Staffing
CMS publishes a 2-star staffing rating for this facility.
RN staffing was 0.55 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 0.55 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Feb 5, 2026 cited 11 deficiencies.
View inspection evidenceCMS-published records list 65 ownership or control parties.
CMS records show an ownership change effective May 2023.
View ownership evidenceCMS groups this facility with a chain covering 9 facilities across 1 states or territories.
View chain evidenceCMS records show a $10,358 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:
9 currently connected nursing homes share this CMS organization identity with KULANU OC 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: 100%
Association date reported to CMS: May 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across PA.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: May 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across PA.
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: May 1, 2023
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: May 1, 2023
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: May 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across PA.
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: May 1, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 4, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 25, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 25, 2025
Individual · CORPORATE OFFICER
Association date reported to CMS: May 1, 2023
Individual · CORPORATE OFFICER
Association date reported to CMS: May 1, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 4, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 31, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 1, 2024
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: May 1, 2023
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 2 across PA.
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 47.33%
Association date reported to CMS: Mar 4, 2025
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: May 1, 2023
CMS classifications: Parent company, Holding company
Other facilities connected through this exact CMS organization identity: 2 across PA.
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: May 1, 2023
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 29%
Association date reported to CMS: May 1, 2023
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 14.5%
Association date reported to CMS: May 1, 2023
Other facilities connected through this exact CMS organization identity: 8 across PA.
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 1.45%
Association date reported to CMS: May 1, 2023
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 4.36%
Association date reported to CMS: May 1, 2023
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 4, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: May 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across PA.
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 4, 2025
Other facilities connected through this exact CMS organization identity: 0 across PA.
Organization · ADP OF THE SNF
Association date reported to CMS: May 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across PA.
Organization · ADP OF THE SNF
Association date reported to CMS: May 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across PA.
Organization · ADP OF THE SNF
Association date reported to CMS: May 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across PA.
Organization · ADP OF THE SNF
Association date reported to CMS: May 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across PA.
Organization · ADP OF THE SNF
Association date reported to CMS: May 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across PA.
Organization · ADP OF THE SNF
Association date reported to CMS: May 1, 2023
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 0 across PA.
Organization · ADP OF THE SNF
Association date reported to CMS: May 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across PA.
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 25, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 25, 2025
Individual · CORPORATE OFFICER
Association date reported to CMS: May 1, 2023
Individual · CORPORATE OFFICER
Association date reported to CMS: May 1, 2023
Organization · DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Mar 13, 2023
Other facilities connected through this exact CMS organization identity: 0 across PA.
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 14.5%
Association date reported to CMS: May 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across PA.
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 4.99%
Association date reported to CMS: May 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across PA.
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 4.99%
Association date reported to CMS: May 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across PA.
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 4.99%
Association date reported to CMS: May 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across PA.
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 1.45%
Association date reported to CMS: May 1, 2023
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 1.45%
Association date reported to CMS: May 1, 2023
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 2.91%
Association date reported to CMS: May 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across PA.
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 4.36%
Association date reported to CMS: May 1, 2023
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 4.99%
Association date reported to CMS: May 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across PA.
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 0.36%
Association date reported to CMS: May 1, 2023
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 3.27%
Association date reported to CMS: May 1, 2023
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 1.45%
Association date reported to CMS: May 1, 2023
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 1.45%
Association date reported to CMS: May 1, 2023
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 1.45%
Association date reported to CMS: May 1, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 4, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Mar 31, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 1, 2024
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: May 1, 2023
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: May 1, 2023
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: May 1, 2023
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: May 1, 2023
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: May 1, 2023
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: May 1, 2023
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: May 1, 2023
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: May 1, 2023
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: May 1, 2023
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: May 1, 2023
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 638 is a grouping identifier, not a legal organization.
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 9 | 1.7 | 1.7 |
| Mon Jun | 9 | 1.9 | 1.8 |
| Fri May | 9 | 1.9 | 1.8 |
| Wed Apr | 9 | 1.9 | 1.8 |
| Sun Mar | 10 | 1.9 | 2.2 |
| Sun Feb | 10 | 1.9 | 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.
