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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D8 | E· | F5 |
| Minimal | A· | B· | C1 |
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 15, 2026 | Fire safety | Fire Safety Standard | 3 | Potential harm | 1 | Open → |
| Apr 15, 2026 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Nov 25, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 23, 2025 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Apr 23, 2025 | Health | Health Standard | 1 | Minimal | 1 | Open → |
| Dec 16, 2024 | Health | Health Complaint | 3 | Immediate jeopardy | — | Open → |
| Feb 7, 2024 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Feb 7, 2024 | Health | Health Standard | 4 | Actual harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Dec 16, 2024 | Civil money penalty (fine) | $112,847 | — | 475057|Fine|5812 |
| Feb 7, 2024 | Civil money penalty (fine) | $28,009 | — | 475057|Fine|5790 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D8 | E· | F5 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Apr 15, 2026 | E-0018 | Establish procedures for tracking staff and patients during an emergency. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 15, 2026 | |
| Apr 15, 2026 | E-0024 | Establish policies and procedures for volunteers. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 15, 2026 | |
| Apr 15, 2026 | K-0918 |
“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 |
|---|---|---|---|---|---|
| The Manor Inc | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Apr 15, 1999 |
| Lynnette Smith | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Mar 6, 2006 |
| Lynnette Smith | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Mar 6, 2006 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| The Manor Inc | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Apr 15, 1999 |
| Lynnette Smith | Individual | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Mar 6, 2006 |
| Lynnette Smith | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Mar 6, 2006 |
| Lynnette Smith | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 6, 2006 |
| Tusa Van Vogelpoel |
Coordinates as published by CMS.
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 475057 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 475057 | 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 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 |
| Plan of correction, not yet verified Aug 28, 2026 |
| Apr 15, 2026 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 15, 2026 |
| Apr 15, 2026 | F-0710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected May 15, 2026 |
| Apr 15, 2026 | F-0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected May 15, 2026 |
| Apr 15, 2026 | F-0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected May 15, 2026 |
| Apr 15, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 15, 2026 |
| Nov 25, 2025 | 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 | F · Potential harm Widespread | Corrected Dec 19, 2025 | Complaint |
| Apr 23, 2025 | 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 | C · Minimal Widespread | No plan of correction |
| Dec 16, 2024 | F-0600 | 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 | J · Immediate jeopardy Isolated | Corrected Nov 14, 2024 | Complaint |
| Dec 16, 2024 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | J · Immediate jeopardy Isolated | Corrected Nov 20, 2024 | Complaint |
| Dec 16, 2024 | F-0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 30, 2024 | Complaint |
| Feb 7, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Mar 7, 2024 |
| Feb 7, 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 7, 2024 |
| Feb 7, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 7, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.30 (case-mix index 1.12).
| Individual |
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Apr 1, 2025 |
| Lisa Birmingham | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Jan 11, 2023 |
| Angela Norder | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Jan 1, 2008 |
| Dave Yacovone | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Jan 1, 2011 |
| The Manor Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 15, 1999 |
| Lynnette Smith | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 6, 2006 |
| Tusa Van Vogelpoel | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2025 |