Staffing
CMS publishes a 2-star staffing rating for this facility.
RN staffing was 0.25 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceFacility record
MADISON HEALTH CARE has 125 certified beds in MADISON, Ohio. The CMS overall rating is 3 of 5, compared with the Ohio average of 3.2. The CMS health inspection rating is 2 of 5, compared with the Ohio average of 2.8. The CMS staffing rating is 2 of 5. The latest standard health survey on Mar 13, 2025 lists 6 deficiencies, compared with the Ohio average of 6.6. CMS records a fine of $109,991 dated Jun 17, 2024. Total nurse staffing is 2.94 hours per resident day in 2026Q1, compared with the Ohio average of 3.69.
Nearby facilities
- CARDINAL WOODS SKILLED NURSING & REHAB CTR MADISON
- CARECORE AT MENTOR MENTOR
- CONCORD RIDGE HEALTH AND REHABILITATION MENTOR
- CONCORD VILLAGE SKILLED NURSING & REHABILITATION CONCORD
- GRAND RIVER HEALTH & REHAB CENTER PAINESVILLE
- Heritage Healthcare of Painesville PAINESVILLE
- HOMESTEAD II PAINESVILLE
- KIRTLAND WOODS OF JOURNEY KIRTLAND
- Mentor Hills Post Acute MENTOR
- MENTOR RIDGE HEALTH AND REHABILITATION MENTOR
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 365306.
At a glance
CMS research snapshot
CMS overall rating
3 of 5
CMS health inspection rating
2 of 5
CMS staffing rating
2 of 5
CMS quality-measure rating
5 of 5
CMS 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 are in the CMS extract.
- PBJ staffing records are in the CMS extract.
- Inspection evidence is in the CMS extract.
- Fire-safety evidence is in the CMS extract.
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
- 2020 GSR DYNASTY LLCOrganizationINDIRECT OWNERSHIP INTEREST50% ownership interest
- 2020 GSR DYNASTY LLCOrganizationINDIRECT OWNERSHIP INTEREST
- AARON HANDLER FAMILY DYNASTY TRUSTOrganizationINDIRECT OWNERSHIP INTEREST50% ownership interest
- AARON HANDLER FAMILY DYNASTY TRUSTOrganizationINDIRECT OWNERSHIP INTEREST
- AH DYNASTY LLCOrganizationINDIRECT OWNERSHIP INTEREST50% ownership interest
- AH DYNASTY LLCOrganizationINDIRECT OWNERSHIP INTEREST
- EMBASSY HEALTHCARE HOLDINGS INCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
- GEORGE S. REPCHICK 2020 FAMILY DYNASTY TRUSTOrganizationINDIRECT OWNERSHIP INTEREST
- GEORGE S. REPCHICK 2020 FAMILY DYNASTY TRUSTOrganizationINDIRECT OWNERSHIP INTEREST50% ownership interest
- HANDLER, AARONIndividual ownerINDIRECT OWNERSHIP INTEREST
- HANDLER, AARONIndividual ownerINDIRECT OWNERSHIP INTEREST50% ownership interest
Operators
- CERJAN, KAYLAIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- CERJAN, KAYLAIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- EMBASSY HEALTHCARE MANAGEMENT INCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- EMBASSY HEALTHCARE MANAGEMENT INCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- HANDLER, AARONIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- HANDLER, AARONIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- HERITAGE EMPLOYMENT SERVICES, LLCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- HERITAGE EMPLOYMENT SERVICES, LLCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- LELE, SHREENIWASIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- LELE, SHREENIWASIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- REPCHICK, GEORGEIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- REPCHICK, GEORGEIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- CERJAN, KAYLAIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- CERJAN, KAYLAIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- EMBASSY HEALTHCARE MANAGEMENT INCOrganization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- EMBASSY HEALTHCARE MANAGEMENT INCOrganization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- HANDLER, AARONIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- HANDLER, AARONIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- HERITAGE EMPLOYMENT SERVICES, LLCOrganization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- HERITAGE EMPLOYMENT SERVICES, LLCOrganization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- LELE, SHREENIWASIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- LELE, SHREENIWASIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- REPCHICK, GEORGEIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- REPCHICK, GEORGEIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
Enrollment organizations
