Staffing
CMS publishes a staffing rating that is not reported for this facility.
RN staffing was 0.53 hours per resident day in 2026Q1, calculated from CMS PBJ records.
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WECARE AT SOUTH HILLS REHABILITATION AND NRSG CTR has 104 certified beds in CANONSBURG, Pennsylvania. The latest standard health survey on Jun 4, 2026 lists 5 deficiencies, compared with the Pennsylvania average of 7.0. CMS records a fine of $51,111 dated Jun 4, 2026. Total nurse staffing is 3.15 hours per resident day in 2026Q1, compared with the Pennsylvania average of 3.88.
CMS nursing home
CANONSBURG, PA
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 395289.
At a glance
CMS has published 1 ownership-change record for this provider.
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.
These relationships were observed in an older snapshot. UNKNOWN does not mean former owner, previous owner, or that ownership ended.
Ownership change history
CMS publishes Change of Ownership records for this nursing home.
CMS records show an ownership change effective 2024-08-01.
These are CMS transaction records. They are not a Trust Hub quality, stability, or sale judgment.
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. That is a CMS designation for facilities with a history of serious quality problems, not a Trust Hub ranking.
CMS field value: SFF. Observed Aug 1, 2026.
CMS currently applies its abuse-icon designation to this facility. That is CMS's published designation, not a Trust Hub verdict.
CMS field value: Y. 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 staffing rating that is not reported for this facility.
RN staffing was 0.53 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Jun 4, 2026 cited 5 deficiencies.
View inspection evidenceCMS-published records list 69 ownership or control parties.
CMS records show an ownership change effective August 2024.
View ownership evidenceCMS groups this facility with a chain covering 13 facilities across 2 states or territories.
View chain evidenceCMS records show a $51,111 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 EMSIR LLC.
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: Aug 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across PA.
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Aug 1, 2024
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Aug 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across PA.
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Aug 1, 2024
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Aug 1, 2024
Organization · 5% OR GREATER SECURITY INTEREST
Association date reported to CMS: Aug 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across PA.
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across PA.
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across PA.
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across PA.
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across PA.
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across PA.
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across PA.
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across PA.
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across PA.
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2024
Organization · ADP OF THE SNF
Association date reported to CMS: May 7, 2025
Other facilities connected through this exact CMS organization identity: 0 across PA.
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across PA.
Individual · ADP OF THE SNF
Association date reported to CMS: May 7, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: May 7, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across PA.
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across PA.
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2024
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Aug 1, 2024
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: May 7, 2025
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: May 7, 2025
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: May 7, 2025
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: May 7, 2025
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: May 7, 2025
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Aug 1, 2024
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Aug 1, 2024
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Aug 1, 2024
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Aug 1, 2024
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 1, 2024
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 1, 2024
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across PA.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 1, 2024
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Aug 1, 2024
CMS classifications: Private equity company
Other facilities connected through this exact CMS organization identity: 0 across PA.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 5%
Association date reported to CMS: Aug 1, 2024
Other facilities connected through this exact CMS organization identity: 7 across PA.
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 35%
Association date reported to CMS: Aug 1, 2024
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 25%
Association date reported to CMS: Aug 1, 2024
CMS classifications: Private equity company
Other facilities connected through this exact CMS organization identity: 3 across PA.
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 29.5%
Association date reported to CMS: Aug 1, 2024
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 35%
Association date reported to CMS: Aug 1, 2024
Organization · 5% OR GREATER SECURITY INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Aug 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across PA.
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2024
Other facilities connected through this exact CMS organization identity: 17 across KY, PA.
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2024
Other facilities connected through this exact CMS organization identity: 18 across KY, PA.
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2024
CMS classifications: Investment firm
Other facilities connected through this exact CMS organization identity: 18 across KY, PA, WV.
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2024
Other facilities connected through this exact CMS organization identity: 19 across KY, PA, WV.
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2024
Other facilities connected through this exact CMS organization identity: 19 across KY, PA, WV.
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2024
Other facilities connected through this exact CMS organization identity: 19 across KY, PA, WV.
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2024
Other facilities connected through this exact CMS organization identity: 21 across KY, PA, WV.
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across PA.
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2024
Organization · ADP OF THE SNF
Association date reported to CMS: May 7, 2025
CMS classifications: Private equity company
Other facilities connected through this exact CMS organization identity: 1 across PA.
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2024
Other facilities connected through this exact CMS organization identity: 18 across KY, PA, WV.
Individual · ADP OF THE SNF
Association date reported to CMS: May 7, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: May 7, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2024
Other facilities connected through this exact CMS organization identity: 58 across KY, PA, WV.
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2024
CMS classifications: Management services company
Other facilities connected through this exact CMS organization identity: 10 across PA.
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2024
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 0.5%
Association date reported to CMS: Aug 1, 2024
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Aug 1, 2024
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Aug 1, 2024
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Aug 1, 2024
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Aug 1, 2024
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 1, 2024
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 1, 2024
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 1, 2024
CMS classifications: Management services company
Other facilities connected through this exact CMS organization identity: 10 across PA.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 1, 2024
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across PA.
