Hearth Record

Little Hands Learning Center

A child care center in Burnsville, North Carolina 28714

55 Oakcrest Road, Burnsville, North Carolina 28714. (828) 682-2469.

  • administrative action in the last three years
North Carolina’s own record, on ncchildcare.ncdhhs.gov

Watch and the shortlist are kept with a free account, on every device. Your watch list. North Carolina’s own record is on ncchildcare.ncdhhs.gov.

The short answer

The last 24 months 37 violations in 7 months of the last 36. Last cited Apr 2026. Every month

Each figure’s source sits beside it, in its section below.

What these words mean5
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Quality rating
Many states rate child care in a quality rating system that goes past the licensing rules, such as Texas Rising Star or Kentucky All STARS. Taking part is often voluntary, so a program with no rating hasn’t been rated low. Source: Each state’s quality rating system.
Licence status
Whether the state’s licence lets the place operate now, in the state’s own words: licensed, on probation (allowed to keep operating on conditions, after problems), provisional, pending or expired. Source: Each state’s licensing agency.
Capacity
The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

11 DCDEE visits in the last three years, the latest on Apr 8, 2026.

37 violations cited in the last three years, 37 of them marked corrected.

Source:

North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE), Child Care Facility Search (ncchildcare.ncdhhs.gov): licences, DCDEE visits and violations. Checked Oct 21, 2026. Updated daily.

When those violations happened

37 violations in 7 months of the last 36. Last cited Apr 2026. The last 3 years, to Nov 3, 2026.

37 violations by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

Each violation, in its source’s words

Grouped by visit, newest first, with the level its source gave it.

Source:

North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE), Child Care Facility Search (ncchildcare.ncdhhs.gov): licences, DCDEE visits and violations. Checked Oct 21, 2026. Updated daily.

Apr 8, 2026: unannounced7 violations
  • A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center.

    “One child’s file did not have a signed statement that the parent was given the summary of the law upon enrollment”

    Rule A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 22, 2026. Correction verified: by a letter from the provider.

  • Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit.

    “An air conditioning unit/mini split was accessible to children and did not have a guard on it.”

    Rule Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 22, 2026. Correction verified: by a letter from the provider.

  • Bed, cribs, playpens, cots or mats were not placed at least 18” apart or separated by partitions when in use.

    “In space #3, two cots were not place at least 18” apart.”

    Rule Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 22, 2026. Correction verified: by a letter from the provider.

  • Operational policies were not discussed with parents on or before the child’s first day and/or they were not notified in writing of all changes.

    Rule Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 22, 2026. Correction verified: by a letter from the provider.

  • Operational policies were not discussed with parents on or before the child’s first day and/or they were not notified in writing of all changes.

    “One child’s file did not have a signed statement of the operational policies upon enrollment.”

    Rule Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 22, 2026. Correction verified: by a letter from the provider.

  • Parent participation plan was not discussed with parents on or before the child’s first day of attendance and/or a copy was not given to them or posted in the center.

    “One child’s file did not have a signed statement of the parent participation plan upon enrollment.”

    Rule Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 22, 2026. Correction verified: by a letter from the provider.

  • The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction.

    “One child’s file did not have a signed statement of the no smoking/tobacco policy upon enrollment.”

    Rule The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 22, 2026. Correction verified: by a letter from the provider.

Jul 1, 2025: unannounced1 violation
  • Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child’s developmental needs.

    “A child was drug by the wrist for approximately three (3) feet.”

    Rule Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 14, 2025. Correction verified: by a letter from the provider.

May 7, 2025: unannounced3 violations
  • All stationary equipment, more than 18 inches high, was not installed over protective surfacing.

    “There were two Little Tykes type slides and a cube climber that were all above 18 inches high with no surfacing underneath.”

    Rule All stationary equipment, more than 18 inches high, was not installed over protective surfacing.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 21, 2025. Correction verified: by a letter from the provider.

  • Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule.

    “Four (4) children had sunscreen that the permission form was over 12 months old.”

    Rule Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 21, 2025. Correction verified: by a letter from the provider.

  • Rule violated (DCDEE’s description below)

    “Staff did not complete the health and safety training within one year of employment Four (4) children had sunscreen that the permission form was over 12 months old.”

    Rule Rule violated (DCDEE’s description below). Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 21, 2025. Correction verified: by a letter from the provider.

Jan 30, 2025: unannounced6 violations
  • Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month.

    “In space #1, the sleep logs were not maintained in a consistent manner.”

    Rule Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 14, 2025. Correction verified: by a letter from the provider.

  • Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child.

    “In space #1 there was a power strip that had outlets that were uncovered.”

    Rule Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 14, 2025. Correction verified: by a letter from the provider.

  • Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule.

    “There was three (3) children with Tylenol, one (1) teething gel and one (1) bottle of gas drops that all were to be given “as needed” for teething and gas, which is not allowed.”

