Alvarado Care Center
A nursing home in Los Angeles, California 90006
1154 S.alvarado St, Los Angeles, California 90006. (213) 385-1715.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 2of 5 CMS’s overall rating
- 20 health citations at the latest inspection cycle California average: 15.7
- 3.98 nurse hours per resident per day California average: 4.54
- 2 fines in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- 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.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- 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?
20 health citations at the latest inspection cycle
The California average is 15.7.
Last standard inspection Jan 23, 2026.
Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on Aug 22, 2025
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
63 citations in 14 months of the last 36. Last cited Apr 2026. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 63 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 26 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Apr 20, 2026: complaint inspection3 citations
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Make sure that a working call system is available in each resident’s bathroom and bathing area.
Jan 23, 2026: standard inspection15 citations
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Ensure that residents are fully informed and understand their health status, care and treatments.
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Reasonably accommodate the needs and preferences of each resident.
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Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident’s ability to function.
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Ensure each resident receives an accurate assessment.
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PASARR screening for Mental disorders or Intellectual Disabilities
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Ensure that residents are free from significant medication errors.
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Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
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Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
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Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Dec 9, 2025: complaint inspection2 citations
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Ensure that residents are free from significant medication errors.
Sep 5, 2025: complaint inspection4 citations
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Provide enough food/fluids to maintain a resident’s health.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Aug 22, 2025: complaint inspection1 citation
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Jul 10, 2025: complaint inspection1 citation
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Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Jun 27, 2025: complaint inspection3 citations
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Give the resident’s representative the ability to exercise the resident’s rights.
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Ensure services provided by the nursing facility meet professional standards of quality.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Dec 15, 2024: standard inspection11 citations
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Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
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Assure that each resident’s assessment is updated at least once every 3 months.
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Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
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Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Have a policy regarding use and storage of foods brought to residents by family and other visitors.
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Provide and implement an infection prevention and control program.
Nov 15, 2024: complaint inspection1 citation
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Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Sep 19, 2024: complaint inspection3 citations
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Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
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Provide medically-related social services to help each resident achieve the highest possible quality of life.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Jul 10, 2024: complaint inspection3 citations
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Jun 26, 2024: complaint inspection4 citations
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Give the resident’s representative the ability to exercise the resident’s rights.
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Honor the resident’s right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Mar 26, 2024: complaint inspection1 citation
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Make sure that a working call system is available in each resident’s bathroom and bathing area.
Jan 26, 2024: standard inspection11 citations
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Ensure that residents are fully informed and understand their health status, care and treatments.
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Honor the resident’s right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
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Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Assist a resident in gaining access to vision and hearing services.
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Provide safe and appropriate respiratory care for a resident when needed.
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Provide safe, appropriate dialysis care/services for a resident who requires such services.
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Post nurse staffing information every day.
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Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
-
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
-
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since May 1, 1980.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
- 72 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 2 fines in the last three years, $90,600 in all.
- 1 Medicare payment denial in the last three years.
- 26 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Aug 22, 2025 | Medicare payment denial | Not given |
| Aug 22, 2025 | Fine | $49,200 |
| Jun 26, 2024 | Fine | $41,400 |
Who does the caring?
3.98 nurse hours per resident per day
The California average is 4.54.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | California average |
|---|---|---|
| Nurse hours per resident per day | 3.98 | 4.54 |
| Of which registered nurses | 0.45 | 0.68 |
| At weekends | 3.75 | 4.10 |
| Nursing staff turnover | 26.6% | 36.6% |
| Registered nurse turnover | 25% | 37.8% |
| Administrators who left | 0 | Not given |
Who owns it?
