Bayshore Nursing & Rehab has 112 certified beds in GLENDALE, Wisconsin. The CMS overall rating is 1 of 5, compared with the Wisconsin average of 3.0. The CMS health inspection rating is 1 of 5, compared with the Wisconsin average of 2.8. The CMS staffing rating is 3 of 5. The latest standard health survey on Sep 30, 2025 lists 35 deficiencies, compared with the Wisconsin average of 5.8. Total nurse staffing is 3.96 hours per resident day in 2026Q1, compared with the Wisconsin average of 4.20.

Nearby facilities

Complete Care at Glendale West GLENDALE
Amethyst Health of Brown Deer MILWAUKEE
Aria at Mitchell Manor WEST ALLIS
Autumn Lake Healthcare at Greenfield MILWAUKEE
Avina of Milwaukee MILWAUKEE
Bradley Estates Nursing and Rehab LLC MILWAUKEE
Chi Franciscan Villa SOUTH MILWAUKEE
Clement Manor Health Care Center GREENFIELD
Complete Care at Hales Corners Hales Corners
Complete Care at Southpointe Greenfield

CMS nursing homes in Wisconsin

CMS nursing home

Bayshore Nursing & Rehab

GLENDALE, WI

CMS CCN 5253714142288120Listed 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 525371.

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

1 of 5

CMS ownership-change history

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

CMS Special Focus Facility

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

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

Quality & care evidence

What CMS reports about quality

MDS quality observations are in the CMS extract.
PBJ staffing records are in the CMS extract.
Inspection evidence is in the CMS extract.
Fire-safety evidence is in the CMS extract.

Staffing, inspections, and fire safety are separate CMS evidence families below.

Ownership & management

Who CMS/PECOS connects to this nursing home

Current ownership uses CURRENT OWNED_BY evidence only. UNKNOWN is not a former owner.

Current owners

BEDROCK HC WI LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
CHOPP, LYNNIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST17% ownership interest
CHOPP, LYNNIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST17% ownership interest
CHOPP, MARTINIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST18% ownership interest
CHOPP, MARTINIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST18% ownership interest
CHOPP, PNINAIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST18% ownership interest
CHOPP, PNINAIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST18% ownership interest
CHOPP, RACHELIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST7% ownership interest
CHOPP, RACHELIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST7% ownership interest
CHOPP, SARAHIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST5% ownership interest
CHOPP, SARAHIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST5% ownership interest
CHOPP, SOLOMONIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST10% ownership interest
CHOPP, SOLOMONIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST10% ownership interest
PRAGER, AVROHOMIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST13% ownership interest
PRAGER, AVROHOMIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST12.5% ownership interest
PRAGER, SHULAMITIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST13% ownership interest
PRAGER, SHULAMITIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST12.5% ownership interest

Operators

NICHOLS, KENNETHIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL100% ownership interest
NICHOLS, KENNETHIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
OPAL HEALTHCARE NJ LLCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
OPAL HEALTHCARE NJ LLCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL100% ownership interest
NICHOLS, KENNETHIndividual owner · HISTORICALOPERATIONAL/MANAGERIAL CONTROL100% ownership interest
OPAL HEALTHCARE NJ LLCOrganization · HISTORICALOPERATIONAL/MANAGERIAL CONTROL100% ownership interest
NICHOLS, KENNETHIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL100% ownership interest
NICHOLS, KENNETHIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
OPAL HEALTHCARE NJ LLCOrganization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
OPAL HEALTHCARE NJ LLCOrganization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL100% ownership interest

Managers

NICHOLS, KENNETHIndividual owner · CURRENTCONTRACTED MANAGING EMPLOYEE
NICHOLS, KENNETHIndividual owner · CURRENTCONTRACTED MANAGING EMPLOYEE100% ownership interest
NICHOLS, KENNETHIndividual owner · HISTORICALCONTRACTED MANAGING EMPLOYEE100% ownership interest
NICHOLS, KENNETHIndividual owner · UNKNOWNCONTRACTED MANAGING EMPLOYEE100% ownership interest
NICHOLS, KENNETHIndividual owner · UNKNOWNCONTRACTED MANAGING EMPLOYEE

Enrollment organizations

BEDROCK HCS AT GLENDALE LLCOrganization · CURRENTMedicare-enrolled legal organization
BEDROCK HCS AT GLENDALE LLCOrganization · UNKNOWNMedicare-enrolled legal organization

