Hearth Record

Compassionate Health Hospice, Inc.

A hospice in Westminster, California 92683

7838 Westminster Blvd., Westminster, California 92683. (714) 740-7188.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 23, 2026. We couldn’t read Centers for Medicare & Medicaid Services’ list since Oct 27, 2026: qcor.cms.gov now refuses our reader. This record is as of then.

The last 24 months 25 deficiencies in 3 months of the last 36. Last cited Feb 2026. Most serious: Condition-level. Every month

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

What these words mean3
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.
Condition-level deficiency
For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual.

What did inspectors find?

25 deficiencies cited in the last three years

The middle of the 231 hospices serving ZIP code 92683 had 7.

The last inspection on record was on Feb 25, 2026: a complaint inspection by the state.

5 deficiencies at condition level, the more serious of CMS’s two levels

Source:

CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.

When those deficiencies happened

25 deficiencies in 3 months of the last 36. Last cited Feb 2026. Most serious: Condition-level. The last 3 years, to Oct 27, 2026.

25 deficiencies by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 NovDec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOct

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 deficiency, as cited

Rule titles as CMS’s inspectors cite them, set in sentence case.

Source:

CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

Feb 25, 2026: complaint inspection by the state2 deficiencies
  • Content of comprehensive assessment (42 CFR 418.54(c)(6))

    The inspectors’ words, 372 words

    “Based on observation, interview, and record review, the hospice failed to ensure one of three sampled patient (Patient 3’s) medication profile was updated. This failure had the potential for not providing consistent and quality care to the patient.Findings: Review of hospice’s P&P titled Medication Profile revised 5/2024, showed medication profiles will be updated for each change to reflect current medications and new and/or discontinued medications. A drug regimen review will be performed at the time of initial and comprehensive assessment. The review will assist in evaluating effectiveness and appropriateness, identify potential and actual drug/food interactions, adverse reactions, duplicative therapy and noncompliance issues, omissions and unclear information. During subsequent visits , the medication profile will be used as a care planning and teaching guide to ensure the patient and family/caregiver, as well as other clinicians, understand the medication regimen. Review of Patient 3’s clinical record was initiated on 2/23/26. The clinical record showed the SOC was 4/10/25. The patient was certified for hospice services during the certification periods from 4/10/25 to 7/8/25, 7/9/25 to 9/6/25, 9/7/25 to 11/5/25, 11/6/25 to 1/4/26, and 1/5/26 to 3/5/26.On 2/25/26 at 0825 hours, a home visit was conducted with RN 1 to Patient 3’s residence. A concurrent medication profile review and interview was conducted with RN 1.Review of Patient 3’s Current Treatment/Medication/DME List showed the following medications:-olopatadine hydrochloride ophthalmic solution (antihistamine) one drop on both eyes once daily,-Lasix (diuretic) 20 mg one tablet daily,-atrovent Inhaler (anticolinergic bronchodilator) 2 puffs, four times a day, -azithromycin (antibiotic) 250 mg two tablets now then 1 tablet everyday for four days, -Proventil HFA (bronchodilator) 2 puffs every six hours as needed for shortness of breath ,wheezing, -Symbicort (corticosteroid) to inhale twice a day,-Tamiflu (antiviral) 75 mg one tablet twice a day,-Ambien (hypnotic) 5 mg one tablet every hour of sleep as needed -megestrol acetate (appetite stimulant) 40 mg one tablet once daily.However, Patient 3 did not have and did not currently use the above medicationsRN1 was informed of the above findings. RN 1 was asked how often should the patient’s medications be checked by licensed hospice nurses. RN 1 replied the patient’s medications should always be checked every home visit. RN 1 verified Patient 3’s medication profile should have been updated.”

    Rule L0530. Standard-level. From a complaint.

  • Review of the plan of care (42 CFR 418.56(d))

