SENIORTRUST HUB

Facility record

INGLESIDE MANOR has 80 certified beds in MOUNT HOREB, Wisconsin. The latest standard health survey on Oct 13, 2025 lists 15 deficiencies, compared with the Wisconsin average of 5.8. CMS records a fine of $83,597 dated Oct 13, 2025. CMS records a fine of $128,700 dated Jun 10, 2025. CMS records a fine of $20,420 dated Jun 10, 2025. Total nurse staffing is 4.15 hours per resident day in 2026Q1, compared with the Wisconsin average of 4.20.

Nearby facilities

CMS nursing homes in Wisconsin

CMS nursing home

INGLESIDE MANOR

MOUNT HOREB, WI

CMS CCN 5253316084375511Listed 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 525331.

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

4 of 5

CMS ownership-change history

No attached CMS ownership-change event.

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.

Operators

  • CARRIAGE HEALTHCARE COMPANIES INCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • PASZCZAK, MATTHEWIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • SHERMAN, STEPHANIEIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
  • CARRIAGE HEALTHCARE COMPANIES INCOrganization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
  • PASZCZAK, MATTHEWIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
  • SHERMAN, STEPHANIEIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL

Enrollment organizations

  • WISCONSIN ILLINOIS SENIOR HOUSING INCOrganization · CURRENTMedicare-enrolled legal organization
  • WISCONSIN ILLINOIS SENIOR HOUSING INCOrganization · UNKNOWNMedicare-enrolled legal organization
Ownership observations with UNKNOWN status

These relationships were observed in an older snapshot. UNKNOWN does not mean former owner, previous owner, or that ownership ended.

Ownership change history

CMS ownership-change records

No CMS ownership-change event is currently attached to this profile in the Trust Hub research graph. That is not proof that ownership never changed.

Source freshness

How current each evidence family is

nursing-home-mds-quality-measures
STALE · source as of 2026-08-01
nursing-home-provider-information
STALE · source as of 2026-08-01
skilled-nursing-facility-all-owners
AGING · source as of 2026-08-17
skilled-nursing-facility-change-of-ownership
CURRENT · source as of 2026-08-24

Profile generated 2026-11-03. That timestamp is not CMS evidence freshness.

Methodology

How Trust Hub researches this provider

  • CMS is the source for national nursing-home evidence.
  • Trust Hub does not create the CMS star ratings.
  • Ownership evidence does not measure care quality.
  • CMS CHOW records document reported ownership-change events.
  • Missing evidence is not interpreted as zero.
  • UNKNOWN ownership history is not interpreted as divestiture.
  • Ownership evidence is not a quality measure.
  • Missing evidence is not a zero score.
  • CMS ratings are CMS ratings, not Trust Hub ratings.
  • UNKNOWN ownership does not prove an owner left.
  • CHOW records are CMS transaction records, not Trust Hub judgments or sales.

CMS overview

CMS rating overview

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

CMS certified beds
80
Ownership descriptor
Non profit - Corporation
Medicare participation
Yes
Medicaid participation
Yes

Facility information

Contact

CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.

Phone
6084375511Verified 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

CMS currently identifies this nursing home as a Special Focus Facility. That is a CMS designation for facilities with a history of serious quality problems, not a Trust Hub ranking.

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

CMS abuse-icon designation

CMS does not currently apply its abuse-icon designation to this facility in the loaded Provider Information extract.

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

Enrollment identity

Medicare enrollment organization NPI associated with this CMS Certification Number

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

  • NPI 1659371938 · enrollment O20120724000664
  • NPI 1659371938 · enrollment O20120724000664