Historical ownership observations

Historical

BEDROCK HC WI LLCOrganization · HISTORICAL5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
CHOPP, LYNNIndividual owner · HISTORICAL5% OR GREATER INDIRECT OWNERSHIP INTEREST17% ownership interest
CHOPP, MARTINIndividual owner · HISTORICAL5% OR GREATER INDIRECT OWNERSHIP INTEREST18% ownership interest
CHOPP, PNINAIndividual owner · HISTORICAL5% OR GREATER INDIRECT OWNERSHIP INTEREST18% ownership interest
CHOPP, RACHELIndividual owner · HISTORICAL5% OR GREATER INDIRECT OWNERSHIP INTEREST7% ownership interest
CHOPP, SARAHIndividual owner · HISTORICAL5% OR GREATER INDIRECT OWNERSHIP INTEREST5% ownership interest
CHOPP, SOLOMONIndividual owner · HISTORICAL5% OR GREATER INDIRECT OWNERSHIP INTEREST10% ownership interest
PRAGER, AVROHOMIndividual owner · HISTORICAL5% OR GREATER INDIRECT OWNERSHIP INTEREST12.5% ownership interest
PRAGER, SHULAMITIndividual owner · HISTORICAL5% OR GREATER INDIRECT OWNERSHIP INTEREST12.5% ownership interest

Ownership observations with UNKNOWN status

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

UNKNOWN

BEDROCK HC WI LLCOrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
CHOPP, LYNNIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST17% ownership interest
CHOPP, LYNNIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST17% ownership interest
CHOPP, MARTINIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST18% ownership interest
CHOPP, MARTINIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST18% ownership interest
CHOPP, PNINAIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST18% ownership interest
CHOPP, PNINAIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST18% ownership interest
CHOPP, RACHELIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST7% ownership interest
CHOPP, RACHELIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST7% ownership interest
CHOPP, SARAHIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST5% ownership interest
CHOPP, SARAHIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST5% ownership interest
CHOPP, SOLOMONIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST10% ownership interest
CHOPP, SOLOMONIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST10% ownership interest
PRAGER, AVROHOMIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST12.5% ownership interest
PRAGER, AVROHOMIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST13% ownership interest
PRAGER, SHULAMITIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST13% ownership interest
PRAGER, SHULAMITIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST12.5% ownership interest

Ownership change history

CMS ownership-change records

CMS publishes Change of Ownership records for this nursing home.

CMS records show an ownership change effective 2019-10-01.
CMS type
CHANGE OF OWNERSHIP
Buyer legal entity
BEDROCK HCS AT GLENDALE LLC
Seller legal entity
DYCORA TRANSITIONAL HEALTH-GLENDALE LLC
Effective date
2019-10-01

These are CMS transaction records. They are not a Trust Hub quality, stability, or sale judgment.

Source freshness

How current each evidence family is

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

Profile generated 2026-11-03. 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 overall

1 of 5

Health inspection

1 of 5

Staffing

3 of 5

Quality measures

1 of 5

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

CMS certified beds: 112
Ownership descriptor: For profit - Limited Liability company
Medicare participation: Yes
Medicaid participation: Yes

Facility information

Contact

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

Phone: 4142288120Verified public information · checked Aug 2026

CMS designations

Special Focus and abuse-icon status

This CMS Certification Number appears in the latest CMS Nursing Home Provider Information extract of currently listed nursing homes.

Special Focus Facility candidate

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

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

CMS abuse-icon designation

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

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

Enrollment identity

Medicare enrollment organization NPI associated with this CMS Certification Number

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

NPI 1205487345 · enrollment O20191114003132
NPI 1205487345 · enrollment O20191114003132

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): 70.418006
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (Long Stay): 73.000000
Percentage of long-stay residents experiencing one or more falls with major injury (Long Stay): 5.144695 · CMS uses this measure in the quality-measure star rating
Percentage of long-stay residents who have depressive symptoms (Long Stay): 0.367647
Percentage of long-stay residents who lose too much weight (Long Stay): 8.771930
Percentage of long-stay residents who received an antianxiety or hypnotic medication (Long Stay): 19.930070
Percentage of long-stay residents who received an antipsychotic medication (Long Stay): 25.225225 · CMS uses this measure in the quality-measure star rating
Percentage of long-stay residents who were physically restrained (Long Stay): 0.321543
Percentage of long-stay residents whose ability to walk independently worsened (Long Stay): 16.249905 · CMS uses this measure in the quality-measure star rating
Percentage of long-stay residents whose need for help with daily activities has increased (Long Stay): 20.000000 · CMS uses this measure in the quality-measure star rating
Percentage of long-stay residents with a catheter inserted and left in their bladder (Long Stay): 0.997721 · CMS uses this measure in the quality-measure star rating
Percentage of long-stay residents with a urinary tract infection (Long Stay): 1.290323 · 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): 23.905179
Percentage of long-stay residents with pressure ulcers (Long Stay): 6.197428 · CMS uses this measure in the quality-measure star rating
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (Short Stay): 34.523810
Percentage of short-stay residents who newly received an antipsychotic medication (Short Stay): 1.612903 · 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): 17.948718

