Hearth Record

Cos Kids

A child care center in Charlotte, North Carolina 28105

226 W John Street, Charlotte, North Carolina 28105. (704) 845-4673.

  • 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 38 violations in 7 months of the last 36. Last cited Mar 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 Mar 3, 2026.

38 violations cited in the last three years, 38 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

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

38 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.

Mar 3, 2026: unannounced1 violation
  • Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements.

    “The November,2025 playground inspection was not documented and available for review.”

    Rule Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 3, 2026. Correction verified: by a letter from the provider.

Oct 21, 2025: unannounced7 violations
  • A child care operator did not notify the Division of any new child care providers, as defined in G.S.

    “110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The facility has no staff linked to the ABCMS portal.”

    Rule A child care operator did not notify the Division of any new child care providers, as defined in G.S.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 11, 2025. Correction verified: by a letter from the provider.

  • Fire drills were not practiced monthly and/or the drill record was incomplete.

    “The August, 2025 fire drill was not documented.”

    Rule Fire drills were not practiced monthly and/or the drill record was incomplete.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 30, 2025. Correction verified: by a letter from the provider.

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

    “The permission to administer form for one (1) child requiring Symbicort expired 9/6/2025.”

    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: Oct 22, 2025. Correction verified: by a letter from the provider.

  • Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection.

    “Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection dated 7/31/2025 was submitted to the division 10/21/2025.”

    Rule Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 5, 2025. Correction verified: by a letter from the provider.

  • Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional.

    “A Symbicort inhaler was not in the original container with the prescription label.”

    Rule Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician 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: Oct 22, 2025. Correction verified: by a letter from the provider.

  • Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.

    “The last shelter in place was conducted 7/31/2025 not within three (3) months of the shelter in place documented 4/10/2025.”

    Rule Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 28, 2025. Correction verified: by a letter from the provider.

  • Staff required to receive on-going training had not completed the required number of hours according to their education and experience.

    “One staff hired 8/9/2023 needed 10 additional hours of on-going training hours on or before 8/9/2025.”

    Rule Staff required to receive on-going training had not completed the required number of hours according to their education and experience.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 14, 2025. Correction verified: by a letter from the provider.

Mar 18, 2025: unannounced8 violations
  • A safe indoor and outdoor environment was not provided for the children.

    “Cinderblocks, rocks and stumps with sharp edges were accessible to children. Yellow plastic on PVC pipe and a Rubbermaid storage bin lid were broken and cracked creating a hazard for children.”

    Rule A safe indoor and outdoor environment was not provided for the children.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 31, 2025. Correction verified: by a letter from the provider.

  • All equipment and furnishings were not in good repair.

    “The fence locate t the far left of the play area near the road is bent and the cross pipe is bent and the end exposed.”

    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 31, 2025. Correction verified: by a letter from the provider.

  • Fire drills were not practiced monthly and/or the drill record was incomplete.

    “The February 2025 fire drill was not documented.”

    Rule Fire drills were not practiced monthly and/or the drill record was incomplete.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 18, 2025. Correction verified: by a letter from the provider.

  • First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area.

    “The fire extinguisher located in the van expired June, 2023.”

    Rule First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 28, 2025. Correction verified: by a letter from the provider.

  • Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements.

    “Playground inspections have been completed by a staff member not certified in playground safety.”

    Rule Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 28, 2025. Correction verified: by a letter from the provider.

  • Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional.

    “One (1) child had Valtoco on site without the original labeled container. One (1) child has Epi-pen on site without a physician’s signature.”

    Rule Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician 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: Mar 28, 2025. Correction verified: by a letter from the provider.

  • Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.

    “The December 31, 2024 shelter-in-place drill was not conducted within three months of the August, 26, 2024 drill.”

    Rule Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 28, 2025. Correction verified: by a letter from the provider.

  • The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests.

    “The teepees and tires located on the outdoor play area were full of leaves, weeds and debris.”

    Rule The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 31, 2025. Correction verified: by a letter from the provider.

Dec 19, 2024: unannounced7 violations
  • A safe indoor and outdoor environment was not provided for the children.

    “In Space 112 sharp push pins were in an unlocked drawer accessible to children. In Space 109 batteries and a sharp screwdriver were in an unlocked drawer accessible to children.”

    Rule A safe indoor and outdoor environment was not provided for the children.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 19, 2024. Correction verified: by a letter from the provider.

  • Fire drills were not practiced monthly and/or the drill record was incomplete.

    “There was no fire drill conducted in August, 2024.”

    Rule Fire drills were not practiced monthly and/or the drill record was incomplete.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 19, 2024. Correction verified: by a letter from the provider.

  • Human milk, formula and other bottled beverages including sippy cups, sent from child’s home were not fully prepared, dated, and labeled for the appropriate child.

    “In Space 109 individual water bottles from home were not dated.”

    Rule Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 19, 2024. Correction verified: by a letter from the provider.

  • Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization.

    “In Space 112 an epi-pen expired August 2024 was not returned to parent.”

