SENIORTRUST HUB

Facility record

NORTHERN DAUPHIN NURSING AND REHABILITATION CENTER has 194 certified beds in MILLERSBURG, Pennsylvania. The CMS overall rating is 2 of 5, compared with the Pennsylvania average of 3.0. The CMS health inspection rating is 2 of 5, compared with the Pennsylvania average of 2.8. The CMS staffing rating is 3 of 5. The latest standard health survey on Jun 12, 2025 lists 6 deficiencies, compared with the Pennsylvania average of 7.0. CMS records a fine of $11,921 dated Sep 14, 2023. Total nurse staffing is 3.20 hours per resident day in 2026Q1, compared with the Pennsylvania average of 3.88.

Nearby facilities

CMS nursing homes in Pennsylvania

CMS nursing home

NORTHERN DAUPHIN NURSING AND REHABILITATION CENTER

Also known publicly as Northern Dauphin Nursing & Rehabilitation

MILLERSBURG, PA

CMS CCN 3954287176924751Listed in the current CMS nursing-home directoryCMS source updated August 1, 2026

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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 395428.

At a glance

CMS research snapshot

CMS overall rating

2 of 5

CMS health inspection rating

2 of 5

CMS staffing rating

3 of 5

CMS quality-measure rating

4 of 5

CMS ownership-change history

No attached CMS ownership-change event.

These are CMS star ratings, not Trust Hub ratings. Missing evidence is shown as not reported, not as zero.

Quality & care evidence

What CMS reports about quality

  • MDS quality observations are in the CMS extract.
  • PBJ staffing records are in the CMS extract.
  • Inspection evidence is in the CMS extract.

Staffing, inspections, and fire safety are separate CMS evidence families below.

Ownership & management

Who CMS/PECOS connects to this nursing home

Current ownership uses CURRENT OWNED_BY evidence only. UNKNOWN is not a former owner.

Current owners

  • EL BUCKEYE EAST LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST25% ownership interest
  • EL BUCKEYE EAST LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST25% ownership interest
  • GAMZEH, KATHLEENIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST25% ownership interest
  • GAMZEH, KATHLEENIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST25% ownership interest
  • GLATZER, AKIVAIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST25% ownership interest
  • GLATZER, AKIVAIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST25% ownership interest
  • PREMIER MEMBERSOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
  • PREMIER MEMBERSOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
  • SCHAFFER, DANIELIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST25% ownership interest

Operators

  • CLINICAL CONSULTING SERVICES LLCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • CLINICAL CONSULTING SERVICES LLCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • DALBERTO, PAMELAIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • DALBERTO, PAMELAIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • ETTLINGER, ROBERTIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • ETTLINGER, ROBERTIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • PRIORITY CARE GROUP LLCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • PRIORITY CARE GROUP LLCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • SUMMATION FINANCIAL SERVICES LLCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • SUMMATION FINANCIAL SERVICES LLCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • CLINICAL CONSULTING SERVICES LLCOrganization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
  • CLINICAL CONSULTING SERVICES LLCOrganization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
  • DALBERTO, PAMELAIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
  • DALBERTO, PAMELAIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
  • ETTLINGER, ROBERTIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
  • ETTLINGER, ROBERTIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
  • PRIORITY CARE GROUP LLCOrganization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
  • PRIORITY CARE GROUP LLCOrganization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
  • SUMMATION FINANCIAL SERVICES LLCOrganization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
  • SUMMATION FINANCIAL SERVICES LLCOrganization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL

Enrollment organizations

  • PREMIER AT SUSQUEHANNA FOR NURSING AND REHABILITATION LLCOrganization · CURRENTMedicare-enrolled legal organization
  • PREMIER AT SUSQUEHANNA FOR NURSING AND REHABILITATION LLCOrganization · UNKNOWNMedicare-enrolled legal organization
Ownership observations with UNKNOWN status

These relationships were observed in an older snapshot. UNKNOWN does not mean former owner, previous owner, or that ownership ended.

