RIVERVIEW HEALTHCARE CENTER has 63 certified beds in FLANDREAU, South Dakota. The CMS overall rating is 1 of 5, compared with the South Dakota average of 2.9. The CMS health inspection rating is 1 of 5, compared with the South Dakota average of 2.8. The CMS staffing rating is 3 of 5. The latest standard health survey on Feb 27, 2025 lists 9 deficiencies, compared with the South Dakota average of 5.0. CMS records a fine of $31,500 dated Mar 25, 2026. CMS records a fine of $15,574 dated Nov 18, 2025. CMS records a fine of $36,414 dated Sep 25, 2025. Total nurse staffing is 3.62 hours per resident day in 2026Q1, compared with the South Dakota average of 3.83.

CMS nursing home

RIVERVIEW HEALTHCARE CENTER

Also known publicly as Riverview Healthcare

FLANDREAU, SD

CMS CCN 4350866059972481Listed 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 435086.

At a glance

CMS research snapshot

CMS overall rating

1 of 5

CMS health inspection rating

1 of 5

CMS staffing rating

3 of 5

CMS quality-measure rating

2 of 5

CMS ownership-change history

CMS has published 1 ownership-change record for this provider.

CMS Special Focus Facility

CMS currently identifies Special Focus Facility or candidate status in the loaded Provider Information extract. That is a CMS designation, not a Trust Hub watchlist.

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

Quality & care evidence

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 PACIFIC NORTHWEST HOLDINGS LLCOrganizationINDIRECT OWNERSHIP INTEREST66.5% ownership interest
CH PACIFIC NORTHWEST HOLDINGS LLCOrganizationINDIRECT OWNERSHIP INTEREST
CH PACIFIC NORTHWEST HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST66.5% ownership interest
COUVE FINANCIAL SERVICES LLCOrganizationINDIRECT OWNERSHIP INTEREST
COUVE FINANCIAL SERVICES LLCOrganizationINDIRECT OWNERSHIP INTEREST0% ownership interest
COUVE HEALTHCARE CONSULTING LLCOrganizationINDIRECT OWNERSHIP INTEREST0% ownership interest
COUVE HEALTHCARE CONSULTING LLCOrganizationINDIRECT OWNERSHIP INTEREST
HERZKA, YISROELIndividual ownerINDIRECT OWNERSHIP INTEREST66.5% ownership interest
HERZKA, YISROELIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST66.5% ownership interest
HERZKA, YISROELIndividual ownerINDIRECT OWNERSHIP INTEREST
Individual name not published by CMSOrganizationINDIRECT OWNERSHIP INTEREST3% ownership interest
Individual name not published by CMSOrganizationINDIRECT OWNERSHIP INTEREST2.25% ownership interest
Individual name not published by CMSIndividual ownerINDIRECT OWNERSHIP INTEREST3% ownership interest
Individual name not published by CMSOrganizationINDIRECT OWNERSHIP INTEREST2.25% ownership interest
Individual name not published by CMSOrganizationINDIRECT OWNERSHIP INTEREST1% ownership interest
Individual name not published by CMSIndividual ownerINDIRECT OWNERSHIP INTEREST1% ownership interest
JOHNSON, CHARLESIndividual ownerINDIRECT OWNERSHIP INTEREST0% ownership interest
JOHNSON, CHARLESIndividual ownerINDIRECT OWNERSHIP INTEREST
OLSON, BRENNAIndividual ownerINDIRECT OWNERSHIP INTEREST
OLSON, BRENNAIndividual ownerINDIRECT OWNERSHIP INTEREST0% ownership interest
PACIFIC NORTHWEST OPCO MANAGEMENT LLCOrganizationINDIRECT OWNERSHIP INTEREST0% ownership interest
PACIFIC NORTHWEST OPCO MANAGEMENT LLCOrganizationINDIRECT OWNERSHIP INTEREST
PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (SD) LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (SD) LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST100% ownership interest

Showing 25 of 33 relationships from CMS/PECOS evidence.

Operators

COUVE FINANCIAL SERVICES LLCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
COUVE FINANCIAL SERVICES LLCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
COUVE HEALTHCARE CONSULTING LLCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
COUVE HEALTHCARE CONSULTING LLCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
JOHNSON, CHARLESIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
JOHNSON, CHARLESIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
LOWE, LEONORIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
LOWE, LEONORIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
OLSON, BRENNAIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
OLSON, BRENNAIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
PACIFIC NORTHWEST OPCO MANAGEMENT LLCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
PACIFIC NORTHWEST OPCO MANAGEMENT LLCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
PETERSON, SCOTTIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
PETERSON, SCOTTIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
RIVERVIEW SNF OPERATIONS, LLCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
RIVERVIEW SNF OPERATIONS, LLCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
SOUTH DAKOTA SNF CONSULTING LLCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
SOUTH DAKOTA SNF CONSULTING LLCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
SPIELMAN, SHIMONIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
SPIELMAN, SHIMONIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
YENOWITZ, YITZCHOKIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL100% ownership interest
YENOWITZ, YITZCHOKIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
COUVE FINANCIAL SERVICES LLCOrganization · HISTORICALOPERATIONAL/MANAGERIAL CONTROL
COUVE HEALTHCARE CONSULTING LLCOrganization · HISTORICALOPERATIONAL/MANAGERIAL CONTROL
JOHNSON, CHARLESIndividual owner · HISTORICALOPERATIONAL/MANAGERIAL CONTROL

Showing 25 of 55 relationships from CMS/PECOS evidence.

