Trotwood Health & Rehab LLC
A nursing home in Dayton, Ohio 45426
4911 Covenant House Drive, Dayton, Ohio 45426. (937) 837-2651.
- A candidate for CMS’s special focus list
- Cited for abuse (CMS flag)
Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.
The short answer
Record last released by CMS on Oct 28, 2026.
- 2of 5 CMS’s overall rating
- 28 health citations at the latest inspection cycle Ohio average: 10.5
- 3.80 nurse hours per resident per day Ohio average: 3.71
- 1 fine 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?
28 health citations at the latest inspection cycle
The Ohio average is 10.5.
Last standard inspection Jun 16, 2026.
Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on Apr 30, 2026
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
76 citations in 14 months of the last 36. Last cited Jun 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 76 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. 50 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Jun 16, 2026: standard inspection22 citations
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Reasonably accommodate the needs and preferences of each resident.
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Honor the resident’s right to manage his or her financial affairs.
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Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
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Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
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Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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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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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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Ensure the activities program is directed by a qualified professional.
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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 food/fluids to maintain a resident’s health.
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Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
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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 food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
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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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Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
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Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
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Provide and implement an infection prevention and control program.
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Keep all essential equipment working safely.
Jun 16, 2026: standard and complaint inspection1 citation
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Apr 30, 2026: complaint inspection1 citation
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Dec 22, 2025: complaint inspection4 citations
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Honor the resident’s right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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Ensure the activities program is directed by a qualified professional.
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Keep all essential equipment working safely.
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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.
Aug 22, 2025: complaint inspection2 citations
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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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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Jun 11, 2025: complaint inspection4 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her 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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Provide safe, appropriate pain management for a resident who requires such services.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Jun 4, 2025: complaint inspection1 citation
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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.
Mar 26, 2025: complaint inspection3 citations
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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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Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Feb 27, 2025: complaint inspection3 citations
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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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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 medication error rates are not 5 percent or greater.
Jan 22, 2025: complaint inspection1 citation
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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.
Dec 3, 2024: complaint inspection2 citations
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Provide medically-related social services to help each resident achieve the highest possible quality of life.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Jul 23, 2024: standard inspection4 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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Assist a resident in gaining access to vision and hearing services.
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Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
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Provide or obtain dental services for each resident.
Jul 23, 2024: standard and complaint inspection15 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her 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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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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Respond appropriately to all alleged violations.
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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.
-
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.
-
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
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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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Develop and implement policies and procedures for flu and pneumonia vaccinations.
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Make sure that a working call system is available in each resident’s bathroom and bathing area.
Jun 6, 2024: complaint inspection7 citations
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Reasonably accommodate the needs and preferences of each 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.
-
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
-
Ensure medication error rates are not 5 percent or greater.
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Provide timely, quality laboratory services/tests to meet the needs of residents.
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Make sure that a working call system is available in each resident’s bathroom and bathing area.
May 13, 2024: complaint inspection3 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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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
-
Make sure that a working call system is available in each resident’s bathroom and bathing area.
Apr 11, 2024: complaint inspection2 citations
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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.
-
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Jan 9, 2024: complaint inspection1 citation
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Dec 20, 1977.
- A candidate for CMS’s special focus list, which CMS keeps for homes with a history of serious problems.
- CMS marks it with its abuse icon: cited for abuse or neglect that harmed a resident.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
- 67 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 1 fine in the last three years, $53,716 in all.
- 1 Medicare payment denial in the last three years.
- 50 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 30, 2026 | Fine | $53,716 |
| Apr 11, 2024 | Medicare payment denial | Not given |
Who does the caring?
3.80 nurse hours per resident per day
The Ohio average is 3.71.
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 | Ohio average |
|---|---|---|
| Nurse hours per resident per day | 3.80 | 3.71 |
| Of which registered nurses | 0.81 | 0.64 |
| At weekends | 3.20 | 3.29 |
| Nursing staff turnover | 84.3% | 49% |
| Registered nurse turnover | 88.9% | 44.4% |
| Administrators who left | Not given | Not given |
Who owns it?
- Bao OPCO Holdings LLC owns 100% directly since Jun 30, 2025.
- Ohio-Two Properties LLC and Bao OPCO Holdings LLC and Rise SNF Management LLC run it.
- 12 owners or officers are people: Bryon Womack (owns 5% or more through other companies, 75%); Ashley Smithey (owns 5% or more through other companies, 25%); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Susan Berner (runs it (operational or managerial control)); Susan Berner (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)); Bryon Womack (runs it (operational or managerial control)); Bryon Womack (additional disclosable party (controls, leases property to, or provides services to the home)); Ashley Smithey (runs it (operational or managerial control)); Ashley Smithey (additional disclosable party (controls, leases property to, or provides services to the home)); Amber Denny (runs it (operational or managerial control)); Amber Denny (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of Bao OPCO Holdings (5 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 |
|---|---|---|---|
| Bao OPCO Holdings LLC | Owns 5% or more directly | 100% | Jun 30, 2025 |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 30, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 30, 2025 | |
| Ohio-Two Properties LLC | Runs it (operational or managerial control) | Jun 30, 2025 | |
| Ohio-Two Properties LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 30, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 30, 2025 | |
| Bao OPCO Holdings LLC | Runs it (operational or managerial control) | Jun 30, 2025 | |
| Rise SNF Management LLC | Runs it (operational or managerial control) | Jun 30, 2025 | |
| Rise SNF Management LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Aug 15, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 30, 2025 |
How do residents fare?
- CMS rates its quality measures 5 of 5 (Ohio average 4.5).
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 | 1 of 5 |
| Quality measures | 5 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 4.5 miles, this one had the 1st most health citations at the latest inspection cycle (28; the middle value was 15).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Trotwood Health & Rehab LLC This nursing home | 28 | |
| Maria Joseph Living Care Center | 0.5 | 11 |
| Arc at Trotwood LLC | 1.1 | 22 |
| Aventura at Shiloh Springs | 1.3 | 19 |
| Siena Woods Care Center | 2.3 | 13 |
| Aventura at Carriage Inn | 2.3 | 19 |
| Grace Brethren Village | 3.2 | 6 |
| Carecore at Mary Scott | 3.4 | 17 |
| Riverside Nursing and Rehabilitation Center | 3.7 | 12 |
| Cypress Pointe Health Campus | 4.0 | 2 |
| Stonespring of Vandalia | 4.1 | 7 |
| Englewood Health and Rehab | 4.5 | 27 |
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
-
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).
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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.