Fire-safety citations

CMS fire-safety citations

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

2025-09-30 · tag 0007 · scope/severity F — Address patient/client population and determine types of services needed.
2025-09-30 · tag 0039 · scope/severity F — Conduct testing and exercise requirements.
2025-09-30 · tag 0291 · scope/severity F — Install emergency lighting that can last at least 1 1/2 hours.
2025-09-30 · tag 0345 · scope/severity F — Have approved installation, maintenance and testing program for fire alarm systems.
2025-09-30 · tag 0353 · scope/severity F — Inspect, test, and maintain automatic sprinkler systems.
2025-09-30 · tag 0355 · scope/severity F — Properly select, install, inspect, or maintain portable fire extinguishes.
2025-09-30 · tag 0712 · scope/severity F — Have simulated fire drills held at unexpected times.
2025-09-30 · tag 0363 · scope/severity E — Install corridor and hallway doors that block smoke.
2025-09-30 · tag 0225 · scope/severity D — Have stairways and smokeproof enclosures used as exits that meet safety requirements.
2025-09-30 · 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.
2025-09-30 · tag 0918 · scope/severity F — Have generator or other power source capable of supplying service within 10 seconds.
2025-09-30 · tag 0004 · scope/severity F — Develop and maintain an Emergency Preparedness Program (EP).

Decision guide

What to review

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

Staffing

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

RN staffing was 0.67 hours per resident day in 2026Q1, calculated from CMS PBJ records.

View staffing evidence

Inspections

The latest standard inspection on Sep 30, 2025 cited 35 deficiencies.

View inspection evidence

Ownership

CMS-published records list 26 ownership or control parties.

CMS records show an ownership change effective October 2019.

View ownership evidence

Chain context

CMS groups this facility with a chain covering 9 facilities across 3 states or territories.

View chain evidence

Enforcement record

CMS records show a 36-day payment denial in the loaded enforcement dataset.

View enforcement evidence →

Ownership & operation

Ownership & Operation

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

Ownership type: For profit - Limited Liability companyCMS
Chain: BEDROCK HEALTHCARECMS identifies this facility as part of the BEDROCK HEALTHCARE chain.
Related facilities: 7Current CMS organization identity
Ownership changes: 1 recordedCMS enrollment records

Explore ownership network →

Who is behind this facility?

SeniorTrustHub found evidence connecting this facility to:

1 CMS-reported ownership organization
CMS reports 22 individual ownership interests
a CMS chain / common-control group
recorded ownership-change events

Related facilities

7 currently connected nursing homes share this CMS organization identity with BEDROCK HC WI LLC.

Average CMS overall rating: 1.2 stars across 6 reporting facilities
CMS monetary penalties: 7 of 7 facilities had a recorded monetary penalty in the available CMS period.
Recent CMS penalties: 4 facilities had a CMS penalty in the last 18 months.
Recent high-value CMS enforcement: 4 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: $1,117,798

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: 26
Organizations shown: 4
Individuals shown: 22
Latest ownership source update: Aug 17, 2026

