Staffing
CMS publishes a 1-star staffing rating for this facility.
RN staffing was 0.50 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 1-star staffing rating for this facility.
RN staffing was 0.50 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Mar 12, 2025 cited 15 deficiencies.
View inspection evidenceCMS-published records list 102 ownership or control parties.
CMS records show an ownership change effective November 2024.
View ownership evidenceCMS groups this facility with a chain covering 43 facilities across 6 states or territories.
View chain evidenceCMS records show a $32,057 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:
7 currently connected nursing homes share this CMS organization identity with MJL 2024 FAMILY TRUST.
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 MORTGAGE INTEREST
Association date reported to CMS: Nov 12, 2024
Other facilities connected through this exact CMS organization identity: 0 across WV.
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 12, 2024
Other facilities connected through this exact CMS organization identity: 0 across WV.
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 12, 2024
Organization · ADP OF THE SNF
Association date reported to CMS: May 28, 2025
Other facilities connected through this exact CMS organization identity: 0 across WV.
Organization · ADP OF THE SNF
Association date reported to CMS: May 28, 2025
Other facilities connected through this exact CMS organization identity: 0 across WV.
Organization · ADP OF THE SNF
Association date reported to CMS: May 28, 2025
Other facilities connected through this exact CMS organization identity: 0 across WV.
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 12, 2024
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 12, 2024
Other facilities connected through this exact CMS organization identity: 0 across WV.
Organization · ADP OF THE SNF
Association date reported to CMS: May 28, 2025
Other facilities connected through this exact CMS organization identity: 0 across WV.
Individual · ADP OF THE SNF
Association date reported to CMS: May 29, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: May 28, 2025
Other facilities connected through this exact CMS organization identity: 0 across WV.
Organization · ADP OF THE SNF
Association date reported to CMS: May 29, 2025
Other facilities connected through this exact CMS organization identity: 0 across WV.
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 12, 2024
Other facilities connected through this exact CMS organization identity: 0 across WV.
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 12, 2024
Other facilities connected through this exact CMS organization identity: 0 across WV.
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 12, 2024
Other facilities connected through this exact CMS organization identity: 0 across WV.
Organization · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Nov 12, 2024
Other facilities connected through this exact CMS organization identity: 0 across WV.
Organization · GENERAL PARTNERSHIP INTEREST
Association date reported to CMS: Nov 12, 2024
Other facilities connected through this exact CMS organization identity: 0 across WV.
Organization · GENERAL PARTNERSHIP INTEREST
Association date reported to CMS: Nov 12, 2024
Other facilities connected through this exact CMS organization identity: 0 across WV.
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Nov 12, 2024
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Nov 12, 2024
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Nov 12, 2024
Other facilities connected through this exact CMS organization identity: 0 across WV.
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Nov 12, 2024
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Nov 12, 2024
Other facilities connected through this exact CMS organization identity: 0 across WV.
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Nov 12, 2024
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Nov 12, 2024
Other facilities connected through this exact CMS organization identity: 0 across WV.
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Nov 12, 2024
Other facilities connected through this exact CMS organization identity: 0 across WV.
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Nov 12, 2024
Other facilities connected through this exact CMS organization identity: 0 across WV.
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: May 29, 2025
Organization · LIMITED PARTNERSHIP INTEREST
Association date reported to CMS: Nov 12, 2024
Other facilities connected through this exact CMS organization identity: 0 across WV.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 12, 2024
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 12, 2024
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 12, 2024
Other facilities connected through this exact CMS organization identity: 0 across WV.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 12, 2024
Other facilities connected through this exact CMS organization identity: 0 across WV.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 12, 2024
Other facilities connected through this exact CMS organization identity: 0 across WV.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 12, 2024
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 12, 2024
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 12, 2024
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 12, 2024
Other facilities connected through this exact CMS organization identity: 0 across WV.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 12, 2024
Other facilities connected through this exact CMS organization identity: 0 across WV.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 12, 2024
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 12, 2024
Other facilities connected through this exact CMS organization identity: 0 across WV.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 12, 2024
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 12, 2024
Other facilities connected through this exact CMS organization identity: 0 across WV.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 12, 2024
Other facilities connected through this exact CMS organization identity: 0 across WV.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 12, 2024
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 12, 2024
Other facilities connected through this exact CMS organization identity: 0 across WV.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 12, 2024
Other facilities connected through this exact CMS organization identity: 0 across WV.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 12, 2024
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 12, 2024
Other facilities connected through this exact CMS organization identity: 0 across WV.
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: Nov 12, 2024
Individual · TRUSTEE OF THE SNF
Association date reported to CMS: Nov 12, 2024
Organization · 5% OR GREATER MORTGAGE INTEREST
Published ownership percentage: 93%
Association date reported to CMS: Nov 12, 2024
Other facilities connected through this exact CMS organization identity: 6 across NJ, OH, WV.
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 12, 2024
Other facilities connected through this exact CMS organization identity: 0 across WV.
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 12, 2024
Organization · ADP OF THE SNF
Association date reported to CMS: May 28, 2025
CMS classifications: Holding company, Management services company
Other facilities connected through this exact CMS organization identity: 0 across WV.
