Piggott Healthcare & Senior Living, LLC

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

41.8% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 34 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: this home’s payroll records show 0.39 therapist hours per resident per day in 2026Q1 — more than 68% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 0% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 105 beds and averages 32.0 residents a day — about 30% occupied, or roughly 73 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.10 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.43 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.69 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.74 hrs/resident/day on weekends vs 3.24 on weekdays — 15% thinner on weekends. RN hours go from 0.42 to 0.46 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 63% is well above the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

28 citations, most serious first. The 11 most serious are shown; the remaining 17 are one tap away and print in full.

• Immediate jeopardy · Jcited before2023-12-15 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to ensure training was provided for nursing staff prior to transporting a resident in the facility van which contributed to a resident falling on the van which resulted in a fracture of the femur for 1 (Resident #1) sampled resident. No training has been provided since the incident and staff have continued to transport residents. Two staff members provided return demonstration and failed to secure person safely. This failed practice resulted in an Immediate Jeopardy which caused serious harm to Resident #1 and could have caused death to Resident #1. The Administrator and Acting Administrator were notified of the Immediate Jeopardy on 12/13/23 at 3:57 pm and the Plan of Removal was accepted on 12/13/23 at 5:17 pm. The findings are: On 10/17/23, Resident #1 was on the facility van for transport to local hospital for Bone Density Test. Van Driver #1 slammed on the brakes of the van as someone pulled out in front of the van. Resident #1 slid forward in the wheelchair with her bottom not on the seat of the wheelchair…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-09-09 · tag F0732 — widespread
  Post nurse staffing information every day.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, document review, and interviews the facility failed to ensure staffing information was complete and was not missing information, to ensure staffing information was accurate and current, and to maintain the posted daily nurse staffing data for a minimum of 18 months. The deficient practice had the potential to affect all residents.Based on observations, record review and interviews the facility failed to ensure staffing information was complete and accurate, and failed to maintain the posted daily nurse staffing data for a minimum of 18 months. The findings include: During an observation on 09/03/2025 at 1:49 PM, this surveyor observed a staffing schedule for CNAs and nurses for the month of September 2025 in a glass case on the wall near the main front door entrance and in a glass case on the wall near the common area front door During an observation on 09/03/2025 at 1:52 PM, outside of the Administrators (AD) office, this surveyor observed a staffing schedule for nurses for the month of September 2025. A review of the posted nursing and CNA schedules on…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-09-09 · tag F0568 — pattern
  Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews, facility document review, and facility policy review, it was determined that the facility failed to provide a financial record or quarterly statement to the resident or resident's representative for the resident's funds account. This deficient practice has the potential to affect 14 residents placing their personal funds in the trust of the facility.Based on record review and interviews, it was determined that the facility failed to provide a financial record or quarterly statement to the resident or resident's representative for the resident's funds account. This deficient practice has the potential to affect 14 residents placing their personal funds in the trust of the facility. The findings include: On 09/04/2025 at 4:36 PM, Business Office Manager (BOM) provided a facility document titled Personal Funds Receipts. She reported they do not have quarterly statements available for the residents with personal funds kept by the facility. The Personal Funds Receipts document contained information regarding the resident's personal funds listed, which did not include…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-09-09 · tag F0656 — failed to write and follow a full care plan — pattern
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews, record review, facility document review, facility policy review, it was determined that the facility failed to ensure Care Plans were person-centered for two residents (Resident #4 and #35) of 12 residents reviewed. The Findings include: Resident #4 A review of Resident #4's admission Record indicated, the facility currently admitted Resident #4 on 09/01/2023 and last returned on 07/11/2025, with diagnoses which included recurrent major depressive disorder (mental health condition characterized by persistent feelings of sadness, hopelessness, and loss of interest or pleasure in activities), hypokalemia (low potassium levels), hemiplegia (partial to total paralysis on one side of the body), hemiparesis (weakness on one side of the body) following a cerebral infarction (stroke) affecting the left non-dominant side, hypertension (high blood pressure), hyperlipidemia (high cholesterol), dysuria (difficulty urinating), and constipation (infrequent or difficult bowel movements). A review of Resident #4's quarterly Minimum Data Set (MDS), with an Assessment Reference…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-09-09 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, record review, and facility policy review, it was determined the facility failed to report an alleged violation and investigation of the alleged violation involving supervision to the proper state agency within the allotted time frame for 2 (Resident # 35 and Resident #13) of 2 sampled residents reviewed for accidents/supervision and resident abuse. The deficient practice had the potential to lead to harm for Resident #35 due to repeated elopements into an unsafe environment for the resident. The deficient practice could cause a possible delay of care with the potential of more harm to Resident #13. Based on interview, record review, and facility policy review, it was determined the facility failed to report an alleged violation, and the investigation outcome of the alleged violation, involving supervision and abuse to the proper state agency within the allotted time frame for one (Resident # 35) of two residents reviewed. The findings include: A review of Resident #35's Face Sheet indicated the facility admitted Resident #35 on 11/08/2023 with diagnoses which…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-09-09 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, record review, facility document review, and facility policy review, it was determined that the facility failed to ensure that the resident's