CMS-published ownership and control parties

CHOPP, LYNN
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 17%
Association date reported to CMS: Oct 1, 2019
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
CHOPP, MARTIN
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 18%
Association date reported to CMS: Oct 1, 2019
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
CHOPP, PNINA
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 18%
Association date reported to CMS: Oct 1, 2019
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
CHOPP, RACHEL
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 7%
Association date reported to CMS: Oct 1, 2019
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
CHOPP, SARAH
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 5%
Association date reported to CMS: Oct 1, 2019
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
CHOPP, SOLOMON
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 10%
Association date reported to CMS: Oct 1, 2019
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
PRAGER, AVROHOM
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 13%
Association date reported to CMS: Oct 1, 2019
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
PRAGER, SHULAMIT
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 13%
Association date reported to CMS: Oct 1, 2019
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
NICHOLS, KENNETH
Individual · CONTRACTED MANAGING EMPLOYEE
Association date reported to CMS: Oct 1, 2019
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
NICHOLS, KENNETH
Individual · CORPORATE OFFICER
Association date reported to CMS: Oct 1, 2019
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
NICHOLS, KENNETH
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 1, 2019
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
OPAL HEALTHCARE NJ LLC
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 1, 2019
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
BEDROCK HC WI LLC
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Oct 1, 2019
Other facilities connected through this exact CMS organization identity: 6 across WI.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
View official CMS source
CHOPP, LYNN
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 17%
Association date reported to CMS: Oct 1, 2019
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
View official CMS source
CHOPP, MARTIN
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 18%
Association date reported to CMS: Oct 1, 2019
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
View official CMS source
CHOPP, PNINA
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 18%
Association date reported to CMS: Oct 1, 2019
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
View official CMS source
CHOPP, RACHEL
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 7%
Association date reported to CMS: Oct 1, 2019
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
View official CMS source
CHOPP, SARAH
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 5%
Association date reported to CMS: Oct 1, 2019
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
View official CMS source
CHOPP, SOLOMON
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 10%
Association date reported to CMS: Oct 1, 2019
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
View official CMS source
PRAGER, AVROHOM
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 12.5%
Association date reported to CMS: Oct 1, 2019
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
View official CMS source
PRAGER, SHULAMIT
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 12.5%
Association date reported to CMS: Oct 1, 2019
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
View official CMS source
NICHOLS, KENNETH
Individual · CONTRACTED MANAGING EMPLOYEE
Published ownership percentage: 100%
Association date reported to CMS: Oct 1, 2019
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
View official CMS source
NICHOLS, KENNETH
Individual · CORPORATE OFFICER
Published ownership percentage: 100%
Association date reported to CMS: Oct 1, 2019
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
View official CMS source
NICHOLS, KENNETH
Individual · OPERATIONAL/MANAGERIAL CONTROL
Published ownership percentage: 100%
Association date reported to CMS: Oct 1, 2019
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
View official CMS source
OPAL HEALTHCARE NJ LLC
Organization · OPERATIONAL/MANAGERIAL CONTROL
Published ownership percentage: 100%
Association date reported to CMS: Oct 1, 2019
Other facilities connected through this exact CMS organization identity: 3 across WI.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility All Owners
CMS dataset identifier
afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated
Aug 17, 2026
Retrieved
Aug 26, 2026
View official CMS source
BEDROCK HCS AT GLENDALE LLC
Organization · Medicare-enrolled legal organization
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
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

Ownership changes reported in CMS enrollment records

Oct 1, 2019CHANGE OF OWNERSHIPDYCORA TRANSITIONAL HEALTH-GLENDALE LLC to BEDROCK HCS AT GLENDALE LLC
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility Change of Ownership
CMS dataset identifier
f557a6ed-95b3-4a22-8433-4175db2dec1c
Source updated
Aug 24, 2026
Retrieved
Aug 15, 2026
View official CMS source

What this means

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

Questions to ask

CMS records list several organizations with ownership or control roles. Which entity is responsible for day-to-day operations at this facility?
CMS enrollment records show a change of ownership effective Oct 1, 2019. What operational or leadership changes followed that event?
CMS records connect BEDROCK HC WI LLC to 7 facilities. Which policies and staffing decisions are managed centrally versus locally?

Chain context

CMS groups this facility with BEDROCK HEALTHCARE

Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 73 is a grouping identifier, not a legal organization.

Facilities: 9
States and territories: 3
Average overall rating: 1.4
Average staffing rating: 2.1
Average total nurse HPRD: 3.6
Total fines: 19

Review CMS chain evidence

CMS-published history

Monthly chain measures
Month	Facilities	Overall rating	Staffing rating
Wed Jul	9	1.4	2.1
Mon Jun	9	1.4	2
Fri May	9	1.4	2
Wed Apr	9	1.4	2
Sun Mar	9	1.3	1.6
Sun Feb	8	1.1	1.6

Questions to ask

CMS groups facilities in 3 states or territories under this chain. Which operational policies are set at the chain level?
CMS reports 19 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: Apr 30, 2026
Survey type: Health Complaint
Linked findings: 4
Highest linked CMS classification: D — Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy

View source details

Dataset: Inspection Dates
CMS dataset ID: svdt-c123
CMS source updated: Aug 1, 2026
CMS provider ID: 525371
Source record locator: csv-row:128331:ccn:525371

View official CMS source

Apr 30, 2026 — Health Complaint — 4 linked findings

F0600 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS scope/severity 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 22, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363661:ccn:525371
View official CMS source
F0657 — Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 22, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363662:ccn:525371
View official CMS source
F0658 — Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 22, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363663:ccn:525371
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 22, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363664:ccn:525371
View official CMS source

