Staffing
CMS publishes a 5-star staffing rating for this facility.
RN staffing was 1.45 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceFacility record
Saint Johns on the Lake has 27 certified beds in MILWAUKEE, Wisconsin. The CMS overall rating is 4 of 5, compared with the Wisconsin average of 3.0. The CMS health inspection rating is 3 of 5, compared with the Wisconsin average of 2.8. The CMS staffing rating is 5 of 5. The latest standard health survey on Jun 3, 2025 lists 6 deficiencies, compared with the Wisconsin average of 5.8. Total nurse staffing is 5.25 hours per resident day in 2026Q1, compared with the Wisconsin average of 4.20.
Nearby facilities
- Amethyst Health of Brown Deer MILWAUKEE
- Autumn Lake Healthcare at Greenfield MILWAUKEE
- Avina of Milwaukee MILWAUKEE
- Bradley Estates Nursing and Rehab LLC MILWAUKEE
- EASTCASTLE PL BRADFORD TER CONV CTR MILWAUKEE
- Edenbrook Lakeside MILWAUKEE
- Jewish Home and Care Center MILWAUKEE
- LUTHER MANOR MILWAUKEE
- Maple Ridge Health Services MILWAUKEE
- Mercy Health Services MILWAUKEE
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 525539.
At a glance
CMS research snapshot
CMS overall rating
4 of 5
CMS health inspection rating
3 of 5
CMS staffing rating
5 of 5
CMS quality-measure rating
3 of 5
CMS ownership-change history
No attached CMS ownership-change event.
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
- SAINT JOHN'S COMMUNITIES, INC.OrganizationDIRECT OWNERSHIP INTEREST
- SAINT JOHN'S COMMUNITIES, INC.OrganizationDIRECT OWNERSHIP INTEREST100% ownership interest
Operators
- LOYD, MATTHEWIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- LOYD, MATTHEWIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- PETITT, DOROTHYIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- PETITT, DOROTHYIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- SAINT JOHN'S COMMUNITIES, INC.Organization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- SAINT JOHN'S COMMUNITIES, INC.Organization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- SALTNESS, RACHELIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- SALTNESS, RACHELIndividual owner · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- THE MEDICAL COLLEGE OF WISCONSIN INCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- THE MEDICAL COLLEGE OF WISCONSIN INCOrganization · CURRENTOPERATIONAL/MANAGERIAL CONTROL
- LOYD, MATTHEWIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- LOYD, MATTHEWIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- PETITT, DOROTHYIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- PETITT, DOROTHYIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- SAINT JOHN'S COMMUNITIES, INC.Organization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- SAINT JOHN'S COMMUNITIES, INC.Organization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- SALTNESS, RACHELIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- SALTNESS, RACHELIndividual owner · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- THE MEDICAL COLLEGE OF WISCONSIN INCOrganization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
- THE MEDICAL COLLEGE OF WISCONSIN INCOrganization · UNKNOWNOPERATIONAL/MANAGERIAL CONTROL
Enrollment organizations
- SAINT JOHN'S COMMUNITIES, INC.Organization · CURRENTMedicare-enrolled legal organization
- SAINT JOHN'S COMMUNITIES, INC.Organization · UNKNOWNMedicare-enrolled legal organization
Ownership observations with UNKNOWN status
These relationships were observed in an older snapshot. UNKNOWN does not mean former owner, previous owner, or that ownership ended.
UNKNOWN
- SAINT JOHN'S COMMUNITIES, INC.Organization · UNKNOWNDIRECT OWNERSHIP INTEREST
- SAINT JOHN'S COMMUNITIES, INC.Organization · UNKNOWNDIRECT OWNERSHIP INTEREST100% ownership interest
Ownership change history
CMS ownership-change records
No CMS ownership-change event is currently attached to this profile in the Trust Hub research graph. That is not proof that ownership never changed.
Source freshness
How current each evidence family is
- nursing-home-mds-quality-measures
- STALE · source as of 2026-08-01
- nursing-home-provider-information
- STALE · source as of 2026-08-01
- skilled-nursing-facility-all-owners
- AGING · source as of 2026-08-17
- skilled-nursing-facility-change-of-ownership
- CURRENT · source as of 2026-08-24
Profile generated 2026-11-03. That timestamp is not CMS evidence freshness.
Methodology
How Trust Hub researches this provider
- CMS is the source for national nursing-home evidence.
- Trust Hub does not create the CMS star ratings.
- Ownership evidence does not measure care quality.
- CMS CHOW records document reported ownership-change events.
- Missing evidence is not interpreted as zero.