transfer/discharge was documented in the resident's medical record, failed to provide the resident and resident representative a notice of transfer/discharge in writing, and failed to send a written copy of notice of transfer/discharge to a representative of the office of the State Long-Term Care Ombudsman for 1 Resident (R #35) of 3 residents reviewed for discharge rights. Based on record review, interviews and facility policy review, it was determined the facility failed to ensure that the resident's transfer or discharge was documented in the resident's medical record, to send a written copy of notice of transfer or discharge to the Ombudsman for one (Resident #35) of three residents reviewed. The findings include: A review of Resident #35's Face Sheet indicated the facility admitted Resident #35 on 11/08/2024 with diagnoses which included anoxic…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-09-09 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, record review, and facility document review it was determined that the facility failed to ensure a safe environment as free of accident hazards and each resident receives adequate supervision to prevent accidents for 3 (Resident #35, Resident #8, and Resident #3) of 3 residents reviewed for accidents and supervision. Based on observations, interviews, record review, and facility policy review it was determined that the facility failed to ensure a safe environment was free of accident hazards and each resident received adequate supervision to prevent accidents for one (Resident #35) of three residents reviewed. The findings include: A review of Resident #35's Face Sheet indicated the facility admitted Resident #35 with diagnoses that included brain damage that occurs when the brain is deprived of oxygen, anxiety disorder, depression, congestive heart failure, and high blood pressure. A review of the quarterly MDS, with an ARD of 02/10/2025, revealed Resident #35 had a BIMS score…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2024-06-26 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, record review, facility policy review, it was determined that the facility failed to ensure food was appropriately stored and dated; refrigerator/freezers had thermometers placed on the inside for accurate temperature reading; trash receptacles had lids; kitchen equipment was clean; and meal trays were free of chips or sharp edges. The failed practice had the ability to affect all 36 people who received their meals from 1 of 1 kitchen. Findings include: A review on 6/26/24 at 9:16 AM of a facility policy titled, Food Receiving and Storage dated 06/26/2024, on 06/26/2024 at 9:16 AM indicated, Foods shall be received and stored in a manner that complies with safe food handling practices. Policy continues to outline the intention of inspecting food upon arrival to ensure quality before being accepted, that all foods stored in the refrigerator or freezer are labeled and covered and dated, and all food is monitored to ensure use prior to the use by date. A review of a facility policy titled, Sanitization on 06/26/2024 at 9:40 AM indicated, The food…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-06-26 · tag F0847 — widespread
  Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, record review, and facility document review, it was determined that the facility failed to ensure the Arbitration agreement contained all necessary components including the right to resend the agreement within the first 30 days of admission, a declaration affirming that signing an arbitration is not a condition of admission and a statement providing for the right to communicate with state/federal surveyors, health department employees and the state Ombudsman. The failed practice had the ability to affect 4 of 4 (Residents #17, #139, #24, and #140) sampled residents who had signed arbitration agreements since the change of ownership on 04/01/2023 as documented on the Nursing Home Facility Directory page. Findings include: A review of a facility admission packet, on 06/24/2024 at 10:15 AM, revealed, Section XI. Dispute Resolution. Paragraph 2, page 10 of 14 began, Resident shall select one of the following dispute resolution options: Binding Arbitration or Legal Proceedings. A review of a Binding Arbitration agreement revealed there was: 1. No…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-06-26 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interview, the facility failed to ensure residents who required assistance with personal hygiene had hair removed from their face for 3 (Residents #3, #28, and #17) of 3 sample mix residents, and fingernails were kept trimmed for 1 (Resident #17) of 3 (Resident #3, #28, and #17) sample mix residents to promote good grooming. The findings are: 1. On 06/24/2024 at 11:03 AM, the Surveyor interviewed Resident #3 and asked, Are you receiving your shower as scheduled? Resident #3 stated, I was supposed to get my shower this past Saturday. Wednesday is my other shower day so hopefully I will get it. The Surveyor observed the resident with chin hair and asked, Would you like for staff to remove the hair from your chin? Resident #3 stated, Yes, but they don't. When asked, Have you asked for it to me removed? She stated, Yes, but I still have it. a. Review of the Care Plan for Resident #3 with a date of 10/05/2022 documented, Category: Bathing & Hygiene Personal Choices I need assist of 1 with my bathing, dressing and grooming due to history of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-06-26 · tag F0679 — failed to provide activities — pattern
  Provide activities to meet all resident's needs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interview, the facility failed to ensure activities were provided on the weekend for all 34 residents who resided in the facility. The findings are: On 06/23/2024 at 11:47 AM, the Surveyor has not observed any weekend activities in the facility since entry. On 06/23/2024 at 3:12 PM, the Surveyor has not seen any weekend activities taking place in the facility since entry. On 06/25/2024 at 1:15 PM, the residents present in the Resident Council Meeting were asked if activities were held on the weekend. In unison the group stated, No. The group continued to report that a former employee comes in occasionally to provide a church service. Otherwise, the residents are left on their own. On 06/25/2024 at 2:00 PM, the Activity Director (AD) was asked if activities were held on the weekend. The AD described putting activities on the calendar for the weekend that require very little set up or staff assistance such as movies, coloring or puzzles. When asked if anyone was assigned to perform the weekend activities the AD denied having knowledge of any…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$12,649 in federal fines across 1 penalty.

• $12,649 — penalty dated 2023-12-15

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to POINTE MANAGEMENT — 12 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 10 rows in the source record cover these 9 parties — each is shown once here with every role it holds. Nothing is omitted.

4 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $333K paid to related parties — landlords or management companies under common ownership — equal to about 12% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in AR