Adviniacare Orchard, LLC
A nursing home in East Providence, Rhode Island 02915
135 Tripps Lane, East Providence, Rhode Island 02915. (401) 438-2250.
- A candidate for CMS’s special focus list
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
- 15 health citations at the latest inspection cycle Rhode Island average: 9.6
- 5 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?
15 health citations at the latest inspection cycle
The Rhode Island average is 9.6.
Last standard inspection Jun 26, 2025.
Most serious in three years: immediate jeopardy to health or safety (L), at a complaint inspection on Jan 12, 2026
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
44 citations in 16 months of the last 36. Last cited Aug 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 45 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. 28 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Aug 21, 2026: complaint inspection1 citation
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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.
Jan 23, 2026: complaint inspection1 citation
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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.
Jan 12, 2026: complaint inspection4 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 and implement an infection prevention and control program.
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Dispose of garbage and refuse properly.
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Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Sep 24, 2025: complaint inspection1 citation
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Sep 17, 2025: complaint inspection1 citation
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Provide safe, appropriate dialysis care/services for a resident who requires such services.
Aug 13, 2025: complaint inspection1 citation
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Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Jun 26, 2025: standard inspection8 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 safe, appropriate pain management for a resident who requires such services.
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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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Administer the facility in a manner that enables it to use its resources effectively and efficiently.
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Provide and implement an infection prevention and control program.
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Keep all essential equipment working safely.
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Put firmly secured handrails on each side of hallways.
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Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Jun 26, 2025: standard and complaint inspection1 citation
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Ensure that residents are free from significant medication errors.
Apr 2, 2025: complaint inspection4 citations
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Ensure services provided by the nursing facility meet professional standards of quality.
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Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
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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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Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Mar 27, 2025: complaint inspection1 citation
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Make sure that a working call system is available in each resident’s bathroom and bathing area.
Dec 3, 2024: complaint inspection1 citation
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Ensure services provided by the nursing facility meet professional standards of quality.
Oct 24, 2024: complaint inspection1 citation
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Ensure services provided by the nursing facility meet professional standards of quality.
Sep 12, 2024: complaint inspection2 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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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jul 2, 2024: complaint inspection1 citation
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Jun 26, 2024: standard inspection9 citations
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Ensure services provided by the nursing facility meet professional standards of quality.
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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 safe, appropriate dialysis care/services 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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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Provide and implement an infection prevention and control program.
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Allow residents to easily view the nursing home’s survey results and communicate with advocate agencies.
Jun 26, 2024: standard and 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.
Apr 23, 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.
Feb 15, 2024: complaint inspection2 citations
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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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
Jan 3, 2024: complaint inspection2 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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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Dec 5, 2023: 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.
Nov 9, 2023: complaint inspection1 citation
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Provide care and assistance to perform activities of daily living for any resident who is unable.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Oct 1, 1978.
- A candidate for CMS’s special focus list, which CMS keeps for homes with a history of serious problems.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, corporation.
- 166 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 5 fines in the last three years, $103,744 in all.
- No Medicare payment denials in the last three years.
- 28 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Jan 12, 2026 | Fine | $25,485 |
| Jan 12, 2026 | Fine | $23,485 |
| Sep 12, 2024 | Fine | $23,923 |
| Apr 23, 2024 | Fine | $16,801 |
| Feb 15, 2024 | Fine | $14,050 |
Who does the caring?
| Measure | This home | Rhode Island average |
|---|---|---|
| Nurse hours per resident per day | Not given | 3.78 |
| Of which registered nurses | Not given | 0.77 |
| At weekends | Not given | 3.37 |
| Nursing staff turnover | Not given | 40% |
| Registered nurse turnover | Not given | 38.8% |
| Administrators who left | Not given | Not given |
Who owns it?
- RI 5 Holdco Op, LLC owns 100% directly since Jan 30, 2026.
- Adviniacare, LLC runs it.