- EMBASSY MADISON MANAGEMENT, LLCOrganization · CURRENTMedicare-enrolled legal organization
- EMBASSY MADISON MANAGEMENT, LLCOrganization · UNKNOWNMedicare-enrolled legal organization
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
- 2020 GSR DYNASTY LLCOrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST50% ownership interest
- 2020 GSR DYNASTY LLCOrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST
- AARON HANDLER FAMILY DYNASTY TRUSTOrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST
- AARON HANDLER FAMILY DYNASTY TRUSTOrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST50% ownership interest
- AH DYNASTY LLCOrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST50% ownership interest
- AH DYNASTY LLCOrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST
- EMBASSY HEALTHCARE HOLDINGS INCOrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
- GEORGE S. REPCHICK 2020 FAMILY DYNASTY TRUSTOrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST
- GEORGE S. REPCHICK 2020 FAMILY DYNASTY TRUSTOrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST50% ownership interest
- HANDLER, AARONIndividual owner · UNKNOWNINDIRECT OWNERSHIP INTEREST
- HANDLER, AARONIndividual owner · UNKNOWNINDIRECT OWNERSHIP INTEREST50% 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
- STALE · source as of 2026-08-01
- nursing-home-provider-information
- STALE · 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 2026-11-03. 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 ratings and facility records are read
- CMS certified beds
- 125
- 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
- 4404281492Verified 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 1487981536 · enrollment O20091215000635
- NPI 1487981536 · enrollment O20091215000635
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): 97.680412
- Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (Long Stay): 91.000000
- Percentage of long-stay residents experiencing one or more falls with major injury (Long Stay): 3.865979 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents who have depressive symptoms (Long Stay): 10.919540
- Percentage of long-stay residents who lose too much weight (Long Stay): 5.397727
- Percentage of long-stay residents who received an antianxiety or hypnotic medication (Long Stay): 32.577904
- Percentage of long-stay residents who received an antipsychotic medication (Long Stay): 28.187919 · 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): 0.447724 · 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): 1.734104 · 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): 18.706453
- Percentage of long-stay residents with pressure ulcers (Long Stay): 2.278197 · CMS uses this measure in the quality-measure star rating
- Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (Short Stay): 57.142857
- 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): 65.116279
Fire-safety citations
CMS fire-safety citations
These are fire-safety citations, not health deficiencies and not a count of fires.
- 2025-03-13 · tag 0161 · scope/severity E — Use approved construction type or materials.
- 2025-03-13 · tag 0331 · scope/severity E — Construct fire resistant interior walls.
- 2025-03-13 · tag 0223 · scope/severity E — Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- 2025-03-13 · tag 0511 · scope/severity E — Have properly installed electrical wiring and gas equipment.
- 2025-03-13 · tag 0781 · scope/severity E — Have restrictions on the use of portable space heaters.
- 2025-03-13 · tag 0918 · scope/severity E — Have generator or other power source capable of supplying service within 10 seconds.
- 2023-09-28 · tag 0345 · scope/severity F — Have approved installation, maintenance and testing program for fire alarm systems.
- 2023-09-28 · tag 0353 · scope/severity F — Inspect, test, and maintain automatic sprinkler systems.
- 2023-09-28 · tag 0712 · scope/severity F — Have simulated fire drills held at unexpected times.
- 2023-09-28 · tag 0918 · scope/severity F — Have generator or other power source capable of supplying service within 10 seconds.
- 2023-09-28 · tag 0372 · scope/severity E — Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- 2023-09-28 · tag 0511 · scope/severity E — Have properly installed electrical wiring and gas equipment.
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 Mar 13, 2025 cited 6 deficiencies.