Enrollment organizations

RIVERVIEW SNF OPERATIONS, LLCOrganization · CURRENTMedicare-enrolled legal organization
RIVERVIEW SNF OPERATIONS, LLCOrganization · UNKNOWNMedicare-enrolled legal organization

Historical ownership observations

Historical

CH PACIFIC NORTHWEST HOLDINGS LLCOrganization · HISTORICAL5% OR GREATER INDIRECT OWNERSHIP INTEREST66.5% ownership interest
HERZKA, YISROELIndividual owner · HISTORICAL5% OR GREATER INDIRECT OWNERSHIP INTEREST66.5% ownership interest
PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (SD) LLCOrganization · HISTORICAL5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS LLCOrganization · HISTORICAL5% OR GREATER INDIRECT OWNERSHIP INTEREST100% ownership interest
WITZCORP GLOBAL LLCOrganization · HISTORICAL5% OR GREATER INDIRECT OWNERSHIP INTEREST25% ownership interest
YENOWITZ, YITZCHOKIndividual owner · HISTORICAL5% OR GREATER INDIRECT OWNERSHIP INTEREST25% 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 PACIFIC NORTHWEST HOLDINGS LLCOrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST66.5% ownership interest
CH PACIFIC NORTHWEST HOLDINGS LLCOrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST
CH PACIFIC NORTHWEST HOLDINGS LLCOrganization · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST66.5% ownership interest
COUVE FINANCIAL SERVICES LLCOrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST0% ownership interest
COUVE FINANCIAL SERVICES LLCOrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST
COUVE HEALTHCARE CONSULTING LLCOrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST
COUVE HEALTHCARE CONSULTING LLCOrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST0% ownership interest
HERZKA, YISROELIndividual owner · UNKNOWNINDIRECT OWNERSHIP INTEREST
HERZKA, YISROELIndividual owner · UNKNOWNINDIRECT OWNERSHIP INTEREST66.5% ownership interest
HERZKA, YISROELIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST66.5% ownership interest
Individual name not published by CMSOrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST1% ownership interest
Individual name not published by CMSOrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST2.25% ownership interest
Individual name not published by CMSIndividual owner · UNKNOWNINDIRECT OWNERSHIP INTEREST1% ownership interest
Individual name not published by CMSOrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST3% ownership interest
Individual name not published by CMSOrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST2.25% ownership interest
Individual name not published by CMSIndividual owner · UNKNOWNINDIRECT OWNERSHIP INTEREST3% ownership interest
JOHNSON, CHARLESIndividual owner · UNKNOWNINDIRECT OWNERSHIP INTEREST
JOHNSON, CHARLESIndividual owner · UNKNOWNINDIRECT OWNERSHIP INTEREST0% ownership interest
OLSON, BRENNAIndividual owner · UNKNOWNINDIRECT OWNERSHIP INTEREST
OLSON, BRENNAIndividual owner · UNKNOWNINDIRECT OWNERSHIP INTEREST0% ownership interest
PACIFIC NORTHWEST OPCO MANAGEMENT LLCOrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST
PACIFIC NORTHWEST OPCO MANAGEMENT LLCOrganization · UNKNOWNINDIRECT OWNERSHIP INTEREST0% ownership interest
PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (SD) LLCOrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (SD) LLCOrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS LLCOrganization · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST100% ownership interest

Showing 25 of 33 relationships from CMS/PECOS evidence.

Ownership change history

CMS ownership-change records

CMS publishes Change of Ownership records for this nursing home.

CMS records show an ownership change effective 2023-08-31.
CMS type
CHANGE OF OWNERSHIP
Buyer legal entity
RIVERVIEW SNF OPERATIONS, LLC
Seller legal entity
EMPRES AT FLANDREAU LLC
Effective date
2023-08-31

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 overall

1 of 5

Health inspection

1 of 5

Staffing

3 of 5

Quality measures

2 of 5

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

CMS certified beds: 63
Ownership descriptor: For profit - Limited Liability company
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: 6059972481Verified public information · checked Aug 2026
Also known publicly as: Riverview HealthcareVerified 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.

Special Focus Facility candidate

CMS currently identifies this nursing home as a Special Focus Facility candidate. Candidate status is not the same as being designated a Special Focus Facility.

