SENIORTRUST HUB

Facility record

Bethany Home of Rhode Island has 33 certified beds in Providence, Rhode Island. The CMS overall rating is 3 of 5, compared with the Rhode Island average of 2.9. The CMS health inspection rating is 3 of 5, compared with the Rhode Island average of 2.8. The CMS staffing rating is 4 of 5. The latest standard health survey on Nov 26, 2025 lists 6 deficiencies, compared with the Rhode Island average of 6.1. CMS records a fine of $8,278 dated Nov 5, 2025. Total nurse staffing is 4.84 hours per resident day in 2026Q1, compared with the Rhode Island average of 3.72.

Nearby facilities

CMS nursing homes in Rhode Island

CMS nursing home

Bethany Home of Rhode Island

Providence, RI

CMS CCN 4150964018312870Listed 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 415096.

At a glance

CMS research snapshot

CMS overall rating

3 of 5

CMS health inspection rating

3 of 5

CMS staffing rating

4 of 5

CMS quality-measure rating

3 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.
  • 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.

Operators

  • BETHANY HOME OF RHODE ISLANDOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • BETHANY HOME OF RHODE ISLANDOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • IGOE, STEPHANIEIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • IGOE, STEPHANIEIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL100% ownership interest
  • BETHANY HOME OF RHODE ISLANDOrganization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
  • BETHANY HOME OF RHODE ISLANDOrganization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
  • IGOE, STEPHANIEIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
  • IGOE, STEPHANIEIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL100% ownership interest

Enrollment organizations

  • BETHANY HOME OF RHODE ISLANDOrganization · CURRENTMedicare-enrolled legal organization
  • BETHANY HOME OF RHODE ISLANDOrganization · 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.

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

3 of 5

Health inspection

3 of 5

Staffing

4 of 5

Quality measures

3 of 5

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

CMS certified beds
33
Ownership descriptor
Non 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
4018312870CMS Provider Information

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 1356338248 · enrollment O20071029000089
  • NPI 1356338248 · enrollment O20071029000089

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): 100.000000
  • Percentage of long-stay residents experiencing one or more falls with major injury (Long Stay): 3.030303 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents who have depressive symptoms (Long Stay): 0.000000
  • Percentage of long-stay residents who lose too much weight (Long Stay): 8.620690
  • Percentage of long-stay residents who received an antianxiety or hypnotic medication (Long Stay): 22.222222
  • Percentage of long-stay residents who received an antipsychotic medication (Long Stay): 3.389831 · 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): 25.082429 · 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): 30.508475 · 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): 0.000000 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents with a urinary tract infection (Long Stay): 13.114754 · 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): 28.646266
  • Percentage of long-stay residents with pressure ulcers (Long Stay): 1.543449 · CMS uses this measure in the quality-measure star rating
  • Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (Short Stay): 98.901099
  • 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): 96.428571

Fire-safety citations

CMS fire-safety citations

These are fire-safety citations, not health deficiencies and not a count of fires.

  • 2023-11-08 · tag 0225 · scope/severity F — Have stairways and smokeproof enclosures used as exits that meet safety requirements.
  • 2023-11-08 · tag 0712 · scope/severity F — Have simulated fire drills held at unexpected times.
  • 2023-11-08 · tag 0918 · scope/severity F — Have generator or other power source capable of supplying service within 10 seconds.

Decision guide

What to review

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

Staffing

CMS publishes a 4-star staffing rating for this facility.

RN staffing was 1.45 hours per resident day in 2026Q1, calculated from CMS PBJ records.

View staffing evidence
Enforcement record

CMS records show a $8,278 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
Non profit - CorporationCMS

Who is behind this facility?

