Staffing
CMS publishes a 2-star staffing rating for this facility.
RN staffing was 0.80 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceAsk Trust Hub Network
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS.
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
CMS publishes a 2-star staffing rating for this facility.
RN staffing was 0.80 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Mar 19, 2025 cited 4 deficiencies.
View inspection evidenceCMS-published records list 29 ownership or control parties.
CMS records show an ownership change effective September 2025.
View ownership evidenceCMS records show a $5,012 fine in the loaded enforcement dataset.
View enforcement evidence →Ownership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
SeniorTrustHub found evidence connecting this facility to:
38 currently connected nursing homes share this CMS organization identity with 10-26 NATIONWIDE TR.
These figures summarize currently connected CMS-certified nursing homes. Some facilities have incomplete measures; missing values are omitted, not treated as zero. Ownership structures can change. State operator or licensee evidence may differ from CMS ownership disclosures.
Ownership
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Sep 1, 2025
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 0 across TN.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 45%
Association date reported to CMS: Sep 1, 2025
Other facilities connected through this exact CMS organization identity: 11 across MO, NC, OK, TN, VA.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 10%
Association date reported to CMS: Sep 1, 2025
Other facilities connected through this exact CMS organization identity: 2 across NC, OH, TN.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 45%
Association date reported to CMS: Sep 1, 2025
Other facilities connected through this exact CMS organization identity: 27 across GA, NC, OH, TN.
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Sep 1, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 1, 2025
Other facilities connected through this exact CMS organization identity: 37 across IA, MD, MO, NC, OH, OK, TN, VA.
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 1, 2025
Other facilities connected through this exact CMS organization identity: 11 across MO, NC, OK, TN, VA.
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 1, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 1, 2025
Other facilities connected through this exact CMS organization identity: 24 across NC, OH, TN.
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 5, 2025
CMS classifications: Management services company
Other facilities connected through this exact CMS organization identity: 2 across TN.
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 1, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 1, 2025
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 0 across TN.
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across TN.
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 1, 2025
Other facilities connected through this exact CMS organization identity: 2 across NC, OH, TN.
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 1, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 1, 2025
Other facilities connected through this exact CMS organization identity: 27 across GA, NC, OH, TN.
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 1, 2025
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 43%
Association date reported to CMS: Sep 1, 2025
Other facilities connected through this exact CMS organization identity: 37 across IA, MD, MO, NC, OH, OK, TN, VA.
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 2%
Association date reported to CMS: Sep 1, 2025
Other facilities connected through this exact CMS organization identity: 4 across MO, OK, TN.
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 43%
Association date reported to CMS: Sep 1, 2025
Other facilities connected through this exact CMS organization identity: 24 across NC, OH, TN.
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 2.2%
Association date reported to CMS: Sep 1, 2025
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Sep 1, 2025
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Sep 30, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 1, 2025
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 1, 2025
CMS classifications: Management services company
Other facilities connected through this exact CMS organization identity: 2 across TN.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 1, 2025
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across TN.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 1, 2025
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across TN.
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.
Inspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
No health-deficiency rows were deterministically linked to this inspection.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 24, 2025)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 20, 2025)
Dispose of garbage and refuse properly.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 3, 2025)
Provide and implement an infection prevention and control program.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 24, 2025)
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
CMS scope/severity K: Pattern; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (May 18, 2024)
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
CMS scope/severity K: Pattern; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (May 18, 2024)
No health-deficiency rows were deterministically linked to this inspection.
Assess the resident when there is a significant change in condition
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 4, 2022)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 4, 2022)
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 4, 2022)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 4, 2022)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 4, 2022)
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 4, 2022)
No health-deficiency rows were deterministically linked to this inspection.
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 14, 2019)
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 14, 2019)
Ensure each resident receives an accurate assessment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 14, 2019)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 14, 2019)
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 (Jul 14, 2019)
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 14, 2019)
Provide safe and appropriate respiratory care for a resident when needed.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 14, 2019)
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 14, 2019)
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 (Jul 14, 2019)
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 (Jul 14, 2019)
Penalties & enforcement
Published fine amount: $5,012.00
Published fine amount: $5,012.00
Questions to ask
Facility history
9 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
Total nurse staffing decreased from 3.79 to 3.53 hours per resident day between 2025Q2 and 2025Q3. Staffing declined across those reported periods.
3.79 → 3.53
CMS · Reported in a source release · View related evidence
RN staffing decreased from 0.95 to 0.82 hours per resident day between 2025Q2 and 2025Q3. Staffing declined across those reported periods.
0.95 → 0.82
CMS · Reported in a source release · View related evidence
An ownership change was recorded. New organization: ERWIN HEALTHCARE LLC.
ERWIN HEALTH CARE ASSOCIATES LTD → ERWIN HEALTHCARE LLC
CMS · Recorded event date · View related evidence
4 deficiencies were recorded.
CMS · Recorded event date · View related evidence
2 deficiencies were recorded. That includes 2 higher-severity deficiencies.
CMS · Recorded event date · View related evidence
CMS recorded a $5,012 civil monetary penalty.
CMS · Recorded event date · View related evidence
CMS recorded a $5,012 civil monetary penalty.
CMS · Recorded event date · View related evidence
6 deficiencies were recorded.
CMS · Recorded event date · View related evidence
10 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 2 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 3.586 | 2.941 |
| RN categories | 0.861 | 0.642 |
Contract staff accounted for 0% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.034 higher than the prior loaded quarter.
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 3.789 | 0.947 | 0.675 | 2.167 | 0% | 91 |
| 2025Q3 | 3.525 | 0.818 | 0.678 | 2.028 | 0% | 92 |
| 2025Q4 | 3.5 | 0.764 | 0.685 | 2.051 | 0% | 92 |
| 2026Q1 | 3.4 | 0.798 | 0.629 | 1.973 | 0% | 90 |
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
Planned evidence layers
These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.
Trust participation
Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.
Source register
No paid placements. Facilities cannot pay to rank higher. We cite. You decide.