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): 93.209877
  • Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (Long Stay): 87.755102
  • Percentage of long-stay residents experiencing one or more falls with major injury (Long Stay): 1.851852 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents who have depressive symptoms (Long Stay): 2.238806
  • Percentage of long-stay residents who lose too much weight (Long Stay): 2.380952
  • Percentage of long-stay residents who received an antianxiety or hypnotic medication (Long Stay): 12.030075
  • Percentage of long-stay residents who received an antipsychotic medication (Long Stay): 14.423077 · 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): 19.960024 · 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): 10.743802 · 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): 5.356791 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents with a urinary tract infection (Long Stay): 0.000000 · 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): 23.375585
  • Percentage of long-stay residents with pressure ulcers (Long Stay): 10.405881 · CMS uses this measure in the quality-measure star rating
  • Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (Short Stay): 88.333333
  • Percentage of short-stay residents who newly received an antipsychotic medication (Short Stay): 0.000000 · CMS uses this measure in the quality-measure star rating
  • Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (Short Stay): 84.415584

Fire-safety citations

CMS fire-safety citations

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

  • 2025-10-13 · tag 0039 · scope/severity F — Conduct testing and exercise requirements.
  • 2025-10-13 · tag 0013 · scope/severity F — Develop Emergency Preparedness policies and procedures.
  • 2025-10-13 · tag 0521 · scope/severity F — Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
  • 2025-10-13 · tag 0374 · scope/severity E — Install smoke barrier doors that can resist smoke for at least 20 minutes.
  • 2025-10-13 · tag 0914 · scope/severity F — Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
  • 2025-10-13 · tag 0918 · scope/severity F — Have generator or other power source capable of supplying service within 10 seconds.
  • 2025-10-13 · tag 0223 · scope/severity E — Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
  • 2025-10-13 · tag 0345 · scope/severity E — Have approved installation, maintenance and testing program for fire alarm systems.
  • 2025-10-13 · tag 0912 · scope/severity E — Have power receptacles that are properly grounded.
  • 2025-10-13 · tag 0920 · scope/severity E — Ensure proper usage of power strips and extension cords.
  • 2025-10-13 · tag 0321 · scope/severity D — Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
  • 2025-10-13 · tag 0353 · scope/severity F — Inspect, test, and maintain automatic sprinkler systems.

Decision guide

What to review

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

Staffing

CMS publishes a staffing rating that is not reported for this facility.

RN staffing was 1.06 hours per resident day in 2026Q1, calculated from CMS PBJ records.

View staffing evidence

Chain context

CMS groups this facility with a chain covering 7 facilities across 2 states or territories.

View chain evidence
Enforcement record

CMS records show a $83,597 fine in the loaded enforcement dataset.

View enforcement evidence →

Ownership & operation

Ownership & Operation

Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.

Ownership type
Non profit - CorporationCMS
Chain
WISCONSIN ILLINOIS SENIOR HOUSING, INC.CMS identifies this facility as part of the WISCONSIN ILLINOIS SENIOR HOUSING, INC. chain.
Related facilities
7Current CMS organization identity

Explore ownership network →

Who is behind this facility?

SeniorTrustHub found evidence connecting this facility to:

  • CMS reports 10 individual ownership interests
  • a CMS chain / common-control group

Related facilities

7 currently connected nursing homes share this CMS organization identity with WISCONSIN ILLINOIS SENIOR HOUSING INC.

Average CMS overall rating
1.9 stars across 7 reporting facilities
CMS monetary penalties
5 of 7 facilities had a recorded monetary penalty in the available CMS period.
Recent CMS penalties
5 facilities had a CMS penalty in the last 18 months.
Recent high-value CMS enforcement
5 facilities had a high-value CMS fine or payment denial in the last 18 months.
Recent CMS complaint inspections
7 facilities had a CMS complaint inspection in the last 18 months.
Total recorded CMS fines
$653,885

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
19
Organizations shown
9
Individuals shown
10
Latest ownership source update
Aug 17, 2026

CMS-published ownership and control parties

  • CARRIAGE HEALTHCARE COMPANIES INC

    Organization · ADP OF THE SNF

    Association date reported to CMS: Oct 6, 2025

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

    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
  • HBT IT LLC

    Organization · ADP OF THE SNF

    Association date reported to CMS: Jul 1, 2024

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

    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
  • JT AND ASSOCIATES LLC

    Organization · ADP OF THE SNF

    Association date reported to CMS: Jan 1, 2010

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

    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
  • PARTNERS IN WEALTH MANAGEMENT, INC