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 (Apr 27, 2026)
Ensure services provided by the nursing facility meet professional standards of quality.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 27, 2026)
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
Ensure that residents are fully informed and understand their health status, care and treatments.
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 20, 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 20, 2026)
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
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 20, 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 (Mar 20, 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 20, 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 20, 2026)
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 (Mar 20, 2026)
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 (Mar 20, 2026)
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
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 20, 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 (Mar 20, 2026)
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
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 20, 2026)
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 (Jul 14, 2025)
Provide routine and 24-hour emergency dental care 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 (Jun 10, 2025)
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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 10, 2025)
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 (Jun 10, 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: Past Non-Compliance (Apr 9, 2025)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Past Non-Compliance (Apr 9, 2025)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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 19, 2025)
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 (Feb 18, 2025)
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 (Feb 18, 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 (Feb 18, 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 (Feb 18, 2025)
Ensure services provided by the nursing facility meet professional standards of quality.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 18, 2025)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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 (Feb 18, 2025)
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
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 (Feb 18, 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 (Feb 18, 2025)
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of 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 (Feb 18, 2025)
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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 (Feb 18, 2025)
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 (Feb 18, 2025)
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
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 (Feb 18, 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 (Jan 28, 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 (Jan 28, 2025)
Ensure residents do not lose the ability to perform activities of daily living unless there is 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 (Jan 28, 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: Past Non-Compliance (Oct 17, 2024)
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 (Jan 28, 2025)
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 (Jan 28, 2025)
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of 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 (Jan 28, 2025)
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 (Jan 28, 2025)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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 28, 2025)
Ensure services provided by the nursing facility meet professional standards of quality.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 22, 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 (Aug 22, 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 (Aug 22, 2024)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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 10, 2024)
Ensure services provided by the nursing facility meet professional standards of quality.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Past Non-Compliance (Mar 8, 2024)
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 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, 2024)
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, 2024)
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 (Mar 27, 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 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, 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 (Mar 27, 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 (Mar 27, 2024)
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 27, 2024)
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, 2024)
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 27, 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 (Mar 27, 2024)
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
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, 2024)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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, 2024)
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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, 2024)
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice 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 (Mar 27, 2024)
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
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, 2024)
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 (Mar 27, 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 18, 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 G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 18, 2023)
Ensure services provided by the nursing facility meet professional standards of quality.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 18, 2023)
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
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 17, 2023)
Penalties & enforcement
Published fine amount: $10,358.00
Published fine amount: $19,551.00
Questions to ask
Facility history
23 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Total nurse staffing decreased from 3.25 to 3.03 hours per resident day between 2025Q4 and 2026Q1. Staffing declined across those reported periods.
3.25 → 3.03
CMS · Reported in a source release · View related evidence
11 deficiencies were 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
Total nurse staffing increased from 3.21 to 3.43 hours per resident day between 2025Q2 and 2025Q3. Staffing improved across those reported periods.
3.21 → 3.43
CMS · Reported in a source release · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
3 deficiencies were recorded.
CMS · Recorded event date · View related evidence
CMS recorded a $10,358 civil monetary penalty.
CMS · Recorded event date · View related evidence
2 deficiencies were recorded. That includes 2 higher-severity deficiencies.
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
12 deficiencies were recorded.
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 | 3.108 | 2.83 |
| RN categories | 0.625 | 0.381 |
Contract staff accounted for 0% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.045 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 | 3.211 | 0.659 | 0.684 | 1.868 | 0.1% | 91 |
| 2025Q3 | 3.426 | 0.585 | 0.742 | 2.1 | 0% | 92 |
| 2025Q4 | 3.251 | 0.51 | 0.705 | 2.036 | 0% | 92 |
| 2026Q1 | 3.028 | 0.555 | 0.697 | 1.776 | 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.
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