| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D4 | E1 | F· |
| Minimal | A· | B1 | 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 30, 2026 | Fire safety | Fire Safety Standard | 1 | Minimal | — | Open → |
| Apr 30, 2026 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Dec 12, 2024 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Dec 12, 2024 | Health | Health Standard | 0 | No citations | — | Open → |
| Aug 16, 2023 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Aug 16, 2023 | Health | Health Standard | 0 | No citations | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D4 | E1 | F· |
| Minimal | A· | B1 | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Apr 30, 2026 | F-0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 13, 2026 | |
| Apr 30, 2026 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 12, 2026 | |
| Apr 30, 2026 |
“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.
9 facilities in 2 states. CMS chain ID 879.
Chain average overall rating (CMS): 3.7
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Walworth County Care Center Inc | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Dec 18, 2018 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Walworth County Care Center Inc | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Dec 18, 2018 |
| Rural Health Development Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 1, 2018 |
| Trista Bates | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2019 |
| Robert Marciano | 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 | 435123 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 435123 | 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
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care |
| D · Potential harm Isolated |
| Corrected May 18, 2026 |
| Apr 30, 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 | D · Potential harm Isolated | Corrected May 13, 2026 |
| Apr 30, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected May 14, 2026 |
| Apr 30, 2026 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | B · Minimal Pattern | No revisit needed May 7, 2026 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.66 (case-mix index 1.17).
| Dec 1, 2018 |
| Daniel Biel | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Dec 1, 2018 |
| Renae Karst | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Dec 1, 2018 |
| Crystal Rueb | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Dec 1, 2018 |
| Trista Bates | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | May 1, 2019 |
| Robert Marciano | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | May 1, 2019 |
| Crystal Rueb | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Dec 1, 2018 |
| Trista Bates | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2019 |
| Robert Marciano | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 1, 2018 |