Organization · ADP OF THE SNF
Association date reported to CMS: May 28, 2025
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 11 across IN, OR, VA, WV.
Organization · ADP OF THE SNF
Association date reported to CMS: May 28, 2025
Other facilities connected through this exact CMS organization identity: 6 across NJ, OH, WV.
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 12, 2024
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 12, 2024
Other facilities connected through this exact CMS organization identity: 0 across WV.
Organization · ADP OF THE SNF
Association date reported to CMS: May 28, 2025
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 7 across IN, KY, OR, WV.
Individual · ADP OF THE SNF
Association date reported to CMS: May 29, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: May 28, 2025
Other facilities connected through this exact CMS organization identity: 2 across OR, WV.
Organization · ADP OF THE SNF
Association date reported to CMS: May 29, 2025
Other facilities connected through this exact CMS organization identity: 6 across IN, KY, OR, WV.
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 12, 2024
CMS classifications: Investment firm
Other facilities connected through this exact CMS organization identity: 46 across IN, KY, MD, NV, OR, TN, VA, WA, WV.
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 12, 2024
Other facilities connected through this exact CMS organization identity: 46 across IN, KY, MD, NV, OR, TN, VA, WA, WV.
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 12, 2024
Other facilities connected through this exact CMS organization identity: 46 across IN, KY, MD, NV, OR, TN, VA, WA, WV.
Organization · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Nov 12, 2024
Other facilities connected through this exact CMS organization identity: 0 across WV.
Organization · GENERAL PARTNERSHIP INTEREST
Published ownership percentage: 2.5%
Association date reported to CMS: Nov 12, 2024
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 7 across IN, KY, OR, WV.
Organization · GENERAL PARTNERSHIP INTEREST
Published ownership percentage: 2.38%
Association date reported to CMS: Nov 12, 2024
Other facilities connected through this exact CMS organization identity: 2 across OR, WV.
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 2.3%
Association date reported to CMS: Nov 12, 2024
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 1%
Association date reported to CMS: Nov 12, 2024
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Nov 12, 2024
CMS classifications: Holding company, Management services company
Other facilities connected through this exact CMS organization identity: 0 across WV.
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 12%
Association date reported to CMS: Nov 12, 2024
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 1.25%
Association date reported to CMS: Nov 12, 2024
Other facilities connected through this exact CMS organization identity: 6 across IN, KY, OR, WV.
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 2.3%
Association date reported to CMS: Nov 12, 2024
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 270 is a grouping identifier, not a legal organization.
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 43 | 1.7 | 2 |
| Mon Jun | 44 | 1.9 | 1.8 |
| Fri May | 44 | 2 | 1.8 |
| Wed Apr | 43 | 2 | 1.8 |
| Sun Mar | 40 | 2.2 | 2 |
| Sun Feb | 39 | 2.2 | 1.9 |
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.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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 10, 2026)
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
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 10, 2026)
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 12, 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 (Jul 28, 2025)
No health-deficiency rows were deterministically linked to this inspection.
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 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 16, 2025)
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 (Apr 16, 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 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 16, 2025)
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 (Apr 16, 2025)
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Apr 16, 2025)
Provide activities to meet all resident's needs.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 16, 2025)
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 (Apr 16, 2025)
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 (Apr 16, 2025)
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 (Apr 22, 2025)
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 (Apr 16, 2025)
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
CMS scope/severity K: Pattern; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Apr 22, 2025)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 16, 2025)
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 16, 2025)
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 16, 2025)
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
CMS scope/severity 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 16, 2025)
No health-deficiency rows were deterministically linked to this inspection.
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 (Aug 31, 2023)
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 (Aug 31, 2023)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 31, 2023)
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 31, 2023)
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 (Aug 31, 2023)
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 (Apr 26, 2022)
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
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 26, 2022)
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 26, 2022)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 26, 2022)
Develop and implement policies and procedures for flu and pneumonia vaccinations.
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 26, 2022)
Penalties & enforcement
Published fine amount: $32,057.00
Questions to ask
Facility history
9 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
15 deficiencies were recorded. That includes 2 higher-severity deficiencies.
CMS · Recorded event date · View related evidence
CMS recorded a $32,057 civil monetary penalty.
CMS · Recorded event date · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
An ownership change was recorded. New organization: CORTLAND ACRES SNF OPERATIONS LLC.
CORTLAND ACRES ASSOCIATION INC → CORTLAND ACRES SNF OPERATIONS LLC
CMS · Recorded event date · View related evidence
5 deficiencies were recorded.
CMS · Recorded event date · View related evidence
5 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 1 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 3.331 | 2.809 |
| RN categories | 0.578 | 0.31 |
Contract staff accounted for 47.3% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.003 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 | 3.256 | 0.489 | 0.799 | 1.968 | 46.6% | 91 |
| 2025Q3 | 3.253 | 0.537 | 0.786 | 1.93 | 50.5% | 92 |
| 2025Q4 | 3.184 | 0.498 | 0.737 | 1.949 | 46.3% | 92 |
| 2026Q1 | 3.181 | 0.501 | 0.801 | 1.879 | 47.3% | 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.