    Organization · ADP OF THE SNF

    Association date reported to CMS: Jan 1, 2024

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

    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
  • PASZCZAK, MATTHEW

    Individual · ADP OF THE SNF

    Association date reported to CMS: Mar 5, 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
  • PINION, LLC

    Organization · ADP OF THE SNF

    Association date reported to CMS: Jan 1, 1995

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

    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
  • REHAB SOLUTIONS GROUP, LLC

    Organization · ADP OF THE SNF

    Association date reported to CMS: Jan 1, 2024

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

    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
  • SHERMAN, STEPHANIE

    Individual · ADP OF THE SNF

    Association date reported to CMS: Aug 12, 2012

    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
  • TWOMAGNETS LLC

    Organization · ADP OF THE SNF

    Association date reported to CMS: Jan 1, 2022

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

    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
  • DUPONT, LORI

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Jan 25, 2016

    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
  • GEHLER, MIRIAM

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Jan 1, 2017

    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
  • KERWIN, ANDREW

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Jun 26, 2009

    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
  • KUMAR, RAJEEV SHIVA

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Apr 24, 2012

    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
  • LACKE (CARRIG), KAREN

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Jan 1, 2016

    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
  • LYNN, NICHOLAS

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Mar 14, 2011

    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
  • CARRIAGE HEALTHCARE COMPANIES INC

    Organization · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Aug 9, 2012

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

    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
  • PASZCZAK, MATTHEW

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Mar 5, 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
  • SHERMAN, STEPHANIE

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Aug 12, 2012

    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
  • WISCONSIN ILLINOIS SENIOR HOUSING INC

    Organization · Medicare-enrolled legal organization

    Other facilities connected through this exact CMS organization identity: 7 across IL, WI.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility Enrollments
    CMS dataset identifier
    5f2c306f-3b1c-42cd-b037-187b2ce22126
    Source updated
    Aug 17, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source

What this means

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

Questions to ask

  • CMS records list several organizations with ownership or control roles. Which entity is responsible for day-to-day operations at this facility?
  • CMS records connect WISCONSIN ILLINOIS SENIOR HOUSING INC to 8 facilities. Which policies and staffing decisions are managed centrally versus locally?

Chain context

CMS groups this facility with WISCONSIN ILLINOIS SENIOR HOUSING, INC.

Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 569 is a grouping identifier, not a legal organization.

Facilities
7
States and territories
2
Average overall rating
1.9
Average staffing rating
3.1
Average total nurse HPRD
4.5
Total fines
15
Review CMS chain evidence

CMS-published history

Monthly chain measures
MonthFacilitiesOverall ratingStaffing rating
Wed Jul71.93.1
Mon Jun71.93.4
Fri May71.93.4
Wed Apr72.13.4
Sun Mar723.9
Sun Feb71.93.9

Questions to ask

  • CMS groups facilities in 2 states or territories under this chain. Which operational policies are set at the chain level?
  • CMS reports 15 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
Oct 13, 2025
Survey type
Fire Safety Standard
Linked findings
0
Highest linked CMS classification
No linked health-deficiency finding in the loaded record
View source details
Dataset
Inspection Dates
CMS dataset ID
svdt-c123
CMS source updated
Aug 1, 2026
CMS provider ID
525331
Source record locator
csv-row:128059:ccn:525331
View official CMS source
Oct 13, 2025 — Fire Safety Standard — 0 linked findings

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

Oct 13, 2025 — Health Standard — 15 linked findings
  • F0565 — Resident Rights Deficiencies

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    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 10, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362887:ccn:525331
    View official CMS source
  • F0578 — Resident Rights Deficiencies

    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 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 10, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362888:ccn:525331
    View official CMS source
  • 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 (Nov 10, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362889:ccn:525331
    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 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 10, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362891:ccn:525331
    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 (Nov 10, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362890:ccn:525331
    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 J: Isolated; Immediate jeopardy to resident health or safety.

