Staffing
CMS publishes a 1-star staffing rating for this facility.
RN staffing was 0.54 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceFacility record
SOUTHWESTERN MANOR NURSING AND REHABILITATION has 118 certified beds in PITTSBURGH, Pennsylvania. The CMS overall rating is 1 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 1 of 5. The latest standard health survey on Jan 24, 2025 lists 15 deficiencies, compared with the Pennsylvania average of 7.0. CMS records a fine of $60,520 dated Jun 13, 2024. Total nurse staffing is 3.11 hours per resident day in 2026Q1, compared with the Pennsylvania average of 3.88.
Nearby facilities
- ASBURY HEALTH CENTER PITTSBURGH
- BURGH CARE CENTER PITTSBURGH
- Canterbury Place PITTSBURGH
- CARNEGIE PARK POST ACUTE PITTSBURGH
- CHAMPION CITY NURSING AND REHABILITATION CENTER PITTSBURGH
- Concordia at RP Home PITTSBURGH
- CONCORDIA OF THE SOUTH HILLS PITTSBURGH
- EAST END HEALTH & REHAB CENTER PITTSBURGH
- FRIENDSHIP VILLAGE OF SOUTH HI PITTSBURGH
- HERITAGE CARE CENTER PITTSBURGH
CMS nursing home
SOUTHWESTERN MANOR NURSING AND REHABILITATION
Also known publicly as Southwestern Nursing and Rehabilitation Center
PITTSBURGH, PA
Independent research from official CMS public records. No paid ranking. No Trust Hub quality score.
Research this nursing home using CMS and federal public records. CMS Certification Number 395742.
At a glance
CMS research snapshot
CMS overall rating
1 of 5
CMS health inspection rating
2 of 5
CMS staffing rating
1 of 5
CMS quality-measure rating
3 of 5
CMS ownership-change history
CMS has published 1 ownership-change record for this provider.
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.
- Fire-safety 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
- CH PA7 SNF HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST
- CH PA7 SNF HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST67.5% ownership interest
- ENS HOLDINGS, LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST
- ENS HOLDINGS, LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST15% ownership interest
- GOTTESMAN, DANIELIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST
- GOTTESMAN, DANIELIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST15% ownership interest
- HERZKA, YISROELIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST67.5% ownership interest
- LIONHEART SNF LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST10% ownership interest
- SK SW OPERATIONS HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST100% ownership interest
- SK SW OPERATIONS HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST
- SOUTHWESTERN HEALTHCARE OPERATIONS HOLDINGS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
- SOUTHWESTERN HEALTHCARE OPERATIONS HOLDINGS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
- THE ENS FAMILY TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST
- THE ENS FAMILY TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST15% ownership interest
Managers
- DELP, SARAIndividual owner · CURRENTW-2 MANAGING EMPLOYEE
- DELP, SARAIndividual owner · CURRENTW-2 MANAGING EMPLOYEE
- DELP, SARAIndividual owner · HISTORICALW-2 MANAGING EMPLOYEE
- DELP, SARAIndividual owner · UNKNOWNW-2 MANAGING EMPLOYEE
- DELP, SARAIndividual owner · UNKNOWNW-2 MANAGING EMPLOYEE
Enrollment organizations
- SOUTHWESTERN HEALTHCARE OPERATIONS LLCOrganization · CURRENTMedicare-enrolled legal organization
- SOUTHWESTERN HEALTHCARE OPERATIONS LLCOrganization · UNKNOWNMedicare-enrolled legal organization
Historical ownership observations
Historical
- CH PA7 SNF HOLDINGS LLCOrganization · HISTORICAL5% OR GREATER INDIRECT OWNERSHIP INTEREST67.5% ownership interest
- ENS HOLDINGS, LLCOrganization · HISTORICAL5% OR GREATER INDIRECT OWNERSHIP INTEREST15% ownership interest
- GOTTESMAN, DANIELIndividual owner · HISTORICAL5% OR GREATER INDIRECT OWNERSHIP INTEREST15% ownership interest
- HERZKA, YISROELIndividual owner · HISTORICAL5% OR GREATER INDIRECT OWNERSHIP INTEREST67.5% ownership interest
- LIONHEART SNF LLCOrganization · HISTORICAL5% OR GREATER INDIRECT OWNERSHIP INTEREST10% ownership interest
- SK SW OPERATIONS HOLDINGS LLCOrganization · HISTORICAL5% OR GREATER INDIRECT OWNERSHIP INTEREST100% ownership interest
- SOUTHWESTERN HEALTHCARE OPERATIONS HOLDINGS LLCOrganization · HISTORICAL5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
- THE ENS FAMILY TRUSTOrganization · HISTORICAL5% OR GREATER INDIRECT OWNERSHIP INTEREST15% ownership interest
