Avamere Rehabilitation of Issaquah
A nursing home in Issaquah, Washington 98027
805 Front Street, Issaquah, Washington 98027. (425) 392-1271.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 2of 5 CMS’s overall rating
- 16 health citations at the latest inspection cycle Washington average: 15.7
- 4.26 nurse hours per resident per day Washington average: 4.42
- 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?
16 health citations at the latest inspection cycle
The Washington average is 15.7.
Last standard inspection Jul 2, 2026.
Most serious in three years: immediate jeopardy to health or safety (J), at a standard and complaint inspection on Feb 6, 2024
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
60 citations in 3 months of the last 36. Last cited Jul 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 62 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. 6 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Jul 2, 2026: standard inspection16 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 request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
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Honor the resident’s right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
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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 completely in a timely manner when first admitted, and then periodically, at least every 12 months.
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Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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PASARR screening for Mental disorders or Intellectual Disabilities
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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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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 dialysis care/services for a resident who requires such services.
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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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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 that residents are free from significant medication errors.
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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Mar 27, 2025: standard inspection12 citations
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Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
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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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Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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Ensure each resident receives an accurate assessment.
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PASARR screening for Mental disorders or Intellectual Disabilities
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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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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 basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
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Provide activities to meet all resident’s needs.
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Provide timely, quality laboratory services/tests to meet the needs of residents.
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Provide and implement an infection prevention and control program.
Mar 27, 2025: standard and 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 6, 2024: standard inspection28 citations
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Provide safe, appropriate pain management for a resident who requires such services.
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Allow residents to self-administer drugs if determined clinically appropriate.
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Reasonably accommodate the needs and preferences of each resident.
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Honor the resident’s right to share a room with spouse or roommate of choice and receive written notice before a change is made.
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Honor the resident’s right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
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Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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Honor the resident’s right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
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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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Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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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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Assess the resident when there is a significant change in condition
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Ensure each resident receives an accurate assessment.
-
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
-
PASARR screening for Mental disorders or Intellectual Disabilities
-
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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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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Assist a resident in gaining access to vision and hearing services.
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Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
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Provide safe and appropriate respiratory care for a resident when needed.
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Provide 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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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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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
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Provide and implement an infection prevention and control program.
Feb 6, 2024: standard and complaint inspection3 citations
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Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nov 9, 2023: complaint inspection2 citations
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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.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Jan 1, 1967.
- 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.
- 140 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 1 fine in the last three years, $48,663 in all.
- No Medicare payment denials in the last three years.
- 6 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Feb 6, 2024 | Fine | $48,663 |
Who does the caring?
4.26 nurse hours per resident per day
The Washington average is 4.42.
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 | Washington average |
|---|---|---|
| Nurse hours per resident per day | 4.26 | 4.42 |
| Of which registered nurses | 0.64 | 0.99 |
| At weekends | 3.74 | 3.82 |
| Nursing staff turnover | 42.5% | 43.9% |
| Registered nurse turnover | 56.3% | 43.8% |
| Administrators who left | 0 | Not given |
Who owns it?
- Ariso LLC owns 100% directly since Feb 1, 2023.
- Avamere Skilled Advisors LLC and Midcap Finco LLC and Avamere Health Services LLC run it.