    The inspectors’ words, 568 words

    “Based on interview and record review, the hospice failed to ensure the IDG had reviewed/revised the patient’s POCs no less frequently than every 15 calendar days for three of three sampled patients (Patients 1, 2, and 3). This failure had the potential for not providing appropriate, consistent, and quality care to these patients. Findings: 1. Review of Patient 3’s clinical record was initiated on 2/23/26. The clinical record showed the SOC was 4/10/25. The patient was certified for hospice services during the certification periods from 4/10/25 to 7/8/25, 7/9/25 to 9/6/25, 9/7/25 to 11/5/25, 11/6/25 to 1/4/26, and 1/5/26 to 3/5/26. Review of Patient 3’s POC/IDG Review dated 4/10/25, showed the patient’s identified care plan problems included self care deficit, risk for harm/injury, bowel and bladder incontinence, risk for skin impairment, impaired mobility, activity intolerance, impaired verbal communication, and reduced food portion consumption. The identified problems were opened on 4/10/25 with a target date of 7/8/25. However, review of the POC/IDG Review dated 4/15, 4/29, 5/13, 5/27, 6/10, 6/24, and 7/8/25, failed to show documented evidence the IDG had updated the care plans to provide appropriate care to the patient. Further review of the POC/IDG Review dated 7/22, 8/5, 8/19, 9/2, 9/5, 9/19, 10/3,10/17,10/30,11/13, 11/26, 12/11,12/26, 1/9, 1/23, 2/6, and 2/20/26, failed to show documented evidence a care plan was developed for the patient. There was no documented evidence the IDG have reviewed the established care plans on 4/10/25, to determine whether the care plans continued to be current problems and addressed all the patient’s care needs. 2. Review of Patient 1’s closed clinical record was initiated on 2/23/26. The clinical record showed the SOC was 9/15/24. The patient was certified for hospice services during the certification periods from 9/15/24 to 12/13/24, 12/14/24 to 3/13/25, 3/14/25 - 5/12/25, 5/13/25 to 7/11/25, 7/12/25 to 9/9/25, 9/10/25 to 11/8/25 11/9/25 to 1/7/26 and 1/8/26 to 3/8/26. Patient 1 was discharged on 1/31/26. Review of Patient 1’s POC/IDG Review dated 10/15/24, showed the patient’s identified care plan problem included deficit in self-care, altered cardiac status, risk for fall, knowledge deficit on oxygen use, high risk for skin breakdown, impaired mobility, altered musculoskeletal status and altered respiratory status. The identified problems were opened on 9/15/24 with a target date of 10/6/24. However, review of the POC/IDG Review dated 10/29, 11/12, 11/26, 12/10, 12/24/24, showed the care plan problem were unresolved; however, there was no documented evidence the IDG had updated the care plans to provide appropriate care to the patient. 3. Review of Patient 2’s closed clinical record was initiated on 2/23/26. The clinical record showed the SOC was 10/12/24. The patient was certified for hospice services during the certification periods from 10/12/24 to 1/9/25, 1/10/25 to 4/9/25, 4/10/25 to 6/8/25, 6/9/25 to 8/7/25 and 8/8/25 to 10/6/25. Patient 2 was discharged 8/13/25. Review of Patient 1’s POC/IDG Review dated 11/12/24, showed the patient’s identified care plan problem included knowledge deficit related to hospice services and support. The identified problem was opened on 10/15/24 with a target date of 1/9/25. However, review of the POC/IDG Review dated 11/26, 12/10, and 12/24/24, failed to show documented evidence the IDG had updated the care plan to provide appropriate care to the patient. On 2/25/26 at 1120 hours, an interview and concurrent clinical record review was conducted with the Medical Records Volunteer, Medical Director Designee, and Administrator. They were informed and verified the above findings.”

    Rule L0552. Standard-level. From a complaint.

Nov 24, 2025: follow-up inspection by The Joint Commission12 deficiencies
  • Initial & comprehensive assessment of patient (42 CFR 418.54)

    The inspectors’ words, 116 words

    “Observed in Record Review. In 2 of 6 patient records reviewed, the organization failed to assess its patients. During record review for HOSRRNHV#1 and HOSRRNHV#4, the Hospice Nurse Surveyor observed the patient’s comprehensive assessments were not completed. For example in HOSRRNHV#1, the patient was admitted 13 days prior to survey but the psychosocial assessment was not completed as of survey day. For HOSRRNHV#4, the patient was in their second benefit period but the spiritual care assessment had never been completed. There was no documentation of attempts to reach the patient to schedule the assessments. And there was no evidence that the assessments were completed by nursing. This was discussed and reviewed with the Owner/ Admin Designee.”

    Rule L0520. Condition-level.

  • Update of comprehensive assessment (42 CFR 418.54(d))

    “Observed in Record Review. In 2 of 6 patient records reviewed, the organization failed to document a comprehensive assessment no less than every 15 days. During record review for HOSRRNHV#4 and HOSRRNHV#6, the patients had no RN comprehensive assessment as required at least every 15 days. For example in HOSRRNHV#4, the patient had a gap of 19 days and in HOSRRNHV#6, the patient had a gap of 17 days. This was discussed and reviewed with the Owner/ Admin Designee.”