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 705 is a grouping identifier, not a legal organization.
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 13 | 1.9 | 1.9 |
| Mon Jun | 13 | 2 | 2.3 |
| Fri May | 13 | 2 | 2.3 |
| Wed Apr | 13 | 2 | 2.3 |
| Sun Mar | 13 | 1.9 | 2.2 |
| Sun Feb | 13 | 2.1 | 2.2 |
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.
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
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 8, 2026)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity K: Pattern; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Jul 8, 2026)
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 8, 2026)
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
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 8, 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 (Jul 8, 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 date of correction (May 4, 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 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 30, 2026)
No health-deficiency rows were deterministically linked to this inspection.
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 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 11, 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 (Mar 11, 2026)
Respond appropriately to all alleged violations.
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 11, 2026)
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
CMS scope/severity B: Pattern; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (Mar 11, 2026)
Ensure each resident receives an accurate assessment.
CMS scope/severity B: Pattern; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (Mar 11, 2026)
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 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 11, 2026)
Assist a resident in gaining access to vision and hearing services.
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 11, 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 11, 2026)
Provide for the safe, appropriate administration of IV fluids 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 11, 2026)
Provide safe and appropriate respiratory care for a resident when needed.
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 11, 2026)
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 11, 2026)
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
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 11, 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: Deficient, Provider has date of correction (Mar 11, 2026)
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 (Mar 11, 2026)
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 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 11, 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 date of correction (Mar 11, 2026)
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS scope/severity B: Pattern; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (Mar 11, 2026)
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
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 11, 2026)
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 11, 2026)
Make sure that a working call system is available in each resident's bathroom and bathing area.
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 11, 2026)
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
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 (Nov 21, 2025)
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
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 14, 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 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 14, 2025)
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS scope/severity K: Pattern; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Oct 14, 2025)
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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 14, 2025)
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS scope/severity K: Pattern; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Oct 14, 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 (Oct 14, 2025)
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 14, 2025)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity K: Pattern; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Oct 14, 2025)
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 (Oct 14, 2025)
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
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 14, 2025)
Have a plan that describes the process for conducting QAPI and QAA activities.
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 14, 2025)
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 (Mar 27, 2025)
Honor the resident's right to organize and participate in resident/family groups in 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 (Mar 27, 2025)
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 27, 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 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 27, 2025)
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 27, 2025)
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 (Mar 27, 2025)
Ensure each resident receives an accurate assessment.
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 27, 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 27, 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 27, 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 27, 2025)
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 27, 2025)
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 (Mar 27, 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 (Oct 1, 2024)
Honor the resident's right to organize and participate in resident/family groups in the facility.
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 31, 2024)
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 (Jul 31, 2024)
Ensure the activities program is directed by a qualified professional.
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 31, 2024)
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 15, 2024)
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 (Mar 19, 2024)
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and 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 (Mar 19, 2024)
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and 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 (Jan 23, 2024)
No health-deficiency rows were deterministically linked to this inspection.
Honor the resident's right to manage his or her financial affairs.
CMS scope/severity 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 23, 2024)
Penalties & enforcement
Published fine amount: $51,111.00
Payment denial length: 41 days
Questions to ask
Facility history
20 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
CMS recorded a $32,386 civil monetary penalty.
CMS · Recorded event date · View related evidence
RN staffing decreased from 0.66 to 0.53 hours per resident day between 2025Q4 and 2026Q1. Staffing declined across those reported periods.
0.66 → 0.53
CMS · Reported in a source release · 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
20 deficiencies were recorded.
CMS · Recorded event date · View related evidence
RN staffing decreased from 0.82 to 0.66 hours per resident day between 2025Q3 and 2025Q4. Staffing declined across those reported periods.
0.82 → 0.66
CMS · Reported in a source release · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
RN staffing increased from 0.65 to 0.82 hours per resident day between 2025Q2 and 2025Q3. Staffing improved across those reported periods.
0.65 → 0.82
CMS · Reported in a source release · View related evidence
CMS recorded a Medicare payment denial lasting 41 days.
CMS · Recorded event date · View related evidence
11 deficiencies were recorded. That includes 3 higher-severity deficiencies.
CMS · Recorded event date · View related evidence
12 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: not reported. 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 | 3.223 | 2.971 |
| RN categories | 0.557 | 0.457 |
Contract staff accounted for 0.5% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.128 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 | 3.268 | 0.654 | 0.751 | 1.863 | 2.3% | 91 |
| 2025Q3 | 3.213 | 0.819 | 0.575 | 1.819 | 0.6% | 92 |
| 2025Q4 | 3.23 | 0.655 | 0.745 | 1.83 | 0% | 92 |
| 2026Q1 | 3.151 | 0.528 | 0.851 | 1.772 | 0.5% | 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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