SeniorTrustHub found evidence connecting this facility to:

  • CMS reports 6 individual ownership interests

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
9
Organizations shown
3
Individuals shown
6
Latest ownership source update
Aug 17, 2026

CMS-published ownership and control parties

  • WILSON, LINDA

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Jan 1, 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
    View official CMS source
  • IGOE, STEPHANIE

    Individual · CORPORATE OFFICER

    Association date reported to CMS: Mar 1, 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
    View official CMS source
  • BETHANY HOME OF RHODE ISLAND

    Organization · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Mar 1, 2021

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

    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
  • IGOE, STEPHANIE

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Mar 1, 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
    View official CMS source
  • WILSON, LINDA

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Jan 1, 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
    View official CMS source
  • IGOE, STEPHANIE

    Individual · CORPORATE OFFICER

    Published ownership percentage: 100%

    Association date reported to CMS: Mar 1, 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
    View official CMS source
  • BETHANY HOME OF RHODE ISLAND

    Organization · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Mar 1, 2021

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

    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
  • IGOE, STEPHANIE

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Published ownership percentage: 100%

    Association date reported to CMS: Mar 1, 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
    View official CMS source
  • BETHANY HOME OF RHODE ISLAND

    Organization · Medicare-enrolled legal organization

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

    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?

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
Nov 26, 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
415096
Source record locator
csv-row:112766:ccn:415096
View official CMS source
Nov 26, 2025 — Fire Safety Standard — 0 linked findings

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

Nov 26, 2025 — Health Standard — 6 linked findings
  • F0554 — Resident Rights Deficiencies

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

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

    Correction status: Deficient, Provider has date of correction (Dec 26, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    415096
    Source record locator
    csv-row:315208:ccn:415096
    View official CMS source
  • F0577 — Resident Rights Deficiencies

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    CMS scope/severity B: Pattern; No actual harm with potential for minimal harm.

    Correction status: Deficient, Provider has date of correction (Dec 26, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    415096
    Source record locator
    csv-row:315212:ccn:415096
    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 E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Dec 26, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    415096
    Source record locator
    csv-row:315209:ccn:415096
    View official CMS source
  • 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 E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Dec 26, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    415096
    Source record locator
    csv-row:315210:ccn:415096
    View official CMS source
  • F0813 — Nutrition and Dietary Deficiencies

    Have a policy regarding use and storage of foods brought to residents by family and other visitors.

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

    Correction status: Deficient, Provider has date of correction (Dec 26, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    415096
    Source record locator
    csv-row:315207:ccn:415096
    View official CMS source
  • F0842 — Resident Assessment and Care Planning Deficiencies

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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

    Correction status: Deficient, Provider has date of correction (Dec 26, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    415096
    Source record locator
    csv-row:315211:ccn:415096
    View official CMS source
Nov 5, 2025 — Health Complaint — 1 linked finding
  • 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 (Dec 5, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    415096
    Source record locator
    csv-row:315213:ccn:415096
    View official CMS source
Sep 26, 2024 — Fire Safety Standard — 0 linked findings

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

Sep 26, 2024 — Health Standard — 8 linked findings
  • F0583 — Resident Rights Deficiencies

    Keep residents' personal and medical records private and confidential.

    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 26, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    415096
    Source record locator
    csv-row:315217:ccn:415096
    View official CMS source
  • F0623 — Resident Rights Deficiencies

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    CMS scope/severity 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 (Oct 26, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    415096
    Source record locator
    csv-row:315214:ccn:415096
    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 26, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    415096
    Source record locator
    csv-row:315219:ccn:415096
    View official CMS source
  • F0699 — Quality of Life and Care Deficiencies

    Provide care or services that was trauma informed and/or culturally competent.

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

    Correction status: Deficient, Provider has date of correction (Oct 26, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    415096
    Source record locator
    csv-row:315220:ccn:415096
    View official CMS source
  • 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 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 26, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    415096
    Source record locator
    csv-row:315218:ccn:415096
    View official CMS source
  • F0760 — Pharmacy Service Deficiencies

    Ensure that residents are free from significant medication errors.

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

    Correction status: Deficient, Provider has date of correction (Oct 26, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    415096
    Source record locator
    csv-row:315221:ccn:415096
    View official CMS source
  • F0865 — Administration Deficiencies

    Have a plan that describes the process for conducting QAPI and QAA activities.

    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 (Oct 26, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    415096
    Source record locator
    csv-row:315215:ccn:415096
    View official CMS source
  • F0880 — Infection Control Deficiencies

    Provide and implement an infection prevention and control program.