- UNKNOWN ownership history is not interpreted as divestiture.
- Ownership evidence is not a quality measure.
- Missing evidence is not a zero score.
- CMS ratings are CMS ratings, not Trust Hub ratings.
- UNKNOWN ownership does not prove an owner left.
- CHOW records are CMS transaction records, not Trust Hub judgments or sales.
CMS overview
CMS rating overview
No proprietary TrustHub score. These ratings are published separately by CMS. How CMS ratings and facility records are read
- CMS certified beds
- 27
- Ownership descriptor
- Non profit - Church related
- 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
- 4142722022Verified 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.
Not currently SFF or candidate
CMS does not currently identify this nursing home as a Special Focus Facility or candidate in the loaded Provider Information extract.
CMS field value: (blank). Observed Aug 1, 2026.
CMS abuse-icon designation
CMS does not currently apply its abuse-icon designation to this facility in the loaded Provider Information extract.
CMS field value: N. Observed Aug 1, 2026.
Enrollment identity
Medicare enrollment organization NPI associated with this CMS Certification Number
These identifiers come from CMS SNF enrollment records linked to this CCN. They are not a substitute for the CMS Certification Number.
- NPI 1295866325 · enrollment O20040924000336
- NPI 1295866325 · enrollment O20040924000336
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): 97.260274
- Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (Long Stay): 100.000000
- Percentage of long-stay residents experiencing one or more falls with major injury (Long Stay): 6.849315 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents who have depressive symptoms (Long Stay): 0.000000
- Percentage of long-stay residents who lose too much weight (Long Stay): 12.500000
- Percentage of long-stay residents who received an antianxiety or hypnotic medication (Long Stay): 16.326531
- Percentage of long-stay residents who received an antipsychotic medication (Long Stay): 4.878049 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents who were physically restrained (Long Stay): 0.000000
- Percentage of long-stay residents whose ability to walk independently worsened (Long Stay): 15.200520 · 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): 13.953488 · 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): 11.985957 · CMS uses this measure in the quality-measure star rating
- Percentage of long-stay residents with a urinary tract infection (Long Stay): 1.428571 · 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): 22.863834
- Percentage of long-stay residents with pressure ulcers (Long Stay): 6.414293 · CMS uses this measure in the quality-measure star rating
- Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (Short Stay): 96.638655
- Percentage of short-stay residents who newly received an antipsychotic medication (Short Stay): 0.000000 · CMS uses this measure in the quality-measure star rating
- Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (Short Stay): 100.000000
Fire-safety citations
CMS fire-safety citations
These are fire-safety citations, not health deficiencies and not a count of fires.
- 2025-06-03 · tag 0039 · scope/severity F — Conduct testing and exercise requirements.
- 2025-06-03 · tag 0923 · scope/severity D — Have proper medical gas storage and administration areas.
- 2025-06-03 · tag 0918 · scope/severity F — Have generator or other power source capable of supplying service within 10 seconds.
- 2025-06-03 · tag 0321 · scope/severity E — Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- 2025-06-03 · tag 0324 · scope/severity E — Provide properly protected cooking facilities.
- 2025-06-03 · tag 0541 · scope/severity D — Install properly constructed and protected linen or trash chutes.
- 2025-06-03 · tag 0761 · scope/severity D — To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- 2025-06-03 · tag 0712 · scope/severity C — Have simulated fire drills held at unexpected times.
- 2024-04-24 · tag 0712 · scope/severity C — Have simulated fire drills held at unexpected times.
- 2024-04-24 · tag 0132 · scope/severity F — Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.
- 2024-04-24 · tag 0918 · scope/severity F — Have generator or other power source capable of supplying service within 10 seconds.
- 2024-04-24 · tag 0341 · scope/severity D — Install a fire alarm system that can be heard throughout the facility.
Decision guide
What to review
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
Inspections
The latest standard inspection on Jun 3, 2025 cited 6 deficiencies.
View inspection evidenceOwnership
CMS-published records list 105 ownership or control parties.
View ownership evidenceOwnership & operation
Ownership & Operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
- Ownership type
- Non profit - Church relatedCMS
- Related facilities
- 13Current CMS organization identity
Who is behind this facility?
SeniorTrustHub found evidence connecting this facility to:
- 1 CMS-reported ownership organization
- CMS reports 48 individual ownership interests
Related facilities
13 currently connected nursing homes share this CMS organization identity with US BANK NATIONAL ASSOCIATION.
- Average CMS overall rating
- 4 stars across 13 reporting facilities
- CMS monetary penalties
- 5 of 13 facilities had a recorded monetary penalty in the available CMS period.