View inspection evidenceOwnership
CMS-published records list 36 ownership or control parties.
View ownership evidenceChain context
CMS groups this facility with a chain covering 35 facilities across 2 states or territories.
View chain evidenceEnforcement record
CMS records show a $109,991 fine in the loaded enforcement dataset.
View enforcement evidence →Ownership & 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
- EMBASSY HEALTHCARECMS identifies this facility as part of the EMBASSY HEALTHCARE chain.
- Related facilities
- 35Current CMS organization identity
Who is behind this facility?
SeniorTrustHub found evidence connecting this facility to:
- 9 CMS-reported ownership organizations
- CMS reports 18 individual ownership interests
- a CMS chain / common-control group
Related facilities
35 currently connected nursing homes share this CMS organization identity with EMBASSY HEALTHCARE HOLDINGS INC.
- Average CMS overall rating
- 2.4 stars across 34 reporting facilities
- CMS monetary penalties
- 21 of 35 facilities had a recorded monetary penalty in the available CMS period.
- Recent CMS penalties
- 12 facilities had a CMS penalty in the last 18 months.
- Recent high-value CMS enforcement
- 12 facilities had a high-value CMS fine or payment denial in the last 18 months.
- Recent CMS complaint inspections
- 30 facilities had a CMS complaint inspection in the last 18 months.
- Total recorded CMS fines
- $1,598,454
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
- 36
- Organizations shown
- 18
- Individuals shown
- 18
- Latest ownership source update
- Aug 17, 2026
CMS-published ownership and control parties
CERJAN, KAYLA
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
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
EMBASSY HEALTHCARE MANAGEMENT INC
Organization · ADP OF THE SNF
Association date reported to CMS: May 22, 2025
Other facilities connected through this exact CMS organization identity: 0 across OH.
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
HERITAGE EMPLOYMENT SERVICES, LLC
Organization · ADP OF THE SNF
Association date reported to CMS: May 22, 2025
Other facilities connected through this exact CMS organization identity: 0 across OH.
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
LELE, SHREENIWAS
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
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
HANDLER, AARON
Individual · CORPORATE OFFICER
Association date reported to CMS: Nov 1, 2009
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
REPCHICK, GEORGE
Individual · CORPORATE OFFICER
Association date reported to CMS: Jan 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
2020 GSR DYNASTY LLC
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jan 1, 2020
Other facilities connected through this exact CMS organization identity: 0 across OH.
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
AARON HANDLER FAMILY DYNASTY TRUST
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jan 1, 2020
Other facilities connected through this exact CMS organization identity: 0 across OH.
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
AH DYNASTY LLC
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jan 1, 2020
Other facilities connected through this exact CMS organization identity: 0 across OH.
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
GEORGE S. REPCHICK 2020 FAMILY DYNASTY TRUST
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jan 1, 2020
Other facilities connected through this exact CMS organization identity: 0 across OH.
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
HANDLER, AARON
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Nov 1, 2009
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
CERJAN, KAYLA
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2025
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
EMBASSY HEALTHCARE MANAGEMENT INC
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2020
Other facilities connected through this exact CMS organization identity: 0 across OH.
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
HANDLER, AARON
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 1, 2009
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
HERITAGE EMPLOYMENT SERVICES, LLC
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2020
Other facilities connected through this exact CMS organization identity: 0 across OH.