UNKNOWN

  • EL BUCKEYE EAST LLCOrganization · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST25% ownership interest
  • EL BUCKEYE EAST LLCOrganization · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST25% ownership interest
  • GAMZEH, KATHLEENIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST25% ownership interest
  • GAMZEH, KATHLEENIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST25% ownership interest
  • GLATZER, AKIVAIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST25% ownership interest
  • GLATZER, AKIVAIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST25% ownership interest
  • PREMIER MEMBERSOrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
  • PREMIER MEMBERSOrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
  • SCHAFFER, DANIELIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST25% ownership interest

Ownership change history

CMS ownership-change records

No CMS ownership-change event is currently attached to this profile in the Trust Hub research graph. That is not proof that ownership never changed.

Source freshness

How current each evidence family is

nursing-home-mds-quality-measures
STALE · source as of 2026-08-01
nursing-home-provider-information
STALE · source as of 2026-08-01
skilled-nursing-facility-all-owners
AGING · source as of 2026-08-17
skilled-nursing-facility-change-of-ownership
CURRENT · source as of 2026-08-24

Profile generated 2026-11-03. That timestamp is not CMS evidence freshness.

Methodology

How Trust Hub researches this provider

  • CMS is the source for national nursing-home evidence.
  • Trust Hub does not create the CMS star ratings.
  • Ownership evidence does not measure care quality.
  • CMS CHOW records document reported ownership-change events.
  • Missing evidence is not interpreted as zero.
  • UNKNOWN ownership history is not interpreted as divestiture.
  • Ownership evidence is not a quality measure.
  • Missing evidence is not a zero score.
  • CMS ratings are CMS ratings, not Trust Hub ratings.
  • UNKNOWN ownership does not prove an owner left.
  • CHOW records are CMS transaction records, not Trust Hub judgments or sales.

CMS overview

CMS rating overview

CMS overall

2 of 5

Health inspection

2 of 5

Staffing

3 of 5

Quality measures

4 of 5

No proprietary TrustHub score. These ratings are published separately by CMS. How CMS ratings and facility records are read

CMS certified beds
194
Ownership descriptor
For profit - Corporation
Medicare participation
Yes
Medicaid participation
Yes

Facility information

Contact

CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.

Phone
7176924751Verified public information · checked Aug 2026
Also known publicly as
Northern Dauphin Nursing & RehabilitationVerified public information · checked Aug 2026

CMS designations

Special Focus and abuse-icon status

This CMS Certification Number appears in the latest CMS Nursing Home Provider Information extract of currently listed nursing homes.

Not currently SFF or candidate

CMS does not currently identify this nursing home as a Special Focus Facility or candidate in the loaded Provider Information extract.

CMS field value: (blank). Observed Aug 1, 2026.

CMS abuse-icon designation

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

Medicare enrollment organization NPI associated with this CMS Certification Number

These identifiers come from CMS SNF enrollment records linked to this CCN. They are not a substitute for the CMS Certification Number.

  • NPI 1699292706 · enrollment O20171019002486
  • NPI 1699292706 · enrollment O20171019002486

MDS quality measures

Individual CMS 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.

View individual MDS measures
  • Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (Long Stay): 85.120000
  • Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (Long Stay): 91.411043
  • Percentage of long-stay residents experiencing one or more falls with major injury (Long Stay): 3.200000 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents who have depressive symptoms (Long Stay): 4.488330
  • Percentage of long-stay residents who lose too much weight (Long Stay): 6.632653
  • Percentage of long-stay residents who received an antianxiety or hypnotic medication (Long Stay): 19.102990
  • Percentage of long-stay residents who received an antipsychotic medication (Long Stay): 19.791667 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents who were physically restrained (Long Stay): 0.000000
  • Percentage of long-stay residents whose ability to walk independently worsened (Long Stay): 22.007304 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents whose need for help with daily activities has increased (Long Stay): 18.918919 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents with a catheter inserted and left in their bladder (Long Stay): 0.960126 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents with a urinary tract infection (Long Stay): 4.065041 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents with new or worsened bowel or bladder incontinence (Long Stay): 27.559489
  • Percentage of long-stay residents with pressure ulcers (Long Stay): 6.483739 · CMS uses this measure in the quality-measure star rating
  • Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (Short Stay): 57.317073
  • Percentage of short-stay residents who newly received an antipsychotic medication (Short Stay): 0.000000 · CMS uses this measure in the quality-measure star rating
  • Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (Short Stay): 30.357143

Decision guide

What to review

Factual evidence to examine before you decide. These summaries are not a score or recommendation.

