Alaska Gardens Health and Rehabilitation
A nursing home in Tacoma, Washington 98408
6220 South Alaska Street, Tacoma, Washington 98408. (253) 476-5300.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 1of 5 CMS’s overall rating
- 17 health citations at the latest inspection cycle Washington average: 15.7
- 4.15 nurse hours per resident per day Washington average: 4.42
- 2 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?
17 health citations at the latest inspection cycle
The Washington average is 15.7.
Last standard inspection May 7, 2026.
Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on Oct 9, 2025
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
63 citations in 10 months of the last 36. Last cited Jun 2026. Most serious: immediate jeopardy to health or safety (K). 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 63 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. 29 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Jun 5, 2026: complaint inspection1 citation
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Ensure services provided by the nursing facility meet professional standards of quality.
May 15, 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.
May 7, 2026: standard inspection12 citations
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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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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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Provide activities to meet all resident’s needs.
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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 safe and appropriate respiratory care for a resident when needed.
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Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
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Provide routine and 24-hour emergency dental care for each resident.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Make sure that a working call system is available in each resident’s bathroom and bathing area.
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Post nurse staffing information every day.
Oct 9, 2025: complaint inspection3 citations
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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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Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident’s well being.
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Employ staff that are licensed, certified, or registered in accordance with state laws.
Jul 24, 2025: 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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Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
May 23, 2025: standard inspection9 citations
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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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Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
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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 food/fluids to maintain a resident’s health.
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Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
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Provide routine and 24-hour emergency dental care for each resident.
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Provide or obtain dental services for each resident.
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Keep all essential equipment working safely.
May 23, 2025: standard and complaint inspection1 citation
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Apr 29, 2025: 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.
Mar 19, 2025: complaint inspection13 citations
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Provide enough food/fluids to maintain a resident’s health.
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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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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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Respond appropriately to all alleged violations.
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Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted
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Ensure services provided by the nursing facility meet professional standards of quality.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Ensure that residents are free from significant medication errors.
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Administer the facility in a manner that enables it to use its resources effectively and efficiently.
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Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
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Develop, implement, and/or maintain an effective training program for all new and existing staff members.
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Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Jan 31, 2025: complaint inspection1 citation
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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.
Jan 22, 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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Ensure that residents are free from significant medication errors.
Aug 12, 2024: complaint inspection1 citation
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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.
Mar 15, 2024: standard inspection13 citations
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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 each resident receives an accurate assessment.
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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
-
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
-
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
Provide enough food/fluids to maintain a resident’s health.
-
Ensure each resident’s drug regimen must be free from unnecessary drugs.
-
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.
-
Provide or obtain dental services for each resident.
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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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Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Mar 15, 2024: standard and complaint inspection2 citations
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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.
Mar 7, 2024: complaint inspection1 citation
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Aug 26, 1993.
- 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, individual.
- 123 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 2 fines in the last three years, $170,372 in all.
- No Medicare payment denials in the last three years.
- 29 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 29, 2025 | Fine | $12,438 |
| Jan 22, 2025 | Fine | $157,934 |
Who does the caring?
4.15 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 | 4.15 | 4.42 |
| Of which registered nurses | 0.71 | 0.99 |
| At weekends | 3.63 | 3.82 |
| Nursing staff turnover | 45.1% | 43.9% |
| Registered nurse turnover | 64.3% | 43.8% |
| Administrators who left | 0 | Not given |
Who owns it?
- Alaska Gardens SNF Operations Holdings LLC owns 100% directly since Jul 1, 2021.
- Alaska Gardens SNF Opco Manager LLC and Couve Healthcare Consulting LLC and Alaska Gardens SNF Operations LLC and Veritas Health Solutions LLC and Alaska Gardens SNF Management LLC run it.