    Rule Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 19, 2024. Correction verified: by a letter from the provider.

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

    “One child’s Medical Action Plan expired September 7, 2024.”

    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: Dec 19, 2024. Correction verified: by a letter from the provider.

  • Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection.

    “Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. he last fire inspection was due July 19, 2024, and was conducted August 3, 2024. The Fire Inspection was not submitted to DCDEE within one week of approval on the DCDEE form.”

    Rule Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 9, 2025. Correction verified: by a letter from the provider.

  • Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.

    “The last shelter in place drill was conducted August 26, 2024.”

    Rule Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 31, 2024. Correction verified: by a letter from the provider.

Oct 7, 2024: unannounced1 violation
  • 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. One van driver’s First Aid/CPR certification expired on October 4, 2024. Another van driver’s First Aid/CPR certification expired May, 2024.”

    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: Oct 7, 2024. Correction verified: by a letter from the provider.

May 10, 2024: unannounced2 violations
  • Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child’s developmental needs.

    “A staff member failed to attend to a four year old child in a nurturing and appropriate manner when the staff member exposed their genitals to a child.”

    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: May 24, 2024. Correction verified: by a letter from the provider.

  • There was a substantiation of child maltreatment.

    “Pursuant to its investigation, the Division has confirmed sufficient information to determine child maltreatment.”

    Rule There was a substantiation of child maltreatment.. Corrected during the inspection.

Apr 8, 2024: unannounced12 violations
  • All staff did not review the center’s EPR Plan during orientation and/or on an annual basis with the trained staff.

    “Documentation of the review was not maintained on file. One new staff member did not have verification on file that the EPR plan was reviewed during orientation.”

    Rule All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 22, 2024. Correction verified: by a letter from the provider.

  • Balloons were accessible to children.

    “Latex balloons were observed in space #1.”

    Rule Balloons were accessible to children.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 22, 2024. Correction verified: by a letter from the provider.

  • Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan.

    “One staff member did not have an annual staff evaluation and staff development plan on file.”

    Rule Each employee's personnel file did not contain an annual staff evaluation and a staff development plan.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 9, 2024. Correction verified: by a letter from the provider.

  • Emergency and identifying information, including the child’s name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported.

    “Eight children being transported did not have a photograph attached to their identifying information.”

    Rule Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 9, 2024. Correction verified: by a letter from the provider.

  • Equipment and furnishings were not sturdy, stable and free of hazards.

    “The natural playground used by school age children, have several tree stumps and three wood boards that the wood is rotting.”

    Rule Equipment and furnishings were not sturdy, stable and free of hazards.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 22, 2024. Correction verified: by a letter from the provider.

  • First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area.

    “The fire extinguishers in two of the three vans used for transportation was being stored unsecured on the floorboard in the front of the van.”

    Rule First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 9, 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.

    “One new staff member did not have verification on file that orientation had been completed.”

    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: Apr 22, 2024. Correction verified: by a letter from the provider.

  • Rule violated (DCDEE’s description below)

    The inspectors’ words, 103 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 #5, an aerosol can of disinfectant was stored in an unlocked cabinet. In a van used to transport children, an aerosol can of disinfectant spray was located in the door of the van. In the same van, an aerosol can of sanitizing spray was located in a bookbag on the floor of the passenger seat side of the van.”

    Rule Rule violated (DCDEE’s description below). Corrected during the inspection.

  • Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory.

    “In space #117, there were no paper towels located by the sink in the children’s restroom.”

    Rule Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory.. Corrected during the inspection.

  • Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children.

    “One of three vans being used for transportation did not have signage posted in the van regarding the smoking and tobacco restriction.”

    Rule Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 22, 2024. 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 surfacing in the fall zones for the climbing structures and swings measured one inch to three inches in four different places.”

    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: Jun 3, 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.

    “One child’s medical action plan has not been updated since March 17, 2023.”

    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: Apr 22, 2024. Correction verified: by a letter from the provider.

All 11 visits on record
Visits on record
DateVisitWhat the record says
Mar 3, 2026Unannounced visit1 violation cited
Oct 21, 2025Unannounced visit7 violations cited
Mar 18, 2025Unannounced visit8 violations cited
Dec 19, 2024Unannounced visit7 violations cited
Dec 11, 2024Unannounced visitNo violations cited
Nov 7, 2024Unannounced visitNo violations cited
Oct 7, 2024Unannounced visit1 violation cited
Aug 6, 2024Unannounced visitNo violations cited
Jun 13, 2024Unannounced visitNo violations cited
May 10, 2024Unannounced visit2 violations cited
Apr 8, 2024Unannounced visit12 violations cited

Is it licensed?

  • Child Care Center, holding a Five Star Center License since Aug 26, 2020.
  • Licensed for 104 children, ages 2 through 12.
  • Enrolled in North Carolina’s subsidized child care program.
  • North Carolina’s licence number: 60003664.
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: Christ Our Shepherd Ministries.
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: 5 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 529 child care providers in Mecklenburg County, the middle value for violations cited in the last three years was 14; this one had 38.
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.

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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