    Rule L0533. Condition-level.

  • Governing body and administrator (42 CFR 418.100(b))

    “Observed in Tracer Activities. Leaders did not act on or comply with reports or recommendations from external authorized agencies.During tracer activities, the Hospice Nurse Surveyor observed there were repeat findings from previous survey activity including wound assessments, and comprehensive assessments. This was discussed and reviewed with the Owner/ Admin Designee. Observed in Tracer Activities. The organization governing board failed to document appointment of an administrator when the previous administrator resigned. This was discussed and reviewed with the Owner/ Admin Designee.”

    Rule L0651. Condition-level.

  • Federal, state, local laws & regulations (42 CFR 418.116)

    “Observed in Tracer Activities. The organization failed to comply with law and regulation. During tracer activities, the Hospice Nurse Surveyor observed the administrator was not updated CMS application and that the previous administrator prior to the last administrator is listed as the administrator on the 855A. Per conversation with the organizational staff, the person listed was administrator some time ago. This was discussed and reviewed with the Owner/ Admin Designee.”

    Rule L0797. Condition-level.

  • Rights of the patient (42 CFR 418.52(c)(5))

    “Observed in Record Review. In 1 of 1 patient records reviewed, with wound pictures, the organization failed to protect privacy of health information. During record review for HOSRRNHV#6, the Hospice Nurse Surveyor observed the wound pictures along with patient names were being texted to the owner/ Admin designee. She stated that she has a medical doctorate so it must be okay. The family sent the original photo but the owner/ Admin designee continued to text PHI regarding the wound. This was discussed and reviewed with the Owner/ Admin Designee.”

    Rule L0516. Standard-level.

  • Content of comprehensive assessment (42 CFR 418.54(c)(5))

    “Observed in Record Review. In 1 of 1 patient records reviewed, the organization failed to follow their policy on wound documentation. During record review for HOSRRNHV#6, the patient developed a Stage II pressure Ulcer and it had not been measured in 2 1/2 weeks. The organizational policy was wound measurements weekly. This was discussed and reviewed with the Hospice Owner/ Admin Designee.”

    Rule L0529. Standard-level.

  • Content of comprehensive assessment (42 CFR 418.54(c)(7))

    “Observed in Record Review. In 1 of 6 patient records reviewed, the organization failed to document assessments as required. During record review for HOSRRNHV#1, the Hospice Nurse Surveyor observed the patient was admitted 16 days prior to survey but there was no documentation of a bereavement assessment. This was discussed and reviewed with the Owner/ Admin Designee.”

    Rule L0531. Standard-level.

  • Plan of care (42 CFR 418.56(b ))

    The inspectors’ words, 142 words

    “Observed in Record Review. In 3 of 6 patient records reviewed, the organization failed to plan the patient’s care. During record review for HOSRRNHV#1, HOSRRNHV#5, and HOSRRNHV#6, the Hospice Nurse Surveyor observed the plan of care was not complete. For example in HOSRRNHV#1, the patient has no documented nursing goals but narrative nursing notes state the patient is struggling with oral intake and SOB with minimal exertion. In HOSRRNHV#5, the patient was struggling with increased weakness and decreased oral intake in recent narrative nursing notes but these were not addressed on the plan of care. There were no goals and interventions related to nursing on the plan of care. In HOSRRNHV#6, the patient had a wound develop 17 days prior to survey but it was not addressed on the plan of care. This was discussed and reviewed with the Owner/ Admin Designee.”

    Rule L0543. Standard-level.

  • Content of plan of care (42 CFR 418.56(c)(3))

    “Observed in Record Review. In 1 of 6 patient records reviewed, the organization failed to plan the patient’s care. During record review for HOSRRNHV#1. For example in HOSRRNHV#1, the order for nursing frequency was incomplete. It read _____ per 2 weeks. This was discussed and reviewed with the Owner/ Admin Designee.”

    Rule L0548. Standard-level.

  • Review of the plan of care (42 CFR 418.56(d))

    “Observed in Record Review. In 2 of 2 patient records reviewed, where recertification was needed, the organization failed to plan the patient’s care. During record review for HOSRRNHV#4 and HOSRRNHV#6, the Hospice Nurse Surveyor observed both patient were entering their next benefit period the day of survey but there were no documented updates to the comprehensive assessments and progress towards goals. This was discussed and reviewed with the Owner/ Admin Designee.”

