Staffing
CMS publishes a 4-star staffing rating for this facility.
RN staffing was 0.73 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 4-star staffing rating for this facility.
RN staffing was 0.73 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Apr 10, 2026 cited 5 deficiencies.
View inspection evidenceCMS-published records list 23 ownership or control parties.
CMS records show an ownership change effective September 2023.
View ownership evidenceCMS groups this facility with a chain covering 8 facilities across 1 states or territories.
View chain evidenceCMS records show a $59,140 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:
8 currently connected nursing homes share this CMS organization identity with SAPPHIRE HEALTHCARE SRVS..
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.
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 30%
Association date reported to CMS: Jan 20, 2023
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 25%
Association date reported to CMS: Jan 20, 2023
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 5%
Association date reported to CMS: Jan 20, 2023
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 40%
Association date reported to CMS: Jan 20, 2023
Organization · ADP OF THE SNF
Association date reported to CMS: May 27, 2025
Other facilities connected through this exact CMS organization identity: 0 across OR.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 30, 2025
Other facilities connected through this exact CMS organization identity: 0 across OR.
Individual · ADP OF THE SNF
Association date reported to CMS: May 1, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2025
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across OR.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 1, 2025
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 30%
Association date reported to CMS: Jan 20, 2023
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 25%
Association date reported to CMS: Jan 20, 2023
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 5%
Association date reported to CMS: Jan 20, 2023
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 40%
Association date reported to CMS: Jan 20, 2023
Organization · ADP OF THE SNF
Association date reported to CMS: May 27, 2025
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 0 across OR.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 30, 2025
CMS classifications: Management services company
Other facilities connected through this exact CMS organization identity: 7 across OR.
Individual · ADP OF THE SNF
Association date reported to CMS: May 1, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2025
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 1, 2023
CMS classifications: Management services company
Other facilities connected through this exact CMS organization identity: 7 across OR.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 1, 2025
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across OR.
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 643 is a grouping identifier, not a legal organization.
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 8 | 1.8 | 2.9 |
| Mon Jun | 8 | 1.8 | 3.3 |
| Fri May | 8 | 1.8 | 3.3 |
| Wed Apr | 8 | 1.9 | 3.5 |
| Sun Mar | 8 | 1.8 | 3.4 |
| Sun Feb | 8 | 1.8 | 3.4 |
Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.
View official CMS sourceInspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
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 (May 27, 2026)
Provide activities to meet all resident's 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 (May 27, 2026)
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: Past Non-Compliance
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 (May 27, 2026)
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
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 27, 2026)
Keep residents' personal and medical records private and confidential.
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 6, 2026)
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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 6, 2026)
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: Past Non-Compliance (Oct 6, 2025)
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
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 26, 2024)
Observe each nurse aide's job performance and give regular training.
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 26, 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 (Dec 26, 2024)
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 date of correction (Dec 26, 2024)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with 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 26, 2024)
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 (Dec 26, 2024)
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
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 9, 2024)
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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 2, 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 request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 19, 2023)
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 (Sep 19, 2023)
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 19, 2023)
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 13, 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 (Sep 19, 2023)
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 (Oct 13, 2023)
Provide safe, appropriate dialysis care/services for a resident who requires such services.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Sep 19, 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 (Sep 19, 2023)
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 date of correction (Sep 19, 2023)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity 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 19, 2023)
Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.
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 19, 2023)
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 (Sep 19, 2023)
Implement a program that monitors antibiotic use.
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 19, 2023)
Develop and implement policies and procedures for flu and pneumonia vaccinations.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 19, 2023)
Penalties & enforcement
Published fine amount: $59,140.00
Questions to ask
Facility history
16 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
5 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Total nurse staffing decreased from 5.68 to 5.06 hours per resident day between 2025Q4 and 2026Q1. Staffing declined across those reported periods.
5.68 → 5.06
CMS · Reported in a source release · View related evidence
RN staffing decreased from 0.91 to 0.73 hours per resident day between 2025Q4 and 2026Q1. Staffing declined across those reported periods.
0.91 → 0.73
CMS · Reported in a source release · View related evidence
RN staffing decreased from 1.08 to 0.91 hours per resident day between 2025Q3 and 2025Q4. Staffing declined across those reported periods.
1.08 → 0.91
CMS · Reported in a source release · View related evidence
Total nurse staffing decreased from 6.02 to 5.68 hours per resident day between 2025Q3 and 2025Q4. Staffing declined across those reported periods.
6.02 → 5.68
CMS · Reported in a source release · View related evidence
3 deficiencies were recorded.
CMS · Recorded event date · View related evidence
RN staffing increased from 0.85 to 1.08 hours per resident day between 2025Q2 and 2025Q3. Staffing improved across those reported periods.
0.85 → 1.08
CMS · Reported in a source release · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
6 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
Staffing
CMS staffing rating: 4 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 | 5.352 | 4.326 |
| RN categories | 0.823 | 0.512 |
Contract staff accounted for 1.1% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.172 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 | 5.829 | 0.847 | 0.605 | 3.603 | 1.3% | 91 |
| 2025Q3 | 6.018 | 1.076 | 0.487 | 3.715 | 2.4% | 92 |
| 2025Q4 | 5.679 | 0.906 | 0.716 | 3.569 | 2.6% | 92 |
| 2026Q1 | 5.057 | 0.734 | 0.961 | 2.88 | 1.1% | 90 |
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
Planned evidence layers
These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.
Trust participation
Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.
Source register
No paid placements. Facilities cannot pay to rank higher. We cite. You decide.