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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D2 | E2 | F2 |
| 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 | |
|---|---|---|---|---|---|---|
| Apr 29, 2026 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Apr 29, 2026 | Health | Health Standard | 0 | No citations | — | Open → |
| Mar 5, 2025 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Mar 5, 2025 | Health | Health Standard | 1 | Potential harm | — | Open → |
| Jan 18, 2024 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Jan 18, 2024 | Health | Health Standard | 5 | Actual harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D2 | E2 | F2 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Mar 5, 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 | E · Potential harm Pattern | Corrected Mar 25, 2025 | |
| Jan 18, 2024 | F-0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Feb 16, 2024 | |
| Jan 18, 2024 | K-0345 |
“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 |
|---|---|---|---|---|---|
| James Kennelly | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Oct 1, 1974 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| James Kennelly | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Oct 1, 1974 |
| Doug Heil | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jul 1, 2025 |
| Sisters of Mary of the Presentation Health System | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 31, 2023 |
| Nicole Anderson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 25, 2024 |
| James Kennelly | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided |
Coordinates as published by CMS.
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 355037 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 355037 | 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 approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety |
| F · Potential harm Widespread |
| Corrected Mar 18, 2024 |
| Jan 18, 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 Feb 16, 2024 |
| Jan 18, 2024 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Feb 16, 2024 |
| Jan 18, 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 | F · Potential harm Widespread | Corrected Feb 16, 2024 |
| Jan 18, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Feb 16, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.96 (case-mix index 1.19).
| Jan 1, 2024 |
| Ryan Mickelsen | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 30, 2023 |
| Charles Nyhus | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2020 |
| Debra Berry | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 1, 2019 |
| Mary Hager | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2024 |
| Doug Heil | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2025 |
| Steven Kourajian | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2024 |
| Kathy Muscha | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2024 |
| Anne Picard | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2024 |
| Gordon Schmidt | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2017 |
| Nicole Anderson | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 1, 2024 |
| Ryan Mickelsen | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 30, 2023 |
| Sisters of Mary of the Presentation Health System | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 24, 2025 |
| Nicole Anderson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 25, 2024 |
| James Kennelly | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 1974 |
| Ryan Mickelsen | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 30, 2023 |
| Charles Nyhus | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2020 |