CMS field value: SFF Candidate. Observed Aug 1, 2026.

CMS abuse-icon designation

CMS currently applies its abuse-icon designation to this facility. That is CMS's published designation, not a Trust Hub verdict.

CMS field value: Y. Observed Aug 1, 2026.

Enrollment identity

Medicare enrollment organization NPI associated with this CMS Certification Number

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

NPI 1821702085 · enrollment O20231129001348
NPI 1821702085 · enrollment O20231129001348

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): 77.835052
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (Long Stay): 91.379310
Percentage of long-stay residents experiencing one or more falls with major injury (Long Stay): 3.092784 · CMS uses this measure in the quality-measure star rating
Percentage of long-stay residents who have depressive symptoms (Long Stay): 5.405405
Percentage of long-stay residents who lose too much weight (Long Stay): 7.608696
Percentage of long-stay residents who received an antianxiety or hypnotic medication (Long Stay): 9.895833
Percentage of long-stay residents who received an antipsychotic medication (Long Stay): 20.666667 · 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): 28.520456 · 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): 20.000000 · 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): 0.382449 · CMS uses this measure in the quality-measure star rating
Percentage of long-stay residents with a urinary tract infection (Long Stay): 0.537634 · 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): 21.267742
Percentage of long-stay residents with pressure ulcers (Long Stay): 7.897198 · CMS uses this measure in the quality-measure star rating
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (Short Stay): 47.368421
Percentage of short-stay residents who newly received an antipsychotic medication (Short Stay): 2.985075 · 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): 65.116279

Fire-safety citations

CMS fire-safety citations

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

2025-02-27 · tag 0712 · scope/severity F — Have simulated fire drills held at unexpected times.
2025-02-27 · tag 0353 · scope/severity F — Inspect, test, and maintain automatic sprinkler systems.
2025-02-27 · tag 0211 · scope/severity E — Keep aisles, corridors, and exits free of obstruction in case of emergency.
2025-02-27 · 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.
2025-02-27 · tag 0918 · scope/severity E — Have generator or other power source capable of supplying service within 10 seconds.
2025-02-27 · tag 0100 · scope/severity D — Meet other general requirements.
2025-02-27 · tag 0363 · scope/severity D — Install corridor and hallway doors that block smoke.
2025-02-27 · tag 0923 · scope/severity D — Have proper medical gas storage and administration areas.
2025-02-27 · tag 0004 · scope/severity C — Develop and maintain an Emergency Preparedness Program (EP).
2025-02-27 · tag 0039 · scope/severity C — Conduct testing and exercise requirements.
2025-02-27 · tag 0271 · scope/severity C — Have exits that are accessible at all times.
2025-02-27 · tag 0222 · scope/severity B — Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Decision guide

What to review

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

Staffing

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

RN staffing was 0.63 hours per resident day in 2026Q1, calculated from CMS PBJ records.

View staffing evidence

Inspections

The latest standard inspection on Feb 27, 2025 cited 9 deficiencies.

View inspection evidence

Ownership

CMS-published records list 94 ownership or control parties.

CMS records show an ownership change effective August 2023.

View ownership evidence

Chain context

CMS groups this facility with a chain covering 44 facilities across 6 states or territories.

View chain evidence

Enforcement record

CMS records show a $31,500 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 - Limited Liability companyCMS
Chain: EVERGREEN HEALTHCARE GROUPCMS identifies this facility as part of the EVERGREEN HEALTHCARE GROUP chain.
Related facilities: 40Current CMS organization identity
Ownership changes: 1 recordedCMS enrollment records

Explore ownership network →

Who is behind this facility?

SeniorTrustHub found evidence connecting this facility to:

18 CMS-reported ownership organizations
CMS reports 34 individual ownership interests
a CMS chain / common-control group
recorded ownership-change events

Related facilities

40 currently connected nursing homes share this CMS organization identity with COUVE HEALTHCARE CONSULTING LLC.

Average CMS overall rating: 2.5 stars across 39 reporting facilities
CMS monetary penalties: 31 of 40 facilities had a recorded monetary penalty in the available CMS period.
Recent CMS penalties: 17 facilities had a CMS penalty in the last 18 months.
Recent high-value CMS enforcement: 15 facilities had a high-value CMS fine or payment denial in the last 18 months.
Recent CMS complaint inspections: 33 facilities had a CMS complaint inspection in the last 18 months.
Total recorded CMS fines: $2,406,850

How connected-facility figures are read

Ownership

Who CMS records show is connected to this facility

These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.

