Orchard Hill Rehabilitation and Healthcare Center
A nursing home in Towson, Maryland 21204
111 West Road, Towson, Maryland 21204. (410) 828-6500.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 2of 5 CMS’s overall rating
- 34 health citations at the latest inspection cycle Maryland average: 17.0
- 3.73 nurse hours per resident per day Maryland average: 3.93
- 2 fines in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean7
- 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.
- 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?
34 health citations at the latest inspection cycle
The Maryland average is 17.0.
Last standard inspection Apr 23, 2026.
Most serious in three years: actual harm (G), at a standard inspection on Apr 23, 2026
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
67 citations in 5 months of the last 36. Last cited Apr 2026. Most serious: actual harm (G). 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 67 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. 32 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Apr 23, 2026: standard inspection18 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 that residents are fully informed and understand their health status, care and treatments.
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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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Assess the resident when there is a significant change in condition
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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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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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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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Provide enough food/fluids to maintain a resident’s health.
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Obtain a doctor’s order to admit a resident and ensure the resident is under a doctor’s care.
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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 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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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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Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Jan 21, 2026: complaint inspection4 citations
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Respond appropriately to all alleged violations.
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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 safe and appropriate respiratory care for a resident when needed.
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Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
Oct 17, 2025: complaint inspection12 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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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Ensure each resident receives an accurate assessment.
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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 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 treatment and care according to orders, resident’s preferences and goals.
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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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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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Post nurse staffing information every day.
Mar 18, 2025: standard inspection17 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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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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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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Assess the resident when there is a significant change in condition
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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.
-
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
Provide enough food/fluids to maintain a resident’s health.
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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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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 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 routine and 24-hour emergency dental care 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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Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
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Implement a program that monitors antibiotic use.
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Keep all essential equipment working safely.
Mar 18, 2025: complaint inspection2 citations
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Protect each resident from the wrongful use of the resident’s belongings or money.
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Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Oct 22, 2024: complaint inspection14 citations
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
-
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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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.
-
Ensure each resident receives an accurate assessment.
-
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
-
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
Provide safe and appropriate respiratory care for a resident when needed.
-
Ensure each resident’s drug regimen must be free from unnecessary drugs.
-
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
-
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Make sure that a working call system is available in each resident’s bathroom and bathing area.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Jul 31, 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.
- 139 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 2 fines in the last three years, $72,347 in all.
- No Medicare payment denials in the last three years.
- 32 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Apr 23, 2026 | Fine | $22,225 |
| Oct 22, 2024 | Fine | $50,122 |
Who does the caring?
3.73 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 | 3.73 | 3.93 |
| Of which registered nurses | 0.70 | 0.88 |
| At weekends | 3.18 | 3.49 |
| Nursing staff turnover | 59.7% | 40.2% |
| Registered nurse turnover | 76.9% | 37.8% |
| Administrators who left | 0 | Not given |
Who owns it?
- Quinto Guardian LLC owns 88.6% directly since Oct 4, 2018; Ukr Consulting LLC owns 10% directly since Oct 4, 2018; An organisation CMS lists without a name owns 1.4% directly since Oct 4, 2018.
- Reliant Pro Rehab LLC and Marquis Limited LLC and Nutraco LLC run it.
- 19 owners or officers are people: A person CMS lists without a name (owns a share through other companies, 0.1%); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Leshawn Bailey (corporate director); Leshawn Bailey (runs it (operational or managerial control)); Leshawn Bailey (on the governing body (managing control)); Leshawn Bailey (additional disclosable party (controls, leases property to, or provides services to the home)); Ibrahim M Rizqui (runs it (operational or managerial control)); Ibrahim M Rizqui (additional disclosable party (controls, leases property to, or provides services to the home)); Mindee Posen (corporate officer); Mindee Posen (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (owns a share through other companies, 0%); Yogesh V Viroja (on the governing body (managing control)); Yogesh V Viroja (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Jahiri Gunthorpe (on the governing body (managing control)); Jahiri Gunthorpe (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of Marquis Health Services (90 homes in CMS’s data).
