Staffing
CMS publishes a 1-star staffing rating for this facility.
RN staffing was 0.66 hours per resident day in 2026Q1, calculated from CMS PBJ records.
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FRANCISCAN CARE CTR SYLVANIA has 96 certified beds in TOLEDO, Ohio. The CMS overall rating is 2 of 5, compared with the Ohio average of 3.2. The CMS health inspection rating is 1 of 5, compared with the Ohio average of 2.8. The CMS staffing rating is 1 of 5. The latest standard health survey on Jun 13, 2024 lists 18 deficiencies, compared with the Ohio average of 6.6. CMS records a fine of $337,580 dated Nov 13, 2025. Total nurse staffing is 3.18 hours per resident day in 2026Q1, compared with the Ohio average of 3.69.
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 365907.
At a glance
2 of 5
1 of 5
1 of 5
5 of 5
No attached CMS ownership-change event.
CMS currently identifies Special Focus Facility or candidate status in the loaded Provider Information extract. That is a CMS designation, not a Trust Hub watchlist.
These are CMS star ratings, not Trust Hub ratings. Missing evidence is shown as not reported, not as zero.
Quality & care evidence
Staffing, inspections, and fire safety are separate CMS evidence families below.
Ownership & management
Current ownership uses CURRENT OWNED_BY evidence only. UNKNOWN is not a former owner.
Showing 25 of 40 relationships from CMS/PECOS evidence.
These relationships were observed in an older snapshot. UNKNOWN does not mean former owner, previous owner, or that ownership ended.
Ownership change history
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
Profile generated 2026-11-03. That timestamp is not CMS evidence freshness.
Methodology
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS. How CMS ratings and facility records are read
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
CMS designations
This CMS Certification Number appears in the latest CMS Nursing Home Provider Information extract of currently listed nursing homes.
CMS currently identifies this nursing home as a Special Focus Facility candidate. Candidate status is not the same as being designated a Special Focus Facility.
CMS field value: SFF Candidate. Observed Aug 1, 2026.
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
These identifiers come from CMS SNF enrollment records linked to this CCN. They are not a substitute for the CMS Certification Number.
MDS 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.
Fire-safety citations
These are fire-safety citations, not health deficiencies and not a count of fires.
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 0.66 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Jun 13, 2024 cited 18 deficiencies.
View inspection evidenceCMS-published records list 110 ownership or control parties.
View ownership evidenceCMS groups this facility with a chain covering 19 facilities across 10 states or territories.
View chain evidenceCMS records show a $337,580 fine in the loaded enforcement dataset.
View enforcement evidence →Ownership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
SeniorTrustHub found evidence connecting this facility to:
12 currently connected nursing homes share this CMS organization identity with COMMONSPIRIT HEALTH.
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: Nov 1, 2000
Other facilities connected through this exact CMS organization identity: 0 across OH.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Nov 1, 2014
Other facilities connected through this exact CMS organization identity: 0 across OH.
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 18, 2012
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2000
Other facilities connected through this exact CMS organization identity: 0 across OH.
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2014
Other facilities connected through this exact CMS organization identity: 0 across OH.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 5, 2015
Other facilities connected through this exact CMS organization identity: 0 across OH.
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2017
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 16, 2019
Other facilities connected through this exact CMS organization identity: 0 across OH.
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 26, 2012
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 31, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 8, 2017
Individual · ADP OF THE SNF
Association date reported to CMS: May 1, 2022
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 25, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across OH.
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 13, 2011
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 16, 2007
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 28, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Dec 18, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 8, 2015
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 9, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 12, 2015
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 5, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 15, 2016
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 8, 2015
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2014
Other facilities connected through this exact CMS organization identity: 0 across OH.
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2011
Other facilities connected through this exact CMS organization identity: 0 across OH.
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2018
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jun 18, 2012
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jul 1, 2017
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Mar 26, 2012
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Nov 8, 2017
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Sep 8, 2015
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Sep 9, 2024
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Nov 12, 2015
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Aug 15, 2016
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Oct 1, 2018
Individual · CORPORATE OFFICER
Association date reported to CMS: Jan 6, 2017
Individual · CORPORATE OFFICER
Association date reported to CMS: Nov 1, 2021
Individual · CORPORATE OFFICER
Association date reported to CMS: Jun 25, 2024
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jan 6, 2017
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Nov 1, 2021
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jan 5, 2024
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: May 23, 2016
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jun 5, 2024
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 2, 2021
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 1, 2000
Other facilities connected through this exact CMS organization identity: 0 across OH.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 12, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 1, 2022
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 13, 2011
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Apr 16, 2007
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Dec 18, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 20, 2021
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 5, 2024
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 28, 1977
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Nov 1, 2000
CMS classifications: Chain / home office
Other facilities connected through this exact CMS organization identity: 7 across IA, KY, OH, WI.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Nov 1, 2014
CMS classifications: Parent company
Other facilities connected through this exact CMS organization identity: 37 across CA, CO, KY, MN, ND, OH, WA.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Nov 1, 2014
Other facilities connected through this exact CMS organization identity: 6 across KY, OH.
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 18, 2012
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2000
CMS classifications: Chain / home office
Other facilities connected through this exact CMS organization identity: 7 across IA, KY, OH, WI.
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 1, 2014
Other facilities connected through this exact CMS organization identity: 37 across CA, CO, KY, MN, ND, OH, WA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 5, 2015
Other facilities connected through this exact CMS organization identity: 17 across KY, MI, OH.
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2017
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 16, 2019
Other facilities connected through this exact CMS organization identity: 227 across AL, AZ, FL, GA, IA, IN, KS, KY, MA, MI, MO, MS, MT, NC, NE, NM, OH, OK, PA, SC, SD, TX, VA, WI.
