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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G1 | H2 | I· |
| Potential harm | D29 | E17 | F28 |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Dec 8, 2025 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Jun 23, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 16, 2025 | Fire safety | Fire Safety Standard | 13 | Potential harm | — | Open → |
| Jan 16, 2025 | Health | Health Complaint, Health Standard | 11 | Potential harm | — | Open → |
| Mar 12, 2024 | Fire safety | Fire Safety Complaint | 6 | Potential harm | — | Open → |
| Aug 8, 2023 | Fire safety | Fire Safety Standard | 9 | Potential harm | — | Open → |
| Aug 8, 2023 | Health | Health Standard | 24 | Immediate jeopardy | — | Open → |
| May 19, 2022 | Fire safety | Fire Safety Standard | 11 | Potential harm | — | Open → |
| May 19, 2022 | Health | Health Standard | 1 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Oct 8, 2025 | Civil money penalty (fine) | $10,358 | — | 065379|Fine|136858 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G1 | H2 | I· |
| Potential harm | D29 | E17 | F28 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Dec 8, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | G · Actual harm Isolated | Past non-compliance Sep 22, 2025 | Complaint |
| Dec 8, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 31, 2025 | Complaint |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Arlene Children's Trusts a & Gr | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Apr 30, 2016 |
| Arlene Children's Trusts a & Nj | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jul 10, 2023 |
| Lj1115 LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jun 30, 2021 |
| Terrapin Limited | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jun 30, 2021 |
| Joseph Mann | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jul 10, 2023 |
| Jonathan Dougherty | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 30, 2021 |
| Aaron Mann | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 30, 2021 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Arlene Children's Trusts a & Gr | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Apr 30, 2016 |
| Arlene Children's Trusts a & Nj | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jul 10, 2023 |
| Lj1115 LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jun 30, 2021 |
| Terrapin Limited | Organization | Direct owner | DIRECT OWNERSHIP INTEREST |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| The Center at Northridge, LLC 12285 Pecos St, Westminster, CO 80234 CCN 065416 | 4.5 km | 96 | Jul 9, 2026 | 20 | — | |
| Coal Creek Post Acute & Assisted Living 329 Exempla Cir, Lafayette, CO 80026 CCN 065414 | 5.7 km | 70 | Aug 11, 2026 | 492 harm2 open | — | |
| Malley Transitional Care Center 401 Malley Dr, Northglenn, CO 80233 CCN 065196 | 6.7 km | 162 | May 14, 2026 | 281 IJ3 harm | $14k | |
| The Village Care and Rehabilitation Center 9221 Wadsworth Pkwy, Westminster, CO 80021 CCN 065367 | 7.9 km | 60 | Dec 19, 2024 | 151 harm | — | |
| Thornton Care Center 501 Thornton Pkwy, Thornton, CO 80229 CCN 065193 | 9 km | 101 | Aug 27, 2026 | 1122 IJ5 harm2 open | $21k | |
| The Villas at Sunny Acres 2501 E 104th Ave, Thornton, CO 80233 CCN 065108Abuse icon | 9.2 km | 160 | Apr 8, 2026 | 394 harm | $20k | |
| Skylake Post Acute 12080 Bellaire Wy, Thornton, CO 80241 CCN 065238 | 9.5 km | 242 | May 11, 2026 | 543 IJ | $56k | |
| Life Care Center of Westminster 7751 Zenobia Ct, Westminster, CO 80030 CCN 065358 | 10.4 km | 120 | Mar 19, 2026 | 574 harm6 open | $47k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 065379 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 065379 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Jun 23, 2025 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 29, 2025 | Complaint |
| Jan 16, 2025 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 17, 2025 |
| Jan 16, 2025 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 24, 2025 |
| Jan 16, 2025 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 6, 2025 |
| Jan 16, 2025 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 12, 2025 |
| Jan 16, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 6, 2025 |
| Jan 16, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Waiver granted May 18, 2025 |
| Jan 16, 2025 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 12, 2025 |
| Jan 16, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 16, 2025 |
| Jan 16, 2025 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 12, 2025 |
| Jan 16, 2025 | K-0541 | Install properly constructed and protected linen or trash chutes. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 11, 2025 |
| Jan 16, 2025 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 17, 2025 |
| Jan 16, 2025 | K-0907 | Ensure medical gas and vacuum systems have documented maintenance programs. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 5, 2025 |
| Jan 16, 2025 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 16, 2025 |
| Jan 16, 2025 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 19, 2025 |
| Jan 16, 2025 | F-0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 19, 2025 |
| Jan 16, 2025 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Feb 19, 2025 | Complaint |
| Jan 16, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 19, 2025 |
| Jan 16, 2025 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 19, 2025 |
| Jan 16, 2025 | F-0700 | 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. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 19, 2025 |
| Jan 16, 2025 | F-0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Feb 19, 2025 |
| Jan 16, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Feb 19, 2025 |
| Jan 16, 2025 | F-0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Feb 19, 2025 |
| Jan 16, 2025 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 19, 2025 |
| Jan 16, 2025 | F-0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Feb 19, 2025 |
