Staffing
CMS publishes a 2-star staffing rating for this facility.
RN staffing was 0.58 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceAsk Trust Hub Network
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS.
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
CMS publishes a 2-star staffing rating for this facility.
RN staffing was 0.58 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on May 11, 2026 cited 13 deficiencies.
View inspection evidenceCMS-published records list 45 ownership or control parties.
CMS records show an ownership change effective June 2025.
View ownership evidenceCMS records show a $121,951 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:
25 currently connected nursing homes share this CMS organization identity with CAPITAL HOLDINGS TRUST.
These figures summarize currently connected CMS-certified nursing homes. Some facilities have incomplete measures; missing values are omitted, not treated as zero. Ownership structures can change. State operator or licensee evidence may differ from CMS ownership disclosures.
Ownership
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 54%
Association date reported to CMS: Jun 15, 2025
Other facilities connected through this exact CMS organization identity: 0 across OH.
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 20%
Association date reported to CMS: Jun 15, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 15, 2025
Other facilities connected through this exact CMS organization identity: 0 across OH.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 15, 2025
Other facilities connected through this exact CMS organization identity: 0 across OH.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 27, 2025
Other facilities connected through this exact CMS organization identity: 0 across OH.
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 15, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 15, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 15, 2025
Individual · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jun 15, 2025
Individual · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jun 15, 2025
Individual · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jun 15, 2025
Organization · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jun 15, 2025
Other facilities connected through this exact CMS organization identity: 0 across OH.
Individual · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jun 15, 2025
Individual · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jun 15, 2025
Individual · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jun 15, 2025
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jun 15, 2025
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jun 16, 2025
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jun 15, 2025
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 15, 2025
Other facilities connected through this exact CMS organization identity: 0 across OH.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 15, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 15, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 15, 2025
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 53.5%
Association date reported to CMS: Jun 15, 2025
Other facilities connected through this exact CMS organization identity: 24 across NC, OH, TN.
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 20%
Association date reported to CMS: Jun 15, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 15, 2025
Other facilities connected through this exact CMS organization identity: 0 across OH.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 15, 2025
Other facilities connected through this exact CMS organization identity: 24 across NC, OH, TN.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 27, 2025
CMS classifications: Management services company
Other facilities connected through this exact CMS organization identity: 3 across OH.
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 15, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 15, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 15, 2025
Individual · DIRECT OWNERSHIP INTEREST
Published ownership percentage: 4%
Association date reported to CMS: Jun 15, 2025
Individual · DIRECT OWNERSHIP INTEREST
Published ownership percentage: 2.5%
Association date reported to CMS: Jun 15, 2025
Individual · DIRECT OWNERSHIP INTEREST
Published ownership percentage: 4%
Association date reported to CMS: Jun 15, 2025
Organization · DIRECT OWNERSHIP INTEREST
Published ownership percentage: 4%
Association date reported to CMS: Jun 15, 2025
Other facilities connected through this exact CMS organization identity: 2 across OH.
Individual · DIRECT OWNERSHIP INTEREST
Published ownership percentage: 4%
Association date reported to CMS: Jun 15, 2025
Individual · DIRECT OWNERSHIP INTEREST
Published ownership percentage: 4%
Association date reported to CMS: Jun 15, 2025
Individual · DIRECT OWNERSHIP INTEREST
Published ownership percentage: 4%
Association date reported to CMS: Jun 15, 2025
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 4%
Association date reported to CMS: Jun 15, 2025
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 0.8%
Association date reported to CMS: Jun 16, 2025
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jun 15, 2025
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 15, 2025
CMS classifications: Management services company
Other facilities connected through this exact CMS organization identity: 3 across OH.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 15, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 15, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 15, 2025
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across OH.
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Inspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
No health-deficiency rows were deterministically linked to this inspection.
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 (Jun 1, 2026)
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
CMS scope/severity C: Widespread; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (Jun 1, 2026)
Ensure each resident receives an accurate assessment.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 1, 2026)
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 1, 2026)
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 (Jun 1, 2026)
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 (Jun 1, 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 1, 2026)
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 1, 2026)
Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 1, 2026)
Ensure medication error rates are not 5 percent or greater.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 1, 2026)
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 1, 2026)
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 plan of correction (Jun 10, 2026)
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 (Jun 1, 2026)
No health-deficiency rows were deterministically linked to this inspection.