Sep 30, 2025 — Fire Safety Standard — 0 linked findings

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

Sep 30, 2025 — Health Complaint — 0 linked findings

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

Sep 30, 2025 — Health Standard — 35 linked findings

F0552 — Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
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 12, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363689:ccn:525371
View official CMS source
F0576 — Resident Rights Deficiencies
Ensure residents have reasonable access to and privacy in their use of communication methods.
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 12, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363690:ccn:525371
View official CMS source
F0577 — Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
CMS scope/severity C: Widespread; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (Nov 12, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363703:ccn:525371
View official CMS source
F0582 — Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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 12, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363680:ccn:525371
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 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 12, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363691:ccn:525371
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 (Nov 12, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363681:ccn:525371
View official CMS source
F0605 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
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 12, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363692:ccn:525371
View official CMS source
F0628 — Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
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 12, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363695:ccn:525371
View official CMS source
F0641 — Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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 12, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363682:ccn:525371
View official CMS source
F0645 — Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 12, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363696:ccn:525371
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 (Nov 12, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363697:ccn:525371
View official CMS source
F0679 — Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
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 12, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363684:ccn:525371
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 J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Nov 12, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363667:ccn:525371
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 (Nov 12, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363668:ccn:525371
View official CMS source
F0699 — Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
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 12, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363698:ccn:525371
View official CMS source
F0700 — Quality of Life and Care Deficiencies
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
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 12, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363699:ccn:525371
View official CMS source
F0727 — Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
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 12, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363670:ccn:525371
View official CMS source
F0730 — Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
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 12, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363685:ccn:525371
View official CMS source
F0756 — Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
CMS scope/severity 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 12, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363686:ccn:525371
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 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 12, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363687:ccn:525371
View official CMS source
F0790 — Quality of Life and Care Deficiencies
Provide routine and 24-hour emergency dental care for each resident.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 12, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363700:ccn:525371
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 (Nov 12, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363671:ccn:525371
View official CMS source
F0835 — Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
CMS scope/severity L: Widespread; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Nov 12, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363665:ccn:525371
View official CMS source
F0841 — Nursing and Physician Services Deficiencies
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
CMS scope/severity L: Widespread; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Nov 12, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363666:ccn:525371
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 (Nov 12, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363701:ccn:525371
View official CMS source
F0851 — Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
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 12, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363672:ccn:525371
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 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 12, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363673:ccn:525371
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 12, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363674:ccn:525371
View official CMS source
F0881 — Infection Control Deficiencies
Implement a program that monitors antibiotic use.
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 12, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363675:ccn:525371
View official CMS source
F0883 — Infection Control Deficiencies
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 (Nov 12, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363688:ccn:525371
View official CMS source
F0887 — Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
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 12, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363676:ccn:525371
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 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 12, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363677:ccn:525371
View official CMS source
F0946 — Administration Deficiencies
Provide training in compliance and ethics.
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 12, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363678:ccn:525371
View official CMS source
F0947 — Nursing and Physician Services Deficiencies
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 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 12, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363702:ccn:525371
View official CMS source
F0949 — Administration Deficiencies
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
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 12, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363679:ccn:525371
View official CMS source

Jul 30, 2025 — Health Complaint — 1 linked finding

F0558 — Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 26, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363704:ccn:525371
View official CMS source

Jul 28, 2025 — Health Complaint — 4 linked findings

F0600 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS scope/severity 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 26, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363706:ccn:525371
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 (Aug 26, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363707:ccn:525371
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 (Nov 14, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363705:ccn:525371
View official CMS source
F0732 — Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
CMS scope/severity C: Widespread; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (Aug 26, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363708:ccn:525371
View official CMS source

Jul 3, 2025 — Health Complaint — 15 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 25, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363719:ccn:525371
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 25, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363720:ccn:525371
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 (Sep 29, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363721:ccn:525371
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 (Nov 14, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363709:ccn:525371
View official CMS source
F0697 — Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
CMS scope/severity 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 25, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363722:ccn:525371
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 25, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363723:ccn:525371
View official CMS source
F0801 — Nutrition and Dietary Deficiencies
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
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 25, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363710:ccn:525371
View official CMS source
F0940 — Administration Deficiencies
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
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 25, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363711:ccn:525371
View official CMS source
F0941 — Administration Deficiencies
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
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 25, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363712:ccn:525371
View official CMS source
F0942 — Resident Rights Deficiencies
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
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 25, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363713:ccn:525371
View official CMS source
F0943 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
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 25, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363714:ccn:525371
View official CMS source
F0944 — Administration Deficiencies
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement 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 25, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363715:ccn:525371
View official CMS source
F0945 — Infection Control Deficiencies
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the 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 25, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363716:ccn:525371
View official CMS source
F0946 — Administration Deficiencies
Provide training in compliance and ethics.
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 25, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363717:ccn:525371
View official CMS source
F0947 — Nursing and Physician Services Deficiencies
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 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 25, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363718:ccn:525371
View official CMS source

