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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D10 | E2 | F4 |
| 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 | |
|---|---|---|---|---|---|---|
| Oct 2, 2025 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Oct 2, 2025 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Jul 1, 2024 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Jul 1, 2024 | Health | Health Complaint, Health Standard | 6 | Potential harm | — | Open → |
| Jan 12, 2023 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Jan 12, 2023 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D10 | E2 | F4 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Oct 2, 2025 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 29, 2025 | |
| Oct 2, 2025 | 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 Dec 29, 2025 | |
| Oct 2, 2025 |
“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 |
|---|---|---|---|---|---|
| Cristal Burnette | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2021 |
| Debra Self | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 10, 2016 |
| Nicholas Townsend | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 15, 2016 |
| Kevin Bierschenk | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Feb 25, 2019 |
| Rick Davenport | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2019 |
| Thomas Gary | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2019 |
| Greg Owenby | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2019 |
| Dinah Paris | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 18, 2010 |
| Steven Rowe | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2015 |
| Nicholas Townsend | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Apr 15, 2016 |
| Michael Gay | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 1, 2016 |
| Kevin Bierschenk | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Feb 25, 2019 |
| Debra Self | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Jun 10, 2016 |
| Nicholas Townsend | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Apr 15, 2016 |
| Kevin Bierschenk | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 25, 2019 |
| Cristal Burnette | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2021 |
| Michael Gay | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2016 |
| Alan Sanders | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 21, 2025 |
| Debra Self | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 10, 2016 |
| Nicholas Townsend | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 15, 2016 |
Coordinates as published by CMS.
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 115695 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 115695 | 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
| Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention |
| D · Potential harm Isolated |
| Corrected Dec 29, 2025 |
| Jul 1, 2024 | 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 | D · Potential harm Isolated | Corrected Aug 15, 2024 | Complaint |
| Jul 1, 2024 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Aug 15, 2024 | Complaint |
| Jul 1, 2024 | F-0758 | 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. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Aug 15, 2024 | Complaint |
| Jul 1, 2024 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Aug 15, 2024 | Complaint |
| Jul 1, 2024 | 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 Aug 15, 2024 | Complaint |
| Jul 1, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Aug 15, 2024 | Complaint |
| Jan 12, 2023 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 1, 2023 |
| Jan 12, 2023 | K-0341 | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 1, 2023 |
| Jan 12, 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 | D · Potential harm Isolated | Corrected Mar 1, 2023 |
| Jan 12, 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 | D · Potential harm Isolated | Corrected Mar 1, 2023 |
| Jan 12, 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 Mar 1, 2023 |
| Jan 12, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 1, 2023 |
| Jan 12, 2023 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 1, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.97 (case-mix index 1.30).