    Rule L0553. Standard-level.

  • Coordination of services (42 CFR 418.56(e)(2))

    “Observed in Record Review. In 3 of 6 patient records reviewed, the organization failed to provide care, treatment, or services for each patient. During record review for HOSRRNHV#2, HOSRRNHV#3, HOSRRNHV#4, and HOSRRNHV#6, the frequency orders were not followed. For example in HOSRRNHV#2 and HOSRRNHV#3, , the patients did not have nursing visits the week of 11/17. They were ordered once weekly. For HOSRRNHV#4, the patient had no visit the week of 11/9. SN visits were ordered weekly. This was discussed and reviewed with the Owner/ Admin Designee.”

    Rule L0555. Standard-level.

  • Recertification of the terminal illness (42 CFR 418.102(c))

    “Observed in Record Review. In 2 of 2 patient records reviewed, requiring recertification, the organization failed to assess its patients. During record review for HOSRRNHV#4 and HOSRRNHV#6, the Hospice Nurse Surveyor observed both patients were entering their next benefit period on the day of survey but there was no documentation that the medical director reviewed their clinical information and signed the CTI prior to recertification. This was discussed and reviewed with the Owner/ Admin Designee.”

    Rule L0668. Standard-level.

Oct 16, 2025: reaccreditation inspection by The Joint Commission11 deficiencies
  • Update of comprehensive assessment (42 CFR 418.54(d))

    “Observed in Record Review. In 6 of 10 patient records reviewed, The surveyor observed that the RN had not visited the hospice patient every 15 days to conduct an assessment. This was observed on 6 hospice records with missing visits in excess of 5 weeks on 2/5 records reviewed. The issue was discussed and confirmed with organization leadership.”

    Rule L0533. Condition-level.

  • Content of comprehensive assessment (42 CFR 418.54(c)(5))

    “Observed in Record Review. In 2 of 2 patient records reviewed, of patients with wounds the surveyor observed that the wound not measured weekly as required by organization policy. The surveyor observed 5 weeks between measurements on 2 records. The issue was discussed and confirmed with organization leadership.”

    Rule L0529. Standard-level.

  • Coordination of services (42 CFR 418.56(e)(2))

    The inspectors’ words, 104 words

    “Observed in Record Review. In 4 of 10 patient records reviewed, The hospice surveyor observed in review of record associated with HV#1 that the POC had not been followed related to SN visits as evidenced by the RN admission had been completed with POC ordering weekly nursing visits and the record showed over 3.5 weeks before the patient was visited again . On a second and third record review the surveyor observed that care plan had visits from nursing ordered weekly the visits had not occurred weekly , but with 2 week intervals between visits. The issue was discussed and confirmed with organization leader.”

    Rule L0555. Standard-level.

  • Supervision of hospice aides (42 CFR 418.76(h)(1)(i))

    “Observed in Record Review. In 4 of 5 patient records reviewed, with home health aides the surveyor observed that the aide supervision had not occurred every 14 days and on 2/5 records the surveyor observed 6 weeks between documented supervision visits by RN. This issue was discussed and confirmed with organization leadership.”

    Rule L0629. Standard-level.

  • Recruiting and retaining (42 CFR 418.78(c))

    “Observed in Leadership Session. The surveyor observed that their had been no documented evidence that the hospice had any recruitment activities, while the organization stated that they had tried to recruit there was no documentation to support their statements for the years of 2022, 2023 2024 . This issue was discussed and confirmed with organization leadership.”

    Rule L0645. Standard-level.

  • Level of activity (42 CFR 418.78(e))

    “Observed in Document Review. The organization had not at the time of survey had a formalized volunteer program that provided 5% of the total patient care hours of all paid hospice employees and contracted staff. The organization was able to provide surveyor with evidence from 2021 and previous, but nothing was documented for 2022, 2023, 2024. The organization had begun to regroup program and collect some data in September of 2025This issue was discussed and confirmed with organization leadership.”

    Rule L0647. Standard-level.

  • Governing body and administrator (42 CFR 418.100(b))

    “Observed in Record Review. Leadership failed to mange the implementation of 418.54 Condition of Participation: Initial & Comprehensive Assessment of the Patient Initial Assessment, Completion and Update of Comprehensive Assessment as evidenced by greater than 5 weeks on multiple records since RN assessment of patient. This issue was discussed and confirmed with leadership.”

    Rule L0651. Standard-level.