Reported party records: 94
Organizations shown: 41
Individuals shown: 34
Latest ownership source update: Aug 17, 2026

CMS-published ownership and control parties

PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (SD) LLC
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across SD.
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
CH PACIFIC NORTHWEST HOLDINGS LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across SD.
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
COUVE FINANCIAL SERVICES LLC
Organization · ADP OF THE SNF
Association date reported to CMS: May 16, 2025
Other facilities connected through this exact CMS organization identity: 0 across SD.
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
COUVE HEALTHCARE CONSULTING LLC
Organization · ADP OF THE SNF
Association date reported to CMS: May 16, 2025
Other facilities connected through this exact CMS organization identity: 0 across SD.
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
HERZKA, YISROEL
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 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
View official CMS source
JOHNSON, CHARLES
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 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
View official CMS source
LOWE, LEONOR
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 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
View official CMS source
OLSON, BRENNA
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 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
View official CMS source
PACIFIC NORTHWEST OPCO MANAGEMENT LLC
Organization · ADP OF THE SNF
Association date reported to CMS: May 16, 2025
Other facilities connected through this exact CMS organization identity: 0 across SD.
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
PETERSON, SCOTT
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 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
View official CMS source
RIVERVIEW SNF OPERATIONS, LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 30, 2025
Other facilities connected through this exact CMS organization identity: 0 across SD.
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
RIVERVIEW SNF REALTY LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 2, 2025
Other facilities connected through this exact CMS organization identity: 0 across SD.
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
SOUTH DAKOTA SNF CONSULTING LLC
Organization · ADP OF THE SNF
Association date reported to CMS: May 16, 2025
Other facilities connected through this exact CMS organization identity: 0 across SD.
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
SPIELMAN, SHIMON
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 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
View official CMS source
WITZCORP GLOBAL LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across SD.
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
YENOWITZ, YITZCHOK
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 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
View official CMS source
SPIELMAN, SHIMON
Individual · CORPORATE OFFICER
Association date reported to CMS: Aug 31, 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
View official CMS source
YENOWITZ, YITZCHOK
Individual · CORPORATE OFFICER
Association date reported to CMS: Aug 31, 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
View official CMS source
RIVERVIEW SNF OPERATIONS, LLC
Organization · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across SD.
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
CH PACIFIC NORTHWEST HOLDINGS LLC
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across SD.
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
COUVE FINANCIAL SERVICES LLC
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across SD.
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
COUVE HEALTHCARE CONSULTING LLC
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across SD.
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
HERZKA, YISROEL
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Aug 31, 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
View official CMS source
JOHNSON, CHARLES
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Aug 31, 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
View official CMS source
OLSON, BRENNA
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Aug 31, 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
View official CMS source
PACIFIC NORTHWEST OPCO MANAGEMENT LLC
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across SD.
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
SOUTH DAKOTA SNF CONSULTING LLC
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across SD.
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
YENOWITZ, YITZCHOK
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Aug 31, 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
View official CMS source
LOWE, LEONOR
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Aug 31, 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
View official CMS source
COUVE FINANCIAL SERVICES LLC
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across SD.
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
COUVE HEALTHCARE CONSULTING LLC
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across SD.
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
JOHNSON, CHARLES
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 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
View official CMS source
LOWE, LEONOR
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 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
View official CMS source
OLSON, BRENNA
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 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
View official CMS source
PACIFIC NORTHWEST OPCO MANAGEMENT LLC
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across SD.
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
PETERSON, SCOTT
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 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
View official CMS source
RIVERVIEW SNF OPERATIONS, LLC
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across SD.
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
SOUTH DAKOTA SNF CONSULTING LLC
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across SD.
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
SPIELMAN, SHIMON
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 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
View official CMS source
YENOWITZ, YITZCHOK
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 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
View official CMS source
PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (SD) LLC
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Aug 31, 2023
CMS classifications: Parent company, Holding company
Other facilities connected through this exact CMS organization identity: 5 across SD.
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
CH PACIFIC NORTHWEST HOLDINGS LLC
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 66.5%
Association date reported to CMS: Aug 31, 2023
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 23 across MT, NV, OR, SD, 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
View official CMS source
HERZKA, YISROEL
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 66.5%
Association date reported to CMS: Aug 31, 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
View official CMS source
PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS LLC
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Aug 31, 2023
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 21 across MT, NV, OR, SD, 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
View official CMS source
WITZCORP GLOBAL LLC
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 25%
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 23 across MT, NV, OR, SD, 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
View official CMS source
YENOWITZ, YITZCHOK
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 25%
Association date reported to CMS: Aug 31, 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
View official CMS source
CH PACIFIC NORTHWEST HOLDINGS LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 23 across MT, NV, OR, SD, 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
View official CMS source
COUVE FINANCIAL SERVICES LLC
Organization · ADP OF THE SNF
Association date reported to CMS: May 16, 2025
CMS classifications: Chain / home office, Management services company
Other facilities connected through this exact CMS organization identity: 34 across MT, NV, OR, SD, WA, WY.
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
COUVE HEALTHCARE CONSULTING LLC
Organization · ADP OF THE SNF
Association date reported to CMS: May 16, 2025
CMS classifications: Management services company
Other facilities connected through this exact CMS organization identity: 44 across CA, MT, NV, OR, SD, WA, WY.
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
HERZKA, YISROEL
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 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
View official CMS source
Individual name not published by CMS
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
CMS classifications: Private equity company
Other facilities connected through this exact CMS organization identity: 0 across SD.
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
Individual name not published by CMS
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 0 across SD.
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
JOHNSON, CHARLES
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 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
View official CMS source
LOWE, LEONOR
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 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
View official CMS source
OLSON, BRENNA
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 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
View official CMS source
PACIFIC NORTHWEST OPCO MANAGEMENT LLC
Organization · ADP OF THE SNF
Association date reported to CMS: May 16, 2025
CMS classifications: Management services company
Other facilities connected through this exact CMS organization identity: 24 across MT, NV, OR, SD, WA, WY.
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
PETERSON, SCOTT
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 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
View official CMS source
RIVERVIEW SNF OPERATIONS, LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 30, 2025
Other facilities connected through this exact CMS organization identity: 0 across SD.
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
RIVERVIEW SNF REALTY LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 2, 2025
Other facilities connected through this exact CMS organization identity: 0 across SD.
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
SOUTH DAKOTA SNF CONSULTING LLC
Organization · ADP OF THE SNF
Association date reported to CMS: May 16, 2025
CMS classifications: Management services company
Other facilities connected through this exact CMS organization identity: 5 across SD.
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
SPIELMAN, SHIMON
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 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
View official CMS source
WITZCORP GLOBAL LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 23 across MT, NV, OR, SD, 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
View official CMS source
YENOWITZ, YITZCHOK
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 31, 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
View official CMS source
SPIELMAN, SHIMON
Individual · CORPORATE OFFICER
Association date reported to CMS: Aug 31, 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
View official CMS source
YENOWITZ, YITZCHOK
Individual · CORPORATE OFFICER
Association date reported to CMS: Aug 31, 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
View official CMS source
RIVERVIEW SNF OPERATIONS, LLC
Organization · DIRECT OWNERSHIP INTEREST
Published ownership percentage: 0%
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across SD.
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
CH PACIFIC NORTHWEST HOLDINGS LLC
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 66.5%
Association date reported to CMS: Aug 31, 2023
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 23 across MT, NV, OR, SD, 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
View official CMS source
COUVE FINANCIAL SERVICES LLC
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 0%
Association date reported to CMS: Aug 31, 2023
CMS classifications: Chain / home office, Management services company
Other facilities connected through this exact CMS organization identity: 34 across MT, NV, OR, SD, WA, WY.
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
COUVE HEALTHCARE CONSULTING LLC
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 0%
Association date reported to CMS: Aug 31, 2023
CMS classifications: Management services company
Other facilities connected through this exact CMS organization identity: 44 across CA, MT, NV, OR, SD, WA, WY.
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
HERZKA, YISROEL
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 66.5%
Association date reported to CMS: Aug 31, 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
View official CMS source
Individual name not published by CMS
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 3%
Association date reported to CMS: Aug 31, 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
View official CMS source
Individual name not published by CMS
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 2.25%
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across SD.
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
Individual name not published by CMS
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 3%
Association date reported to CMS: Aug 31, 2023
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 0 across SD.
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
Individual name not published by CMS
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 1%
Association date reported to CMS: Aug 31, 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
View official CMS source
Individual name not published by CMS
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 2.25%
Association date reported to CMS: Aug 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across SD.
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