Staffing

CMS publishes a 3-star staffing rating for this facility.

RN staffing was 0.46 hours per resident day in 2026Q1, calculated from CMS PBJ records.

View staffing evidence
Enforcement record

CMS records show a $11,921 fine in the loaded enforcement dataset.

View enforcement evidence →

Ownership & operation

Ownership & Operation

Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.

Ownership type
For profit - CorporationCMS
Related facilities
38Current CMS organization identity

Explore ownership network →

Who is behind this facility?

SeniorTrustHub found evidence connecting this facility to:

  • 4 CMS-reported ownership organizations
  • CMS reports 13 individual ownership interests

Related facilities

38 currently connected nursing homes share this CMS organization identity with SUMMATION FINANCIAL SERVICES LLC.

Average CMS overall rating
2.4 stars across 38 reporting facilities
CMS monetary penalties
19 of 38 facilities had a recorded monetary penalty in the available CMS period.
Recent CMS penalties
6 facilities had a CMS penalty in the last 18 months.
Recent high-value CMS enforcement
6 facilities had a high-value CMS fine or payment denial in the last 18 months.
Recent CMS complaint inspections
30 facilities had a CMS complaint inspection in the last 18 months.
Total recorded CMS fines
$923,702

How connected-facility figures are read

Ownership

Who CMS records show is connected to this facility

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.

Reported party records
30
Organizations shown
17
Individuals shown
13
Latest ownership source update
Aug 17, 2026

CMS-published ownership and control parties

  • PREMIER MEMBERS

    Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST

    Published ownership percentage: 100%

    Association date reported to CMS: Sep 18, 2017

    Other facilities connected through this exact CMS organization identity: 0 across PA.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • EL BUCKEYE EAST LLC

    Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Published ownership percentage: 25%

    Association date reported to CMS: Sep 18, 2017

    Other facilities connected through this exact CMS organization identity: 0 across PA.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • GAMZEH, KATHLEEN

    Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Published ownership percentage: 25%

    Association date reported to CMS: Sep 18, 2017

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • GLATZER, AKIVA

    Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Published ownership percentage: 25%

    Association date reported to CMS: Sep 18, 2017

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • 990 MEDICAL ROAD PROPCO LLC

    Organization · ADP OF THE SNF

    Association date reported to CMS: Sep 18, 2017

    Other facilities connected through this exact CMS organization identity: 0 across PA.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • CLINICAL CONSULTING SERVICES LLC

    Organization · ADP OF THE SNF

    Association date reported to CMS: Jun 11, 2025

    Other facilities connected through this exact CMS organization identity: 0 across PA.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • DALBERTO, PAMELA

    Individual · ADP OF THE SNF

    Association date reported to CMS: Apr 7, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • ETTLINGER, ROBERT

    Individual · ADP OF THE SNF

    Association date reported to CMS: Jun 11, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • SUMMATION FINANCIAL SERVICES LLC

    Organization · ADP OF THE SNF

    Association date reported to CMS: Jun 11, 2025

    Other facilities connected through this exact CMS organization identity: 0 across PA.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • CLINICAL CONSULTING SERVICES LLC

    Organization · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Jan 1, 2019

    Other facilities connected through this exact CMS organization identity: 0 across PA.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • DALBERTO, PAMELA

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Apr 13, 2024

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • ETTLINGER, ROBERT

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Sep 18, 2017

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • PRIORITY CARE GROUP LLC

    Organization · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Jan 1, 2019

    Other facilities connected through this exact CMS organization identity: 0 across PA.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • SUMMATION FINANCIAL SERVICES LLC

    Organization · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Jan 1, 2019

    Other facilities connected through this exact CMS organization identity: 0 across PA.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • PREMIER MEMBERS

    Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST

    Published ownership percentage: 100%

    Association date reported to CMS: Sep 18, 2017

    Other facilities connected through this exact CMS organization identity: 1 across PA.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • EL BUCKEYE EAST LLC

    Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Published ownership percentage: 25%

    Association date reported to CMS: Sep 18, 2017

    Other facilities connected through this exact CMS organization identity: 1 across PA.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • GAMZEH, KATHLEEN

    Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Published ownership percentage: 25%