- Recent CMS penalties
- 2 facilities had a CMS penalty in the last 18 months.
- Recent high-value CMS enforcement
- 2 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
- $123,185
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
- 105
- Organizations shown
- 27
- Individuals shown
- 48
- Latest ownership source update
- Aug 17, 2026
CMS-published ownership and control parties
US BANK NATIONAL ASSOCIATION
Organization · 5% OR GREATER MORTGAGE INTEREST
Association date reported to CMS: Dec 9, 2015
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
ANDERSON, CASSANDRA
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 14, 2022
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
ANDERSON, RENEE
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2011
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
ARMBRUSTER, KATHY
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2016
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
ARNDT, BETTY
Individual · ADP OF THE SNF
Association date reported to CMS: May 1, 2022
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
BEAL, POLLY
Individual · ADP OF THE SNF
Association date reported to CMS: May 2, 2014
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
BECKLEY MILNER, DIANE
Individual · ADP OF THE SNF
Association date reported to CMS: May 1, 2018
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
BEHAVIORAL SOLUTIONS INC
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across WI.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
BRIGHTON HOSPICE WISCONSIN LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 7, 2023
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
BURKE, ERIN
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 4, 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
BUTLER, HELENE
Individual · ADP OF THE SNF
Association date reported to CMS: May 24, 1999
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
COBURN, MATTHEW
Individual · ADP OF THE SNF
Association date reported to CMS: May 1, 2021
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
COMMUNITY FOOT AND ANKLE CLINIC INC
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 26, 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
COPPERNOLL, LEE
Individual · ADP OF THE SNF
Association date reported to CMS: May 1, 2018
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
DAVIS CLINICAL CONSULTING
Organization · ADP OF THE SNF
Association date reported to CMS: Dec 30, 2024
Other facilities connected through this exact CMS organization identity: 0 across WI.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
DIETITIANS ON DEMAND CORPORATE SOLUTIONS, LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 31, 2022
Other facilities connected through this exact CMS organization identity: 0 across WI.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
EAGER, DAVID
Individual · ADP OF THE SNF
Association date reported to CMS: May 1, 2023
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
EXUM-PRYOR, LAKESHIA
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 23, 2018
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
FRY, WILLIAM
Individual · ADP OF THE SNF
Association date reported to CMS: May 1, 2024
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
GESZVAIN, MELISSA
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 3, 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
GUARDIAN PHARMACY OF MADISON, LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2023
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
GUNTER, MATTHEW
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2024
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
HEARING CARE AT HOME LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Dec 8, 2022
Other facilities connected through this exact CMS organization identity: 0 across WI.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
HENDERSON, ANTONIO
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 22, 2020
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
HILDEBRAND, KIRSTEN
Individual · ADP OF THE SNF
Association date reported to CMS: May 1, 2023
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
HOMETOWN HOSPICE & HOMECARE INC
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 17, 2014
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
INTEGRATED THERAPY MANAGMENT PARTNERS, LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across WI.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
KARE TECHNOLOGIES LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2023
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
KELNHOFER, ALAN
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 12, 2025
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
LEGACY HOSPICE CARES LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 13, 2022
Other facilities connected through this exact CMS organization identity: 0 across WI.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
LEMMINGER, DAN
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 3, 2011
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
LOYD, MATTHEW
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 18, 2021
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
LUTHER, ANNE
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 29, 2007
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
MADISON MEDICAL AFFILIATES INC
Organization · ADP OF THE SNF
Association date reported to CMS: Dec 5, 2013
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
MASS, OMAR
Individual · ADP OF THE SNF
Association date reported to CMS: Feb 14, 2022
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
MOON, JUDITH
Individual · ADP OF THE SNF
Association date reported to CMS: May 2, 2015
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
PATRINOS, DANIEL
Individual · ADP OF THE SNF
Association date reported to CMS: May 1, 2023
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
PETITT, DOROTHY
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 18, 2021
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
PREFERRED DENTISTRY ASSOCIATES, LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across WI.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
SAINT JOHN'S COMMUNITIES, INC.
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 1, 1994
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
SALTNESS, RACHEL
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
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
SCHREINER, RICHARD
Individual · ADP OF THE SNF
Association date reported to CMS: May 1, 2024
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
THE MEDICAL COLLEGE OF WISCONSIN INC
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 23, 2025
Other facilities connected through this exact CMS organization identity: 0 across WI.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
WHITESIDE, CAZMER
Individual · ADP OF THE SNF
Association date reported to CMS: May 13, 2024
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
ANDERSON, RENEE
Individual · CORPORATE OFFICER
Association date reported to CMS: Jul 1, 2011
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
LEMMINGER, DAN
Individual · CORPORATE OFFICER
Association date reported to CMS: Oct 3, 2011
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
SAINT JOHN'S COMMUNITIES, INC.