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
- CH PA7 SNF HOLDINGS LLCOrganization · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST67.5% ownership interest
- CH PA7 SNF HOLDINGS LLCOrganization · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST
- ENS HOLDINGS, LLCOrganization · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST15% ownership interest
- ENS HOLDINGS, LLCOrganization · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST
- GOTTESMAN, DANIELIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST15% ownership interest
- GOTTESMAN, DANIELIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST
- HERZKA, YISROELIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST67.5% ownership interest
- LIONHEART SNF LLCOrganization · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST10% ownership interest
- SK SW OPERATIONS HOLDINGS LLCOrganization · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST
- SK SW OPERATIONS HOLDINGS LLCOrganization · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST100% ownership interest
- SOUTHWESTERN HEALTHCARE OPERATIONS HOLDINGS LLCOrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
- SOUTHWESTERN HEALTHCARE OPERATIONS HOLDINGS LLCOrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
- THE ENS FAMILY TRUSTOrganization · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST15% ownership interest
- THE ENS FAMILY TRUSTOrganization · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST
Ownership change history
CMS ownership-change records
CMS publishes Change of Ownership records for this nursing home.
CMS records show an ownership change effective 2021-04-30.
- CMS type
- CHANGE OF OWNERSHIP
- Buyer legal entity
- SOUTHWESTERN HEALTHCARE OPERATIONS LLC
- Seller legal entity
- SW HEALTHCARE CENTER LP
- Effective date
- 2021-04-30
These are CMS transaction records. They are not a Trust Hub quality, stability, or sale judgment.
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 2026-11-04. 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
No proprietary TrustHub score. These ratings are published separately by CMS. How CMS ratings and facility records are read
- CMS certified beds
- 118
- 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
- 4124660600Verified public information · checked Aug 2026
- Also known publicly as
- Southwestern Nursing and Rehabilitation CenterVerified 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 does not currently apply its abuse-icon designation to this facility in the loaded Provider Information extract.
CMS field value: N. 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 1689273500 · enrollment O20210603002798
- NPI 1689273500 · enrollment O20210603002798
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): 100.000000
- Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (Long Stay): 69.736842
- Percentage of long-stay residents experiencing one or more falls with major injury (Long Stay): 2.651515 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents who have depressive symptoms (Long Stay): 21.487603
- Percentage of long-stay residents who lose too much weight (Long Stay): 9.401709
- Percentage of long-stay residents who received an antianxiety or hypnotic medication (Long Stay): 15.918367
- Percentage of long-stay residents who received an antipsychotic medication (Long Stay): 20.114943 · 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): 3.194964 · 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): 5.042017 · 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): 1.236186 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents with a urinary tract infection (Long Stay): 0.000000 · 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): 23.838408
- Percentage of long-stay residents with pressure ulcers (Long Stay): 6.173320 · CMS uses this measure in the quality-measure star rating
- Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (Short Stay): 97.750000
- Percentage of short-stay residents who newly received an antipsychotic medication (Short Stay): 0.381679 · 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): 14.285714
Fire-safety citations
CMS fire-safety citations
These are fire-safety citations, not health deficiencies and not a count of fires.
- 2025-01-24 · tag 0712 · scope/severity C — Have simulated fire drills held at unexpected times.
- 2023-12-15 · tag 0100 · scope/severity C — Meet other general requirements.