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
LELE, SHREENIWAS
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2025
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
REPCHICK, GEORGE
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 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
EMBASSY HEALTHCARE HOLDINGS INC
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Jan 1, 2020
Other facilities connected through this exact CMS organization identity: 34 across NC, OH, PA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
CERJAN, KAYLA
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
EMBASSY HEALTHCARE MANAGEMENT INC
Organization · ADP OF THE SNF
Association date reported to CMS: May 22, 2025
CMS classifications: Management services company
Other facilities connected through this exact CMS organization identity: 22 across OH, PA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
HERITAGE EMPLOYMENT SERVICES, LLC
Organization · ADP OF THE SNF
Association date reported to CMS: May 22, 2025
Other facilities connected through this exact CMS organization identity: 20 across OH, PA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
LELE, SHREENIWAS
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
HANDLER, AARON
Individual · CORPORATE OFFICER
Published ownership percentage: 50%
Association date reported to CMS: Nov 1, 2009
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
REPCHICK, GEORGE
Individual · CORPORATE OFFICER
Published ownership percentage: 50%
Association date reported to CMS: Jan 1, 2020
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
2020 GSR DYNASTY LLC
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 50%
Association date reported to CMS: Jan 1, 2020
Other facilities connected through this exact CMS organization identity: 26 across OH, PA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
AARON HANDLER FAMILY DYNASTY TRUST
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 50%
Association date reported to CMS: Jan 1, 2020
Other facilities connected through this exact CMS organization identity: 25 across NC, OH, PA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
AH DYNASTY LLC
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 50%
Association date reported to CMS: Jan 1, 2020
Other facilities connected through this exact CMS organization identity: 27 across NC, OH, PA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
GEORGE S. REPCHICK 2020 FAMILY DYNASTY TRUST
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 50%
Association date reported to CMS: Jan 1, 2020
Other facilities connected through this exact CMS organization identity: 27 across NC, OH, PA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
HANDLER, AARON
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 50%
Association date reported to CMS: Nov 1, 2009
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
CERJAN, KAYLA
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2025
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
EMBASSY HEALTHCARE MANAGEMENT INC
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2020
CMS classifications: Management services company
Other facilities connected through this exact CMS organization identity: 22 across OH, PA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
HANDLER, AARON
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 1, 2009
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
HERITAGE EMPLOYMENT SERVICES, LLC
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2020
Other facilities connected through this exact CMS organization identity: 20 across OH, PA.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
LELE, SHREENIWAS
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2025
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
REPCHICK, GEORGE
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2020
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
EMBASSY MADISON MANAGEMENT, LLC
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across OH.
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 EMBASSY HEALTHCARE HOLDINGS INC to 35 facilities. Which policies and staffing decisions are managed centrally versus locally?
Chain context
CMS groups this facility with EMBASSY HEALTHCARE
Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 199 is a grouping identifier, not a legal organization.
- Facilities
- 35
- States and territories
- 2
- Average overall rating
- 2.4
- Average staffing rating
- 1.8
- Average total nurse HPRD
- 3.4
- Total fines
- 40
CMS-published history
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 35 | 2.4 | 1.8 |
| Mon Jun | 35 | 2.5 | 2.2 |
| Fri May | 35 | 2.6 | 2.2 |
| Wed Apr | 37 | 2.6 | 2.2 |
| Sun Mar | 37 | 2.5 | 2.3 |
| Sun Feb | 37 | 2.7 | 2.3 |
Questions to ask
- CMS groups facilities in 2 states or territories under this chain. Which operational policies are set at the chain level?
- CMS reports 40 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
- Jun 25, 2026
- Survey type
- Health Complaint
- Linked findings
- 3
- Highest linked CMS classification
- D — Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy
View source details
- Dataset
- Inspection Dates
- CMS dataset ID
- svdt-c123
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 365306
- Source record locator
- csv-row:92269:ccn:365306
Jun 25, 2026 — Health Complaint — 3 linked findings
F0573 — Resident Rights Deficiencies
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
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 plan of correction (Jul 31, 2026)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 365306
- Source record locator
- csv-row:256180:ccn:365306
F0801 — Nutrition and Dietary Deficiencies
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
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 plan of correction (Jul 31, 2026)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 365306
- Source record locator
- csv-row:256179:ccn:365306
F0850 — Administration Deficiencies
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: Deficient, Provider has plan of correction (Jul 31, 2026)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 365306
- Source record locator
- csv-row:256181:ccn:365306
Mar 13, 2025 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Mar 13, 2025 — Health Complaint — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Mar 13, 2025 — Health Standard — 6 linked findings
F0688 — Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 30, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 365306
- Source record locator
- csv-row:256187:ccn:365306
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 (Apr 30, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 365306
- Source record locator
- csv-row:256188:ccn:365306
F0695 — Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 30, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 365306
- Source record locator
- csv-row:256189:ccn:365306
F0760 — Pharmacy Service Deficiencies
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 (Apr 30, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 365306
- Source record locator
- csv-row:256190:ccn:365306
F0814 — Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
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 (Apr 30, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 365306
- Source record locator
- csv-row:256182:ccn:365306
F0917 — Environmental Deficiencies
Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.