- 28 owners or officers are people: Yitzchok Yenowitz (runs it (operational or managerial control), 100%); Yitzchok Yenowitz (owns a share through other companies, 28.2%); Yisroel E Herzka (owns a share through other companies, 19.8%); Chava Wolofsky (owns a share through other companies, 19.7%); Shaul Kopelowitz (owns a share through other companies, 15%); A person CMS lists without a name (owns a share through other companies, 4.9%); A person CMS lists without a name (owns a share through other companies, 3.86%); A person CMS lists without a name (owns a share through other companies, 2.54%); Bonnie Stites (runs it (operational or managerial control)); Bonnie Stites (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)); Nani L Gray (runs it (operational or managerial control)); Nani L Gray (on the governing body (managing control)); Nani L Gray (additional disclosable party (controls, leases property to, or provides services to the home)); Christina Stout (runs it (operational or managerial control)); Christina Stout (on the governing body (managing control)); Christina Stout (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)); Shaul Kopelowitz (additional disclosable party (controls, leases property to, or provides services to the home)); Chava Wolofsky (additional disclosable party (controls, leases property to, or provides services to the home)); Yitzchok Yenowitz (additional disclosable party (controls, leases property to, or provides services to the home)); Yisroel E Herzka (additional disclosable party (controls, leases property to, or provides services to the home)); Shimon Spielman (runs it (operational or managerial control)); Shimon Spielman (additional disclosable party (controls, leases property to, or provides services to the home)); Ann Wingard (runs it (operational or managerial control)); Ann Wingard (additional disclosable party (controls, leases property to, or provides services to the home)); Lucas Marian Kogut (runs it (operational or managerial control)); Lucas Marian Kogut (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of Evergreen Healthcare Group (43 homes in CMS’s data).
- A private-equity firm is 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 |
|---|---|---|---|
| Alaska Gardens SNF Opco Manager LLC | Runs it (operational or managerial control) | 100% | Jul 1, 2021 |
| Alaska Gardens SNF Operations Holdings LLC | Owns a share directly | 100% | Jul 1, 2021 |
| Witzcorp LLC | Owns a share through other companies | 28.2% | Jul 1, 2021 |
| Ch Alaska Gardens Holdings LLC | Owns a share through other companies | 19.8% | Jul 1, 2021 |
| Cw Alaska Gardens Holdings LLC | Owns a share through other companies | 19.7% | Jul 1, 2021 |
| Lionheart SNF LLC | Owns a share through other companies | 6% | Jul 1, 2021 |
| An organisation CMS lists without a name | Owns a share through other companies | 4.9% | Jul 1, 2021 |
| An organisation CMS lists without a name | Owns a share through other companies | 3.86% | Jul 1, 2021 |
| An organisation CMS lists without a name | Owns a share through other companies | 2.54% | Jul 1, 2021 |
| Alaska Gardens SNF Opco Manager LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | May 1, 2025 | |
| Ch Alaska Gardens Holdings LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jul 1, 2021 | |
| Couve Healthcare Consulting LLC | Runs it (operational or managerial control) | Aug 31, 2023 | |
| Couve Healthcare Consulting LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | May 1, 2025 | |
| Alaska Gardens SNF Operations LLC | Runs it (operational or managerial control) | Jul 1, 2021 | |
| Alaska Gardens SNF Operations LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | May 1, 2025 | |
| Alaska Gardens SNF Realty LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | May 1, 2025 | |
| Veritas Health Solutions LLC | Runs it (operational or managerial control) | Mar 3, 2025 | |
| Veritas Health Solutions LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 11, 2025 | |
| Cw Alaska Gardens Holdings LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jul 1, 2021 | |
| Witzcorp LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jul 1, 2021 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Jul 1, 2021 | |
| Alaska Gardens SNF Management LLC | Runs it (operational or managerial control) | 0% | Jul 1, 2021 |
| Alaska Gardens SNF Management LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | May 1, 2025 |
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 | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 3 of 5 |
| Quality measures | 4 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 5.1 miles, this one had the 7th most health citations at the latest inspection cycle (17; the middle value was 20).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Alaska Gardens Health and Rehabilitation This nursing home | 17 | |
| Avalon Healthcare - Tacoma | 1.6 | 23 |
| Birch Creek Post Acute & Rehabilitation | 1.9 | 27 |
| Orchard Park Health Care & Rehab Center | 2.1 | 59 |
| Avamere at Pacific Ridge | 2.3 | 23 |
| Tacoma Nursing and Rehabilitation Center | 2.3 | 6 |
| Heartwood Extended Healthcare | 2.4 | 31 |
| Park Rose Care Center | 3.3 | 5 |
| Agility Health and Rehabilitation | 3.3 | 16 |
| The Oaks at Lakewood | 3.7 | 3 |
| Avamere Transitional Care of Puget Sound | 4.7 | 14 |
| Eliseo | 5.1 | 23 |
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).
-
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).
-
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.