- 2023-12-15 · tag 0321 · scope/severity E — Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- 2023-12-15 · tag 0353 · scope/severity E — Inspect, test, and maintain automatic sprinkler systems.
- 2023-12-15 · tag 0363 · scope/severity E — Install corridor and hallway doors that block smoke.
- 2023-12-15 · tag 0912 · scope/severity E — Have power receptacles that are properly grounded.
- 2023-12-15 · tag 0920 · scope/severity E — Ensure proper usage of power strips and extension cords.
- 2023-12-15 · tag 0004 · scope/severity C — Develop and maintain an Emergency Preparedness Program (EP).
- 2023-12-15 · tag 0345 · scope/severity C — Have approved installation, maintenance and testing program for fire alarm systems.
- 2023-12-15 · tag 0521 · scope/severity C — Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- 2023-12-15 · tag 0761 · scope/severity C — To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- 2023-02-12 · tag 0353 · scope/severity E — Inspect, test, and maintain automatic sprinkler systems.
Decision guide
What to review
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
Inspections
The latest standard inspection on Jan 24, 2025 cited 15 deficiencies.
View inspection evidenceOwnership
CMS-published records list 22 ownership or control parties.
CMS records show an ownership change effective April 2021.
View ownership evidenceChain context
CMS groups this facility with a chain covering 13 facilities across 1 states or territories.
View chain evidenceEnforcement record
CMS records show a $60,520 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
- Chain
- IMPERIAL HEALTHCARE GROUPCMS identifies this facility as part of the IMPERIAL HEALTHCARE GROUP chain.
- Related facilities
- 13Current CMS organization identity
- Ownership changes
- 1 recordedCMS enrollment records
Who is behind this facility?
SeniorTrustHub found evidence connecting this facility to:
- 11 CMS-reported ownership organizations
- CMS reports 9 individual ownership interests
- a CMS chain / common-control group
- recorded ownership-change events
Related facilities
13 currently connected nursing homes share this CMS organization identity with ENS HOLDINGS, LLC.
- Average CMS overall rating
- 2.5 stars across 13 reporting facilities
- CMS monetary penalties
- 7 of 13 facilities had a recorded monetary penalty in the available CMS period.
- Recent CMS penalties
- 2 facilities had a CMS penalty in the last 18 months.
- Recent high-value CMS enforcement
- 2 facilities had a high-value CMS fine or payment denial in the last 18 months.
- Recent CMS complaint inspections
- 11 facilities had a CMS complaint inspection in the last 18 months.
- Total recorded CMS fines
- $289,210
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
- 22
- Organizations shown
- 13
- Individuals shown
- 9
- Latest ownership source update
- Aug 17, 2026
CMS-published ownership and control parties
SOUTHWESTERN HEALTHCARE OPERATIONS HOLDINGS LLC
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Apr 30, 2021
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
CH PA7 SNF HOLDINGS LLC
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Apr 30, 2021
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
ENS HOLDINGS, LLC
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jul 11, 2021
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
GOTTESMAN, DANIEL
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jul 11, 2021
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
SK SW OPERATIONS HOLDINGS LLC
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Apr 30, 2021
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
THE ENS FAMILY TRUST
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jul 11, 2021
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
GOTTESMAN, DANIEL
Individual · CORPORATE OFFICER
Association date reported to CMS: Jul 11, 2021
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
HERZKA, YISROEL
Individual · CORPORATE OFFICER
Association date reported to CMS: Jul 11, 2021
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
DELP, SARA
Individual · W-2 MANAGING EMPLOYEE
Association date reported to CMS: Dec 5, 2023
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
SOUTHWESTERN HEALTHCARE OPERATIONS HOLDINGS LLC
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Apr 30, 2021
CMS classifications: Holding company
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
CH PA7 SNF HOLDINGS LLC
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 67.5%
Association date reported to CMS: Apr 30, 2021
CMS classifications: Management services company
Other facilities connected through this exact CMS organization identity: 3 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
ENS HOLDINGS, LLC
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 15%
Association date reported to CMS: Jul 11, 2021
Other facilities connected through this exact CMS organization identity: 12 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
GOTTESMAN, DANIEL
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 15%
Association date reported to CMS: Jul 11, 2021
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
HERZKA, YISROEL
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 67.5%
Association date reported to CMS: Apr 30, 2021
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
LIONHEART SNF LLC
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 10%
Association date reported to CMS: Jul 11, 2021
CMS classifications: Management services company
Other facilities connected through this exact CMS organization identity: 6 across NJ, NV, PA, SC, WA.