May 29, 2025 — Health Complaint — 9 linked findings

F0561 — Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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 (Jun 27, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363725:ccn:525371
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 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 (Jun 27, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363726:ccn:525371
View official CMS source
F0641 — Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 27, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363727:ccn:525371
View official CMS source
F0655 — Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
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 (Jun 27, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363728:ccn:525371
View official CMS source
F0657 — Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 27, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363729:ccn:525371
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 (Jun 27, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363730:ccn:525371
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 (Jun 27, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363731:ccn:525371
View official CMS source
F0695 — Quality of Life and Care Deficiencies
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 (Jun 27, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363732:ccn:525371
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 (Jun 27, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363724:ccn:525371
View official CMS source

Jan 29, 2025 — Health Complaint — 6 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 (Feb 27, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363734:ccn:525371
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 (Feb 27, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363735:ccn:525371
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 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 (Feb 27, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363733:ccn:525371
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 D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 27, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363736:ccn:525371
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 (Feb 27, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363737:ccn:525371
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 (Feb 27, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363738:ccn:525371
View official CMS source

Oct 30, 2024 — Health Complaint — 4 linked findings

F0584 — Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
CMS scope/severity 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 (Feb 27, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363739:ccn:525371
View official CMS source
F0600 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS scope/severity 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 (Dec 2, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363742:ccn:525371
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 (Dec 2, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363740:ccn:525371
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 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 (Dec 2, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363741:ccn:525371
View official CMS source

Jul 24, 2024 — Health Complaint — 1 linked finding

F0837 — Administration Deficiencies
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
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 15, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363755:ccn:525371
View official CMS source

Jun 20, 2024 — Fire Safety Standard — 0 linked findings

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

Jun 20, 2024 — Health Complaint — 0 linked findings

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

Jun 20, 2024 — Health Standard — 11 linked findings

F0558 — Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 25, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363747:ccn:525371
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 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 25, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363748:ccn:525371
View official CMS source
F0607 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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 25, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363749:ccn:525371
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 (Jul 25, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363750:ccn:525371
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 (Jul 25, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363751:ccn:525371
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 (Jul 25, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363752:ccn:525371
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 (Jul 25, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363753:ccn:525371
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 (Jul 25, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363743:ccn:525371
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 (Jul 25, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363744:ccn:525371
View official CMS source
F0908 — Environmental Deficiencies
Keep all essential equipment working safely.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 25, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363745:ccn:525371
View official CMS source
F0919 — Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
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 25, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363754:ccn:525371
View official CMS source

May 30, 2024 — Health Complaint — 3 linked findings

F0584 — Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 16, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363756:ccn:525371
View official CMS source
F0655 — Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
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 (Jun 16, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363757:ccn:525371
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 (Jun 16, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363758:ccn:525371
View official CMS source

Oct 10, 2023 — Health Complaint — 8 linked findings

F0584 — Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
CMS scope/severity 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 7, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363761:ccn:525371
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 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 7, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363762:ccn:525371
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 7, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363763:ccn:525371
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 (Nov 7, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363764:ccn:525371
View official CMS source
F0801 — Nutrition and Dietary Deficiencies
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
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 7, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363759:ccn:525371
View official CMS source
F0805 — Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual 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 (Nov 7, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363765:ccn:525371
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 7, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363766:ccn:525371
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 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 7, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363760:ccn:525371
View official CMS source

Mar 21, 2023 — Fire Safety Standard — 0 linked findings

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

Mar 21, 2023 — Health Standard — 22 linked findings

F0584 — Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 17, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363770:ccn:525371
View official CMS source
F0623 — Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal 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 (May 17, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363771:ccn:525371
View official CMS source
F0625 — Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 17, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363772:ccn:525371
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 (May 17, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363775:ccn:525371
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 17, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363776:ccn:525371
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 (May 17, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363777:ccn:525371
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 G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 24, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363768:ccn:525371
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 (May 17, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363778:ccn:525371
View official CMS source
F0695 — Quality of Life and Care Deficiencies
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 (May 17, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363779:ccn:525371
View official CMS source
F0698 — Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 13, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363780:ccn:525371
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 (May 17, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363781:ccn:525371
View official CMS source
F0756 — Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 17, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363782:ccn:525371
View official CMS source
F0757 — Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary 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 (Jun 13, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363783:ccn:525371
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 (May 17, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363784:ccn:525371
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 (May 17, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363785:ccn:525371
View official CMS source
F0760 — Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 13, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363769:ccn:525371
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 (May 17, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363786:ccn:525371
View official CMS source
F0800 — Nutrition and Dietary Deficiencies
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
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 17, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363773:ccn:525371
View official CMS source
F0804 — Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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 17, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363787:ccn:525371
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 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 17, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363774:ccn:525371
View official CMS source
F0814 — Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
CMS scope/severity C: Widespread; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (May 17, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363788:ccn:525371
View official CMS source
F0882 — Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
CMS scope/severity L: Widespread; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (May 17, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:363767:ccn:525371
View official CMS source