    Correction status: Deficient, Provider has date of correction (Dec 16, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362885:ccn:525331
    View official CMS source
  • F0690 — Quality of Life and Care Deficiencies

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    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 10, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362892:ccn:525331
    View official CMS source
  • F0692 — Quality of Life and Care Deficiencies

    Provide enough food/fluids to maintain a resident's health.

    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 10, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362893:ccn:525331
    View official CMS source
  • F0759 — Pharmacy Service Deficiencies

    Ensure medication error rates are not 5 percent or greater.

    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 10, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362894:ccn:525331
    View official CMS source
  • F0761 — Pharmacy Service Deficiencies

    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 10, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362895:ccn:525331
    View official CMS source
  • F0806 — Nutrition and Dietary Deficiencies

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    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 10, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362896:ccn:525331
    View official CMS source
  • F0849 — Administration Deficiencies

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice 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 10, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362897:ccn:525331
    View official CMS source
  • F0867 — Administration Deficiencies

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    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 10, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362898:ccn:525331
    View official CMS source
  • F0880 — Infection Control Deficiencies

    Provide and implement an infection prevention and control program.

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

    Correction status: Deficient, Provider has date of correction (Nov 10, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362886:ccn:525331
    View official CMS source
  • F0883 — Infection Control Deficiencies

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    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 10, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362899:ccn:525331
    View official CMS source
Sep 15, 2025 — Health Complaint — 8 linked findings
  • F0550 — Resident Rights Deficiencies

    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 (Oct 14, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362903:ccn:525331
    View official CMS source
  • 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 (Oct 14, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362901:ccn:525331
    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 (Oct 14, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362900:ccn:525331
    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 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 14, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362904:ccn:525331
    View official CMS source
  • F0690 — Quality of Life and Care Deficiencies

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    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 14, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362905:ccn:525331
    View official CMS source
  • F0740 — Quality of Life and Care Deficiencies

    Ensure each resident must receive and the facility must provide necessary behavioral health care and 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 (Oct 14, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362906:ccn:525331
    View official CMS source
  • 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 E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Oct 14, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362902:ccn:525331
    View official CMS source
  • F0760 — Pharmacy Service Deficiencies

    Ensure that residents are free from significant medication errors.

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

    Correction status: Deficient, Provider has date of correction (Oct 14, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362907:ccn:525331
    View official CMS source
Aug 13, 2025 — Health Complaint — 11 linked findings
  • F0580 — Resident Rights Deficiencies

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the 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 (Sep 7, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362909:ccn:525331
    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 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 (Sep 7, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362910:ccn:525331
    View official CMS source
  • F0677 — Quality of Life and Care Deficiencies

    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 (Sep 7, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362911:ccn:525331
    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 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 14, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362912:ccn:525331
    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: Deficient, Provider has date of correction (Sep 7, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362913:ccn:525331
    View official CMS source
  • F0692 — Quality of Life and Care Deficiencies

    Provide enough food/fluids to maintain a resident's health.

    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 (Sep 7, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362914:ccn:525331
    View official CMS source
  • F0712 — Nursing and Physician Services Deficiencies

    Ensure that the resident and his/her doctor meet face-to-face at all required visits.

    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 (Sep 7, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362915:ccn:525331
    View official CMS source
  • 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 date of correction (Sep 7, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362916:ccn:525331
    View official CMS source
  • F0760 — Pharmacy Service Deficiencies

    Ensure that residents are free from significant medication errors.

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

    Correction status: Deficient, Provider has date of correction (Sep 7, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362917:ccn:525331
    View official CMS source
  • F0880 — Infection Control Deficiencies

    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 (Sep 7, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362918:ccn:525331
    View official CMS source
  • F0925 — Environmental Deficiencies

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    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 7, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362908:ccn:525331
    View official CMS source
Jul 9, 2025 — Health Complaint — 9 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 (Aug 6, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362924:ccn:525331
    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 (Aug 6, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362925:ccn:525331
    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 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 (Aug 6, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362921:ccn:525331
    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 (Aug 6, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362919:ccn:525331
    View official CMS source
  • F0692 — Quality of Life and Care Deficiencies

    Provide enough food/fluids to maintain a resident's health.

    CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.

    Correction status: Deficient, Provider has date of correction (Aug 6, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362920:ccn:525331
    View official CMS source
  • F0693 — Quality of Life and Care Deficiencies

    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 (Aug 6, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362926:ccn:525331
    View official CMS source
  • F0730 — Nursing and Physician Services Deficiencies

    Observe each nurse aide's job performance and give regular training.

    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 (Aug 6, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362922:ccn:525331
    View official CMS source
  • F0842 — Resident Assessment and Care Planning Deficiencies

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

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

    Correction status: Deficient, Provider has date of correction (Aug 6, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362927:ccn:525331
    View official CMS source
  • F0868 — Administration Deficiencies

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    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 (Aug 6, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362923:ccn:525331
    View official CMS source
Jun 10, 2025 — Health Complaint — 1 linked finding
  • F0689 — Quality of Life and Care Deficiencies

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    CMS scope/severity 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 6, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362928:ccn:525331
    View official CMS source
Mar 14, 2025 — Health Complaint — 5 linked findings
  • F0580 — Resident Rights Deficiencies

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the 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 (Apr 14, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362929:ccn:525331
    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 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 14, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362930:ccn:525331
    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 (Apr 14, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362931:ccn:525331
    View official CMS source
  • 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 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
    525331
    Source record locator
    csv-row:362932:ccn:525331
    View official CMS source
  • F0759 — Pharmacy Service Deficiencies

    Ensure medication error rates are not 5 percent or greater.

    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 14, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362933:ccn:525331
    View official CMS source
Jul 11, 2024 — Fire Safety Standard — 0 linked findings

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

Jul 11, 2024 — Health Standard — 15 linked findings
  • F0558 — Resident Rights Deficiencies

    Reasonably accommodate the needs and preferences of each resident.

    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 5, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362938:ccn:525331
    View official CMS source
  • F0580 — Resident Rights Deficiencies

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the 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 (Aug 5, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362940:ccn:525331
    View official CMS source
  • 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 (Aug 5, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362939:ccn:525331
    View official CMS source
  • F0656 — Resident Assessment and Care Planning Deficiencies

    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 (Aug 5, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362941:ccn:525331
    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 (Aug 5, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362934:ccn:525331
    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 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 5, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362942:ccn:525331
    View official CMS source
  • F0692 — Quality of Life and Care Deficiencies

    Provide enough food/fluids to maintain a resident's health.

    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 5, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362943:ccn:525331
    View official CMS source
  • 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 date of correction (Aug 5, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362944:ccn:525331
    View official CMS source
  • F0758 — Pharmacy Service Deficiencies

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    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 5, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362945:ccn:525331
    View official CMS source
  • F0759 — Pharmacy Service Deficiencies

    Ensure medication error rates are not 5 percent or greater.

    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 5, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362946:ccn:525331
    View official CMS source
  • F0760 — Pharmacy Service Deficiencies

    Ensure that residents are free from significant medication errors.

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

    Correction status: Deficient, Provider has date of correction (Aug 5, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362947:ccn:525331
    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 (Aug 5, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362935:ccn:525331
    View official CMS source
  • F0814 — Nutrition and Dietary Deficiencies

    Dispose of garbage and refuse properly.

    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 (Aug 5, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362936:ccn:525331
    View official CMS source
  • F0880 — Infection Control Deficiencies

    Provide and implement an infection prevention and control program.

