1, 2024
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Jun 1, 2024
CMS classifications: Parent company, Holding company
Other facilities connected through this exact CMS organization identity: 0 across NC.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 23.28%
Association date reported to CMS: Jun 1, 2024
CMS classifications: Parent company
Other facilities connected through this exact CMS organization identity: 6 across NC.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 9.31%
Association date reported to CMS: Jun 1, 2024
Other facilities connected through this exact CMS organization identity: 6 across NC.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 1.14%
Association date reported to CMS: Jun 1, 2024
Other facilities connected through this exact CMS organization identity: 5 across NC.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 22.13%
Association date reported to CMS: Jun 1, 2024
Other facilities connected through this exact CMS organization identity: 7 across MN, NC.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 23.28%
Association date reported to CMS: Jun 1, 2024
Other facilities connected through this exact CMS organization identity: 6 across NC.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 23.28%
Association date reported to CMS: Jun 1, 2024
Other facilities connected through this exact CMS organization identity: 6 across NC.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 1.14%
Association date reported to CMS: Jun 1, 2024
Other facilities connected through this exact CMS organization identity: 5 across NC.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 22.13%
Association date reported to CMS: Jun 1, 2024
Other facilities connected through this exact CMS organization identity: 8 across MN, NC.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 9.31%
Association date reported to CMS: Jun 1, 2024
Other facilities connected through this exact CMS organization identity: 6 across NC.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 23.28%
Association date reported to CMS: Jun 1, 2024
Other facilities connected through this exact CMS organization identity: 6 across NC.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Jun 1, 2024
CMS classifications: Parent company
Other facilities connected through this exact CMS organization identity: 5 across NC.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 69.82%
Association date reported to CMS: Jun 1, 2024
CMS classifications: Parent company
Other facilities connected through this exact CMS organization identity: 6 across NC.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 4.9%
Association date reported to CMS: Jun 1, 2024
Other facilities connected through this exact CMS organization identity: 4 across NC.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across NC.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2024
Other facilities connected through this exact CMS organization identity: 8 across FL, MD, NC, VA.
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 8, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2024
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2024
CMS classifications: Investment firm
Other facilities connected through this exact CMS organization identity: 7 across MD, NC, VA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2024
Other facilities connected through this exact CMS organization identity: 7 across MD, MN, NC, VA, VT.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2024
Other facilities connected through this exact CMS organization identity: 17 across FL, IN, MD, NC, OH, TX, VA.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 8, 2025
Other facilities connected through this exact CMS organization identity: 5 across NC.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2024
Other facilities connected through this exact CMS organization identity: 7 across MN, NC.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2024
Other facilities connected through this exact CMS organization identity: 9 across MD, NC, PA, VA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2024
Other facilities connected through this exact CMS organization identity: 4 across MD, NC.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2024
Other facilities connected through this exact CMS organization identity: 1 across NC.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2024
Other facilities connected through this exact CMS organization identity: 2 across NC.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2024
Other facilities connected through this exact CMS organization identity: 4 across MD, NC.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2024
Other facilities connected through this exact CMS organization identity: 6 across MD, MN, NC, VA.
Individual · CORPORATE OFFICER
Association date reported to CMS: Jun 1, 2024
Individual · CORPORATE OFFICER
Association date reported to CMS: Jun 1, 2024
Individual · CORPORATE OFFICER
Association date reported to CMS: Jun 1, 2024
Individual · CORPORATE OFFICER
Association date reported to CMS: Jun 1, 2024
Individual · CORPORATE OFFICER
Association date reported to CMS: Jun 1, 2024
Individual · CORPORATE OFFICER
Association date reported to CMS: Jun 1, 2024
Individual · CORPORATE OFFICER
Association date reported to CMS: Jun 1, 2025
Individual · CORPORATE OFFICER
Association date reported to CMS: Jun 1, 2024
Individual · CORPORATE OFFICER
Association date reported to CMS: Jun 1, 2024
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jun 1, 2024
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 1, 2024
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 1, 2024
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: Jun 1, 2024
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: Jun 1, 2024
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 768 is a grouping identifier, not a legal organization.
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 69 | 2 | 1.6 |
| Mon Jun | 66 | 2.1 | 1.4 |
| Fri May | 66 | 2.1 | 1.5 |
| Wed Apr | 62 | 2.1 | 1.5 |
| Sun Mar | 59 | 2.1 | 1.5 |
| Sun Feb | 59 | 2.1 | 1.5 |
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.
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 (May 28, 2026)
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 16, 2025)
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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 16, 2025)
Ensure that residents are free from significant medication errors.
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 16, 2025)
No health-deficiency rows were deterministically linked to this inspection.
Allow residents to self-administer drugs if determined clinically appropriate.