    Rule Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 14, 2025. Correction verified: by a letter from the provider.

  • Rule violated (DCDEE’s description below)

    The inspectors’ words, 98 words

    “All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. • In space #4, there were lotions a deodorant and a container of petroleum jelly, that had a “keep out of reach of children” warning on them, in the teacher’s desk drawers. • In the open/unlocked office, there was canned air that is under pressure which is considered to be an aerosol and must be locked.”

    Rule Rule violated (DCDEE’s description below). Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 14, 2025. Correction verified: by a letter from the provider.

  • Rule violated (DCDEE’s description below)

    “Over-the-counter medication was given which exceeded the amount and frequency of the dosage on the manufacturer’s label. in space #2 with child 1 year of age, there were three (3) containers of Tylenol to be given as needed. The box states to see a physician for children under 2 years of age.”

    Rule Rule violated (DCDEE’s description below). Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 14, 2025. Correction verified: by a letter from the provider.

  • The depth of the loose surfacing was not based on critical height of the equipment.

    “The depth of mulch at the climber measured three (3) inches deep instead of six (6) inches deep.”

    Rule The depth of the loose surfacing was not based on critical height of the equipment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 14, 2025. Correction verified: by a letter from the provider.

Jun 13, 2024: unannounced7 violations
  • A drug or medication was administered without written authorization and/or instructions from a child’s parent or authorized health professional.

    “In space #1, diaper ointment and spray did not have a permission slip.”

    Rule A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 26, 2024. Correction verified: by a letter from the provider.

  • A drug or medicine was administered after its expiration date.

    “In space #2, a diaper cream was expired.”

    Rule A drug or medicine was administered after its expiration date.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 26, 2024. Correction verified: by a letter from the provider.

  • All equipment and furnishings were not in good repair.

    “Blinds in spaces 4A & 4B are broken and need to be replaced. Administrator has some ready to be installed but more will need to be ordered and installed.”

    Rule All equipment and furnishings were not in good repair.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 26, 2024. Correction verified: by a letter from the provider.

  • Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month.

    “In space #1, sleep charts have not been maintained for the past three days due to running out of forms.”

    Rule Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 26, 2024. Correction verified: by a letter from the provider.

  • Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission.

    “One child did not have a record of immunizations.”

    Rule Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 26, 2024. Correction verified: by a letter from the provider.

  • Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items.

    “Teacher who came in to give a break in Space #1, wiped a child’s noes and wiped up spit-up, but did not wash her hands.”

    Rule Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 26, 2024. Correction verified: by a letter from the provider.

  • The medical action plan was not updated on an annual basis or when changes to the plan were made by the child’s parent or health care professional.

    “An epi pen did not have parent or health care professional’s signature on the medical action plan.”

    Rule The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 26, 2024. Correction verified: by a letter from the provider.

Mar 4, 2024: unannounced12 violations
  • A current activity plan was not posted for each group of children for reference.

    “All activity plans were not current.”

    Rule A current activity plan was not posted for each group of children for reference.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 18, 2024. Correction verified: by a letter from the provider.

  • A violation was found for which there is no item number.

    “2820(c) Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use, but are not required to be in locked storage. A mailbox on the playground that was located lower than five (5) feet had hand sanitizer in it. 15 NCAC 18A .2820(c)”

    Rule A violation was found for which there is no item number.. Corrected during the inspection.

  • All equipment and furnishings were not in good repair.

    “Space #2 had a broken electrical outlet cover.”

    Rule All equipment and furnishings were not in good repair.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 18, 2024. Correction verified: by a letter from the provider.

  • All staff did not successfully complete certification in CPR training appropriate to the age of the children in care.

    “Verification of staff completion of the CPR course from an approved training organization was not in the staff file. New staff (ME), hired on 9/18/23, did not complete CPR training within 90 days of employment.”

    Rule All staff did not successfully complete certification in CPR training appropriate to the age of the children in care.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 18, 2024. Correction verified: by a letter from the provider.

  • All staff did not successfully complete certification in First Aid appropriate to the age of children in care.

    “Verification of staff completion of First Aid training from an approved training organization was not in the staff file. New staff (ME), hired on 9/18/23, did not complete Pediatric First Aid training within 90 days of employment.”

    Rule All staff did not successfully complete certification in First Aid appropriate to the age of children in care.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 18, 2024. Correction verified: by a letter from the provider.

  • Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child.

    “An outlet in Space #2 did not have protective covers.”

    Rule Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child.. Corrected during the inspection.

  • Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule.

    “A child in space #1 had gas drops but did not have a permission form filled out.”

    Rule Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 18, 2024. Correction verified: by a letter from the provider.

  • New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks.

    “New staff (ME), hired on 9/18/23, did not have documentation of the second half of the orientation which accounts for at least ten (10) hours.”

    Rule New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 18, 2024. Correction verified: by a letter from the provider.