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

    Correction status: Deficient, Provider has date of correction (Aug 5, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362937:ccn:525331
    View official CMS source
  • F0883 — Infection Control Deficiencies

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    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 5, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362948:ccn:525331
    View official CMS source
Nov 1, 2023 — Health Complaint — 1 linked finding
  • F0689 — Quality of Life and Care Deficiencies

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Nov 27, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362949:ccn:525331
    View official CMS source
Mar 30, 2023 — Fire Safety Standard — 0 linked findings

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

Mar 30, 2023 — Health Standard — 9 linked findings
  • F0554 — Resident Rights Deficiencies

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

    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 (May 5, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362955:ccn:525331
    View official CMS source
  • F0565 — Resident Rights Deficiencies

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    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 (May 5, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362952:ccn:525331
    View official CMS source
  • F0580 — Resident Rights Deficiencies

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the 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 (May 5, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362956:ccn:525331
    View official CMS source
  • F0585 — Resident Rights Deficiencies

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    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 (May 5, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362953:ccn:525331
    View official CMS source
  • F0677 — Quality of Life and Care Deficiencies

    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 (May 5, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362957:ccn:525331
    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: Deficient, Provider has date of correction (May 5, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362958:ccn:525331
    View official CMS source
  • F0809 — Nutrition and Dietary Deficiencies

    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 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 (May 5, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362950:ccn:525331
    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 (May 5, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362951:ccn:525331
    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 28, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:362954:ccn:525331
    View official CMS source

Tags appearing across inspections

  • F0689 appears in 5 linked inspections.
  • F0580 appears in 4 linked inspections.
  • F0609 appears in 4 linked inspections.
  • F0684 appears in 4 linked inspections.
  • F0692 appears in 4 linked inspections.
  • F0755 appears in 4 linked inspections.
  • F0880 appears in 4 linked inspections.
  • F0584 appears in 3 linked inspections.
  • F0686 appears in 3 linked inspections.
  • F0759 appears in 3 linked inspections.
  • F0760 appears in 3 linked inspections.
  • F0565 appears in 2 linked inspections.
  • F0610 appears in 2 linked inspections.
  • F0677 appears in 2 linked inspections.
  • F0690 appears in 2 linked inspections.
  • F0812 appears in 2 linked inspections.
  • F0883 appears in 2 linked inspections.

Penalties & enforcement

CMS penalty records in the loaded three-year dataset

  • Fine — Oct 13, 2025

    Published fine amount: $83,597.00

    View source details
    Dataset
    Penalties
    CMS dataset ID
    g6vv-u9sr
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:13332:ccn:525331
    View official CMS source
  • Payment Denial — Oct 13, 2025

    Payment denial length: 35 days

    View source details
    Dataset
    Penalties
    CMS dataset ID
    g6vv-u9sr
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:13334:ccn:525331
    View official CMS source
  • Fine — Jun 10, 2025

    Published fine amount: $128,700.00

    View source details
    Dataset
    Penalties
    CMS dataset ID
    g6vv-u9sr
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:13333:ccn:525331
    View official CMS source
  • Payment Denial — Jun 10, 2025

    Payment denial length: 68 days

    View source details
    Dataset
    Penalties
    CMS dataset ID
    g6vv-u9sr
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:13335:ccn:525331
    View official CMS source
  • Fine — Jun 10, 2025

    Published fine amount: $20,420.00

    View source details
    Dataset
    Penalties
    CMS dataset ID
    g6vv-u9sr
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:13330:ccn:525331
    View official CMS source
  • Fine — Jul 11, 2024

    Published fine amount: $36,946.00

    View source details
    Dataset
    Penalties
    CMS dataset ID
    g6vv-u9sr
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:13331:ccn:525331
    View official CMS source
  • Fine — Nov 1, 2023

    Published fine amount: $13,397.00

    View source details
    Dataset
    Penalties
    CMS dataset ID
    g6vv-u9sr
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    525331
    Source record locator
    csv-row:13329:ccn:525331
    View official CMS source

Questions to ask

Questions generated from the evidence above

  • CMS records show F0689 in 5 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0580 in 4 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0609 in 4 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0684 in 4 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0692 in 4 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0755 in 4 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0880 in 4 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0584 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 F0759 in 3 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0760 in 3 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0565 in 2 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0610 in 2 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0677 in 2 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0690 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 F0883 in 2 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show a monetary penalty dated Oct 13, 2025. What changes were made after that enforcement action?