- Helene Mayer 2007 Irrevocable Exempt Trust Fbo Akiva Mayer Dated Decem owns 16.67% directly since Jun 26, 2020; Helene Mayer 2007 Irrevocable Exempt Trust Fbo Talia Mayer Dated Decem owns 16.66% directly since Jun 26, 2020; Helene Mayer 2007 Irrevocable Exempt Trust Fbo Aviva Mayer Dated Decem owns 16.66% directly since Jun 26, 2020; Helene Mayer 2007 Irrevocable Exempt Trust Fbo Abraham Mayer Dated Dec owns 16.66% directly since Jun 26, 2020; Helene Mayer 2007 Irrevocable Exempt Trust Fbo Zachary Mayer Dated Dec owns 16.66% directly since Jun 26, 2020; Helene Mayer 2007 Irrevocable Exempt Trust Fbo Aaron Mayer Dated Decem owns 16.66% directly since Jan 1, 2020.
- The Compliance Institute LLC runs it.
- 10 owners or officers are people: Helene G Mayer (owns 5% or more through other companies, 100%); Ronald J Mayer (corporate officer); Ronald J Mayer (runs it (operational or managerial control)); Ronald J Mayer (additional disclosable party (controls, leases property to, or provides services to the home)); Loza Gedyon (runs it (operational or managerial control)); Loza Gedyon (additional disclosable party (controls, leases property to, or provides services to the home)); Farough MD Kerendi (runs it (operational or managerial control)); Farough MD Kerendi (additional disclosable party (controls, leases property to, or provides services to the home)); Aaron Mayer (corporate officer); Aaron Mayer (additional disclosable party (controls, leases property to, or provides services to the home)).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Helene Mayer 2007 Irrevocable Exempt Trust Fbo Akiva Mayer Dated Decem | Owns 5% or more directly | 16.67% | Jun 26, 2020 |
| Helene Mayer 2007 Irrevocable Exempt Trust Fbo Talia Mayer Dated Decem | Owns 5% or more directly | 16.66% | Jun 26, 2020 |
| Helene Mayer 2007 Irrevocable Exempt Trust Fbo Aviva Mayer Dated Decem | Owns 5% or more directly | 16.66% | Jun 26, 2020 |
| Helene Mayer 2007 Irrevocable Exempt Trust Fbo Abraham Mayer Dated Dec | Owns 5% or more directly | 16.66% | Jun 26, 2020 |
| Helene Mayer 2007 Irrevocable Exempt Trust Fbo Zachary Mayer Dated Dec | Owns 5% or more directly | 16.66% | Jun 26, 2020 |
| Helene Mayer 2007 Irrevocable Exempt Trust Fbo Aaron Mayer Dated Decem | Owns 5% or more directly | 16.66% | Jan 1, 2020 |
| Mayer Pp Associates, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Nov 6, 2019 | |
| 1154 S. Alvarado, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Nov 6, 2019 | |
| The Compliance Institute LLC | Runs it (operational or managerial control) | Jul 3, 2023 | |
| The Compliance Institute LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jul 3, 2023 | |
| Pacificare Health Management LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 8, 2021 |
How do residents fare?
- CMS rates its quality measures 3 of 5 (California average 4.2).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 2 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 3 of 5 |
| Quality measures | 3 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 1.0 miles, this one had the 4th most health citations at the latest inspection cycle (20; the middle value was 14).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Alvarado Care Center This nursing home | 20 | |
| Olympia Convalescent Hospital | 0.1 | 9 |
| Alden Terrace Convalescent Hospital | 0.1 | 7 |
| California Post Acute | 0.3 | 25 |
| Alta View Post Acute | 0.3 | 24 |
| Grand Park Convalescent Hospital | 0.4 | 18 |
| Burlington Convalescent Hospital | 0.6 | 13 |
| Pih Health Good Samaritan Hospital D/P SNF | 0.6 | 2 |
| Mid-Wilshire Health Care Cntr | 0.7 | 25 |
| Angels Nursing Health Center | 0.9 | 8 |
| Bonnie Brae Skilled Nursing | 1.0 | 8 |
| Westlake Convalescent Hospital | 1.0 | 15 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home 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 home”, and paying will never change a finding, a rating or the order of results.