    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 (Oct 26, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    415096
    Source record locator
    csv-row:315216:ccn:415096
    View official CMS source
Nov 8, 2023 — Fire Safety Standard — 0 linked findings

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

Nov 8, 2023 — Health Standard — 4 linked findings
  • 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 (Dec 8, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    415096
    Source record locator
    csv-row:315223:ccn:415096
    View official CMS source
  • F0699 — Quality of Life and Care Deficiencies

    Provide care or services that was trauma informed and/or culturally competent.

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

    Correction status: Deficient, Provider has date of correction (Dec 8, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    415096
    Source record locator
    csv-row:315224:ccn:415096
    View official CMS source
  • F0757 — Pharmacy Service Deficiencies

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

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

    Correction status: Deficient, Provider has date of correction (Dec 8, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    415096
    Source record locator
    csv-row:315225:ccn:415096
    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 F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Dec 8, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    415096
    Source record locator
    csv-row:315222:ccn:415096
    View official CMS source

Tags appearing across inspections

  • F0658 appears in 3 linked inspections.
  • F0699 appears in 2 linked inspections.
  • F0726 appears in 2 linked inspections.

Penalties & enforcement

CMS penalty records in the loaded three-year dataset

  • Fine — Nov 5, 2025

    Published fine amount: $8,278.00

    View source details
    Dataset
    Penalties
    CMS dataset ID
    g6vv-u9sr
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    415096
    Source record locator
    csv-row:11460:ccn:415096
    View official CMS source

Questions to ask

Questions generated from the evidence above

  • CMS records show F0658 in 3 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0699 in 2 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0726 in 2 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show a monetary penalty dated Nov 5, 2025. What changes were made after that enforcement action?

Facility history

Facility History

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

What changed recently?

  • Total nurse staffing increasedTotal nurse staffing increased from 4.26 to 4.84 hours per resident day between 2025Q4 and 2026Q1. Staffing improved across those reported periods.
  • Health inspection completed6 deficiencies were recorded.
  • Civil monetary penalty recordedCMS recorded a $12,735 civil monetary penalty.

2026

  1. Total nurse staffing increased

    Total nurse staffing increased from 4.26 to 4.84 hours per resident day between 2025Q4 and 2026Q1. Staffing improved across those reported periods.

    4.26 → 4.84

    CMS · Reported in a source release · View related evidence

2025

  1. Health inspection completed

    6 deficiencies were 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. Civil monetary penalty recorded

    CMS recorded a $12,735 civil monetary penalty.

    CMS · Recorded event date · View related evidence

  4. Total nurse staffing decreased

    Total nurse staffing decreased from 4.73 to 4.40 hours per resident day between 2025Q2 and 2025Q3. Staffing declined across those reported periods.

    4.73 → 4.40

    CMS · Reported in a source release · View related evidence

2024

  1. Health inspection completed

    8 deficiencies were recorded.

    CMS · Recorded event date · View related evidence

2023

  1. Health inspection completed

    4 deficiencies were recorded.

    CMS · Recorded event date · View related evidence

Staffing

Reported nursing staffing at a glance

CMS staffing rating: 4 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).

Inspect a PBJ quarter
Total nursing
4.839
reported hours per resident day
RN categories
1.449
reported hours per resident day
LPN/LVN categories
0
reported hours per resident day
CNA
3.39
reported hours per resident day

Weekday and weekend calculations

2026Q1 reported hours per resident day
MeasureMonday–FridaySaturday–Sunday
Total nursing5.1584.058
RN categories1.6091.057

Contract staff accounted for 0% of reported nursing hours included in this quarter calculation.

Reported RN-category hours per resident day were 0.097 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
2025Q24.7261.49803.2280%91
2025Q34.3961.40902.9860%92
2025Q44.2571.35202.9050%92
2026Q14.8391.44903.390%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?
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 3-star overall rating.
  • CMS reports a 3-star health inspection rating.
  • CMS reports a 4-star staffing rating.
  • CMS reports a 3-star quality-measure rating.

Trust participation

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Representation claims are reviewed manually. Live profile-management tools are not yet enabled for this facility.

How corrections work

Source register

See where this record came from

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

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