    Association date reported to CMS: Sep 18, 2017

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • GLATZER, AKIVA

    Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Published ownership percentage: 25%

    Association date reported to CMS: Sep 18, 2017

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • SCHAFFER, DANIEL

    Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Published ownership percentage: 25%

    Association date reported to CMS: Sep 18, 2017

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • 990 MEDICAL ROAD PROPCO LLC

    Organization · ADP OF THE SNF

    Association date reported to CMS: Sep 18, 2017

    Other facilities connected through this exact CMS organization identity: 0 across PA.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • CLINICAL CONSULTING SERVICES LLC

    Organization · ADP OF THE SNF

    Association date reported to CMS: Jun 11, 2025

    Other facilities connected through this exact CMS organization identity: 30 across IA, IN, MA, MI, PA.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • DALBERTO, PAMELA

    Individual · ADP OF THE SNF

    Association date reported to CMS: Apr 7, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • ETTLINGER, ROBERT

    Individual · ADP OF THE SNF

    Association date reported to CMS: Jun 11, 2025

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • SUMMATION FINANCIAL SERVICES LLC

    Organization · ADP OF THE SNF

    Association date reported to CMS: Jun 11, 2025

    CMS classifications: Management services company

    Other facilities connected through this exact CMS organization identity: 37 across FL, IA, IN, MA, MI, PA.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • CLINICAL CONSULTING SERVICES LLC

    Organization · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Jan 1, 2019

    Other facilities connected through this exact CMS organization identity: 30 across IA, IN, MA, MI, PA.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • DALBERTO, PAMELA

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Apr 13, 2024

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • ETTLINGER, ROBERT

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Sep 18, 2017

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • PRIORITY CARE GROUP LLC

    Organization · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Jan 1, 2019

    CMS classifications: Management services company

    Other facilities connected through this exact CMS organization identity: 22 across MA, PA.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • SUMMATION FINANCIAL SERVICES LLC

    Organization · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Jan 1, 2019

    CMS classifications: Management services company

    Other facilities connected through this exact CMS organization identity: 37 across FL, IA, IN, MA, MI, PA.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • PREMIER AT SUSQUEHANNA FOR NURSING AND REHABILITATION LLC

    Organization · Medicare-enrolled legal organization

    Other facilities connected through this exact CMS organization identity: 0 across PA.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility Enrollments
    CMS dataset identifier
    5f2c306f-3b1c-42cd-b037-187b2ce22126
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source

What this means

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.

Questions to ask

  • CMS records list several organizations with ownership or control roles. Which entity is responsible for day-to-day operations at this facility?
  • CMS records connect PREMIER MEMBERS to 2 facilities. Which policies and staffing decisions are managed centrally versus locally?

Inspections & deficiencies

What CMS inspection records show

Scope and severity terms below are CMS classifications. They are not a TrustHub score.

Latest recorded inspection

Date
Dec 23, 2025
Survey type
Health Complaint
Linked findings
1
Highest linked CMS classification
D — Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy
View source details
Dataset
Inspection Dates
CMS dataset ID
svdt-c123
CMS source updated
Aug 1, 2026
CMS provider ID
395428
Source record locator
csv-row:107130:ccn:395428
View official CMS source
Dec 23, 2025 — Health Complaint — 1 linked finding
  • F0658 — Resident Assessment and Care Planning Deficiencies

    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 (Jan 20, 2026)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    395428
    Source record locator
    csv-row:299489:ccn:395428
    View official CMS source
Oct 22, 2025 — Health Complaint — 1 linked finding
  • F0600 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

    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 (Oct 20, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    395428
    Source record locator
    csv-row:299490:ccn:395428
    View official CMS source
Jun 12, 2025 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Jun 12, 2025 — Health Complaint — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Jun 12, 2025 — Health Standard — 6 linked findings
  • F0677 — Quality of Life and Care Deficiencies

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Jul 23, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    395428
    Source record locator
    csv-row:299491:ccn:395428
    View official CMS source
  • F0692 — Quality of Life and Care Deficiencies

    Provide enough food/fluids to maintain a resident's health.