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 9, 2025)
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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 9, 2025)
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
CMS scope/severity B: Pattern; No actual harm with potential for minimal harm.
Correction status: No revisit needed (Nov 11, 2025)
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
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 9, 2025)
Assess the resident when there is a significant change in condition
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 9, 2025)
Assure that each resident’s assessment is updated at least once every 3 months.
CMS scope/severity B: Pattern; No actual harm with potential for minimal harm.
Correction status: No revisit needed (Oct 20, 2025)
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
CMS scope/severity B: Pattern; No actual harm with potential for minimal harm.
Correction status: No revisit needed (Oct 20, 2025)
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 9, 2025)
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 9, 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 (Dec 9, 2025)
Provide activities to meet all resident's needs.
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 9, 2025)
Provide for the safe, appropriate administration of IV fluids 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 (Dec 9, 2025)
Post nurse staffing information every day.
CMS scope/severity B: Pattern; No actual harm with potential for minimal harm.
Correction status: No revisit needed (Oct 20, 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 (Dec 9, 2025)
Hire a qualified full-time social worker in a facility with more than 120 beds.
CMS scope/severity C: Widespread; No actual harm with potential for minimal harm.
Correction status: No revisit needed (Oct 20, 2025)
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 (Dec 9, 2025)
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 (Dec 9, 2025)
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 (Jun 26, 2025)
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
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 26, 2025)
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 J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Jan 9, 2025)
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Jan 9, 2025)
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 (Jan 9, 2025)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Jan 9, 2025)
Provide safe, appropriate pain management for a resident who requires such services.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 9, 2025)
Ensure the physician properly assigns and delegates tasks to a physician assistant, nurse practitioner or clinical nurse specialist.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Jan 9, 2025)
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 (Jan 9, 2025)
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
Allow residents to self-administer drugs if determined clinically appropriate.
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 (Jan 9, 2025)
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 B: Pattern; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has plan of correction (Nov 27, 2024)
Assess the resident when there is a significant change in condition
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 (Jan 9, 2025)
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 (Jan 9, 2025)
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 (Jan 9, 2025)
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
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 (Jan 9, 2025)
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 (Jan 9, 2025)
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 (Oct 1, 2023)
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 (Jul 14, 2023)
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
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 (Jul 14, 2023)
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
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 (Jul 14, 2023)
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 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 (Jul 14, 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 (Jul 14, 2023)
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 (Jul 14, 2023)
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 (Jul 14, 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 (Jul 14, 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 (Jul 14, 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 (Jul 14, 2023)
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 (Jul 14, 2023)
Provide or obtain dental services 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 (Jul 14, 2023)
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
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 (Jul 14, 2023)
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 (Jul 14, 2023)
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
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 (Jul 14, 2023)
Develop and implement policies and procedures for flu and pneumonia vaccinations.
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 (Jul 14, 2023)
No health-deficiency rows were deterministically linked to this inspection.
Penalties & enforcement
Payment denial length: 60 days
Published fine amount: $11,512.00
Published fine amount: $17,345.00
Payment denial length: 40 days
Published fine amount: $181,468.00
Questions to ask
Facility history
19 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
RN staffing increased from 0.48 to 0.62 hours per resident day between 2025Q4 and 2026Q1. Staffing improved across those reported periods.
0.48 → 0.62
CMS · Reported in a source release · View related evidence
Total nurse staffing increased from 3.18 to 3.54 hours per resident day between 2025Q3 and 2025Q4. Staffing improved across those reported periods.
3.18 → 3.54
CMS · Reported in a source release · View related evidence
3 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Total nurse staffing decreased from 3.45 to 3.18 hours per resident day between 2025Q2 and 2025Q3. Staffing declined across those reported periods.
3.45 → 3.18
CMS · Reported in a source release · View related evidence
CMS recorded a $11,512 civil monetary penalty.
CMS · Recorded event date · View related evidence
CMS recorded a $17,345 civil monetary penalty.
CMS · Recorded event date · View related evidence
CMS recorded a Medicare payment denial lasting 60 days.
CMS · Recorded event date · View related evidence
17 deficiencies were recorded.
CMS · Recorded event date · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
7 deficiencies were recorded. That includes 5 higher-severity deficiencies.
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 2 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 | 3.732 | 3.144 |
| RN categories | 0.657 | 0.537 |
Contract staff accounted for 29.1% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.144 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 | 3.449 | 0.515 | 0.966 | 1.626 | 5.2% | 91 |
| 2025Q3 | 3.175 | 0.528 | 0.647 | 1.74 | 10.2% | 92 |
| 2025Q4 | 3.539 | 0.478 | 0.706 | 2.088 | 10.3% | 92 |
| 2026Q1 | 3.563 | 0.622 | 0.88 | 1.899 | 29.1% | 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.