  • Content (42 CFR 418.104(a)(3))

    “Observed in Record Review. In 7 of 10 patient records reviewed, The surveyor observed missing nursing notes that had been entered as done into the EMR system and either had nothing recorded on the note except time / date of visit or had been filled out in part , but not signed off and entered into completion into electronic medical record. The issue was discussed and confirmed with organization leadership.”

    Rule L0674. Standard-level.

  • Discharge or transfer of care (42 CFR 418.104(e)(3)(i))

    “Observed in Record Review. In 2 of 2 patient records reviewed, of patients discharged alive the surveyor observed that the organization had not completed a discharge summary for patients. The issue was discussed and confirmed with organization leadership.”

    Rule L0684. Standard-level.

  • Label dispose storage drugs (42 CFR 418.106(e)(2)(i)(A))

    “Observed in Patient Home. In 3 of 3 home visits conducted, - Information was not found in admission packet, patient handbook or documents provided to patient and family”

    Rule L0695. Standard-level.

  • Personnel qualification (42 CFR 418.114(a))

    “Observed in HR File Review. In 2 of 6 HR files reviewed, the surveyor observed that they had not documented primary source verification on 1 LPN and 1 RN upon renewal of license . This issue was discussed and confirmed with organization leadership.”

    Rule L0784. Standard-level.

All 4 inspections in the last three years
Inspections on record
DateVisitWhat the record says
Feb 25, 2026Complaint inspection by the state2 deficiencies cited
Dec 19, 2025Follow-up inspection by The Joint CommissionNo deficiencies cited
Nov 24, 2025Follow-up inspection by The Joint Commission12 deficiencies cited
Oct 16, 2025Reaccreditation inspection by The Joint Commission11 deficiencies cited

Is it certified?

  • Medicare-certified hospice since Jul 26, 2016.
  • Ownership: for-profit.
  • Cited at in the last three years: it didn’t meet a whole condition of Medicare’s rules.
Source:

CMS, Hospice General Information. Released Aug 26, 2026. Updated quarterly.

CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

Has anything been proven against it?

  • CMS doesn’t publish fines or other penalties for hospices, so none are shown.
  • 2 deficiencies cited in the last three years came from inspections that included a complaint investigation.
Source:

CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

Who does the caring?

  • From Medicare claims (Jan 1, 2023 to Dec 31, 2024): 8.9 nurse care minutes per routine home care day, 13.3% of skilled nursing minutes at weekends and a visit near death for 61.5% of patients who died.
  • Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 100% at home.
Source:

CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.

Staffing measures
MeasureThis provider
Nurse care minutes per routine home care day8.9 min
Skilled nursing minutes at weekends13.3%
Visits near death61.5% of patients who died

Who owns it?

  • 4 owners or officers are people: Xuan Trieu (owns 5% or more directly, 100%); Xuan Trieu (corporate officer, 100%); Xuan Trieu (corporate director, 100%); Xuan Trieu (runs it (operational or managerial control), 100%).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, Hospice All Owners and Hospice Enrollments. Released Sep 29, 2026. Updated quarterly.

What do families say?

  • CMS gives no family caregiver survey rating: “The number of cases is too small to report Star Ratings.”
  • CMS’s Hospice Care Index: 7 of 10 (Jan 1, 2023 to Dec 31, 2024).
  • 84.81% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025).
Source:

CMS, CAHPS Hospice Survey and Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.

Ratings and measures, as published
MeasureRating
Family caregiver survey ratingCMS star rating from its survey of patients’ family caregivers, 1 to 5Not rated
Hospice Care IndexCMS’s Hospice Care Index, 0 to 10 (higher is better): a point for each of ten measures from Medicare claims on which the hospice meets CMS’s threshold7 of 10

How does it compare nearby?

  • Of the 231 hospices CMS’s data show serving patients in ZIP code 92683, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 7; this one had 25.
Source:

CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.

CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

What the record doesn’t say

  • CMS doesn’t publish fines or other penalties for hospices, so none are shown.
  • Only complaints that led to a citation appear; complaints that didn’t aren’t published.
  • CMS ended its Special Focus Program for hospices with serious problems on Feb 14, 2025, so no hospice is marked as one.
  • Hospice quality measures have a gap from October 2025: CMS replaced its patient assessment then, and public results from the new one (HOPE) are expected around November 2027.

Sources

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. 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 Oct 27, 2026.

From the hospice

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

Replies

None. Replies aren’t open yet. When they open, the hospice 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 hospice”, 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 8, 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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