Ownership changes reported in CMS enrollment records

Aug 31, 2023CHANGE OF OWNERSHIPEMPRES AT FLANDREAU LLC to RIVERVIEW SNF 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
View official CMS source

What this means

Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.

Questions to ask

CMS records list several organizations with ownership or control roles. Which entity is responsible for day-to-day operations at this facility?
CMS enrollment records show a change of ownership effective Aug 31, 2023. What operational or leadership changes followed that event?
CMS records connect PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (SD) LLC to 6 facilities. Which policies and staffing decisions are managed centrally versus locally?

Chain context

CMS groups this facility with EVERGREEN HEALTHCARE GROUP

Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 846 is a grouping identifier, not a legal organization.

Facilities: 44
States and territories: 6
Average overall rating: 2.5
Average staffing rating: 3.3
Average total nurse HPRD: 3.9
Total fines: 83

Review CMS chain evidence

CMS-published history

Monthly chain measures
Month	Facilities	Overall rating	Staffing rating
Wed Jul	44	2.5	3.3
Mon Jun	43	2.4	3.3
Fri May	43	2.4	3.3
Wed Apr	43	2.4	3.3
Sun Mar	41	2.3	3.1

Questions to ask

CMS groups facilities in 6 states or territories under this chain. Which operational policies are set at the chain level?
CMS reports 83 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 source

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: Jun 2, 2026
Survey type: Health Complaint
Linked findings: 1
Highest linked CMS classification: D — Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy

View source details

Dataset: Inspection Dates
CMS dataset ID: svdt-c123
CMS source updated: Aug 1, 2026
CMS provider ID: 435086
Source record locator: csv-row:114785:ccn:435086

View official CMS source

Jun 2, 2026 — Health Complaint — 1 linked finding

F0755 — Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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 plan of correction (Jun 18, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
435086
Source record locator
csv-row:318872:ccn:435086
View official CMS source

Mar 25, 2026 — Health Complaint — 2 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 (Apr 15, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
435086
Source record locator
csv-row:318874:ccn:435086
View official CMS source
F0689 — Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Mar 26, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
435086
Source record locator
csv-row:318873:ccn:435086
View official CMS source

Jan 28, 2026 — Health Complaint — 3 linked findings

F0609 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 14, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
435086
Source record locator
csv-row:318875:ccn:435086
View official CMS source
F0610 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 14, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
435086
Source record locator
csv-row:318877:ccn:435086
View official CMS source
F0684 — Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 14, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
435086
Source record locator
csv-row:318876:ccn:435086
View official CMS source

Nov 18, 2025 — Health Complaint — 2 linked findings

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 (Nov 25, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
435086
Source record locator
csv-row:318878:ccn:435086
View official CMS source
F0689 — Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Past Non-Compliance (Oct 9, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
435086
Source record locator
csv-row:318879:ccn:435086
View official CMS source

Sep 25, 2025 — Health Complaint — 4 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 (Sep 30, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
435086
Source record locator
csv-row:318880:ccn:435086
View official CMS source
F0689 — Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 30, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
435086
Source record locator
csv-row:318883:ccn:435086
View official CMS source
F0697 — Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 30, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
435086
Source record locator
csv-row:318881:ccn:435086
View official CMS source
F0760 — Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 30, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
435086
Source record locator
csv-row:318882:ccn:435086
View official CMS source

Feb 27, 2025 — Fire Safety Standard — 0 linked findings

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

Feb 27, 2025 — Health Standard — 9 linked findings

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 E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 27, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
435086
Source record locator
csv-row:318888:ccn:435086
View official CMS source
F0657 — Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 27, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
435086
Source record locator
csv-row:318890:ccn:435086
View official CMS source
F0684 — Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 27, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
435086
Source record locator
csv-row:318884:ccn:435086
View official CMS source
F0686 — Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 27, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
435086
Source record locator
csv-row:318885:ccn:435086
View official CMS source
F0697 — Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 27, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
435086
Source record locator
csv-row:318886:ccn:435086
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 (Apr 14, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
435086
Source record locator
csv-row:318887:ccn:435086
View official CMS source
F0865 — Administration Deficiencies
Have a plan that describes the process for conducting QAPI and QAA activities.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 27, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
435086
Source record locator
csv-row:318891:ccn:435086
View official CMS source
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 (Apr 14, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
435086
Source record locator
csv-row:318889:ccn:435086
View official CMS source
F0908 — Environmental Deficiencies
Keep all essential equipment working safely.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 27, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
435086
Source record locator
csv-row:318892:ccn:435086
View official CMS source

Jan 8, 2025 — Health Complaint — 5 linked findings

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 (Jan 25, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
435086
Source record locator
csv-row:318897:ccn:435086
View official CMS source
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 J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Jan 25, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
435086
Source record locator
csv-row:318893:ccn:435086
View official CMS source
F0609 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Jan 25, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
435086
Source record locator
csv-row:318894:ccn:435086
View official CMS source
F0610 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Jan 25, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
435086
Source record locator
csv-row:318895:ccn:435086
View official CMS source
F0835 — Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 25, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
435086
Source record locator
csv-row:318896:ccn:435086
View official CMS source

Oct 31, 2024 — Health Complaint — 1 linked finding

F0610 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 26, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
435086
Source record locator
csv-row:318898:ccn:435086
View official CMS source

Feb 15, 2024 — Fire Safety Standard — 0 linked findings

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

Feb 15, 2024 — Health Complaint — 0 linked findings

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

Feb 15, 2024 — Health Standard — 1 linked finding

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 (Mar 15, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
435086
Source record locator
csv-row:318900:ccn:435086
View official CMS source

Sep 6, 2023 — Health Complaint — 3 linked findings

F0609 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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 15, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
435086
Source record locator
csv-row:318901:ccn:435086
View official CMS source
F0657 — Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 15, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
435086
Source record locator
csv-row:318902:ccn:435086
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 15, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
435086
Source record locator
csv-row:318903:ccn:435086
View official CMS source

Feb 16, 2023 — Fire Safety Standard — 0 linked findings

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

Feb 16, 2023 — Health Standard — 4 linked findings

F0610 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 16, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
435086
Source record locator
csv-row:318906:ccn:435086
View official CMS source
F0657 — Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 16, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
435086
Source record locator
csv-row:318907:ccn:435086
View official CMS source
F0686 — Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 16, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
435086
Source record locator
csv-row:318904:ccn:435086
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 (Mar 16, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
435086
Source record locator
csv-row:318905:ccn:435086
View official CMS source