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 (Mar 4, 2025)
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 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 (Mar 4, 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 (Mar 4, 2025)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 4, 2025)
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 4, 2025)
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 (Mar 4, 2025)
Provide care or services that was trauma informed and/or culturally competent.
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 4, 2025)
Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 4, 2025)
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 (Mar 4, 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 (Mar 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 (Mar 4, 2025)
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS scope/severity L: Widespread; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Jun 22, 2024)
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
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 (Jun 22, 2024)
Have a plan that describes the process for conducting QAPI and QAA activities.
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 (Jun 22, 2024)
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS scope/severity L: Widespread; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Apr 12, 2024)
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
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)
Have a plan that describes the process for conducting QAPI and QAA activities.
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)
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
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)
Have a plan that describes the process for conducting QAPI and QAA activities.
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)
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS scope/severity L: Widespread; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Jan 8, 2024)
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
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 (Jan 8, 2024)
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
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 (Oct 12, 2023)
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 (Oct 12, 2023)
Ensure each resident receives an accurate assessment.
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 12, 2023)
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 (Oct 12, 2023)
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
CMS scope/severity 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 12, 2023)
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 (Oct 12, 2023)
Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 12, 2023)
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 12, 2023)
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
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 12, 2023)
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
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 12, 2023)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 12, 2023)
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 (Oct 12, 2023)
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 (Oct 12, 2023)
Implement a program that monitors antibiotic use.
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 12, 2023)
Keep all essential equipment working safely.
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 12, 2023)
Penalties & enforcement
Published fine amount: $121,951.00
Payment denial length: 29 days
Published fine amount: $131,360.00
Published fine amount: $80,824.00
Questions to ask
Facility history
17 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
13 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
Total nurse staffing decreased from 4.07 to 3.50 hours per resident day between 2025Q4 and 2026Q1. Staffing declined across those reported periods.
4.07 → 3.50
CMS · Reported in a source release · View related evidence
RN staffing decreased from 0.68 to 0.58 hours per resident day between 2025Q4 and 2026Q1. Staffing declined across those reported periods.
0.68 → 0.58
CMS · Reported in a source release · View related evidence
Total nurse staffing increased from 2.00 to 4.27 hours per resident day between 2025Q2 and 2025Q3. Staffing improved across those reported periods.
2.00 → 4.27
CMS · Reported in a source release · View related evidence
RN staffing increased from 0.35 to 0.71 hours per resident day between 2025Q2 and 2025Q3. Staffing improved across those reported periods.
0.35 → 0.71
CMS · Reported in a source release · View related evidence
An ownership change was recorded. New organization: BARNESVILLE SNF HEALTHCARE LLC.
EHCS BARNESVILLE PROPERTIES LLC → BARNESVILLE SNF HEALTHCARE LLC
CMS · Recorded event date · View related evidence
12 deficiencies were recorded.
CMS · Recorded event date · View related evidence
CMS recorded a $121,951 civil monetary penalty.
CMS · Recorded event date · View related evidence
3 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
3 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
CMS recorded a $131,360 civil monetary penalty.
CMS · Recorded event date · View related evidence
CMS recorded a Medicare payment denial lasting 29 days.
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 2 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 3.696 | 3.014 |
| RN categories | 0.65 | 0.391 |
Contract staff accounted for 0% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.103 lower 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 | 2.005 | 0.349 | 0.515 | 1.141 | 0% | 91 |
| 2025Q3 | 4.271 | 0.713 | 1.128 | 2.429 | 0% | 92 |
| 2025Q4 | 4.074 | 0.679 | 1.047 | 2.349 | 0% | 92 |
| 2026Q1 | 3.5 | 0.576 | 0.88 | 2.044 | 0% | 90 |
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
Planned evidence layers
These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.
Trust participation
Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.
Source register
No paid placements. Facilities cannot pay to rank higher. We cite. You decide.