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
SK SW OPERATIONS HOLDINGS LLC
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Apr 30, 2021
CMS classifications: Management services company
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
THE ENS FAMILY TRUST
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 15%
Association date reported to CMS: Jul 11, 2021
Other facilities connected through this exact CMS organization identity: 12 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
GOTTESMAN, DANIEL
Individual · CORPORATE OFFICER
Association date reported to CMS: Jul 11, 2021
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
HERZKA, YISROEL
Individual · CORPORATE OFFICER
Published ownership percentage: 100%
Association date reported to CMS: Jul 11, 2021
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
SOUTHWESTERN HEALTHCARE REALTY LLC
Organization · OTHER
Association date reported to CMS: Apr 30, 2021
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
DELP, SARA
Individual · W-2 MANAGING EMPLOYEE
Association date reported to CMS: Dec 5, 2023
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
SOUTHWESTERN HEALTHCARE OPERATIONS 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
Ownership changes reported in CMS enrollment records
- CHANGE OF OWNERSHIPSW HEALTHCARE CENTER LP to SOUTHWESTERN HEALTHCARE OPERATIONS LLC
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility Change of Ownership
- CMS dataset identifier
- f557a6ed-95b3-4a22-8433-4175db2dec1c
- Source updated
- Aug 24, 2026
- Retrieved
- Aug 15, 2026
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 enrollment records show a change of ownership effective Apr 30, 2021. What operational or leadership changes followed that event?
- CMS records connect CH PA7 SNF HOLDINGS LLC to 4 facilities. Which policies and staffing decisions are managed centrally versus locally?
Chain context
CMS groups this facility with IMPERIAL HEALTHCARE GROUP
Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 282 is a grouping identifier, not a legal organization.
- Facilities
- 13
- States and territories
- 1
- Average overall rating
- 2.5
- Average staffing rating
- 1.5
- Average total nurse HPRD
- 3.2
- Total fines
- 11
CMS-published history
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 13 | 2.5 | 1.5 |
| Mon Jun | 13 | 2.8 | 1.8 |
| Fri May | 13 | 2.8 | 1.8 |
| Wed Apr | 13 | 2.8 | 1.8 |
| Sun Mar | 13 | 2.4 | 1.9 |
| Sun Feb | 13 | 2.5 | 1.9 |
Questions to ask
- CMS groups facilities in 1 states or territories under this chain. Which operational policies are set at the chain level?
- CMS reports 11 fines across the chain in this dataset. What compliance functions are managed centrally?
CMS chain source and methodology
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
What CMS inspection records show
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
Latest recorded inspection
- Date
- Jan 24, 2025
- Survey type
- Fire Safety Standard
- Linked findings
- 0
- Highest linked CMS classification
- No linked health-deficiency finding in the loaded record
View source details
- Dataset
- Inspection Dates
- CMS dataset ID
- svdt-c123
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:109666:ccn:395742
Jan 24, 2025 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Jan 24, 2025 — Health Standard — 15 linked findings
F0578 — Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 4, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:306732:ccn:395742
F0637 — Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 4, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:306733:ccn:395742
F0641 — Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 4, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:306730:ccn:395742
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 (Mar 4, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:306734:ccn:395742
F0758 — Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 4, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:306735:ccn:395742
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 F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 4, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:306728:ccn:395742
F0848 — Administration Deficiencies
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
CMS scope/severity C: Widespread; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (Mar 4, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:306737:ccn:395742
F0941 — Administration Deficiencies
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
CMS scope/severity B: Pattern; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (Mar 4, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:306740:ccn:395742
F0942 — Resident Rights Deficiencies
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
CMS scope/severity B: Pattern; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (Mar 4, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:306741:ccn:395742
F0943 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 4, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:306731:ccn:395742
F0944 — Administration Deficiencies
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
CMS scope/severity B: Pattern; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (Mar 4, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:306742:ccn:395742
F0945 — Infection Control Deficiencies
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the 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 4, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:306736:ccn:395742
F0946 — Administration Deficiencies
Provide training in compliance and ethics.
