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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D9 | E2 | F2 |
| Minimal | A· | B· | C1 |
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 | |
|---|---|---|---|---|---|---|
| Jun 3, 2026 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Jun 3, 2026 | Health | Health Standard | 3 | Immediate jeopardy | — | Open → |
| Mar 13, 2025 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Mar 13, 2025 | Health | Health Complaint, Health Standard | 6 | Immediate jeopardy | — | Open → |
| Jan 25, 2024 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Jan 25, 2024 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jun 3, 2026 | Civil money penalty (fine) | $41,381 | — | 355036|Fine|142899 |
| Mar 13, 2025 | Civil money penalty (fine) | $22,835 | — | 355036|Fine|134166 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D9 | E2 | F2 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jun 3, 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 | Corrected Jun 17, 2026 | |
| Jun 3, 2026 | 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 Jul 15, 2026 | |
| Jun 3, 2026 | F-0761 |
“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 |
|---|---|---|---|---|---|
| Jacobson Memorial Hospital Care Center | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 13, 2022 |
| Andrew Cotant | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 24, 2025 |
| Sandra Gerving | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 10, 2015 |
| Lee Kiedrowski | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2026 |
| Diane Schirado | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 4, 2006 |
| Timothy Duppong | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Dec 11, 2012 |
| Charles Gerving | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Apr 4, 2006 |
| Jenny Hellman | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Apr 14, 2015 |
| Bruce Morman | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2016 |
| Heidi Peltz | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Feb 10, 2015 |
| Diane Schirado | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Apr 4, 2006 |
| Jacobson Memorial Hospital Care Center | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 13, 2022 |
| Andrew Cotant | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 24, 2025 |
| Timothy Duppong | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 11, 2012 |
| Charles Gerving | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 4, 2006 |
| Sandra Gerving | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 10, 2015 |
| Jenny Hellman | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 14, 2015 |
| Lee Kiedrowski | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2026 |
| Bruce Morman | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2016 |
| Heidi Peltz | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 10, 2015 |
| Diane Schirado | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 4, 2006 |
Coordinates as published by CMS.
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 355036 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 355036 | 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
| D · Potential harm Isolated |
| Corrected Jun 17, 2026 |
| Jun 3, 2026 | F-0865 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Jun 17, 2026 |
| Mar 13, 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 | J · Immediate jeopardy Isolated | Corrected Apr 3, 2025 | Complaint |
| Mar 13, 2025 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 3, 2025 |
| Mar 13, 2025 | 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 Apr 3, 2025 | Complaint |
| Mar 13, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 3, 2025 | Complaint |
| Mar 13, 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 | Corrected Apr 3, 2025 | Complaint |
| Mar 13, 2025 | F-0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Apr 10, 2025 | Complaint |
| Jan 25, 2024 | F-0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 6, 2024 |
| Jan 25, 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 Feb 6, 2024 |
| Jan 25, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 9, 2024 |
| Jan 25, 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 | E · Potential harm Pattern | Corrected Feb 16, 2024 |
| Jan 25, 2024 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 16, 2024 |
| Jan 25, 2024 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | C · Minimal Widespread | Corrected Feb 9, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.04 (case-mix index 1.15).