Penalties & enforcement

CMS penalty records in the loaded three-year dataset

Fine — Mar 25, 2026
Published fine amount: $31,500.00
View source details
Dataset
Penalties
CMS dataset ID
g6vv-u9sr
CMS source updated
Aug 1, 2026
CMS provider ID
435086
Source record locator
csv-row:11807:ccn:435086
View official CMS source
Fine — Nov 18, 2025
Published fine amount: $15,574.00
View source details
Dataset
Penalties
CMS dataset ID
g6vv-u9sr
CMS source updated
Aug 1, 2026
CMS provider ID
435086
Source record locator
csv-row:11806:ccn:435086
View official CMS source
Fine — Sep 25, 2025
Published fine amount: $36,414.00
View source details
Dataset
Penalties
CMS dataset ID
g6vv-u9sr
CMS source updated
Aug 1, 2026
CMS provider ID
435086
Source record locator
csv-row:11808:ccn:435086
View official CMS source
Fine — Feb 27, 2025
Published fine amount: $65,520.00
View source details
Dataset
Penalties
CMS dataset ID
g6vv-u9sr
CMS source updated
Aug 1, 2026
CMS provider ID
435086
Source record locator
csv-row:11809:ccn:435086
View official CMS source
Fine — Jan 8, 2025
Published fine amount: $15,330.00
View source details
Dataset
Penalties
CMS dataset ID
g6vv-u9sr
CMS source updated
Aug 1, 2026
CMS provider ID
435086
Source record locator
csv-row:11805:ccn:435086
View official CMS source
Fine — Oct 31, 2024
Published fine amount: $12,529.00
View source details
Dataset
Penalties
CMS dataset ID
g6vv-u9sr
CMS source updated
Aug 1, 2026
CMS provider ID
435086
Source record locator
csv-row:11804:ccn:435086
View official CMS source

Questions to ask

Questions generated from the evidence above

CMS records show F0610 in 4 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0600 in 3 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0609 in 3 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0657 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 F0689 in 3 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0684 in 2 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0697 in 2 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0812 in 2 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0880 in 2 inspections in the available record. What changes has the facility made to address this issue?
CMS records show a monetary penalty dated Mar 25, 2026. What changes were made after that enforcement action?

Facility history

Facility History

21 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 3.36 to 3.62 hours per resident day between 2025Q4 and 2026Q1. Staffing improved across those reported periods.
Complaint inspection recorded2 deficiencies were recorded. That includes 2 higher-severity deficiencies.
Civil monetary penalty recordedCMS recorded a $31,500 civil monetary penalty.

2026

Mar 2026
Total nurse staffing increased
Total nurse staffing increased from 3.36 to 3.62 hours per resident day between 2025Q4 and 2026Q1. Staffing improved across those reported periods.
3.36 → 3.62
CMS · Reported in a source release · View related evidence
Mar 25
Complaint inspection recorded
2 deficiencies were recorded. That includes 2 higher-severity deficiencies.
CMS · Recorded event date · View related evidence
Mar 25
Civil monetary penalty recorded
CMS recorded a $31,500 civil monetary penalty.
CMS · Recorded event date · View related evidence
Jan 28
Complaint inspection recorded
3 deficiencies were recorded.
CMS · Recorded event date · View related evidence

2025

Dec 2025
Total nurse staffing decreased
Total nurse staffing decreased from 3.66 to 3.36 hours per resident day between 2025Q3 and 2025Q4. Staffing declined across those reported periods.
3.66 → 3.36
CMS · Reported in a source release · View related evidence
Nov 18
Complaint inspection recorded
2 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
Nov 18
Civil monetary penalty recorded
CMS recorded a $15,574 civil monetary penalty.
CMS · Recorded event date · View related evidence
Sep 2025
RN staffing decreased
RN staffing decreased from 0.81 to 0.69 hours per resident day between 2025Q2 and 2025Q3. Staffing declined across those reported periods.
0.81 → 0.69
CMS · Reported in a source release · View related evidence
Sep 25
Complaint inspection recorded
4 deficiencies were recorded. That includes 3 higher-severity deficiencies.
CMS · Recorded event date · View related evidence
Sep 25
Civil monetary penalty recorded
CMS recorded a $36,414 civil monetary penalty.
CMS · Recorded event date · View related evidence
Feb 27
Civil monetary penalty recorded
CMS recorded a $65,520 civil monetary penalty.
CMS · Recorded event date · View related evidence
Feb 27
Health inspection completed
9 deficiencies were recorded. That includes 3 higher-severity deficiencies.
CMS · Recorded event date · View related evidence

Staffing

Reported nursing staffing at a glance

CMS staffing rating: 3 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).

