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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D6 | E4 | F14 |
| Minimal | A· | B1 | 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 | |
|---|---|---|---|---|---|---|
| Sep 17, 2025 | Health | Health Standard | 7 | Potential harm | — | Open → |
| Jul 25, 2024 | Health | Health Standard | 15 | Potential harm | — | Open → |
| Apr 19, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| May 10, 2023 | Fire safety | Fire Safety Standard | 1 | Minimal | 1 | Open → |
| May 10, 2023 | Health | Health Standard | 0 | No citations | — | Open → |
| Apr 6, 2022 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Jul 10, 2019 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jul 25, 2024 | Civil money penalty (fine) | $76,500 | — | 475058|Fine|5805 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D6 | E4 | F14 |
| Minimal | A· | B1 | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Sep 17, 2025 | F-0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect | F · Potential harm Widespread | Corrected Oct 7, 2025 | |
| Sep 17, 2025 | 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 | D · Potential harm Isolated | Corrected Oct 3, 2025 | |
| Sep 17, 2025 |
“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 |
|---|---|---|---|---|---|
| Gifford Health Care Inc | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Aug 12, 2013 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Gifford Health Care Inc | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Aug 12, 2013 |
| Kristin Chandler | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 2, 2025 |
| Emilija Florance | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 2, 2025 |
| Sarah Jackson | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 2, 2025 |
| Jamie Kinnarney | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided |
Coordinates as published by CMS.
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 475058 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 475058 | 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
| 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 8, 2025 |
| Sep 17, 2025 | F-0699 | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 25, 2025 |
| Sep 17, 2025 | 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 Oct 14, 2025 |
| Sep 17, 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 Jan 5, 2026 |
| Sep 17, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Oct 8, 2025 |
| Jul 25, 2024 | 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 Sep 20, 2024 |
| Jul 25, 2024 | F-0563 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. Resident Rights Deficiencies · Resident rights & abuse/neglect | F · Potential harm Widespread | Corrected Sep 20, 2024 |
| Jul 25, 2024 | F-0637 | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 20, 2024 |
| Jul 25, 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 | E · Potential harm Pattern | Corrected Sep 20, 2024 |
| Jul 25, 2024 | 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 | F · Potential harm Widespread | Corrected Sep 20, 2024 |
| Jul 25, 2024 | 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 Sep 20, 2024 |
| Jul 25, 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 Sep 20, 2024 |
| Jul 25, 2024 | F-0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Sep 20, 2024 |
| Jul 25, 2024 | F-0841 | Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Sep 20, 2024 |
| Jul 25, 2024 | F-0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Sep 20, 2024 |
| Jul 25, 2024 | F-0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Sep 20, 2024 |
| Jul 25, 2024 | F-0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Sep 20, 2024 |
| Jul 25, 2024 | F-0946 | Provide training in compliance and ethics. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Sep 20, 2024 |
| Jul 25, 2024 | F-0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Sep 20, 2024 |
| Jul 25, 2024 | F-0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Sep 20, 2024 |
| Apr 19, 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 | D · Potential harm Isolated | Corrected May 17, 2024 | Complaint |
| Apr 19, 2024 | 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 | E · Potential harm Pattern | Corrected May 17, 2024 | Complaint |
| Apr 19, 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 | C · Minimal Widespread | Corrected Apr 26, 2024 | Complaint |
| May 10, 2023 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | B · Minimal Pattern | No plan of correction |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.43 (case-mix index 1.14).
| Jan 2, 2025 |
| Kathleen Mason | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 2, 2025 |
| Jeffrey Nelb | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 2, 2025 |
| Paul Putney | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 2, 2025 |
| Peter Reed | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 2, 2025 |
| Victor Ribaudo | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 2, 2025 |
| Morgan Rilling | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 2, 2025 |
| Cindy Rosalbo | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 2, 2025 |
| Cheyenne Holland | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 19, 2024 |
| Heather Impey | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 28, 2025 |
| Cristine Maloney | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2025 |
| Michael Costa | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 3, 2024 |
| Cheyenne Holland | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Aug 19, 2024 |
| Gifford Health Care Inc | Organization | Trustee | TRUSTEE OF THE SNF | not provided | Aug 12, 2013 |
| Michael Costa | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Oct 1, 2024 |
| Emilija Florance | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Jan 2, 2025 |
| Cheyenne Holland | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Aug 19, 2024 |
| Sarah Jackson | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Jan 2, 2025 |
| Jamie Kinnarney | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Jan 2, 2025 |
| Kathleen Mason | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Jan 2, 2025 |
| Jeffrey Nelb | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Jan 2, 2025 |
| Paul Putney | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Jan 2, 2025 |
| Peter Reed | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Jan 2, 2025 |
| Victor Ribaudo | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Jan 2, 2025 |
| Morgan Rilling | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Jan 2, 2025 |
| Cindy Rosalbo | Individual | Trustee | TRUSTEE OF THE SNF | not provided | Jan 2, 2025 |
| Gifford Health Care Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 12, 2013 |
| Heather Impey | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 9, 2026 |
| Cristine Maloney | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 9, 2026 |