Organization · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jul 1, 1994
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
LOYD, MATTHEW
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 16, 2021
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
PETITT, DOROTHY
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 18, 2021
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
SAINT JOHN'S COMMUNITIES, INC.
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 1, 1994
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
SALTNESS, RACHEL
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 1, 2024
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
THE MEDICAL COLLEGE OF WISCONSIN INC
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across WI.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Ownership
- CMS dataset identifier
- y2hd-n93e
- Source updated
- Aug 1, 2026
- Retrieved
- Aug 26, 2026
US BANK NATIONAL ASSOCIATION
Organization · 5% OR GREATER MORTGAGE INTEREST
Published ownership percentage: 46.4%
Association date reported to CMS: Dec 9, 2015
CMS classifications: Parent company
Other facilities connected through this exact CMS organization identity: 26 across CA, IA, ID, MI, MN, NC, OH, OR, PA, TN, TX, 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
ANDERSON, CASSANDRA
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 14, 2022
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
ANDERSON, RENEE
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2011
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
ARMBRUSTER, KATHY
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2016
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
ARNDT, BETTY
Individual · ADP OF THE SNF
Association date reported to CMS: May 1, 2022
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
BEAL, POLLY
Individual · ADP OF THE SNF
Association date reported to CMS: May 2, 2014
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
BECKLEY MILNER, DIANE
Individual · ADP OF THE SNF
Association date reported to CMS: May 1, 2018
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
BEHAVIORAL SOLUTIONS INC
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across WI.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
BRIGHTON HOSPICE WISCONSIN LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 7, 2023
Other facilities connected through this exact CMS organization identity: 1 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
BURKE, ERIN
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 4, 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
BUTLER, HELENE
Individual · ADP OF THE SNF
Association date reported to CMS: May 24, 1999
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
COBURN, MATTHEW
Individual · ADP OF THE SNF
Association date reported to CMS: May 1, 2021
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
COMMUNITY FOOT AND ANKLE CLINIC INC
Organization · ADP OF THE SNF
Association date reported to CMS: Feb 26, 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
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
COPPERNOLL, LEE
Individual · ADP OF THE SNF
Association date reported to CMS: May 1, 2018
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
DAVIS CLINICAL CONSULTING
Organization · ADP OF THE SNF
Association date reported to CMS: Dec 30, 2024
Other facilities connected through this exact CMS organization identity: 1 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
DIETITIANS ON DEMAND CORPORATE SOLUTIONS, LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 31, 2022
Other facilities connected through this exact CMS organization identity: 0 across WI.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
EAGER, DAVID
Individual · ADP OF THE SNF
Association date reported to CMS: May 1, 2023
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
EXUM-PRYOR, LAKESHIA
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 23, 2018
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
FRY, WILLIAM
Individual · ADP OF THE SNF
Association date reported to CMS: May 1, 2024
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
GESZVAIN, MELISSA
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 3, 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
GUARDIAN PHARMACY OF MADISON, LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2023
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 All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
GUNTER, MATTHEW
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2024
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
HEARING CARE AT HOME LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Dec 8, 2022
Other facilities connected through this exact CMS organization identity: 0 across WI.
View ownership source details
- Source organization
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Skilled Nursing Facility All Owners
- CMS dataset identifier
- afe44b85-cc6d-40d7-b5df-00ae8910d1d2
- Source updated
- Aug 17, 2026
- Retrieved
- Aug 26, 2026
What this means
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Questions to ask
- CMS records list several organizations with ownership or control roles. Which entity is responsible for day-to-day operations at this facility?
- CMS records connect US BANK NATIONAL ASSOCIATION to 27 facilities. Which policies and staffing decisions are managed centrally versus locally?
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 1, 2026
- Survey type
- Health Complaint
- Linked findings
- 1
- 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
- 525539
- Source record locator
- csv-row:129456:ccn:525539
Apr 1, 2026 — Health Complaint — 1 linked finding
F0610 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 30, 2026)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 525539
- Source record locator
- csv-row:366715:ccn:525539
Jun 3, 2025 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Jun 3, 2025 — Health Standard — 6 linked findings
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 (Jul 7, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 525539
- Source record locator
- csv-row:366719:ccn:525539
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 (Jul 7, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 525539
- Source record locator
- csv-row:366720:ccn:525539
F0812 — Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 29, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 525539
- Source record locator
- csv-row:366716:ccn:525539
F0880 — Infection Control Deficiencies
Provide and implement an infection prevention and control program.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 29, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 525539
- Source record locator
- csv-row:366717:ccn:525539
F0881 — Infection Control Deficiencies
Implement a program that monitors antibiotic use.