Facility history

Facility History

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

What changed recently?

  • Total nurse staffing decreasedTotal nurse staffing decreased from 4.45 to 4.15 hours per resident day between 2025Q4 and 2026Q1. Staffing declined across those reported periods.
  • Health inspection completed15 deficiencies were recorded. That includes 1 higher-severity deficiency.
  • Medicare payment denial recordedCMS recorded a Medicare payment denial lasting 35 days.

2026

  1. Total nurse staffing decreased

    Total nurse staffing decreased from 4.45 to 4.15 hours per resident day between 2025Q4 and 2026Q1. Staffing declined across those reported periods.

    4.45 → 4.15

    CMS · Reported in a source release · View related evidence

2025

  1. Total nurse staffing decreased

    Total nurse staffing decreased from 4.73 to 4.45 hours per resident day between 2025Q3 and 2025Q4. Staffing declined across those reported periods.

    4.73 → 4.45

    CMS · Reported in a source release · View related evidence

  2. Health inspection completed

    15 deficiencies were recorded. That includes 1 higher-severity deficiency.

    CMS · Recorded event date · View related evidence

  3. Medicare payment denial recorded

    CMS recorded a Medicare payment denial lasting 35 days.

    CMS · Recorded event date · View related evidence

  4. RN staffing increased

    RN staffing increased from 0.94 to 1.09 hours per resident day between 2025Q2 and 2025Q3. Staffing improved across those reported periods.

    0.94 → 1.09

    CMS · Reported in a source release · View related evidence

  5. Total nurse staffing increased

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

    4.40 → 4.73

    CMS · Reported in a source release · View related evidence

  6. Complaint inspection recorded

    8 deficiencies were recorded. That includes 1 higher-severity deficiency.

    CMS · Recorded event date · View related evidence

  7. Complaint inspection recorded

    11 deficiencies were recorded.

    CMS · Recorded event date · View related evidence

  8. Complaint inspection recorded

    9 deficiencies were recorded. That includes 2 higher-severity deficiencies.

    CMS · Recorded event date · View related evidence

  9. Medicare payment denial recorded

    CMS recorded a Medicare payment denial lasting 68 days.

    CMS · Recorded event date · View related evidence

  10. Civil monetary penalty recorded

    CMS recorded a $128,700 civil monetary penalty.

    CMS · Recorded event date · View related evidence

  11. Civil monetary penalty recorded

    CMS recorded a $20,420 civil monetary penalty.

    CMS · Recorded event date · View related evidence

Staffing

Reported nursing staffing at a glance

CMS staffing rating: not reported. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).

Inspect a PBJ quarter
Total nursing
4.146
reported hours per resident day
RN categories
1.057
reported hours per resident day
LPN/LVN categories
0.585
reported hours per resident day
CNA
2.17
reported hours per resident day

Weekday and weekend calculations

2026Q1 reported hours per resident day
MeasureMonday–FridaySaturday–Sunday
Total nursing4.373.587
RN categories1.1740.766

Contract staff accounted for 9.2% of reported nursing hours included in this quarter calculation.

Reported RN-category hours per resident day were 0.075 lower than the prior loaded quarter.

Staffing over time

Solid bar: Total nursing · Outlined bar: RN categories

Calculated reported hours per resident day by PBJ quarter
QuarterTotal nursingRN categoriesLPN/LVNCNAContract shareDays
2025Q24.4020.9390.5462.54540.3%91
2025Q34.7331.0940.5142.62241.5%92
2025Q44.4521.1320.6442.3419.9%92
2026Q14.1461.0570.5852.179.2%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 did not publish an overall star rating for this provider in this release.
  • CMS did not publish a health inspection star rating for this provider in this release.
  • CMS did not publish a staffing star rating for this provider in this release.
  • CMS did not publish a quality-measure star rating for this provider in this release.

Trust participation

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

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 Enrollments
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
5f2c306f-3b1c-42cd-b037-187b2ce22126
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
Supports
Ownership parties, organization connections, and ownership history
View official CMS source
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
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.