Loading facility…
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D11 | E5 | 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 | |
|---|---|---|---|---|---|---|
| Aug 13, 2026 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Aug 13, 2026 | Health | Health Standard | 9 | Potential harm | — | Open → |
| Jul 25, 2025 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Feb 8, 2024 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Feb 8, 2024 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Apr 26, 2023 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D11 | E5 | F2 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 13, 2026 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Sep 4, 2026 | |
| Aug 13, 2026 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Sep 4, 2026 | |
| Aug 13, 2026 | K-0712 |
“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 |
|---|---|---|---|---|---|
| City of Bowdle | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Feb 1, 1987 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| City of Bowdle | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Feb 1, 1987 |
| Lacey Kessler | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 19, 2024 |
| Darwyn Kleffman | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 19, 2024 |
| Darryn Barnhardt | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 1, 2022 |
| Margaret Bobby | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 1, 2022 |
| Rick Boschee |
Coordinates as published by CMS.
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 435107 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 435107 | 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 simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety |
| E · Potential harm Pattern |
| Corrected Sep 4, 2026 |
| Aug 13, 2026 | 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 | D · Potential harm Isolated | Corrected Sep 4, 2026 |
| Aug 13, 2026 | 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 | E · Potential harm Pattern | Corrected Sep 4, 2026 |
| Aug 13, 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 | D · Potential harm Isolated | Corrected Sep 4, 2026 |
| Aug 13, 2026 | F-0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Sep 4, 2026 |
| Aug 13, 2026 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Sep 4, 2026 |
| Aug 13, 2026 | 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 Sep 4, 2026 |
| Aug 13, 2026 | 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 | D · Potential harm Isolated | Corrected Sep 4, 2026 |
| Aug 13, 2026 | 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 Sep 4, 2026 |
| Aug 13, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Sep 4, 2026 |
| Jul 25, 2025 | F-0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Past non-compliance Mar 7, 2025 |
| Jul 25, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Sep 8, 2025 |
| Feb 8, 2024 | 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 Mar 20, 2024 |
| Feb 8, 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 Mar 20, 2024 |
| Feb 8, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 20, 2024 |
| Apr 26, 2023 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 19, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.10 (case-mix index 1.14).
| Individual |
| Corporate officer / director |
| CORPORATE DIRECTOR |
| not provided |
| May 1, 2000 |
| Rex Gab | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 1, 2022 |
| Michael Gunderson | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 1, 2017 |
| Russell Maier | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 1, 2023 |
| Amber Shaykett | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 1, 2022 |
| Darwyn Kleffman | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | May 20, 2019 |
| Lacey Kessler | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Aug 21, 2017 |
| Darwyn Kleffman | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | May 20, 2019 |
| Lacey Kessler | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 10, 2024 |
| Darwyn Kleffman | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 10, 2024 |