| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D15 | E3 | 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 | |
|---|---|---|---|---|---|---|
| Jul 7, 2026 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Jul 7, 2026 | Health | Health Standard | 1 | Potential harm | — | Open → |
| Sep 26, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 9, 2025 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Jul 9, 2025 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Jul 17, 2024 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Jul 17, 2024 | Health | Health Standard | 7 | Potential harm | — | Open → |
| Apr 16, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D15 | E3 | F4 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 7, 2026 | F-0699 | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 23, 2026 | |
| Sep 26, 2025 | 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 Dec 17, 2025 | Complaint |
| Jul 9, 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 |
|---|---|---|---|---|---|
| Potvin Holdings Incorporated | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Oct 31, 2011 |
| Allen Potvin | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2020 |
| Judith Potvin | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Oct 31, 2011 |
| Lance Potvin | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2020 |
| Kari Swanson | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2020 |
| Jennifer Dolalie | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2020 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Potvin Holdings Incorporated | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Oct 31, 2011 |
| Allen Potvin | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2020 |
| Judith Potvin | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Oct 31, 2011 |
| Lance Potvin | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2020 |
Coordinates as published by CMS.
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 245307 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 245307 | 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
| K-0324 |
| Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety |
| F · Potential harm Widespread |
| Corrected Aug 1, 2025 |
| Jul 9, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 8, 2025 |
| Jul 9, 2025 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 11, 2025 |
| Jul 9, 2025 | K-0912 | Have power receptacles that are properly grounded. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 11, 2025 |
| Jul 9, 2025 | 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 Aug 11, 2025 |
| Jul 9, 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 Aug 11, 2025 |
| Jul 9, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 18, 2025 |
| Jul 9, 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 | E · Potential harm Pattern | Corrected Aug 18, 2025 |
| Jul 9, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Aug 25, 2025 |
| Jul 17, 2024 | 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 | D · Potential harm Isolated | Corrected Aug 23, 2024 |
| Jul 17, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 23, 2024 |
| Jul 17, 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 Sep 5, 2024 |
| Jul 17, 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 23, 2024 |
| Jul 17, 2024 | 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 Aug 23, 2024 |
| Jul 17, 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 | D · Potential harm Isolated | Corrected Aug 23, 2024 |
| Jul 17, 2024 | 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 Aug 23, 2024 |
| Jul 17, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Aug 23, 2024 |
| Jul 17, 2024 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Aug 23, 2024 |
| Apr 16, 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 | D · Potential harm Isolated | Corrected May 13, 2024 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.37 (case-mix index 1.27).
| Kari Swanson | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2020 |
| Jennifer Dolalie | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2020 |
| Jennifer Dolalie | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2020 |
| Allen Potvin | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2020 |
| Judith Potvin | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2020 |
| Lance Potvin | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2020 |
| Kari Swanson | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2020 |
| Choice Therapy, P.a | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2018 |
| Health Services Network Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2008 |
| Andrew Brekken | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 13, 2024 |
| Stacy Herman | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 4, 2025 |
| Kira Lebeda | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 10, 2024 |
| David Mortensen | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 12, 2013 |
| Sara Neese | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 31, 2025 |
| Esther Potti | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2019 |
| John Renner | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 14, 2015 |
| Jennifer Steinke | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2024 |
| Kari Swanson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2021 |
| Jennifer Dolalie | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2020 |
| Allen Potvin | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Dec 21, 2007 |
| Judith Potvin | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Dec 21, 2007 |
| Lance Potvin | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2020 |
| Kari Swanson | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2020 |
| David Mortensen | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Aug 12, 2013 |
| Kari Swanson | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | May 1, 2021 |
| Choice Therapy, P.a | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2018 |
| Cliftonlarsonallen | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2008 |
| Headwaters Nutrition Counseling, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2024 |
| Health Services Network Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2008 |
| Potvin Holdings Incorporated | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 31, 2011 |
| Andrew Brekken | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 13, 2024 |
| Jennifer Dolalie | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2020 |
| Stacy Herman | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 4, 2025 |
| David Mortensen | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 2, 2013 |
| Sara Neese | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 31, 2025 |
| Esther Potti | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2019 |
| Allen Potvin | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2020 |
| Judith Potvin | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2020 |
| Lance Potvin | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2010 |
| John Renner | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 4, 2015 |
| Jennifer Steinke | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2024 |
| Kari Swanson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2020 |