Harmony Suites Rehabilitation and Wellness Center
A nursing home in Silver Spring, Maryland 20904
13908 New Hampshire Avenue, Silver Spring, Maryland 20904. (301) 598-6000.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 2of 5 CMS’s overall rating
- 17 health citations at the latest inspection cycle Maryland average: 17.0
- 4.31 nurse hours per resident per day Maryland average: 3.93
- 3 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?
17 health citations at the latest inspection cycle
The Maryland average is 17.0.
Last standard inspection May 15, 2026.
Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on Mar 20, 2026
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
55 citations in 4 months of the last 36. Last cited May 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 55 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. 20 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
May 15, 2026: standard inspection11 citations
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Provide safe, appropriate pain management for a resident who requires such services.
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Honor the resident’s right to share a room with spouse or roommate of choice and receive written notice before a change is made.
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Honor the resident’s right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
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Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted
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Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
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Provide safe and appropriate respiratory care for a resident when needed.
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Observe each nurse aide’s job performance and give regular training.
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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 each resident’s drug regimen must be free from unnecessary drugs.
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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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Provide and implement an infection prevention and control program.
May 15, 2026: standard and complaint inspection1 citation
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Mar 20, 2026: complaint inspection5 citations
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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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Ensure each resident receives an accurate 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 treatment and care according to orders, resident’s preferences and goals.
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Provide and implement an infection prevention and control program.
Feb 4, 2025: standard inspection24 citations
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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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Honor the resident’s right to be treated with respect and dignity and to retain and use personal possessions.
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Reasonably accommodate the needs and preferences of each resident.
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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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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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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 care and assistance to perform activities of daily living for any resident who is unable.
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Assist a resident in gaining access to vision and hearing services.
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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.
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Provide safe and appropriate respiratory care for a resident when needed.
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Provide safe, appropriate pain management for a resident who requires such services.
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Observe each nurse aide’s job performance and give regular training.
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Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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Ensure medication error rates are not 5 percent or greater.
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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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Provide or obtain dental services for each resident.
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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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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Provide and implement an infection prevention and control program.
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Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
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Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
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Dispose of garbage and refuse properly.
Feb 4, 2025: complaint inspection2 citations
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Respond appropriately to all alleged violations.
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Ensure services provided by the nursing facility meet professional standards of quality.
Oct 2, 2024: complaint inspection12 citations
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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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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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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Protect each resident from the wrongful use of the resident’s belongings or money.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Respond appropriately to all alleged violations.
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Ensure services provided by the nursing facility meet professional standards of quality.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Provide appropriate foot care.
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Ensure that the resident and his/her doctor meet face-to-face at all required visits.
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Make sure that a working call system is available in each resident’s bathroom and bathing area.
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Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Apr 1, 1969.
- 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.
- 100 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 3 fines in the last three years, $174,200 in all.
- No Medicare payment denials in the last three years.
- 20 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| May 15, 2026 | Fine | $117,390 |
| Mar 20, 2026 | Fine | $8,281 |
| Feb 4, 2025 | Fine | $48,529 |
Who does the caring?
4.31 nurse hours per resident per day
The Maryland average is 3.93.
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 | Maryland average |
|---|---|---|
| Nurse hours per resident per day | 4.31 | 3.93 |
| Of which registered nurses | 1.01 | 0.88 |
| At weekends | 3.71 | 3.49 |
| Nursing staff turnover | 48.9% | 40.2% |
| Registered nurse turnover | 66.7% | 37.8% |
| Administrators who left | 2 | Not given |
Who owns it?
- Second Option Op Co LLC owns 100% directly since Dec 5, 2018.
- Bel Pre Mgmt. Co., LLC runs it.
- 9 owners or officers are people: Suela Kaba (runs it (operational or managerial control)); Suela Kaba (additional disclosable party (controls, leases property to, or provides services to the home)); Ronald Wilheim (corporate officer); Dominic A Romeo (corporate officer); Dominic A Romeo (runs it (operational or managerial control)); Donna Groves (runs it (operational or managerial control)); Hussein Ali (runs it (operational or managerial control)); Hussein Ali (additional disclosable party (controls, leases property to, or provides services to the home)); Charles Stoltz (corporate officer).