CMS scope/severity C: Widespread; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (Mar 4, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:306738:ccn:395742
F0947 — Nursing and Physician Services Deficiencies
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 F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 4, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:306729:ccn:395742
F0949 — Administration Deficiencies
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
CMS scope/severity C: Widespread; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (Mar 4, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:306739:ccn:395742
Jun 13, 2024 — Health Complaint — 11 linked findings
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: Deficient, Provider has date of correction (Aug 6, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:306759:ccn:395742
F0684 — Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity H: Pattern; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 6, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:306758:ccn:395742
F0686 — Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 6, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:306760:ccn:395742
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 G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 6, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:306761:ccn:395742
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 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 6, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:306763:ccn:395742
F0726 — Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
CMS scope/severity 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 6, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:306765:ccn:395742
F0744 — Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 6, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:306766:ccn:395742
F0745 — Quality of Life and Care Deficiencies
Provide medically-related social services to help each resident achieve the highest possible quality of life.
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 6, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:306767:ccn:395742
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 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 (Aug 6, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:306762:ccn:395742
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 6, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:306768:ccn:395742
F0940 — Administration Deficiencies
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
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 6, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:306764:ccn:395742
Mar 13, 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 (Apr 2, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:306769:ccn:395742
Dec 15, 2023 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Dec 15, 2023 — Health Complaint — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Dec 15, 2023 — Health Standard — 14 linked findings
F0565 — Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 6, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:306748:ccn:395742
F0575 — Resident Rights Deficiencies
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 6, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:306749:ccn:395742
F0582 — Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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 6, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:306751:ccn:395742
F0585 — Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
CMS scope/severity 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 6, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:306752:ccn:395742
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 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 6, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:306753:ccn:395742
F0680 — Quality of Life and Care Deficiencies
Ensure the activities program is directed by a qualified professional.
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 6, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:306754:ccn:395742
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 (Feb 6, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:306743:ccn:395742
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 (Feb 6, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:306744:ccn:395742
F0710 — Nursing and Physician Services Deficiencies
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 6, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:306745:ccn:395742
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 (Feb 6, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:306755:ccn:395742
F0809 — Nutrition and Dietary Deficiencies
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
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 6, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:306746:ccn:395742
F0838 — Administration Deficiencies
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
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 6, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:306756:ccn:395742
F0880 — Infection Control Deficiencies
Provide and implement an infection prevention and control program.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 6, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:306747:ccn:395742
F0944 — Administration Deficiencies
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
CMS scope/severity C: Widespread; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (Feb 6, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:306757:ccn:395742
Feb 12, 2023 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Feb 12, 2023 — Health Standard — 14 linked findings
F0576 — Resident Rights Deficiencies
Ensure residents have reasonable access to and privacy in their use of communication methods.
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, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:306775:ccn:395742
F0582 — Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:306776:ccn:395742
F0584 — Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 20, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:306777:ccn:395742
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 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, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:306778:ccn:395742
F0679 — Quality of Life and Care Deficiencies
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, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:306770:ccn:395742
F0680 — Quality of Life and Care Deficiencies
Ensure the activities program is directed by a qualified professional.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 20, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:306771:ccn:395742
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 (Mar 20, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:306779:ccn:395742
F0761 — Pharmacy Service Deficiencies
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 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, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:306772:ccn:395742
F0805 — Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 20, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:306780:ccn:395742
F0809 — Nutrition and Dietary Deficiencies
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
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, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:306773:ccn:395742
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 (Mar 20, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:306774:ccn:395742
F0849 — Administration Deficiencies
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 20, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:306781:ccn:395742
F0883 — Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 20, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:306782:ccn:395742
F0924 — Environmental Deficiencies
Put firmly secured handrails on each side of hallways.