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 (Apr 30, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 365306
- Source record locator
- csv-row:256184:ccn:365306
Dec 19, 2024 — Health Complaint — 3 linked findings
F0603 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
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 7, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 365306
- Source record locator
- csv-row:256191:ccn:365306
F0684 — Quality of Life and Care Deficiencies
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 (Jan 7, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 365306
- Source record locator
- csv-row:256192:ccn:365306
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 (Jan 7, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 365306
- Source record locator
- csv-row:256193:ccn:365306
Jul 30, 2024 — Health Complaint — 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: Past Non-Compliance (Jan 25, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 365306
- Source record locator
- csv-row:256200:ccn:365306
Jun 17, 2024 — Health Complaint — 2 linked findings
F0600 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
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 (Jun 18, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 365306
- Source record locator
- csv-row:256201:ccn:365306
F0760 — Pharmacy Service Deficiencies
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 (Jun 18, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 365306
- Source record locator
- csv-row:256202:ccn:365306
Nov 1, 2023 — Health Complaint — 3 linked findings
F0584 — Resident Rights Deficiencies
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 (Nov 16, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 365306
- Source record locator
- csv-row:256204:ccn:365306
F0804 — Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 16, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 365306
- Source record locator
- csv-row:256203:ccn:365306
F0880 — Infection Control Deficiencies
Provide and implement an infection prevention and control program.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 16, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 365306
- Source record locator
- csv-row:256205:ccn:365306
Sep 28, 2023 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Sep 28, 2023 — Health Complaint — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Sep 28, 2023 — Health Standard — 4 linked findings
F0550 — Resident Rights Deficiencies
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 (Nov 16, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 365306
- Source record locator
- csv-row:256196:ccn:365306
F0567 — Resident Rights Deficiencies
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 (Nov 16, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 365306
- Source record locator
- csv-row:256197:ccn:365306
F0688 — Quality of Life and Care Deficiencies
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 (Nov 16, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 365306
- Source record locator
- csv-row:256198:ccn:365306
F0880 — Infection Control Deficiencies
Provide and implement an infection prevention and control program.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 16, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 365306
- Source record locator
- csv-row:256199:ccn:365306
Aug 17, 2023 — Health Complaint — 1 linked finding
F0727 — Nursing and Physician Services Deficiencies
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 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 24, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 365306
- Source record locator
- csv-row:256206:ccn:365306
Sep 2, 2021 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Sep 2, 2021 — Health Standard — 9 linked findings
F0570 — Resident Rights Deficiencies
Assure the security of all personal funds of residents deposited with the facility.
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 8, 2021)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 365306
- Source record locator
- csv-row:256210:ccn:365306
F0656 — Resident Assessment and Care Planning Deficiencies
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 (Oct 8, 2021)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 365306
- Source record locator
- csv-row:256211:ccn:365306
F0658 — Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
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 8, 2021)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 365306
- Source record locator
- csv-row:256212:ccn:365306
F0677 — Quality of Life and Care Deficiencies
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 (Oct 8, 2021)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 365306
- Source record locator
- csv-row:256213:ccn:365306
F0686 — Quality of Life and Care Deficiencies
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 (Oct 8, 2021)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 365306
- Source record locator
- csv-row:256214:ccn:365306
F0810 — Nutrition and Dietary Deficiencies
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
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 8, 2021)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 365306
- Source record locator
- csv-row:256215:ccn:365306
F0880 — Infection Control Deficiencies
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 (Oct 8, 2021)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 365306
- Source record locator
- csv-row:256207:ccn:365306
F0921 — Environmental Deficiencies
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 (Oct 8, 2021)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 365306
- Source record locator
- csv-row:256208:ccn:365306
F0924 — Environmental Deficiencies
Put firmly secured handrails on each side of hallways.