  • On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months.

    “New staff (ME) hired on 9/18/23, completed the TB test/screening on 9/20/23, which was two (2) days after her date of hire.”

    Rule On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 18, 2024. Correction verified: by a letter from the provider.

  • Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age.

    “Plastic bags were stored below five (5) feet in spaces #1 and #2.”

    Rule Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age.. Corrected during the inspection.

  • The activity plan was not designed to stimulate emotional and social, health and physical, approaches to play and learning, language development and communication, and cognitive development for each group of children in care.

    “Activity plans did not include goals from North Carolina Foundations for Early Learning and Development to link to domains.”

    Rule The activity plan was not designed to stimulate emotional and social, health and physical, approaches to play and learning, language development and communication, and cognitive development for each group of children in care.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 18, 2024. Correction verified: by a letter from the provider.

  • The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment.

    “New staff (ME), hired on 9/18/23, did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment.”

    Rule The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 18, 2024. Correction verified: by a letter from the provider.

Jan 30, 2024: unannounced1 violation
  • Appropriate discipline practices were not followed.

    “On January 19, 2024, a two-year-old child in space #3 was pulled down to sit and smacked on the hand by a staff member.”

    Rule Appropriate discipline practices were not followed.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 12, 2024. Correction verified: at a follow-up visit by DCDEE.

All 11 visits on record
Visits on record
DateVisitWhat the record says
Apr 8, 2026Unannounced visit7 violations cited
Jan 20, 2026Announced visitNo violations cited
Jul 15, 2025Unannounced visitNo violations cited
Jul 1, 2025Unannounced visit1 violation cited
May 7, 2025Unannounced visit3 violations cited
Jan 30, 2025Unannounced visit6 violations cited
Jun 13, 2024Unannounced visit7 violations cited
Apr 10, 2024Unannounced visitNo violations cited
Mar 4, 2024Unannounced visit12 violations cited
Feb 12, 2024Unannounced visitNo violations cited
Jan 30, 2024Unannounced visit1 violation cited

Is it licensed?

  • Child Care Center, holding a Four Star Center License since Jul 3, 2019.
  • Licensed for 50 children, ages 0 through 5.
  • Enrolled in North Carolina’s subsidized child care program.
  • North Carolina’s licence number: 0055004.
Source:

North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE), Child Care Facility Search (ncchildcare.ncdhhs.gov): licences, DCDEE visits and violations. Checked Oct 21, 2026. Updated daily.

Has North Carolina acted against it?

  • DCDEE says it has issued one or more administrative actions for this facility in the past three years; North Carolina’s page doesn’t say what they were, and shows one only after its 30-day appeal period.
Source:

North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE), Child Care Facility Search (ncchildcare.ncdhhs.gov): licences, DCDEE visits and violations. Checked Oct 21, 2026. Updated daily.

Who does the caring?

  • North Carolina’s page gives a staff-to-child ratio policy as the provider reports it, unverified by DCDEE, so it isn’t shown.

Who owns it?

  • Owner, as North Carolina lists it: Yancey Co. Dept. of Social Services.
Source:

North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE), Child Care Facility Search (ncchildcare.ncdhhs.gov): licences, DCDEE visits and violations. Checked Oct 21, 2026. Updated daily.

How is it rated?

  • Star Rated License: 4 stars of five.
Source:

North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE), Child Care Facility Search (ncchildcare.ncdhhs.gov): licences, DCDEE visits and violations. Checked Oct 21, 2026. Updated daily.

How does it compare nearby?

  • Among 5 child care providers in Yancey County, the middle value for violations cited in the last three years was 10; this one had 37.
Source:

North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE), Child Care Facility Search (ncchildcare.ncdhhs.gov): licences, DCDEE visits and violations. Checked Oct 21, 2026. Updated daily.

4 of the 5 in Yancey County, as the source lists them, same ZIP code first
PlaceViolations cited in the last three years
Yancey County Head Start Center10
Burnsville Elementary Preschool6
Genesis Academy, Inc.44
Blue Ridge Elementary Preschool6
Little Hands Learning Center This child care provider37

What the record doesn’t say

  • North Carolina doesn’t show a visit summary tied to an open child maltreatment investigation while the case is active, and shows an administrative action only after its 30-day appeal period, without saying what it was.
  • DCDEE’s descriptions of violations are shown in its own words; a description that names or may name a person isn’t shown. Visit summaries, the consultants’ full reports, aren’t read.
  • North Carolina’s page lists the provider’s own features (transport, ratios) as furnished by the provider and unverified by DCDEE, so they aren’t shown.

Sources

If you believe something here is wrong, a correction starts with the agency whose record this copies: North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE). North Carolina’s own record is on ncchildcare.ncdhhs.gov. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 3, 2026.

From the provider

The public record above comes first. Anything the provider adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the provider will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the provider”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

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Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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