Penalties & enforcement

CMS penalty records in the loaded three-year dataset

Payment Denial — Oct 30, 2024
Payment denial length: 36 days
View source details
Dataset
Penalties
CMS dataset ID
g6vv-u9sr
CMS source updated
Aug 1, 2026
CMS provider ID
525371
Source record locator
csv-row:13362:ccn:525371
View official CMS source

Questions to ask

Questions generated from the evidence above

CMS records show F0584 in 7 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0689 in 5 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 F0880 in 4 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0585 in 3 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0600 in 3 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0609 in 3 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0692 in 3 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0755 in 3 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0761 in 3 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0814 in 3 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0925 in 3 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0558 in 2 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0641 in 2 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0655 in 2 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0656 in 2 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0657 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 F0695 in 2 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0756 in 2 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0759 in 2 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0801 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 F0946 in 2 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0947 in 2 inspections in the available record. What changes has the facility made to address this issue?

Facility history

Facility History

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

What changed recently?

Complaint inspection recorded4 deficiencies were recorded.
RN staffing increasedRN staffing increased from 0.51 to 0.67 hours per resident day between 2025Q4 and 2026Q1. Staffing improved across those reported periods.

2026

Apr 30
Complaint inspection recorded
4 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Mar 2026
RN staffing increased
RN staffing increased from 0.51 to 0.67 hours per resident day between 2025Q4 and 2026Q1. Staffing improved across those reported periods.
0.51 → 0.67
CMS · Reported in a source release · View related evidence

2025

Dec 2025
RN staffing increased
RN staffing increased from 0.34 to 0.51 hours per resident day between 2025Q3 and 2025Q4. Staffing improved across those reported periods.
0.34 → 0.51
CMS · Reported in a source release · View related evidence
Dec 2025
Total nurse staffing increased
Total nurse staffing increased from 3.42 to 4.01 hours per resident day between 2025Q3 and 2025Q4. Staffing improved across those reported periods.
3.42 → 4.01
CMS · Reported in a source release · View related evidence
Sep 30
Health inspection completed
35 deficiencies were recorded. That includes 4 higher-severity deficiencies.
CMS · Recorded event date · View related evidence
Sep 30
Complaint inspection recorded
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
Sep 2025
Total nurse staffing increased
Total nurse staffing increased from 2.82 to 3.42 hours per resident day between 2025Q2 and 2025Q3. Staffing improved across those reported periods.
2.82 → 3.42
CMS · Reported in a source release · View related evidence
Jul 30
Complaint inspection recorded
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
Jul 28
Complaint inspection recorded
4 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
Jul 3
Complaint inspection recorded
15 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
May 29
Complaint inspection recorded
9 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Jan 29
Complaint inspection recorded
6 deficiencies were recorded.
CMS · Recorded event date · View related evidence

Staffing

Reported nursing staffing at a glance

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

Inspect a PBJ quarter

Total nursing: 3.961
RN categories: 0.673
LPN/LVN categories: 0.877
CNA: 2.296

Weekday and weekend calculations

2026Q1 reported hours per resident day
Measure	Monday–Friday	Saturday–Sunday
Total nursing	4.118	3.572
RN categories	0.753	0.476

Contract staff accounted for 0% of reported nursing hours included in this quarter calculation.

Reported RN-category hours per resident day were 0.167 higher than the prior loaded quarter.

Staffing over time

Solid bar: Total nursing · Outlined bar: RN categories

Calculated reported hours per resident day by PBJ quarter
Quarter	Total nursing	RN categories	LPN/LVN	CNA	Contract share	Days
2025Q2	2.824	0.419	0.677	1.593	2.3%	91
2025Q3	3.416	0.34	0.821	2.165	0.7%	92
2025Q4	4.011	0.506	0.918	2.451	0%	92
2026Q1	3.961	0.673	0.877	2.296	0%	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?