- 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 |
|---|---|---|---|
| Second Option Op Co LLC | Owns 5% or more directly | 100% | Dec 5, 2018 |
| Option Holdings II LLC | Owns 5% or more through other companies | 100% | Apr 19, 2008 |
| Option Holdings II LLC | Owns a share through other companies | 100% | Apr 19, 2008 |
| Omg RE Holdings LLC | Owns 5% or more through other companies | 100% | Apr 19, 2008 |
| Omg RE Holdings LLC | Owns a share through other companies | 100% | Apr 19, 2008 |
| Rrw, LLC | Owns 5% or more through other companies | 93.48% | Apr 27, 2011 |
| Rrw, LLC | Owns a share through other companies | 93.48% | Apr 19, 2008 |
| Hc Real Estate Holdings, LLC | Owns 5% or more through other companies | 93.48% | Apr 19, 2008 |
| Hc Real Estate Holdings, LLC | Owns a share through other companies | 93.48% | Apr 19, 2008 |
| I. Rosedale Irrevocable Trust | Owns 5% or more through other companies | 31.16% | Jan 11, 2008 |
| I. Rosedale Irrevocable Trust | Owns a share through other companies | 31.16% | Apr 19, 2008 |
| Wilheim Family Investment Company, Inc. | Owns 5% or more through other companies | 31.16% | Dec 31, 2011 |
| Wilheim Family Investment Company, Inc. | Owns a share through other companies | 31.16% | Apr 19, 2008 |
| Rosedale Family Investment Company, Inc. | Owns 5% or more through other companies | 31.16% | Dec 31, 2011 |
| Rosedale Family Investment Company, Inc. | Owns a share through other companies | 31.16% | Apr 19, 2008 |
| S.l. Rosedale Irrevocable Trust | Owns 5% or more through other companies | 31.16% | Nov 6, 2003 |
| S.l. Rosedale Irrevocable Trust | Owns a share through other companies | 31.16% | Apr 19, 2008 |
| R.s. Wilheim Irrevocable Trust | Owns 5% or more through other companies | 15.89% | Nov 6, 2003 |
| R.s. Wilheim Irrevocable Trust | Owns a share through other companies | 15.89% | Apr 19, 2008 |
| Ronald S Wilheim 2012 Spousal Trust | Owns 5% or more through other companies | 15.27% | Jan 2, 2013 |
| Ronald S Wilheim 2012 Spousal Trust | Owns a share through other companies | 15.27% | Apr 19, 2008 |
| C.r. Stoltz Irrevocable Trust | Owns 5% or more through other companies | 6.52% | Apr 19, 2008 |
| C.r. Stoltz Irrevocable Trust | Owns a share through other companies | 6.52% | Apr 19, 2008 |
| C R Stoltz II LLC | Owns 5% or more through other companies | 6.52% | Apr 19, 2008 |
| C R Stoltz II LLC | Owns a share through other companies | 6.52% | Apr 19, 2008 |
| Ronald S Wilheim 2012 Spousal Trust | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 19, 2008 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Dec 5, 2018 | |
| Bel Pre Mgmt. Co., LLC | Runs it (operational or managerial control) | Dec 5, 2018 | |
| Bel Pre Mgmt. Co., LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | May 20, 2025 | |
| I. Rosedale Irrevocable Trust | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 19, 2008 | |
| Option Holdings II LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 19, 2008 | |
| C.r. Stoltz Irrevocable Trust | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 19, 2008 | |
| Wilheim Family Investment Company, Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 19, 2008 | |
| Rrw, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 19, 2008 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | May 29, 2025 | |
| Hc Real Estate Holdings, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 19, 2008 | |
| Rosedale Family Investment Company, Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 19, 2008 | |
| C R Stoltz II LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 19, 2008 | |
| S.l. Rosedale Irrevocable Trust | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 19, 2008 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Dec 5, 2018 | |
| R.s. Wilheim Irrevocable Trust | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 19, 2008 | |
| Omg RE Holdings LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 19, 2008 |
How do residents fare?
- CMS rates its quality measures 5 of 5 (Maryland average 4.1).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 2 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 3 of 5 |
| Quality measures | 5 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 4.4 miles, this one had the 5th most health citations at the latest inspection cycle (17; the middle value was 14.5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Harmony Suites Rehabilitation and Wellness Center This nursing home | 17 | |
| Complete Care at Springbrook | 1.7 | 26 |
| Fairland Center | 1.8 | 14 |
| Autumn Lake Healthcare at Silver Spring | 2.5 | 13 |
| Autumn Lake Healthcare at Oak Manor | 3.4 | 18 |
| Layhill Nursing and Rehabilitation Center | 3.4 | 28 |
| Riderwood Village | 3.4 | 5 |
| Montcare at Wheaton | 3.5 | 15 |
| Autumn Lake Healthcare at Arcola | 3.5 | 18 |
| Friends Nursing Home | 4.2 | 6 |
| Bedford Court Healthcare Cent. | 4.2 | 11 |
| Sterling Care Hillhaven | 4.4 | 8 |
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).
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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).
-
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.