Inspect a PBJ quarter

Total nursing: 3.619
RN categories: 0.63
LPN/LVN categories: 0.726
CNA: 2.003

Weekday and weekend calculations

2026Q1 reported hours per resident day
Measure	Monday–Friday	Saturday–Sunday
Total nursing	3.791	3.195
RN categories	0.7	0.459

Contract staff accounted for 31.5% of reported nursing hours included in this quarter calculation.

Reported RN-category hours per resident day were 0.029 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
Quarter	Total nursing	RN categories	LPN/LVN	CNA	Contract share	Days
2025Q2	3.458	0.808	0.198	1.792	6.1%	91
2025Q3	3.656	0.694	0.389	2.069	10%	92
2025Q4	3.361	0.601	0.545	1.905	19.7%	92
2026Q1	3.619	0.63	0.726	2.003	31.5%	90

Questions to ask

PBJ records show lower calculated RN-category hours per resident day on weekends this quarter. How does the facility plan RN coverage on Saturdays and Sundays?
PBJ records show that some reported nursing hours were contract hours. How does the facility orient and integrate contract staff?

Staffing source and calculation details

Source: Centers for Medicare & Medicaid Services (CMS)
Dataset: Payroll Based Journal Daily Nurse Staffing
CMS dataset ID: 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
Quarter: 2026Q1
Coverage: Jan 1, 2026–Mar 31, 2026
Days represented: 90 (90 with positive MDS census)
CMS source updated: Jul 29, 2026
Calculation version: pbj-quarter-ratio-of-sums-v1

Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.

View official CMS PBJ source

What we can verify today

Current Provider Information facts

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

CMS reports a 1-star overall rating.
CMS reports a 1-star health inspection rating.
CMS reports a 3-star staffing rating.
CMS reports a 2-star quality-measure rating.

Trust participation

See something that needs correction?

Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.

Suggest a correction Report a source-data concern Represent this facility? Submit a representation claim

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 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

View official CMS source

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

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: Exact CMS chain affiliation

View official CMS source

Verified public facility information

Source organization: Public facility listing
Dataset identifier: commercial-corroboration:public-listing
Source updated: Aug 18, 2026
Retrieved: Aug 18, 2026
Supports: Independently verified public website, phone, or publicly used name. Not a CMS rating or regulatory status.

How sources work

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

Facility record

CMS research snapshot

CMS overall rating

CMS health inspection rating

CMS staffing rating

CMS quality-measure rating

CMS ownership-change history

CMS Special Focus Facility

What CMS reports about quality

Who CMS/PECOS connects to this nursing home

Current owners

Operators

Enrollment organizations

Historical

UNKNOWN

CMS ownership-change records

How current each evidence family is

How Trust Hub researches this provider

CMS rating overview

CMS overall

Health inspection

Staffing

Quality measures

Contact

Special Focus and abuse-icon status

Special Focus Facility candidate

CMS abuse-icon designation

Medicare enrollment organization NPI associated with this CMS Certification Number

Individual CMS quality measures

CMS fire-safety citations

What to review

Staffing

Inspections

Ownership

Chain context

Ownership & Operation

Who is behind this facility?

Related facilities

Facilities currently connected to this organization

Who CMS records show is connected to this facility

CMS-published ownership and control parties

PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (SD) LLC

CH PACIFIC NORTHWEST HOLDINGS LLC

COUVE FINANCIAL SERVICES LLC

COUVE HEALTHCARE CONSULTING LLC

HERZKA, YISROEL

JOHNSON, CHARLES

LOWE, LEONOR

OLSON, BRENNA

PACIFIC NORTHWEST OPCO MANAGEMENT LLC

PETERSON, SCOTT

RIVERVIEW SNF OPERATIONS, LLC

RIVERVIEW SNF REALTY LLC

SOUTH DAKOTA SNF CONSULTING LLC

SPIELMAN, SHIMON

WITZCORP GLOBAL LLC

YENOWITZ, YITZCHOK

SPIELMAN, SHIMON

YENOWITZ, YITZCHOK

RIVERVIEW SNF OPERATIONS, LLC

CH PACIFIC NORTHWEST HOLDINGS LLC

COUVE FINANCIAL SERVICES LLC

COUVE HEALTHCARE CONSULTING LLC

HERZKA, YISROEL

JOHNSON, CHARLES

OLSON, BRENNA

PACIFIC NORTHWEST OPCO MANAGEMENT LLC

SOUTH DAKOTA SNF CONSULTING LLC

YENOWITZ, YITZCHOK

LOWE, LEONOR

COUVE FINANCIAL SERVICES LLC

COUVE HEALTHCARE CONSULTING LLC

JOHNSON, CHARLES

LOWE, LEONOR

OLSON, BRENNA

PACIFIC NORTHWEST OPCO MANAGEMENT LLC

PETERSON, SCOTT

RIVERVIEW SNF OPERATIONS, LLC

SOUTH DAKOTA SNF CONSULTING LLC

SPIELMAN, SHIMON