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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D6 | E5 | F21 |
| 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 | |
|---|---|---|---|---|---|---|
| Feb 11, 2026 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Dec 11, 2024 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| Dec 11, 2024 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Jan 4, 2023 | Fire safety | Fire Safety Standard | 9 | Potential harm | — | Open → |
| Jan 4, 2023 | Health | Health Standard | 4 | Potential harm | — | Open → |
| May 18, 2021 | Fire safety | Fire Safety Standard | 10 | Potential harm | — | Open → |
| May 18, 2021 | Health | Health Standard | 0 | No citations | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Feb 11, 2026 | Civil money penalty (fine) | $14,069 | — | 175145|Fine|138115 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D6 | E5 | F21 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Feb 11, 2026 | 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 | J · Immediate jeopardy Isolated | Past non-compliance Feb 10, 2026 | Complaint |
| Dec 11, 2024 | K-0111 | Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. Construction Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 3, 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 |
|---|---|---|---|---|---|
| Alegria Living & Healthcare, Inc | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jul 1, 2014 |
| Scott Averill | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jul 1, 2004 |
| Susan Averill | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jul 1, 2004 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Alegria Living & Healthcare, Inc | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jul 1, 2014 |
| Scott Averill | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jul 1, 2004 |
| Susan Averill | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jul 1, 2004 |
| Joya Living & Healthcare Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 13, 2024 |
Coordinates as published by CMS.
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 175145 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 175145 | 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
| Dec 11, 2024 |
| K-0223 |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety |
| E · Potential harm Pattern |
| Corrected Feb 3, 2025 |
| Dec 11, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 3, 2025 |
| Dec 11, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 3, 2025 |
| Dec 11, 2024 | K-0354 | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 3, 2025 |
| Dec 11, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 3, 2025 |
| Dec 11, 2024 | K-0901 | Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. Electrical Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 3, 2025 |
| Dec 11, 2024 | 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 Dec 23, 2024 |
| Dec 11, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Dec 23, 2024 |
| Jan 4, 2023 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 18, 2022 |
| Jan 4, 2023 | 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 Nov 18, 2022 |
| Jan 4, 2023 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 18, 2022 |
| Jan 4, 2023 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 18, 2022 |
| Jan 4, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 18, 2022 |
| Jan 4, 2023 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 18, 2022 |
| Jan 4, 2023 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 18, 2022 |
| Jan 4, 2023 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 18, 2022 |
| Jan 4, 2023 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 18, 2022 |
| Jan 4, 2023 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 16, 2023 |
| Jan 4, 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 Jan 16, 2023 |
| Jan 4, 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 Jan 16, 2023 |
| Jan 4, 2023 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jan 16, 2023 |
| May 18, 2021 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 6, 2021 |
| May 18, 2021 | K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 6, 2021 |
| May 18, 2021 | 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 | E · Potential harm Pattern | Corrected Aug 6, 2021 |
| May 18, 2021 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Waiver granted Jul 7, 2021 |
| May 18, 2021 | K-0347 | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 6, 2021 |
| May 18, 2021 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Waiver granted Jul 7, 2021 |
| May 18, 2021 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 6, 2021 |
| May 18, 2021 | 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 Aug 6, 2021 |
| May 18, 2021 | 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 Aug 6, 2021 |
| May 18, 2021 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 6, 2021 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.16 (case-mix index 1.29).
| Nathan Averill | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 19, 2024 |
| Scott Averill | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 13, 2024 |
| Susan Averill | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 19, 2024 |
| Tammy Conklin | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 19, 2024 |
| Sharrell Davidson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 19, 2024 |
| Denise Hoback | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 13, 2024 |
| Ciara Jones | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 19, 2024 |
| Tracy Jones | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 19, 2024 |
| Peggy Wessel | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 13, 2024 |
| Scott Averill | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2018 |
| Susan Averill | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2018 |
| Denise Hoback | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2018 |
| Nathan Averill | Individual | Managing employee | CONTRACTED MANAGING EMPLOYEE | not provided | Oct 15, 2022 |
| Scott Averill | Individual | Managing employee | CONTRACTED MANAGING EMPLOYEE | not provided | Jan 1, 2024 |
| Susan Averill | Individual | Managing employee | CONTRACTED MANAGING EMPLOYEE | not provided | Jan 1, 2018 |
| Denise Hoback | Individual | Managing employee | CONTRACTED MANAGING EMPLOYEE | not provided | Jan 1, 2018 |
| Tammy Conklin | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Jul 13, 2004 |
| Sharrell Davidson | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Jun 20, 2016 |
| Ciara Jones | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Oct 13, 2024 |
| Tracy Jones | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Jul 22, 2024 |
| Peggy Wessel | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Jun 3, 2024 |
| Joya Living & Healthcare Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Nov 22, 2024 |
| Scott Averill | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 22, 2024 |
| Susan Averill | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 22, 2024 |
| Tammy Conklin | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 22, 2024 |
| Denise Hoback | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 22, 2024 |
| Tracy Jones | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 22, 2024 |
| Peggy Wessel | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 22, 2024 |