    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 23, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    395428
    Source record locator
    csv-row:299493:ccn:395428
    View official CMS source
  • F0756 — Pharmacy Service Deficiencies

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    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 23, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    395428
    Source record locator
    csv-row:299496:ccn:395428
    View official CMS source
  • F0791 — Quality of Life and Care Deficiencies

    Provide or obtain dental services for each 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 (Jul 23, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    395428
    Source record locator
    csv-row:299494:ccn:395428
    View official CMS source
  • F0812 — Nutrition and Dietary Deficiencies

    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 (Jul 23, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    395428
    Source record locator
    csv-row:299497:ccn:395428
    View official CMS source
  • F0887 — Infection Control Deficiencies

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

    CMS scope/severity 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 23, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    395428
    Source record locator
    csv-row:299495:ccn:395428
    View official CMS source
May 6, 2025 — Health Complaint — 1 linked finding
  • F0686 — Quality of Life and Care Deficiencies

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (May 27, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    395428
    Source record locator
    csv-row:299498:ccn:395428
    View official CMS source
Dec 10, 2024 — Health Complaint — 3 linked findings
  • F0689 — Quality of Life and Care Deficiencies

    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 (Jan 14, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    395428
    Source record locator
    csv-row:299499:ccn:395428
    View official CMS source
  • F0725 — Nursing and Physician Services Deficiencies

    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 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 14, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    395428
    Source record locator
    csv-row:299500:ccn:395428
    View official CMS source
  • F0770 — Administration Deficiencies

    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 14, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    395428
    Source record locator
    csv-row:299501:ccn:395428
    View official CMS source
Oct 30, 2024 — Health Complaint — 1 linked finding
  • F0583 — Resident Rights Deficiencies

    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 (Nov 18, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    395428
    Source record locator
    csv-row:299502:ccn:395428
    View official CMS source
Jul 11, 2024 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Jul 11, 2024 — Health Complaint — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Jul 11, 2024 — Health Standard — 11 linked findings
  • F0554 — Resident Rights Deficiencies

    Allow residents to self-administer drugs if determined clinically appropriate.

    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 13, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    395428
    Source record locator
    csv-row:299510:ccn:395428
    View official CMS source
  • F0625 — Resident Rights Deficiencies

    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 E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Aug 13, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    395428
    Source record locator
    csv-row:299504:ccn:395428
    View official CMS source
  • F0657 — Resident Assessment and Care Planning Deficiencies

    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 E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Aug 13, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    395428
    Source record locator
    csv-row:299505:ccn:395428
    View official CMS source
  • F0684 — Quality of Life and Care Deficiencies

    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 13, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    395428
    Source record locator
    csv-row:299511:ccn:395428
    View official CMS source
  • F0686 — Quality of Life and Care Deficiencies

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Aug 13, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    395428
    Source record locator
    csv-row:299507:ccn:395428
    View official CMS source
  • F0688 — Quality of Life and Care Deficiencies

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Aug 13, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    395428
    Source record locator
    csv-row:299512:ccn:395428
    View official CMS source
  • F0689 — Quality of Life and Care Deficiencies

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Aug 13, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    395428
    Source record locator
    csv-row:299508:ccn:395428
    View official CMS source
  • F0692 — Quality of Life and Care Deficiencies

    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 (Aug 13, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    395428
    Source record locator
    csv-row:299513:ccn:395428
    View official CMS source
  • F0695 — Quality of Life and Care Deficiencies

    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 (Aug 13, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    395428
    Source record locator
    csv-row:299514:ccn:395428
    View official CMS source
  • F0812 — Nutrition and Dietary Deficiencies

    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 (Aug 13, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    395428
    Source record locator
    csv-row:299509:ccn:395428
    View official CMS source
  • F0880 — Infection Control Deficiencies

    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 (Aug 13, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    395428
    Source record locator
    csv-row:299515:ccn:395428
    View official CMS source
Apr 19, 2024 — Health Complaint — 1 linked finding
  • F0684 — Quality of Life and Care Deficiencies

    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 (May 8, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    395428
    Source record locator
    csv-row:299516:ccn:395428
    View official CMS source
Oct 5, 2023 — Health Complaint — 2 linked findings
  • F0689 — Quality of Life and Care Deficiencies

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.

