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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G4 | H· | I· |
| Potential harm | D15 | E9 | F6 |
| 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 | |
|---|---|---|---|---|---|---|
| Jul 9, 2026 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Jul 9, 2026 | Health | Health Complaint, Health Standard | 7 | Potential harm | — | Open → |
| Dec 17, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 25, 2025 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Jun 5, 2025 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Jun 5, 2025 | Health | Health Standard | 6 | Actual harm | 6 | Open → |
| Sep 21, 2024 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Jul 11, 2024 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Jul 11, 2024 | Health | Health Complaint, Health Standard | 5 | Actual harm | — | Open → |
| Mar 15, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Sep 25, 2025 | Civil money penalty (fine) | $12,664 | — | 165530|Fine|135625 |
| Jun 5, 2025 | Civil money penalty (fine) | $21,754 | — | 165530|Fine|134695 |
| Aug 21, 2024 | Civil money penalty (fine) | $1,495 | — | 165530|Fine|79506 |
| Jul 11, 2024 | Denial of payment for new admissions | — | Aug 7, 2024 · 8 days | 165530|Payment Denial|2024-08-07 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G4 | H· | I· |
| Potential harm | D15 | E9 | F6 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 9, 2026 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 24, 2026 | |
| Jul 9, 2026 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 8, 2026 | |
| Jul 9, 2026 | K-0923 |
“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 |
|---|---|---|---|---|---|
| Glen Haven Home Inc | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | May 1, 1978 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Glen Haven Home Inc | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | May 1, 1978 |
| HHS Solutions LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 21, 2007 |
| Julianne Marriott | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Nov 1, 2016 |
| Matthew Ross | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Dec 21, 2007 |
| Ron Ross | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Dec 21, 2007 |
Coordinates as published by CMS.
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 165530 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 165530 | 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
| Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety |
| E · Potential harm Pattern |
| Corrected Jul 8, 2026 |
| Jul 9, 2026 | F-0602 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 5, 2026 | Complaint |
| Jul 9, 2026 | F-0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 5, 2026 | Complaint |
| Jul 9, 2026 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Aug 5, 2026 |
| Jul 9, 2026 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Aug 5, 2026 | Complaint |
| Jul 9, 2026 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Aug 5, 2026 |
| Jul 9, 2026 | 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 | E · Potential harm Pattern | Corrected Aug 5, 2026 |
| Jul 9, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Aug 5, 2026 |
| Dec 17, 2025 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 6, 2026 | Complaint |
| Sep 25, 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 | G · Actual harm Isolated | Past non-compliance | Complaint |
| Jun 5, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Plan of correction, not yet verified Jul 3, 2025 |
| Jun 5, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 5, 2025 |
| Jun 5, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 16, 2025 |
| Jun 5, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 9, 2025 |
| Jun 5, 2025 | 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 Jun 14, 2025 |
| Jun 5, 2025 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Plan of correction, not yet verified Jul 3, 2025 |
| Jun 5, 2025 | 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 | Plan of correction, not yet verified Jul 3, 2025 |
| Jun 5, 2025 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Plan of correction, not yet verified Jul 3, 2025 |
| Jun 5, 2025 | 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 | Plan of correction, not yet verified Jul 3, 2025 |
| Jun 5, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Plan of correction, not yet verified Jul 3, 2025 |
| Sep 21, 2024 | 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 | G · Actual harm Isolated | Corrected Sep 22, 2024 | Complaint |
| Jul 11, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | G · Actual harm Isolated | Corrected Jul 17, 2024 | Complaint |
| Jul 11, 2024 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 18, 2024 |
| Jul 11, 2024 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 22, 2024 |
| Jul 11, 2024 | K-0343 | Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 14, 2024 |
| Jul 11, 2024 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 18, 2024 |
| Jul 11, 2024 | K-0921 | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 15, 2024 |
| Jul 11, 2024 | 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 | E · Potential harm Pattern | Corrected Aug 2, 2024 | Complaint |
| Jul 11, 2024 | 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 Aug 2, 2024 |
| Jul 11, 2024 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 25, 2024 |
| Jul 11, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Aug 2, 2024 |
| Mar 15, 2024 | 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 Apr 1, 2024 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.93 (case-mix index 1.18).
| David Jaskierny | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Sep 1, 2012 |
| Richard Lincoln | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Sep 1, 2016 |
| Barbara Mass | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Feb 15, 2017 |
| Larry Raabe | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Sep 1, 2008 |
| Matthew Ross | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Dec 21, 2007 |
| Ron Ross | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Dec 21, 2007 |
| Don Schoening | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Feb 15, 2017 |
| Julianne Marriott | Individual | Managing employee | CONTRACTED MANAGING EMPLOYEE | not provided | Nov 1, 2016 |
| Matthew Ross | Individual | Managing employee | CONTRACTED MANAGING EMPLOYEE | not provided | Dec 21, 2007 |
| Ron Ross | Individual | Managing employee | CONTRACTED MANAGING EMPLOYEE | not provided | Dec 21, 2007 |