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 26, 2012
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 31, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 8, 2017
Individual · ADP OF THE SNF
Association date reported to CMS: May 1, 2022
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 25, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 1, 2024
Other facilities connected through this exact CMS organization identity: 3 across OH.
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 13, 2011
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 16, 2007
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 28, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Dec 18, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 8, 2015
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 9, 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 151 is a grouping identifier, not a legal organization.
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 19 | 2.8 | 3 |
| Mon Jun | 19 | 2.9 | 3.3 |
| Fri May | 19 | 2.8 | 3.3 |
| Wed Apr | 19 | 2.8 | 3.3 |
| Sun Mar | 19 | 2.9 | 3.3 |
| Sun Feb | 19 | 2.9 | 3.3 |
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.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 22, 2026)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 22, 2026)
Provide safe, appropriate pain management for a resident who requires such services.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 22, 2026)
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 10, 2026)
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 (Mar 10, 2026)
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 10, 2026)
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 (Mar 10, 2026)
Provide enough food/fluids to maintain a resident's health.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 10, 2026)
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
CMS scope/severity 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 10, 2026)
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 10, 2026)
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary 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 (Mar 10, 2026)
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
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 10, 2026)
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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 6, 2026)
Respond appropriately to all alleged violations.
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 6, 2026)
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 4, 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 (Dec 4, 2025)
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 4, 2025)
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 4, 2025)
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 (Dec 4, 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 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 4, 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 (Dec 4, 2025)
Respond appropriately to all alleged violations.
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 4, 2025)
PASARR screening for Mental disorders or Intellectual Disabilities
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 4, 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 (Dec 4, 2025)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Dec 4, 2025)
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
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 4, 2025)
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
CMS scope/severity 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 4, 2025)
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
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 4, 2025)
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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 4, 2025)
Provide and implement an infection prevention and control program.
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 4, 2025)
Prepare residents for a safe transfer or discharge from the nursing home.
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 14, 2025)
Provide care and assistance to perform activities of daily living for any resident who is unable.
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 14, 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 (May 14, 2025)
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 14, 2025)
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
CMS scope/severity 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 14, 2025)
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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 14, 2025)
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 14, 2025)
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual 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 (May 14, 2025)
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
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 14, 2025)
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 (May 14, 2025)
Prepare residents for a safe transfer or discharge from the nursing home.
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 31, 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 5, 2024)
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 5, 2024)
Reasonably accommodate the needs and preferences of 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 (Sep 5, 2024)
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 5, 2024)
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 (Sep 5, 2024)
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 (Sep 5, 2024)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 5, 2024)
Assist a resident in gaining access to vision and hearing services.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 5, 2024)
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 (Sep 5, 2024)
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 5, 2024)
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 (Sep 5, 2024)
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
CMS scope/severity 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 (Sep 5, 2024)
Provide timely, quality laboratory services/tests to meet the needs of residents.
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 5, 2024)
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 (Sep 5, 2024)
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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 5, 2024)
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 5, 2024)
Develop and implement policies and procedures for flu and pneumonia vaccinations.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 5, 2024)
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 5, 2024)
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 (Sep 5, 2024)
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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 12, 2024)
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 (Apr 12, 2024)
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 12, 2024)
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
CMS scope/severity 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 12, 2024)
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 (Apr 12, 2024)
Reasonably accommodate the needs and preferences of each resident.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 27, 2023)
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 27, 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 27, 2023)
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 (Dec 27, 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 27, 2023)
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 27, 2023)
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 27, 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 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 27, 2023)
No health-deficiency rows were deterministically linked to this inspection.
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
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 29, 2022)
Assist a resident in gaining access to vision and hearing services.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 29, 2022)
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 29, 2022)
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 (Jul 29, 2022)
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 29, 2022)
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 29, 2022)
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 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 16, 2019)
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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 16, 2019)
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal 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 (Aug 16, 2019)
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
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 16, 2019)
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 (Aug 16, 2019)
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 (Aug 16, 2019)
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 (Aug 16, 2019)
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 (Aug 16, 2019)
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 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 16, 2019)
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 (Aug 16, 2019)
Penalties & enforcement
Published fine amount: $337,580.00
Payment denial length: 26 days
Questions to ask
Facility history
22 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
3 deficiencies were recorded.
CMS · Recorded event date · View related evidence
9 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Total nurse staffing increased from 2.83 to 3.17 hours per resident day between 2025Q3 and 2025Q4. Staffing improved across those reported periods.
2.83 → 3.17
CMS · Reported in a source release · View related evidence
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
4 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
12 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
CMS recorded a $337,580 civil monetary penalty.
CMS · Recorded event date · View related evidence
Total nurse staffing decreased from 3.26 to 2.83 hours per resident day between 2025Q2 and 2025Q3. Staffing declined across those reported periods.
3.26 → 2.83
CMS · Reported in a source release · View related evidence
10 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
No linked health-deficiency findings were recorded for this survey.
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 | 3.329 | 2.819 |
| RN categories | 0.754 | 0.414 |
Contract staff accounted for 5.5% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.008 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 | 3.256 | 0.625 | 1.134 | 1.399 | 9.9% | 91 |
| 2025Q3 | 2.832 | 0.557 | 0.921 | 1.17 | 19.5% | 92 |
| 2025Q4 | 3.169 | 0.648 | 0.949 | 1.528 | 19.2% | 92 |
| 2026Q1 | 3.182 | 0.655 | 1.034 | 1.493 | 5.5% | 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.
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