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 3, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 525539
- Source record locator
- csv-row:366721:ccn:525539
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 (Aug 29, 2025)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 525539
- Source record locator
- csv-row:366718:ccn:525539
Apr 24, 2024 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Apr 24, 2024 — Health Standard — 1 linked finding
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 (May 24, 2024)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 525539
- Source record locator
- csv-row:366722:ccn:525539
Feb 21, 2023 — Fire Safety Standard — 0 linked findings
No health-deficiency rows were deterministically linked to this inspection.
Feb 21, 2023 — Health Standard — 6 linked findings
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 (Mar 27, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 525539
- Source record locator
- csv-row:366725:ccn:525539
F0686 — Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 17, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 525539
- Source record locator
- csv-row:366723:ccn:525539
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 (Mar 27, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 525539
- Source record locator
- csv-row:366726:ccn:525539
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 (Mar 27, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 525539
- Source record locator
- csv-row:366727:ccn:525539
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 (Mar 27, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 525539
- Source record locator
- csv-row:366724:ccn:525539
F0880 — Infection Control Deficiencies
Provide and implement an infection prevention and control program.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 27, 2023)
View source details
- Dataset
- Health Deficiencies
- CMS dataset ID
- r5ix-sfxw
- CMS source updated
- Aug 1, 2026
- CMS provider ID
- 525539
- Source record locator
- csv-row:366728:ccn:525539
Tags appearing across inspections
- F0880 appears in 3 linked inspections.
- F0812 appears in 2 linked inspections.
Penalties & enforcement
CMS penalty records in the loaded three-year dataset
No penalty records were found for this provider in the currently loaded CMS Penalties dataset.
Questions to ask
Questions generated from the evidence above
- CMS records show F0880 in 3 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?
Facility history
Facility History
5 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
What changed recently?
- Complaint inspection recorded1 deficiency was recorded.
- RN staffing increasedRN staffing increased from 1.29 to 1.45 hours per resident day between 2025Q4 and 2026Q1. Staffing improved across those reported periods.
2026
- Complaint inspection recorded
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
- RN staffing increased
RN staffing increased from 1.29 to 1.45 hours per resident day between 2025Q4 and 2026Q1. Staffing improved across those reported periods.
1.29 → 1.45
CMS · Reported in a source release · View related evidence
2025
- Health inspection completed
6 deficiencies were recorded.
CMS · Recorded event date · View related evidence
2024
- Health inspection completed
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
2023
- Health inspection completed
6 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
Staffing
Reported nursing staffing at a glance
CMS staffing rating: 5 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).
- Total nursing
- 5.255 reported hours per resident day
- RN categories
- 1.453 reported hours per resident day
- LPN/LVN categories
- 0.743 reported hours per resident day
- CNA
- 3.06 reported hours per resident day
Weekday and weekend calculations
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 5.415 | 4.862 |
| RN categories | 1.598 | 1.096 |
Contract staff accounted for 9.5% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.160 higher than the prior loaded quarter.
Staffing over time
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 5.209 | 1.416 | 0.838 | 2.955 | 4.8% | 91 |
| 2025Q3 | 5.094 | 1.305 | 0.839 | 2.95 | 6% | 92 |
| 2025Q4 | 5.205 | 1.293 | 0.798 | 3.115 | 12.2% | 92 |
| 2026Q1 | 5.255 | 1.453 | 0.743 | 3.06 | 9.5% | 90 |
Questions to ask
- PBJ records show lower calculated RN-category hours per resident day on weekends this quarter. How does the facility plan RN coverage on Saturdays and Sundays?
- PBJ records show that some reported nursing hours were contract hours. How does the facility orient and integrate contract staff?
Staffing source and calculation details
- Source
- Centers for Medicare & Medicaid Services (CMS)
- Dataset
- Payroll Based Journal Daily Nurse Staffing
- CMS dataset ID
- 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
- Quarter
- 2026Q1
- Coverage
- Jan 1, 2026–Mar 31, 2026
- Days represented
- 90 (90 with positive MDS census)
- CMS source updated
- Jul 29, 2026
- Calculation version
- pbj-quarter-ratio-of-sums-v1
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat 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 4-star overall rating.
- CMS reports a 3-star health inspection rating.
- CMS reports a 5-star staffing rating.
- CMS reports a 3-star quality-measure rating.
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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
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
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
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
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
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
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.
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