Staffing source and calculation details

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

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

View official CMS PBJ source

What we can verify today

Current Provider Information facts

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

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

Trust participation

See something that needs correction?

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

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

Representation claims are reviewed manually. Live profile-management tools are not yet enabled for this facility.

How corrections work

Source register

See where this record came from

Provider Information

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: 4pq5-n9py
Source updated: Aug 1, 2026
Retrieved: Aug 26, 2026
Supports: Overview, facility facts, and CMS ratings

View official CMS source

Inspection Dates

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: svdt-c123
Source updated: Aug 1, 2026
Retrieved: Aug 26, 2026
Supports: Inspections and facility history

View official CMS source

Health Deficiencies

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: r5ix-sfxw
Source updated: Aug 1, 2026
Retrieved: Aug 26, 2026
Supports: Health deficiencies and facility history

View official CMS source

Penalties

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: g6vv-u9sr
Source updated: Aug 1, 2026
Retrieved: Aug 26, 2026
Supports: Penalties, enforcement, and facility history

View official CMS source

Payroll Based Journal Daily Nurse Staffing

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
Coverage: Apr 1, 2025–Mar 31, 2026
Source updated: Jul 29, 2026
Retrieved: Aug 15, 2026
Supports: PBJ staffing cards, history, and transparent calculations

View official CMS source

Ownership

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: y2hd-n93e
Source updated: Aug 1, 2026
Retrieved: Aug 26, 2026
Supports: Ownership parties, organization connections, and ownership history

View official CMS source

Skilled Nursing Facility All Owners

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: afe44b85-cc6d-40d7-b5df-00ae8910d1d2
Source updated: Aug 17, 2026
Retrieved: Aug 26, 2026
Supports: Ownership parties, organization connections, and ownership history

View official CMS source

Skilled Nursing Facility 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

Skilled Nursing Facility Change of Ownership

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: f557a6ed-95b3-4a22-8433-4175db2dec1c
Source updated: Aug 24, 2026
Retrieved: Aug 15, 2026
Supports: Ownership parties, organization connections, and ownership history

View official CMS source

Nursing Home Chain Performance Measures

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: 97ecfad1-d3f1-4d42-b774-d74661d830bc
Coverage: Wed Jul
Source updated: Aug 12, 2026
Retrieved: Aug 16, 2026
Supports: CMS chain context, performance, and monthly history

View official CMS source

Verified public facility information

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

How sources work

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

Facility record

Nearby facilities

CMS research snapshot

CMS overall rating

CMS health inspection rating

CMS staffing rating

CMS quality-measure rating

CMS ownership-change history

CMS Special Focus Facility

What CMS reports about quality

Who CMS/PECOS connects to this nursing home

Current owners

Operators

Managers

Enrollment organizations

Historical

UNKNOWN

CMS ownership-change records

How current each evidence family is

How Trust Hub researches this provider

CMS rating overview

CMS overall

Health inspection

Staffing

Quality measures

Contact

Special Focus and abuse-icon status

Special Focus Facility candidate

CMS abuse-icon designation

Medicare enrollment organization NPI associated with this CMS Certification Number

Individual CMS quality measures

CMS fire-safety citations

What to review

Staffing

Inspections

Ownership

Chain context

Ownership & Operation

Who is behind this facility?

Related facilities

Facilities currently connected to this organization

Who CMS records show is connected to this facility

CMS-published ownership and control parties

CHOPP, LYNN

CHOPP, MARTIN

CHOPP, PNINA

CHOPP, RACHEL

CHOPP, SARAH

CHOPP, SOLOMON

PRAGER, AVROHOM

PRAGER, SHULAMIT

NICHOLS, KENNETH

NICHOLS, KENNETH

NICHOLS, KENNETH

OPAL HEALTHCARE NJ LLC

BEDROCK HC WI LLC

CHOPP, LYNN

CHOPP, MARTIN

CHOPP, PNINA

CHOPP, RACHEL

CHOPP, SARAH

CHOPP, SOLOMON

PRAGER, AVROHOM

PRAGER, SHULAMIT

NICHOLS, KENNETH

NICHOLS, KENNETH

NICHOLS, KENNETH

OPAL HEALTHCARE NJ LLC

BEDROCK HCS AT GLENDALE LLC

Ownership changes reported in CMS enrollment records

What this means

Questions to ask

CMS groups this facility with BEDROCK HEALTHCARE

CMS-published history

Questions to ask

What CMS inspection records show

Latest recorded inspection

F0600 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

F0657 — Resident Assessment and Care Planning Deficiencies

F0658 — Resident Assessment and Care Planning Deficiencies