- 43 owners or officers are people: Karl Rickard Miller (owns a share through other companies, 100%); Melanie Weisert (additional disclosable party (controls, leases property to, or provides services to the home)); Michelle Funderberg (on the governing body (managing control)); Michelle Funderberg (additional disclosable party (controls, leases property to, or provides services to the home)); Katherine Fowler (runs it (operational or managerial control)); Katherine Fowler (additional disclosable party (controls, leases property to, or provides services to the home)); Charles Nielson (additional disclosable party (controls, leases property to, or provides services to the home)); Glen Robert Cavallo (on the governing body (managing control)); Carolyn Staples (on the governing body (managing control)); Carolyn Staples (additional disclosable party (controls, leases property to, or provides services to the home)); Oksana Nesterenko (runs it (operational or managerial control)); Oksana Nesterenko (additional disclosable party (controls, leases property to, or provides services to the home)); Tonya Fisher (runs it (operational or managerial control)); Todd Inskeep (on the governing body (managing control)); Todd Inskeep (additional disclosable party (controls, leases property to, or provides services to the home)); Roberto Garcia (runs it (operational or managerial control)); Roberto Garcia (on the governing body (managing control)); Roberto Garcia (additional disclosable party (controls, leases property to, or provides services to the home)); Colby Strunk (on the governing body (managing control)); Colby Strunk (additional disclosable party (controls, leases property to, or provides services to the home)); Loriel Fanunal (runs it (operational or managerial control)); Loriel Fanunal (additional disclosable party (controls, leases property to, or provides services to the home)); Kim Games (additional disclosable party (controls, leases property to, or provides services to the home)); Mary Kofstad (runs it (operational or managerial control)); Mary Kofstad (on the governing body (managing control)); Mary Kofstad (additional disclosable party (controls, leases property to, or provides services to the home)); Yolanda Presley (runs it (operational or managerial control)); Yolanda Presley (additional disclosable party (controls, leases property to, or provides services to the home)); Jose Feliu Vargas (runs it (operational or managerial control)); Jose Feliu Vargas (additional disclosable party (controls, leases property to, or provides services to the home)); Samantha Hobbs (runs it (operational or managerial control)); Samantha Hobbs (additional disclosable party (controls, leases property to, or provides services to the home)); Cody Feakin (runs it (operational or managerial control)); Cody Feakin (on the governing body (managing control)); Cody Feakin (additional disclosable party (controls, leases property to, or provides services to the home)); Laura Hokenson (additional disclosable party (controls, leases property to, or provides services to the home)); Misty Dawn Reid (runs it (operational or managerial control)); Misty Dawn Reid (on the governing body (managing control)); Misty Dawn Reid (additional disclosable party (controls, leases property to, or provides services to the home)); Samiksha Mokashi (runs it (operational or managerial control)); Samiksha Mokashi (additional disclosable party (controls, leases property to, or provides services to the home)); Carrie Vanderzanden (on the governing body (managing control)); Carrie Vanderzanden (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of Avamere (27 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- A real-estate investment trust is 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 |
|---|---|---|---|
| Ari Operations LLC | Owns a share through other companies | 100% | Feb 1, 2023 |
| Midcap Finco LLC | Holds 5% or more security interest | 100% | Feb 1, 2023 |
| Ariso LLC | Owns a share directly | 100% | Feb 1, 2023 |
| Karl Rickard Miller Jr Revocable Trust | Owns a share through other companies | 100% | Feb 1, 2023 |
| Avamere Group LLC | Owns a share through other companies | 100% | Feb 1, 2023 |
| Avamere Skilled Advisors LLC | Runs it (operational or managerial control) | Feb 1, 2023 | |
| Avamere Skilled Advisors LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jul 12, 2025 | |
| Sabra Health Care Reit Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Feb 1, 2023 | |
| Pacific Medical Specialty Group | Additional disclosable party (controls, leases property to, or provides services to the home) | Aug 8, 2022 | |
| Midcap Finco LLC | Runs it (operational or managerial control) | Feb 1, 2023 | |
| Avamere Health Services LLC | Runs it (operational or managerial control) | Feb 1, 2023 | |
| Avamere Health Services LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jul 12, 2025 | |
| Snapmedtech,inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Sep 8, 2025 | |
| Consolidated Billing Services Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Feb 1, 2023 | |
| Rande Holdings, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 1, 2024 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Jul 16, 2025 | |
| Sabra Health Care Limited Partnership | Additional disclosable party (controls, leases property to, or provides services to the home) | Feb 1, 2023 | |
| Incovate Solutions, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Feb 1, 2023 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Feb 1, 2023 | |
| Sabra Health Care, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Feb 1, 2023 | |
| Moss Adams LLP | Additional disclosable party (controls, leases property to, or provides services to the home) | Feb 1, 2023 |
How do residents fare?
- CMS rates its quality measures 4 of 5 (Washington 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 11.4 miles, this one had the 3rd most health citations at the latest inspection cycle (16; the middle value was 11).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Avamere Rehabilitation of Issaquah This nursing home | 16 | |
| Briarwood at Timber Ridge | 1.5 | 9 |
| Marianwood Health and Rehabilitation | 2.5 | 9 |
| Bellevue Post Acute | 7.7 | 26 |
| Covenant Shores Health Center | 8.5 | 11 |
| Renton Health & Rehabilitation | 9.3 | 11 |
| Cedar River Healthcare Center | 9.8 | 16 |
| Valley View Skilled Nursing and Rehabilitation | 10.5 | 13 |
| Redmond Care and Rehabilitation Center | 10.5 | 8 |
| Caroline Kline Galland Home | 10.7 | 19 |
| Kin on Health Care Center | 11.2 | 11 |
| Corwin Center at Emerald Heights | 11.4 | 9 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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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.