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, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:306783:ccn:395742
Tags appearing across inspections
- F0684 appears in 3 linked inspections.
- F0686 appears in 3 linked inspections.
- F0812 appears in 3 linked inspections.
- F0582 appears in 2 linked inspections.
- F0600 appears in 2 linked inspections.
- F0680 appears in 2 linked inspections.
- F0809 appears in 2 linked inspections.
- F0880 appears in 2 linked inspections.
- F0944 appears in 2 linked inspections.
Penalties & enforcement
CMS penalty records in the loaded three-year dataset
Fine — Jun 13, 2024
Published fine amount: $60,520.00
View source details
- Dataset
- Penalties
- CMS dataset ID
- g6vv-u9sr
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 395742
- Source record locator
- csv-row:11159:ccn:395742
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 F0686 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 F0582 in 2 inspections in the available record. What changes has the facility made to address this issue?
- CMS records show F0600 in 2 inspections in the available record. What changes has the facility made to address this issue?
- CMS records show F0680 in 2 inspections in the available record. What changes has the facility made to address this issue?
- CMS records show F0809 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 F0944 in 2 inspections in the available record. What changes has the facility made to address this issue?
- CMS records show a monetary penalty dated Jun 13, 2024. What changes were made after that enforcement action?
Facility history
Facility History
8 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
What changed recently?
No major recent changes were identified in the available history.
2025
- Health inspection completed
15 deficiencies were recorded.
CMS · Recorded event date · View related evidence
2024
- Civil monetary penalty recorded
CMS recorded a $60,520 civil monetary penalty.
CMS · Recorded event date · View related evidence
- Complaint inspection recorded
11 deficiencies were recorded. That includes 4 higher-severity deficiencies.
CMS · Recorded event date · View related evidence
- Complaint inspection recorded
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
2023
- Complaint inspection recorded
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
- Health inspection completed
14 deficiencies were recorded.
CMS · Recorded event date · View related evidence
- Health inspection completed
14 deficiencies were recorded.
CMS · Recorded event date · View related evidence
2021
- Ownership change recorded
An ownership change was recorded. New organization: SOUTHWESTERN HEALTHCARE OPERATIONS LLC.
SW HEALTHCARE CENTER LP → SOUTHWESTERN HEALTHCARE OPERATIONS LLC
CMS · Recorded event date · View related evidence
Staffing
Reported nursing staffing at a glance
CMS staffing rating: 1 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).
- Total nursing
- 3.113 reported hours per resident day
- RN categories
- 0.54 reported hours per resident day
- LPN/LVN categories
- 0.836 reported hours per resident day
- CNA
- 1.737 reported hours per resident day
Weekday and weekend calculations
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 3.204 | 2.891 |
| RN categories | 0.632 | 0.313 |
Contract staff accounted for 15.1% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.024 higher than the prior loaded quarter.
Staffing over time
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 2.975 | 0.477 | 0.772 | 1.726 | 9.3% | 91 |
| 2025Q3 | 3.058 | 0.493 | 0.798 | 1.767 | 18.8% | 92 |
| 2025Q4 | 3.095 | 0.516 | 0.85 | 1.729 | 10.8% | 92 |
| 2026Q1 | 3.113 | 0.54 | 0.836 | 1.737 | 15.1% | 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 sourceWhat 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 1-star overall rating.
- CMS reports a 2-star health inspection rating.
- CMS reports a 1-star staffing rating.
- CMS reports a 3-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
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
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
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
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
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
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
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
Skilled Nursing Facility Change of Ownership
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- f557a6ed-95b3-4a22-8433-4175db2dec1c
- Source updated
- Aug 24, 2026
- Retrieved
- Aug 15, 2026
- Supports
- Ownership parties, organization connections, and ownership history
Nursing Home Chain Performance Measures
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset identifier
- 97ecfad1-d3f1-4d42-b774-d74661d830bc
- Coverage
- Wed Jul
- Source updated
- Aug 12, 2026
- Retrieved
- Aug 16, 2026
- Supports
- CMS chain context, performance, and monthly history
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.
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