| Mar 12, 2024 | K-0331 | Construct fire resistant interior walls. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 22, 2024 | Complaint |
| Mar 12, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 26, 2024 | Complaint |
| Mar 12, 2024 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 19, 2024 | Complaint |
| Mar 12, 2024 | K-0911 | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 16, 2024 | Complaint |
| Mar 12, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 26, 2024 | Complaint |
| Mar 12, 2024 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Waiver granted Sep 11, 2024 | Complaint |
| Aug 8, 2023 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | J · Immediate jeopardy Isolated | Corrected Sep 8, 2023 |
| Aug 8, 2023 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | H · Actual harm Pattern | Corrected Sep 8, 2023 |
| Aug 8, 2023 | F-0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records | H · Actual harm Pattern | Corrected Sep 8, 2023 |
| Aug 8, 2023 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Waiver granted Jan 6, 2024 |
| Aug 8, 2023 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 6, 2023 |
| Aug 8, 2023 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Waiver granted Jan 6, 2024 |
| Aug 8, 2023 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 6, 2023 |
| Aug 8, 2023 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 6, 2023 |
| Aug 8, 2023 | K-0541 | Install properly constructed and protected linen or trash chutes. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 6, 2023 |
| Aug 8, 2023 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 6, 2023 |
| Aug 8, 2023 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 6, 2023 |
| Aug 8, 2023 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 6, 2023 |
| Aug 8, 2023 | F-0574 | The resident has the right to receive notices in a format and a language he or she understands. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 8, 2023 |
| Aug 8, 2023 | F-0584 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Sep 8, 2023 |
| Aug 8, 2023 | F-0585 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Sep 8, 2023 |
| Aug 8, 2023 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 8, 2023 |
| Aug 8, 2023 | F-0625 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 8, 2023 |
| Aug 8, 2023 | F-0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 8, 2023 |
| Aug 8, 2023 | F-0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 8, 2023 |
| Aug 8, 2023 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Sep 8, 2023 |
| Aug 8, 2023 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 8, 2023 |
| Aug 8, 2023 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 8, 2023 |
| Aug 8, 2023 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 8, 2023 |
| Aug 8, 2023 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Sep 8, 2023 |
| Aug 8, 2023 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 8, 2023 |
| Aug 8, 2023 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 8, 2023 |
| Aug 8, 2023 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Sep 8, 2023 |
| Aug 8, 2023 | F-0730 | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Sep 8, 2023 |
| Aug 8, 2023 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Sep 8, 2023 |
| Aug 8, 2023 | F-0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Sep 8, 2023 |
| Aug 8, 2023 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Sep 8, 2023 |
| Aug 8, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Sep 8, 2023 |
| Aug 8, 2023 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Sep 8, 2023 |
| May 19, 2022 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 15, 2022 |
| May 19, 2022 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Waiver granted Dec 30, 2022 |
| May 19, 2022 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Waiver granted Dec 30, 2022 |
| May 19, 2022 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Waiver granted Dec 30, 2022 |
| May 19, 2022 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Waiver granted Dec 30, 2022 |
| May 19, 2022 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 15, 2022 |
| May 19, 2022 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 15, 2022 |
| May 19, 2022 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Waiver granted Sep 30, 2022 |
| May 19, 2022 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 15, 2022 |
| May 19, 2022 | K-0911 | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 15, 2022 |
| May 19, 2022 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 15, 2022 |
| May 19, 2022 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 12, 2022 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.21 (case-mix index 1.20).
| not provided |
| Jun 30, 2021 |
| Joseph Mann | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jul 10, 2023 |
| Jonathan Dougherty | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 30, 2021 |
| Aaron Mann | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 30, 2021 |
| Jonathan Dougherty | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | May 26, 2020 |
| Aaron Mann | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | May 26, 2020 |
| Caitlyn Donegan | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 15, 2024 |
| Jonathan Dougherty | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 26, 2020 |
| Malcolm Fraser | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2012 |
| Aaron Mann | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 26, 2020 |
| Christina Vigil | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 10, 2025 |
| Arlene Children's Trusts a & Gr | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2001 |
| Arlene Children's Trusts a & Nj | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2001 |
| Jl LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2020 |
| Caitlyn Donegan | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 13, 2025 |
| Malcolm Fraser | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 13, 2025 |