Staffing
CMS publishes a 1-star staffing rating for this facility.
RN staffing was 0.69 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 1-star staffing rating for this facility.
RN staffing was 0.69 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Jul 31, 2025 cited 14 deficiencies.
View inspection evidenceCMS-published records list 65 ownership or control parties.
CMS records show an ownership change effective May 2018.
View ownership evidenceCMS groups this facility with a chain covering 84 facilities across 6 states or territories.
View chain evidenceOwnership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
SeniorTrustHub found evidence connecting this facility to:
11 currently connected nursing homes share this CMS organization identity with NPNH1 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 · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Sep 29, 2022
Other facilities connected through this exact CMS organization identity: 0 across OH.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Sep 29, 2022
Other facilities connected through this exact CMS organization identity: 0 across OH.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Sep 29, 2022
Other facilities connected through this exact CMS organization identity: 0 across OH.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Sep 29, 2022
Other facilities connected through this exact CMS organization identity: 0 across OH.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Sep 29, 2022
Other facilities connected through this exact CMS organization identity: 0 across OH.
Organization · 5% OR GREATER MORTGAGE INTEREST
Association date reported to CMS: Sep 29, 2022
Other facilities connected through this exact CMS organization identity: 0 across OH.
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 29, 2022
Other facilities connected through this exact CMS organization identity: 0 across OH.
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 29, 2022
Other facilities connected through this exact CMS organization identity: 0 across OH.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 2, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 29, 2022
Other facilities connected through this exact CMS organization identity: 0 across OH.
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 29, 2022
Other facilities connected through this exact CMS organization identity: 0 across OH.
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 29, 2022
Other facilities connected through this exact CMS organization identity: 0 across OH.
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 29, 2022
Other facilities connected through this exact CMS organization identity: 0 across OH.
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 15, 2024
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2018
Other facilities connected through this exact CMS organization identity: 0 across OH.
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 29, 2022
Other facilities connected through this exact CMS organization identity: 0 across OH.
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 29, 2022
Other facilities connected through this exact CMS organization identity: 0 across OH.
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 29, 2022
Other facilities connected through this exact CMS organization identity: 0 across OH.
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 29, 2022
Other facilities connected through this exact CMS organization identity: 0 across OH.
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 29, 2022
Other facilities connected through this exact CMS organization identity: 0 across OH.
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 29, 2022
Other facilities connected through this exact CMS organization identity: 0 across OH.
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 29, 2022
Other facilities connected through this exact CMS organization identity: 0 across OH.
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 29, 2022
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Sep 29, 2022
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Sep 29, 2022
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Sep 29, 2022
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Sep 29, 2022
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Mar 26, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 15, 2024
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 29, 2022
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 29, 2022
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Sep 29, 2022
CMS classifications: Parent company, Holding company
Other facilities connected through this exact CMS organization identity: 0 across OH.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 50%
Association date reported to CMS: Sep 29, 2022
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 9 across OH.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 15%
Association date reported to CMS: Sep 29, 2022
Other facilities connected through this exact CMS organization identity: 6 across OH.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Sep 29, 2022
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 0 across OH.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 15%
Association date reported to CMS: Sep 29, 2022
Other facilities connected through this exact CMS organization identity: 10 across FL, OH.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 5%
Association date reported to CMS: Sep 29, 2022
Other facilities connected through this exact CMS organization identity: 10 across FL, OH.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 7.5%
Association date reported to CMS: Sep 29, 2022
Other facilities connected through this exact CMS organization identity: 5 across OH.
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 7.5%
Association date reported to CMS: Sep 29, 2022
Organization · 5% OR GREATER MORTGAGE INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Sep 29, 2022
Other facilities connected through this exact CMS organization identity: 0 across OH.
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 29, 2022
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 9 across OH.
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 29, 2022
Other facilities connected through this exact CMS organization identity: 85 across IA, KY, NC, OH, PA, VA.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 2, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 29, 2022
Other facilities connected through this exact CMS organization identity: 19 across FL, KY, OH, WI.
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 29, 2022
Other facilities connected through this exact CMS organization identity: 6 across OH.
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 29, 2022
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 0 across OH.
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 29, 2022
Other facilities connected through this exact CMS organization identity: 4 across KY, OH.
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 15, 2024
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2018
Other facilities connected through this exact CMS organization identity: 14 across KY, MA, NY, OH.
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 29, 2022
Other facilities connected through this exact CMS organization identity: 10 across FL, OH.
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 29, 2022
Other facilities connected through this exact CMS organization identity: 8 across KY, OH.
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 29, 2022
Other facilities connected through this exact CMS organization identity: 10 across FL, OH.
