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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K3 | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D4 | E· | 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 | |
|---|---|---|---|---|---|---|
| Aug 27, 2025 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Aug 27, 2025 | Health | Health Standard | 1 | Potential harm | — | Open → |
| Jul 16, 2024 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Jul 16, 2024 | Health | Health Complaint, Health Standard | 5 | Immediate jeopardy | — | Open → |
| Jul 26, 2023 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Jul 26, 2023 | Health | Health Standard | 1 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jul 16, 2024 | Civil money penalty (fine) | $198,960 | — | 355092|Fine|99627 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K3 | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D4 | E· | F4 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 27, 2025 | 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 Oct 23, 2025 | |
| Aug 27, 2025 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 12, 2025 | |
| Jul 16, 2024 |
“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 |
|---|---|---|---|---|---|
| Gerry Leadbetter | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2012 |
| Cindy Bice | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Dec 8, 2016 |
| Debbie Brown | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2022 |
| Klay Carlson | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Dec 8, 2016 |
| John Dolezal | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2020 |
| Donna Knutson | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 16, 2021 |
| Gerry Leadbetter | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Feb 1, 2012 |
| Sandra Rohde | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2010 |
| Dawn Stroh | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 26, 2017 |
| Nancy Tuhy | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 26, 2017 |
Coordinates as published by CMS.
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 355092 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 355092 | 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
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect |
| K · Immediate jeopardy Pattern |
| Corrected Aug 10, 2024 |
| Complaint |
| Jul 16, 2024 | 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 | K · Immediate jeopardy Pattern | Corrected Aug 10, 2024 | Complaint |
| Jul 16, 2024 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | K · Immediate jeopardy Pattern | Corrected Aug 10, 2024 | Complaint |
| Jul 16, 2024 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 7, 2024 |
| Jul 16, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 10, 2024 | Complaint |
| Jul 16, 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 Aug 10, 2024 | Complaint |
| Jul 26, 2023 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 8, 2023 |
| Jul 26, 2023 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 8, 2023 |
| Jul 26, 2023 | F-0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Aug 30, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.46 (case-mix index 1.14).