    Correction status: Deficient, Provider has date of correction (Oct 17, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    395428
    Source record locator
    csv-row:299517:ccn:395428
    View official CMS source
  • F0836 — Administration Deficiencies

    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 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)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    395428
    Source record locator
    csv-row:299518:ccn:395428
    View official CMS source
Sep 14, 2023 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Sep 14, 2023 — Health Complaint — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Sep 14, 2023 — Health Standard — 9 linked findings
  • F0641 — Resident Assessment and Care Planning Deficiencies

    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 (Oct 19, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    395428
    Source record locator
    csv-row:299524:ccn:395428
    View official CMS source
  • F0657 — Resident Assessment and Care Planning Deficiencies

    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 (Oct 19, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    395428
    Source record locator
    csv-row:299525:ccn:395428
    View official CMS source
  • F0658 — Resident Assessment and Care Planning Deficiencies

    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 19, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    395428
    Source record locator
    csv-row:299526:ccn:395428
    View official CMS source
  • F0676 — Quality of Life and Care Deficiencies

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    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 19, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    395428
    Source record locator
    csv-row:299520:ccn:395428
    View official CMS source
  • F0684 — Quality of Life and Care Deficiencies

    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 (Oct 19, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    395428
    Source record locator
    csv-row:299521:ccn:395428
    View official CMS source
  • F0688 — Quality of Life and Care Deficiencies

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Oct 19, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    395428
    Source record locator
    csv-row:299527:ccn:395428
    View official CMS source
  • F0756 — Pharmacy Service Deficiencies

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    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 19, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    395428
    Source record locator
    csv-row:299522:ccn:395428
    View official CMS source
  • F0812 — Nutrition and Dietary Deficiencies

    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 (Nov 8, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    395428
    Source record locator
    csv-row:299523:ccn:395428
    View official CMS source
  • F0880 — Infection Control Deficiencies

    Provide and implement an infection prevention and control program.

    CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Oct 19, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    395428
    Source record locator
    csv-row:299528:ccn:395428
    View official CMS source

Tags appearing across inspections

  • F0684 appears in 3 linked inspections.
  • F0689 appears in 3 linked inspections.
  • F0812 appears in 3 linked inspections.
  • F0657 appears in 2 linked inspections.
  • F0658 appears in 2 linked inspections.
  • F0686 appears in 2 linked inspections.
  • F0688 appears in 2 linked inspections.
  • F0692 appears in 2 linked inspections.
  • F0756 appears in 2 linked inspections.
  • F0880 appears in 2 linked inspections.

Penalties & enforcement

CMS penalty records in the loaded three-year dataset

  • Fine — Sep 14, 2023

    Published fine amount: $11,921.00

    View source details
    Dataset
    Penalties
    CMS dataset ID
    g6vv-u9sr
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    395428
    Source record locator
    csv-row:10975:ccn:395428
    View official CMS source

Questions to ask

Questions generated from the evidence above

  • CMS records show F0684 in 3 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0689 in 3 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0812 in 3 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0657 in 2 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0658 in 2 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0686 in 2 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0688 in 2 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0692 in 2 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0756 in 2 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0880 in 2 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show a monetary penalty dated Sep 14, 2023. What changes were made after that enforcement action?

Facility history

Facility History

14 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.

What changed recently?

  • Complaint inspection recorded1 deficiency was recorded.

2025

  1. Complaint inspection recorded

    1 deficiency was recorded.

    CMS · Recorded event date · View related evidence

  2. Complaint inspection recorded

    1 deficiencies were recorded. That includes 1 higher-severity deficiency.

    CMS · Recorded event date · View related evidence

  3. Complaint inspection recorded

    No linked health-deficiency findings were recorded for this survey.

    CMS · Recorded event date · View related evidence

  4. Health inspection completed

    6 deficiencies were recorded.

    CMS · Recorded event date · View related evidence

  5. Complaint inspection recorded

    1 deficiency was recorded.

    CMS · Recorded event date · View related evidence

2024

  1. Complaint inspection recorded

    3 deficiencies were recorded.

    CMS · Recorded event date · View related evidence

  2. Complaint inspection recorded

    1 deficiency was recorded.

    CMS · Recorded event date · View related evidence

  3. Complaint inspection recorded

    No linked health-deficiency findings were recorded for this survey.

    CMS · Recorded event date · View related evidence

  4. Health inspection completed

    11 deficiencies were recorded.

