Staffing
CMS publishes a 4-star staffing rating for this facility.
RN staffing was 0.53 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 4-star staffing rating for this facility.
RN staffing was 0.53 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Jan 29, 2026 cited 3 deficiencies.
View inspection evidenceCMS-published records list 34 ownership or control parties.
CMS records show an ownership change effective June 2021.
View ownership evidenceCMS groups this facility with a chain covering 347 facilities across 17 states or territories.
View chain evidenceOwnership & 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:
135 currently connected nursing homes share this CMS organization identity with THE ENSIGN GROUP INC.
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.
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 8, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2021
Other facilities connected through this exact CMS organization identity: 0 across WA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2021
Other facilities connected through this exact CMS organization identity: 0 across WA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2021
Other facilities connected through this exact CMS organization identity: 0 across WA.
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 25, 2021
Other facilities connected through this exact CMS organization identity: 0 across WA.
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 8, 2025
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jan 1, 2024
Individual · CORPORATE OFFICER
Association date reported to CMS: Mar 22, 2021
Individual · CORPORATE OFFICER
Association date reported to CMS: Mar 1, 2011
Individual · CORPORATE OFFICER
Association date reported to CMS: Jan 1, 2024
Individual · CORPORATE OFFICER
Association date reported to CMS: Sep 9, 2024
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Jul 8, 2025
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jun 1, 2021
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jan 1, 2022
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 1, 2021
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2022
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Jun 1, 2021
Other facilities connected through this exact CMS organization identity: 32 across ID, NV, OR, WA.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Jan 30, 2006
Other facilities connected through this exact CMS organization identity: 134 across CA, IA, ID, KS, NE, NV, OR, SC, TN, TX, UT, WA, WI.
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 8, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2021
Other facilities connected through this exact CMS organization identity: 42 across CA, IA, ID, MT, NE, NM, NV, PA, SD, TX, UT, WA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2021
Other facilities connected through this exact CMS organization identity: 44 across CA, IA, ID, MT, NE, NM, NV, SD, TX, UT, WA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2021
Other facilities connected through this exact CMS organization identity: 46 across CA, IA, ID, MT, NE, NM, NV, SD, TX, UT, WA.
Organization · ADP OF THE SNF
Association date reported to CMS: Mar 25, 2021
Other facilities connected through this exact CMS organization identity: 106 across CA, IA, ID, KS, NE, NV, SC, TN, TX, UT, WA, WI.
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 8, 2025
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jan 1, 2024
Individual · CORPORATE OFFICER
Published ownership percentage: 0%
Association date reported to CMS: Mar 22, 2021
Individual · CORPORATE OFFICER
Association date reported to CMS: Mar 1, 2011
Individual · CORPORATE OFFICER
Association date reported to CMS: Jan 1, 2024
Individual · CORPORATE OFFICER
Association date reported to CMS: Sep 9, 2024
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jun 1, 2021
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Jan 1, 2022
Individual · OPERATIONAL/MANAGERIAL CONTROL
Published ownership percentage: 0%
Association date reported to CMS: Jun 1, 2021
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2022
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across WA.
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.
Chain context
Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 507 is a grouping identifier, not a legal organization.
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 347 | 3.2 | 2.7 |
| Mon Jun | 342 | 3.2 | 2.4 |
| Fri May | 338 | 3.2 | 2.4 |
| Wed Apr | 334 | 3.2 | 2.4 |
| Sun Mar | 329 | 3.2 | 2.7 |
| Sun Feb | 324 | 3.2 | 2.7 |
Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.
View official CMS sourceInspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
No health-deficiency rows were deterministically linked to this inspection.
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 13, 2026)
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 (Feb 13, 2026)
Post nurse staffing information every day.
CMS scope/severity C: Widespread; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (Feb 13, 2026)
No health-deficiency rows were deterministically linked to this inspection.
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 26, 2024)
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 (Nov 26, 2024)
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 (Nov 26, 2024)
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 26, 2024)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 26, 2024)
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 26, 2024)
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 (Nov 26, 2024)
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 (Nov 26, 2024)
Provide safe, appropriate pain management for a resident who requires such services.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 26, 2024)
Provide safe, appropriate dialysis care/services for a resident who requires such services.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 26, 2024)
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 26, 2024)
Provide routine and 24-hour emergency dental care for each resident.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 26, 2024)
Provide or obtain dental services for each resident.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 26, 2024)
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 (Nov 26, 2024)
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 12, 2024)
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 (Jan 12, 2024)
PASARR screening for Mental disorders or Intellectual Disabilities
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 12, 2024)
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 (Jan 12, 2024)
Ensure services provided by the nursing facility meet professional standards of quality.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 12, 2024)
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 12, 2024)
Assist a resident in gaining access to vision and hearing services.
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 12, 2024)
Provide safe, appropriate dialysis care/services for a resident who requires such services.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 12, 2024)
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
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 12, 2024)
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
CMS scope/severity C: Widespread; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (Jan 12, 2024)
Penalties & enforcement
No penalty records were found for this provider in the currently loaded CMS Penalties dataset.
Questions to ask
Facility history
5 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
3 deficiencies were recorded.
CMS · Recorded event date · View related evidence
14 deficiencies were recorded.
CMS · Recorded event date · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
10 deficiencies were recorded.
CMS · Recorded event date · View related evidence
An ownership change was recorded. New organization: AMERICAN LAKE HEALTHCARE INC.
LAKEWOOD OAKS LLC → AMERICAN LAKE HEALTHCARE INC
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 4 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 4.302 | 3.519 |
| RN categories | 0.551 | 0.493 |
Contract staff accounted for 0% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.020 lower 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 | 4.242 | 0.495 | 1.219 | 2.342 | 0% | 91 |
| 2025Q3 | 4.192 | 0.461 | 1.209 | 2.449 | 0% | 92 |
| 2025Q4 | 4.048 | 0.555 | 1.058 | 2.435 | 0% | 92 |
| 2026Q1 | 4.076 | 0.534 | 1.088 | 2.455 | 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
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