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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D15 | E22 | F13 |
| Minimal | A· | B· | C5 |
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 | |
|---|---|---|---|---|---|---|
| May 21, 2026 | Health | Health Complaint | 3 | Immediate jeopardy | — | Open → |
| Aug 26, 2025 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Dec 12, 2024 | Fire safety | Fire Safety Standard | 8 | Potential harm | — | Open → |
| Dec 12, 2024 | Health | Health Complaint, Health Standard | 7 | Potential harm | — | Open → |
| Nov 26, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Aug 31, 2023 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Aug 31, 2023 | Health | Health Standard | 9 | Actual harm | — | Open → |
| Sep 29, 2022 | Fire safety | Fire Safety Standard | 8 | Potential harm | — | Open → |
| Sep 29, 2022 | Health | Health Standard | 11 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| May 21, 2026 | Civil money penalty (fine) | $14,385 | — | 375165|Fine|139388 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D15 | E22 | F13 |
| Minimal | A· | B· | C5 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| May 21, 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 May 21, 2026 | Complaint |
| May 21, 2026 | 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 | E · Potential harm Pattern | Corrected May 26, 2026 | Complaint |
“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 |
|---|---|---|---|---|---|
| Grant Rhodes Revocable Trust Dated January 30, 2018 | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25% | May 1, 2022 |
| Jack L Byers Revocable Trust Dated January 26, 2017 | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25% | May 1, 2022 |
| Jeffrey W Young Revocable Trust Dated July 27, 2017 | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25% | May 1, 2022 |
| Snow Family Trust Dated June 29, 2012 | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25% | May 1, 2022 |
| Jack Byers | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25% | May 1, 2022 |
| Jonathan Rhodes | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25% | May 1, 2022 |
| Audrey Snow | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 13% | May 1, 2022 |
| Larry Snow | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 13% | May 1, 2022 |
| Bridgette Young | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 13% | May 1, 2022 |
| Jeffrey Young | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 13% | May 1, 2022 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Grant Rhodes Revocable Trust Dated January 30, 2018 | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25% | May 1, 2022 |
| Jack L Byers Revocable Trust Dated January 26, 2017 | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25% | May 1, 2022 |
| Jeffrey W Young Revocable Trust Dated July 27, 2017 | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25% | May 1, 2022 |
| Snow Family Trust Dated June 29, 2012 | Organization | Direct owner |
Coordinates as published by CMS.
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 375165 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 375165 | 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
| May 21, 2026 | F-0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected May 29, 2026 | Complaint |
| Aug 26, 2025 | 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 Sep 16, 2025 | Complaint |
| Aug 26, 2025 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | F · Potential harm Widespread | Corrected Sep 16, 2025 | Complaint |
| Aug 26, 2025 | 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 Sep 16, 2025 | Complaint |
| Aug 26, 2025 | F-0865 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Sep 16, 2025 | Complaint |
| Dec 12, 2024 | K-0271 | Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 31, 2025 |
| Dec 12, 2024 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 31, 2025 |
| Dec 12, 2024 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 31, 2025 |
| Dec 12, 2024 | K-0344 | Have an alternate power supply for its alarm system. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 31, 2025 |
| Dec 12, 2024 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 31, 2025 |
| Dec 12, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 31, 2025 |
| Dec 12, 2024 | K-0911 | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 31, 2025 |
| Dec 12, 2024 | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 13, 2025 |
| Dec 12, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jan 13, 2025 |
| Dec 12, 2024 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jan 13, 2025 | Complaint |
| Dec 12, 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 Jan 13, 2025 |
| Dec 12, 2024 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 13, 2025 |
| Dec 12, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jan 13, 2025 |
| Dec 12, 2024 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Jan 31, 2025 |
| Nov 26, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Dec 20, 2024 | Complaint |
| Nov 26, 2024 | F-0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Dec 20, 2024 | Complaint |
| Aug 31, 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 | G · Actual harm Isolated | Past non-compliance Jul 10, 2023 |
| Aug 31, 2023 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 23, 2024 |
| Aug 31, 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 Feb 23, 2024 |
| Aug 31, 2023 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 23, 2024 |
| Aug 31, 2023 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 23, 2024 |
| Aug 31, 2023 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 23, 2024 |
| Aug 31, 2023 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Oct 16, 2023 |
| Aug 31, 2023 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Oct 16, 2023 |
| Aug 31, 2023 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 16, 2023 |
| Aug 31, 2023 | 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 Oct 16, 2023 |
| Aug 31, 2023 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 16, 2023 |
| Aug 31, 2023 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 16, 2023 |
| Aug 31, 2023 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Oct 16, 2023 |
| Aug 31, 2023 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Oct 16, 2023 |
| Sep 29, 2022 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Nov 14, 2022 |
| Sep 29, 2022 | 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 Nov 14, 2022 |
| Sep 29, 2022 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 14, 2022 |
| Sep 29, 2022 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 14, 2022 |
| Sep 29, 2022 | F-0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Nov 14, 2022 |
| Sep 29, 2022 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Nov 14, 2022 |
| Sep 29, 2022 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 14, 2022 |
| Sep 29, 2022 | 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 | F · Potential harm Widespread | Corrected Nov 14, 2022 |
| Sep 29, 2022 | 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 Nov 14, 2022 |
| Sep 29, 2022 | F-0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 14, 2022 |
| Sep 29, 2022 | 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 Nov 14, 2022 |
| Sep 29, 2022 | F-0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 14, 2022 |
| Sep 29, 2022 | 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 Nov 14, 2022 |
| Sep 29, 2022 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Nov 14, 2022 |
| Sep 29, 2022 | F-0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 14, 2022 |
| Sep 29, 2022 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Nov 14, 2022 |
| Sep 29, 2022 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Nov 14, 2022 |
| Sep 29, 2022 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Nov 14, 2022 |
| Sep 29, 2022 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Nov 14, 2022 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.14 (case-mix index 1.11).
| 5% OR GREATER DIRECT OWNERSHIP INTEREST |
| 25% |
| May 1, 2022 |
| Jack Byers | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25% | May 1, 2022 |
| Jonathan Rhodes | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25% | May 1, 2022 |
| Audrey Snow | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 13% | May 1, 2022 |
| Larry Snow | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 13% | May 1, 2022 |
| Bridgette Young | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 13% | May 1, 2022 |
| Jeffrey Young | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 13% | May 1, 2022 |
| Bedlam Properties Ho LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2022 |
| Matrix Provider Solutions LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 27, 2024 |
| Mark Lietzke | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 27, 2024 |
| Larry Snow | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2022 |
| Kevin Williams | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 11, 2022 |
| Larry Snow | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | May 1, 2022 |
| Bbhr Propco, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2022 |
| Bedlam Properties Ho LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 22, 2025 |
| Grant Rhodes Revocable Trust Dated January 30, 2018 | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2022 |
| Jack L Byers Revocable Trust Dated January 26, 2017 | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2022 |
| Jeffrey W Young Revocable Trust Dated July 27, 2017 | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2022 |
| Matrix Provider Solutions LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 8, 2025 |
| Snow Family Trust Dated June 29, 2012 | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2022 |
| Jack Byers | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2022 |
| Mark Lietzke | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 27, 2024 |
| Arthur Pearson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2022 |
| Jonathan Rhodes | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2022 |
| Audrey Snow | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2022 |
| Larry Snow | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2022 |
| Kevin Williams | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 11, 2022 |
| Bridgette Young | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2022 |
| Jeffrey Young | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2017 |