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 29, 2022
Other facilities connected through this exact CMS organization identity: 6 across OH.
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 29, 2022
Other facilities connected through this exact CMS organization identity: 4 across OH.
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 29, 2022
Other facilities connected through this exact CMS organization identity: 1 across OH.
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 29, 2022
Other facilities connected through this exact CMS organization identity: 5 across OH.
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 29, 2022
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 15%
Association date reported to CMS: Sep 29, 2022
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 5%
Association date reported to CMS: Sep 29, 2022
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 50%
Association date reported to CMS: Sep 29, 2022
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 15%
Association date reported to CMS: Sep 29, 2022
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 15, 2024
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 29, 2022
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 29, 2022
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across OH.
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 580 is a grouping identifier, not a legal organization.
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 84 | 2.5 | 2.2 |
| Mon Jun | 85 | 2.6 | 2.4 |
| Fri May | 90 | 2.5 | 2.4 |
| Wed Apr | 94 | 2.4 | 2.4 |
| Sun Mar | 95 | 2.3 | 2.3 |
| Sun Feb | 97 | 2.2 | 2.4 |
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.
Ensure medication error rates are not 5 percent or greater.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 4, 2026)
No health-deficiency rows were deterministically linked to this inspection.
Honor the resident's right to manage his or her financial affairs.
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 (Sep 12, 2025)
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
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 (Sep 12, 2025)
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 (Sep 12, 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 (Sep 12, 2025)
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
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 (Sep 12, 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 (Sep 12, 2025)
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as 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 (Sep 12, 2025)
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 (Sep 12, 2025)
Observe each nurse aide's job performance and give regular training.
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 (Sep 12, 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 (Sep 12, 2025)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 12, 2025)
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
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 (Sep 12, 2025)
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
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 (Sep 12, 2025)
Provide and implement an infection prevention and control program.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 12, 2025)
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
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 (Jun 6, 2025)
Provide and implement an infection prevention and control program.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 25, 2025)
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 (Aug 7, 2024)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Past Non-Compliance (Mar 1, 2024)
No health-deficiency rows were deterministically linked to this inspection.
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 19, 2023)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 19, 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 (Dec 19, 2023)
Make sure that a working call system is available in each resident's bathroom and bathing area.
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 19, 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 (Aug 28, 2023)
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
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 (Aug 28, 2023)
No health-deficiency rows were deterministically linked to this inspection.
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
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 2, 2022)
Notify the appropriate authorities when residents with MD or ID services has 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 (Jun 2, 2022)
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 2, 2022)
Ensure medication error rates are not 5 percent or greater.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 2, 2022)
Provide or obtain laboratory tests/services 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 2, 2022)
No health-deficiency rows were deterministically linked to this inspection.
Ensure medication error rates are not 5 percent or greater.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 22, 2019)
Ensure that residents are free from significant medication errors.
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 22, 2019)
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 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 (May 22, 2019)
Penalties & enforcement
No penalty records were found for this provider in the currently loaded CMS Penalties dataset.
Questions to ask
Facility history
15 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
Total nurse staffing decreased from 3.41 to 3.20 hours per resident day between 2025Q4 and 2026Q1. Staffing declined across those reported periods.
3.41 → 3.20
CMS · Reported in a source release · View related evidence
Total nurse staffing increased from 3.16 to 3.41 hours per resident day between 2025Q3 and 2025Q4. Staffing improved across those reported periods.
3.16 → 3.41
CMS · Reported in a source release · View related evidence
RN staffing increased from 0.53 to 0.68 hours per resident day between 2025Q3 and 2025Q4. Staffing improved across those reported periods.
0.53 → 0.68
CMS · Reported in a source release · View related evidence
14 deficiencies were recorded.
CMS · Recorded event date · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
1 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
4 deficiencies were recorded.
CMS · Recorded event date · View related evidence
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Staffing
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).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 3.303 | 2.934 |
| RN categories | 0.768 | 0.495 |
Contract staff accounted for 19.4% of reported nursing hours included in this quarter calculation.
PBJ reports zero combined RN-category hours on 1 day with a positive MDS census in this quarter.
Reported RN-category hours per resident day were 0.014 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 | 3.205 | 0.487 | 0.983 | 1.734 | 1.8% | 91 |
| 2025Q3 | 3.162 | 0.53 | 0.944 | 1.688 | 4.1% | 92 |
| 2025Q4 | 3.41 | 0.676 | 0.902 | 1.832 | 12.8% | 92 |
| 2026Q1 | 3.197 | 0.69 | 0.807 | 1.7 | 19.4% | 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.