- 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 |
|---|---|---|---|
| Quinto Guardian LLC | Owns 5% or more directly | 88.6% | Oct 4, 2018 |
| Cibc Bank USA | Holds 5% or more security interest | 75% | Jul 1, 2018 |
| Tryko Guardian Holdings LLC | Owns 5% or more through other companies | 66.45% | Oct 4, 2018 |
| Yr 2013 Investment Tr Ua 03252013 | Owns 5% or more through other companies | 22.15% | Oct 4, 2018 |
| Kohn Fam Tr Gst Exempt Uad 3-25-13 | Owns 5% or more through other companies | 22.15% | Jan 1, 2022 |
| Rsbrmk Holdings LLC | Owns 5% or more through other companies | 22.15% | Jan 1, 2022 |
| Nfr 2020 Irrv Tr | Owns 5% or more through other companies | 22.15% | Jan 1, 2022 |
| Sk 2013 Investment Tr Ua 03252013 | Owns 5% or more through other companies | 22.15% | Oct 4, 2018 |
| Ukr Consulting LLC | Owns 5% or more directly | 10% | Oct 4, 2018 |
| Uak 2020 Irrv Tr | Owns 5% or more through other companies | 9.9% | Jan 1, 2022 |
| An organisation CMS lists without a name | Owns a share directly | 1.4% | Oct 4, 2018 |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 31, 2025 | |
| Yr 2013 Investment Tr Ua 03252013 | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 4, 2018 | |
| Quinto Guardian LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 4, 2018 | |
| Reliant Pro Rehab LLC | Runs it (operational or managerial control) | Oct 4, 2018 | |
| Reliant Pro Rehab LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 31, 2025 | |
| Ukr Consulting LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 4, 2018 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 31, 2025 | |
| Marquis Limited LLC | Runs it (operational or managerial control) | Jan 1, 2021 | |
| Marquis Limited LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 31, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 31, 2025 | |
| Tryko Guardian Holdings LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 4, 2018 | |
| Orchard Hill Property LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 4, 2018 | |
| Kohn Fam Tr Gst Exempt Uad 3-25-13 | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 1, 2022 | |
| Rsbrmk Holdings LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 1, 2021 | |
| Nfr 2020 Irrv Tr | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 1, 2022 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 31, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 31, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 28, 2025 | |
| Sk 2013 Investment Tr Ua 03252013 | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 4, 2018 | |
| Uak 2020 Irrv Tr | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 1, 2022 | |
| Nutraco LLC | Runs it (operational or managerial control) | Feb 9, 2021 | |
| Nutraco LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 31, 2025 |
How do residents fare?
- CMS rates its quality measures 4 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 | 2 of 5 |
| Staffing | 2 of 5 |
| Quality measures | 4 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 3.0 miles, this one had the 1st most health citations at the latest inspection cycle (34; the middle value was 12.5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Orchard Hill Rehabilitation and Healthcare Center This nursing home | 34 | |
| Chestnut Grn Hlth Ctr Blakehur | 0.5 | 11 |
| Pickersgill Retirement Community | 0.6 | 4 |
| Edenwald | 0.9 | 7 |
| Autumn Lake Healthcare at Ruxton | 1.1 | 30 |
| Towson Rehabilitation and Healthcare Center | 1.3 | 26 |
| Complete Care at Multi Medical Center LLC | 1.7 | 12 |
| Holly Hill Healthcare Center | 2.0 | 14 |
| Advanced Rehab at Autumn Lake Healthcare | 2.9 | 13 |
| Autumn Lake Healthcare at Loch Raven | 3.0 | 30 |
| Stella Maris, Inc. | 3.0 | 7 |
| Autumn Lake Healthcare at Parkville | 3.0 | 10 |
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).
-
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.