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 (Oct 8, 2021)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 365306
- Source record locator
- csv-row:256209:ccn:365306
Tags appearing across inspections
- F0689 appears in 3 linked inspections.
- F0880 appears in 3 linked inspections.
- F0688 appears in 2 linked inspections.
- F0760 appears in 2 linked inspections.
Penalties & enforcement
CMS penalty records in the loaded three-year dataset
Fine — Jun 17, 2024
Published fine amount: $109,991.00
View source details
- Dataset
- Penalties
- CMS dataset ID
- g6vv-u9sr
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 365306
- Source record locator
- csv-row:9727:ccn:365306
Questions to ask
Questions generated from the evidence above
- CMS records show F0689 in 3 inspections in the available record. What changes has the facility made to address this issue?
- CMS records show F0880 in 3 inspections in the available record. What changes has the facility made to address this issue?
- CMS records show F0688 in 2 inspections in the available record. What changes has the facility made to address this issue?
- CMS records show F0760 in 2 inspections in the available record. What changes has the facility made to address this issue?
- CMS records show a monetary penalty dated Jun 17, 2024. What changes were made after that enforcement action?
Facility history
Facility History
12 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
What changed recently?
- Total nurse staffing decreasedTotal nurse staffing decreased from 3.22 to 2.94 hours per resident day between 2025Q4 and 2026Q1. Staffing declined across those reported periods.
2026
- Total nurse staffing decreased
Total nurse staffing decreased from 3.22 to 2.94 hours per resident day between 2025Q4 and 2026Q1. Staffing declined across those reported periods.
3.22 → 2.94
CMS · Reported in a source release · View related evidence
2025
- Health inspection completed
6 deficiencies were recorded.
CMS · Recorded event date · View related evidence
- Complaint inspection recorded
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
2024
- Complaint inspection recorded
3 deficiencies were recorded.
CMS · Recorded event date · View related evidence
- Complaint inspection recorded
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
- Civil monetary penalty recorded
CMS recorded a $109,991 civil monetary penalty.
CMS · Recorded event date · View related evidence
- Complaint inspection recorded
2 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
2023
- Complaint inspection recorded
3 deficiencies were recorded.
CMS · Recorded event date · View related evidence
- Health inspection completed
4 deficiencies were recorded.
CMS · Recorded event date · View related evidence
- Complaint inspection recorded
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
- Complaint inspection recorded
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
2021
- Health inspection completed
9 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Staffing
Reported nursing staffing at a glance
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).
- Total nursing
- 2.942 reported hours per resident day
- RN categories
- 0.249 reported hours per resident day
- LPN/LVN categories
- 0.936 reported hours per resident day
- CNA
- 1.757 reported hours per resident day
Weekday and weekend calculations
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 2.997 | 2.808 |
| RN categories | 0.252 | 0.241 |
Contract staff accounted for 0% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.043 lower 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 | 3.138 | 0.292 | 0.957 | 1.888 | 0% | 91 |
| 2025Q3 | 3.048 | 0.305 | 0.925 | 1.818 | 0% | 92 |
| 2025Q4 | 3.22 | 0.292 | 1.054 | 1.874 | 0% | 92 |
| 2026Q1 | 2.942 | 0.249 | 0.936 | 1.757 | 0% | 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?
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 3-star overall rating.
- CMS reports a 2-star health inspection rating.
- CMS reports a 2-star staffing rating.
- CMS reports a 5-star quality-measure rating.
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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
Penalties
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- g6vv-u9sr
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
- Supports
- Penalties, enforcement, 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 All Owners
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 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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