South Hills Rehabilitation Center
A nursing home in Eugene, Oregon 97403
1166 E. 28th Avenue, Eugene, Oregon 97403. (503) 523-8380.
- 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.
- 1of 5 CMS’s overall rating
- 27 health citations at the latest inspection cycle Oregon average: 9.2
- 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?
27 health citations at the latest inspection cycle
The Oregon average is 9.2.
Last standard inspection Aug 11, 2025.
Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on Jul 15, 2026
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
68 citations in 8 months of the last 36. Last cited Aug 2026. Most serious: immediate jeopardy to health or safety (L). 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 68 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. 38 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Aug 18, 2026: complaint inspection2 citations
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Ensure the transfer/discharge meets the resident’s needs/preferences and that the resident is prepared for a safe transfer/discharge.
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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.
Jul 15, 2026: complaint inspection8 citations
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Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
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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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Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
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Ensure each resident receives an accurate assessment.
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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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Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
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Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Apr 13, 2026: 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 appropriate treatment and care according to orders, resident’s preferences and goals.
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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Feb 9, 2026: complaint inspection1 citation
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Dec 9, 2025: complaint inspection2 citations
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Provide safe and appropriate respiratory care for a resident when needed.
Aug 11, 2025: standard inspection11 citations
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Provide and implement an infection prevention and control program.
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Allow residents to self-administer drugs if determined clinically appropriate.
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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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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.
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Provide the required documentation or notification related to the resident’s needs, appeal rights, or bed-hold policies.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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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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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Dispose of garbage and refuse properly.
Oct 16, 2024: complaint inspection8 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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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 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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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.
Mar 22, 2024: standard inspection19 citations
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Allow residents to self-administer drugs if determined clinically appropriate.
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Honor the resident’s right to organize and participate in resident/family groups in the facility.
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Ensure residents have reasonable access to and privacy in their use of communication methods.
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Allow residents to easily view the nursing home’s survey results and communicate with advocate agencies.
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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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Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
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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.
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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 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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Provide enough food/fluids to maintain a resident’s health.
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Provide safe, appropriate pain management for a resident who requires such services.
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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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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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Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
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Provide or obtain dental services for each resident.
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Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
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Dispose of garbage and refuse properly.
Mar 22, 2024: standard and complaint inspection14 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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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
-
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.
-
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
-
Provide care and assistance to perform activities of daily living for any resident who is unable.
-
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 nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
-
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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Observe each nurse aide’s job performance and give regular training.
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Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
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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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Provide and implement an infection prevention and control program.
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Implement a program that monitors antibiotic use.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since May 17, 1985.
- 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.
- 110 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 3 fines in the last three years, $165,996 in all.
- No Medicare payment denials in the last three years.
- 38 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Jul 15, 2026 | Fine | $57,888 |
| Feb 9, 2026 | Fine | $28,870 |
| Aug 11, 2025 | Fine | $79,238 |
Who does the caring?
| Measure | This home | Oregon average |
|---|---|---|
| Nurse hours per resident per day | Not given | 5.13 |
| Of which registered nurses | Not given | 0.76 |
| At weekends | Not given | 4.56 |
| Nursing staff turnover | Not given | 43.5% |
| Registered nurse turnover | Not given | 49.5% |
| Administrators who left | Not given | Not given |
Who owns it?
- Pac 12 Opco Holdco LLC owns 100% directly since Mar 1, 2023.
- Volare Health LLC runs it.
- 22 owners or officers are people: Brian Smith (corporate officer, 100%); Donald Knox (corporate officer, 100%); Eliezer Schwartz (owns 5% or more through other companies, 34.25%); Chaim Hagar (owns 5% or more through other companies, 30.83%); Alexander Hagler (owns 5% or more through other companies, 24%); Donald Knox (owns 5% or more through other companies, 7.5%); A person CMS lists without a name (owns a share through other companies, 3.42%); Sarah E Dunham (runs it (operational or managerial control)); Sarah E Dunham (additional disclosable party (controls, leases property to, or provides services to the home)); Brian Smith (additional disclosable party (controls, leases property to, or provides services to the home)); Emily Murer (runs it (operational or managerial control)); Emily Murer (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)); 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)); Chaim Hagar (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)); Donald Knox (runs it (operational or managerial control)); Donald Knox (additional disclosable party (controls, leases property to, or provides services to the home)); Eliezer Schwartz (runs it (operational or managerial control)); Eliezer Schwartz (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of Volare Health (16 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 |
|---|---|---|---|
| Pac 12 Opco Holdco LLC | Owns 5% or more directly | 100% | Mar 1, 2023 |
| Camas Ridge Propco LLC | Holds 5% or more of the mortgage | 100% | Mar 1, 2023 |
| Pac 12 Pinnacle Holdco LLC | Owns 5% or more through other companies | 69.17% | Mar 1, 2023 |
| Pac 12 Holdings LLC | Owns 5% or more through other companies | 61.67% | Mar 1, 2023 |
| Knox Healthcare Pac 12 Holdings LLC | Owns 5% or more through other companies | 7.5% | Mar 1, 2023 |
| An organisation CMS lists without a name | Owns a share through other companies | 3.42% | Mar 1, 2023 |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 1, 2023 | |
| Pac 12 Holdings LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 1, 2023 | |
| Pac 12 Pinnacle Holdco LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 1, 2023 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 1, 2023 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 13, 2025 | |
| Camas Ridge Propco LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 1, 2023 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 1, 2023 | |
| Volare Health LLC | Runs it (operational or managerial control) | Mar 1, 2023 | |
| Volare Health LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Aug 11, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 1, 2023 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 1, 2023 |
How do residents fare?
- CMS rates its quality measures 4 of 5 (Oregon average 3.7).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 1 of 5 |
| Quality measures | 4 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 16.9 miles, this one had the 1st most health citations at the latest inspection cycle (27; the middle value was 13).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| South Hills Rehabilitation Center This nursing home | 27 | |
| Cascade Manor | 0.5 | 3 |
| Creekside Health and Rehabilitation of Cascadia | 0.6 | 3 |
| Hillside Heights Rehabilitation Center | 1.5 | 14 |
| Avamere Rehabilitation of Eugene | 2.0 | 14 |
| Valley West Health Care Center | 3.5 | 13 |
| Avamere Riverpark of Eugene | 3.9 | 13 |
| Green Valley Rehabilitation Health Center | 3.9 | 25 |
| Marquis Springfield | 4.1 | 13 |
| Creswell Post Acute | 8.4 | 16 |
| Avamere Rehabilitation of Junction City | 14.5 | 9 |
| Cottage Grove Post Acute | 16.9 | 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).
-
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.