    CMS · Recorded event date · View related evidence

  5. Complaint inspection recorded

    1 deficiency was recorded.

    CMS · Recorded event date · View related evidence

2023

  1. Complaint inspection recorded

    2 deficiencies were recorded. That includes 1 higher-severity deficiency.

    CMS · Recorded event date · View related evidence

  2. Civil monetary penalty recorded

    CMS recorded a $11,921 civil monetary penalty.

    CMS · Recorded event date · View related evidence

Staffing

Reported nursing staffing at a glance

CMS staffing rating: 3 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).

Inspect a PBJ quarter
Total nursing
3.197
reported hours per resident day
RN categories
0.459
reported hours per resident day
LPN/LVN categories
0.798
reported hours per resident day
CNA
1.898
reported hours per resident day

Weekday and weekend calculations

2026Q1 reported hours per resident day
MeasureMonday–FridaySaturday–Sunday
Total nursing3.3562.803
RN categories0.5010.355

Contract staff accounted for 37.6% of reported nursing hours included in this quarter calculation.

Reported RN-category hours per resident day were 0.011 higher than the prior loaded quarter.

Staffing over time

Solid bar: Total nursing · Outlined bar: RN categories

Calculated reported hours per resident day by PBJ quarter
QuarterTotal nursingRN categoriesLPN/LVNCNAContract shareDays
2025Q22.9250.4730.7411.68223.7%91
2025Q33.10.5010.7381.83729.8%92
2025Q43.2220.4470.7691.99737.1%92
2026Q13.1970.4590.7981.89837.6%90

Questions to ask

  • PBJ records show lower calculated RN-category hours per resident day on weekends this quarter. How does the facility plan RN coverage on Saturdays and Sundays?
  • PBJ records show that some reported nursing hours were contract hours. How does the facility orient and integrate contract staff?
Staffing source and calculation details
Source
Centers for Medicare & Medicaid Services (CMS)
Dataset
Payroll Based Journal Daily Nurse Staffing
CMS dataset ID
7e0d53ba-8f02-4c66-98a5-14a1c997c50d
Quarter
2026Q1
Coverage
Jan 1, 2026–Mar 31, 2026
Days represented
90 (90 with positive MDS census)
CMS source updated
Jul 29, 2026
Calculation version
pbj-quarter-ratio-of-sums-v1

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 source

What we can verify today

Current Provider Information facts

These measures come from the current successfully ingested CMS Nursing Home Provider Information release.

  • CMS reports a 2-star overall rating.
  • CMS reports a 2-star health inspection rating.
  • CMS reports a 3-star staffing rating.
  • CMS reports a 4-star quality-measure rating.

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Provider Information
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
4pq5-n9py
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
Supports
Overview, facility facts, and CMS ratings
View official CMS source
Inspection Dates
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
svdt-c123
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
Supports
Inspections and facility history
View official CMS source
Health Deficiencies
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
r5ix-sfxw
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
Supports
Health deficiencies and facility history
View official CMS source
Penalties
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
g6vv-u9sr
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
Supports
Penalties, enforcement, and facility history
View official CMS source
Payroll Based Journal Daily Nurse Staffing
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
7e0d53ba-8f02-4c66-98a5-14a1c997c50d
Coverage
Apr 1, 2025–Mar 31, 2026
Source updated
Jul 29, 2026
Retrieved
Aug 15, 2026
Supports
PBJ staffing cards, history, and transparent calculations
View official CMS source
Ownership
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
y2hd-n93e
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
Supports
Ownership parties, organization connections, and ownership history
View official CMS source
Skilled Nursing Facility All Owners
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
Supports
Ownership parties, organization connections, and ownership history
View official CMS source
Skilled Nursing Facility Enrollments
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
5f2c306f-3b1c-42cd-b037-187b2ce22126
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
Supports
Ownership parties, organization connections, and ownership history
View official CMS source
Verified public facility information
Source organization
Public facility listing
Dataset identifier
commercial-corroboration:public-listing
Source updated
Aug 18, 2026
Retrieved
Aug 18, 2026
Supports
Independently verified public website, phone, or publicly used name. Not a CMS rating or regulatory status.
How sources work

No paid placements. Facilities cannot pay to rank higher. We cite. You decide.