- 41 owners or officers are people: Shraga Braun (corporate officer, 100%); Yosef Meystel (owns 5% or more through other companies, 18.5%); Shraga Braun (owns 5% or more through other companies, 18.5%); David Berkowitz (owns 5% or more through other companies, 18.5%); Dovid Seitler (owns 5% or more through other companies, 5.35%); Jerome Kahan (owns a share through other companies, 2.67%); Brian Goldfarb (owns a share through other companies, 2%); Jennifer Spector (owns a share through other companies, 1.6%); Tova Bram (owns a share through other companies, 1.6%); Zev Rosenberg (owns a share through other companies, 1.6%); Moriel Hamui (owns a share through other companies, 1%); Joette Kroll (owns a share through other companies, 0.8%); Naftali Wilhelm (owns a share through other companies, 0.8%); Joel Meystel (owns a share through other companies, 0.7%); Yitzchok Rapoport (owns a share through other companies, 0.53%); Yehuda Tober (owns a share through other companies, 0.53%); Israel Salamon (owns a share through other companies, 0.53%); Aryeh Russell (owns a share through other companies, 0.53%); Avraham Mandelbaum (owns a share through other companies, 0.53%); Bassheva Twerski (owns a share through other companies, 0.53%); Mark Salamon (owns a share through other companies, 0.53%); Shmuel Katz (owns a share through other companies, 0.53%); Lisa Ulbert (owns a share through other companies, 0.53%); Nathaniel Salamon (owns a share through other companies, 0.27%); Yehoshua Wilhelm (owns a share through other companies, 0.27%); Yisroel Leiner (owns a share through other companies, 0.27%); Joel Sussman (owns a share through other companies, 0.13%); Jennifer Spector (runs it (operational or managerial control)); Jennifer Spector (additional disclosable party (controls, leases property to, or provides services to the home)); Neima Hadi (runs it (operational or managerial control)); Neima Hadi (additional disclosable party (controls, leases property to, or provides services to the home)); Dovid Seitler (additional disclosable party (controls, leases property to, or provides services to the home)); Benjamin Berkowitz (additional disclosable party (controls, leases property to, or provides services to the home)); Shraga Braun (runs it (operational or managerial control)); Shraga Braun (additional disclosable party (controls, leases property to, or provides services to the home)); Steven Turofsky (runs it (operational or managerial control)); Steven Turofsky (additional disclosable party (controls, leases property to, or provides services to the home)); Raymond Talamona (runs it (operational or managerial control)); Raymond Talamona (additional disclosable party (controls, leases property to, or provides services to the home)); Naftali Wilhelm (runs it (operational or managerial control)); Naftali Wilhelm (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of Adviniacare (14 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 |
|---|---|---|---|
| RI 5 Holdco Op, LLC | Owns 5% or more directly | 100% | Jan 30, 2026 |
| Enykri, LLC | Owns 5% or more through other companies | 48.14% | Jan 30, 2026 |
| RI 5 Investor Group, LLC | Owns 5% or more through other companies | 25.5% | Jan 30, 2026 |
| Benjamin Berkowitz Revocable Trust | Owns 5% or more through other companies | 18.5% | Jan 30, 2026 |
| Yosef Meystel Delta Trust | Owns 5% or more through other companies | 18.5% | Jan 30, 2026 |
| David A Berkowitz Delta Trust | Owns 5% or more through other companies | 18.5% | Jan 30, 2026 |
| Jack Yolinsky Revocable Trust Agreement Dated 2/18/11 | Owns 5% or more through other companies | 6.95% | Jan 30, 2026 |
| Leah Braun Trust | Owns 5% or more through other companies | 5% | Jan 30, 2026 |
| Robin Miller Revocable Trust | Owns a share through other companies | 3.48% | Jan 30, 2026 |
| 42170 Limted Partnership | Owns a share through other companies | 3.48% | Jan 30, 2026 |
| Pearl Kahan 2023 Family Trust | Owns a share through other companies | 2.67% | Jan 30, 2026 |
| Joshua Hoffman Trust | Owns a share through other companies | 2.54% | Jan 30, 2026 |
| Bider Family Trust | Owns a share through other companies | 2.14% | Jan 30, 2026 |
| 257 Limted Partnership | Owns a share through other companies | 1.87% | Jan 30, 2026 |
| 1219 Limted Partnership | Owns a share through other companies | 1.87% | Jan 30, 2026 |
| Marlee Associates | Owns a share through other companies | 1.6% | Jan 30, 2026 |
| Bunneli, LLC | Owns a share through other companies | 1.07% | Jan 30, 2026 |
| Frederick S Frankel Trust | Owns a share through other companies | 1% | Jan 30, 2026 |
| Silver Equities | Owns a share through other companies | 0.8% | Jan 30, 2026 |
| F Squared Investments, LLC | Owns a share through other companies | 0.8% | Jan 30, 2026 |
| Cba II, LLC | Owns a share through other companies | 0.53% | Jan 30, 2026 |
| Msar Enterprises, LP | Owns a share through other companies | 0.53% | Jan 30, 2026 |
| S&D Investments | Owns a share through other companies | 0.4% | Jan 30, 2026 |
| Wilhelm Legacy Trust | Owns a share through other companies | 0.27% | Jan 30, 2026 |
| Ycd Group, LLC | Owns a share through other companies | 0.21% | Jan 30, 2026 |
| RI 5 Investor Group, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 30, 2026 | |
| Advinia Properties, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 30, 2026 | |
| Benjamin Berkowitz Revocable Trust | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 30, 2026 | |
| Adviniacare, LLC | Runs it (operational or managerial control) | Jan 30, 2026 | |
| Adviniacare, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Feb 3, 2026 | |
| Pointe Property LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 30, 2026 | |
| Enykri, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 30, 2026 | |
| Tripps Lane, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Feb 3, 2026 | |
| Leah Braun Trust | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 30, 2026 | |
| Yosef Meystel Delta Trust | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 30, 2026 | |
| David A Berkowitz Delta Trust | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 30, 2026 | |
| Jack Yolinsky Revocable Trust Agreement Dated 2/18/11 | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 30, 2026 | |
| Curis Services LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 30, 2026 | |
| RI 5 Holdco Prop, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 30, 2026 |
How do residents fare?
- CMS rates its quality measures 3 of 5 (Rhode Island average 3.2).
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 | 3 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 3.9 miles, this one had the 1st most health citations at the latest inspection cycle (15; the middle value was 6.5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Adviniacare Orchard, LLC This nursing home | 15 | |
| Hattie Ide Chaffee Home | 0.4 | 5 |
| Evergreen House Health Center | 1.3 | 6 |
| Adviniacare Waterview Villas, LLC | 1.4 | 9 |
| Harris Health Center LLC | 2.0 | 12 |
| Eastgate Nursing & Rehabilitation Center | 2.3 | 4 |
| Tockwotton on the Waterfront | 2.4 | 2 |
| Scandinavian Home Inc. | 2.5 | 2 |
| Bethany Home of Rhode Island | 3.1 | 7 |
| Steere House Nursing and Rehabilitation Center | 3.3 | 5 |
| Elmwood Nursing and Rehabilitation Center | 3.8 | 11 |
| Adviniacare Providence Dodge Rehab Center, LLC | 3.9 | 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).
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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.