Linn Manor Care Center
1140 Elim Drive, Marion, IA 52302 · Non profit - Corporation · 38 certified beds · (319) 377-4611 Medicare & Medicaid certified
The public record raises real questions here. Weigh the concerns below carefully.
- no federal fines or payment denials on record
- a high payroll-based staffing rating (4/5)
- it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- it has 2 actual-harm citations
- a high number of inspection citations overall (18) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- its payroll-based staffing score sits well above its independent inspection score
- its independent health-inspection rating is low (2/5)
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 2 of 5 |
| StaffingFrom payroll records (PBJ) | 4 of 5 |
| Quality measuresSelf-reported by the facility | 3 of 5 |
Worth a closer look. This home's staffing rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the staffing score rests on the facility's own payroll (PBJ) submissions — so a gap this large is worth reading the inspection record for.
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
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
| Overall quality measures | 3 of 5 |
| Long-stay residentspeople who live here | 3 of 5 |
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.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 3 to 2 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 20.9% | 17.1% | 15.4% | worse |
| Long-stay residents who lose too much weight | 4.3% | 4.6% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 1.9% | 1.5% | 0.9% | worse |
| Long-stay residents with a urinary tract infection | 9.2% | 2.4% | 2.0% | worse |
| Long-stay residents with depressive symptoms | 0.8% | 4.2% | 6.5% | better |
| Long-stay residents who were physically restrained | 0.0% | 0.2% | 0.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with falls causing major injury | 7.8% | 3.8% | 3.3% | worse |
| Long-stay residents whose ability to walk worsened | 25.3% | 16.6% | 16.1% | worse |
| Long-stay residents on antianxiety or hypnotic medication | 21.6% | 20.8% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 94.7% | 95.3% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 3.7% | 4.2% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 37.4% | 25.6% | 21.2% | worse |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 12.4% | 19.5% | 17.1% | better |
| Long-stay hospitalizations per 1,000 resident days | 0.54 | 1.49 | 1.67 | better |
| Long-stay outpatient ER visits per 1,000 resident days | 0.97 | 2.08 | 1.80 | better |
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
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.
Therapy staffing: this home’s payroll records show 0.33 therapist hours per resident per day in 2026Q1 — more than 55% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 1% 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.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | not reported — Newly certified nursing home with less than 12-15 months of data available or the nursing home opened less than 6 months ago, and there were no data to submit or claims for this measure. | — | ||
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 38 beds and averages 34.4 residents a day — about 91% occupied, or roughly 4 beds typically open. It runs fairly full. 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 3.62 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.70 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.54 is at or above 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 3.22 hrs/resident/day on weekends vs 3.78 on weekdays — 15% thinner on weekends. RN hours go from 0.88 to 0.27 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 40% is about the same as 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 more than at the previous inspection — worsening. 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.
18 citations, most serious first. The 12 most serious are shown; the remaining 6 are one tap away and print in full.
- Actual harm · Gcited before2025-10-16 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure 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 clinical record review, staff interviews, and facility policy review the facility failed to provide adequate supervision to prevent a fall, resulting in a hip fracture for one out of three residents reviewed (Resident#1). The facility reported a census of 35 residents. Findings include:The Minimum Data Set assessment dated [DATE] for Resident #1 listed diagnoses of dementia, heart failure, Atrial fibrillation (irregular heart beat), malnutrition, adult failure to thrive. The MDS included a Brief Interview for Mental Status (BIMS) score of 5 out of 15, which indicted severe cognitive impairment. Per the MDS, the resident had falls since admit, entry, reentry, or prior assessment, and had two or more with no injury.The Care Plan dated 1/15/25 identified Resident #1 at risk for falls. Interventions dated 1/15/25 included, Assess resident for needs prior to leaving the room. Ensure resident always has proper footwear when transferring, i.e. gripper socks or shoes. Keep personal items and frequently used…
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.
- Actual harm · Gcited before2024-05-23 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure 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 record review, staff interviews, and policy review the facility failed to ensure safe transfers for 2 of 5 residents reviewed for mechanical lift transfers (Residents #5 and #11). The facility reported a census of 34 residents. Findings include: 1. The Minimum Data Set (MDS) dated [DATE] for Resident #5 documented a Brief Interview of Mental Status of 3, indicating severely impaired cognition. The MDS documented she was dependent on staff to assist her with transfers, toileting, moving herself in a wheelchair, and dressing. The MDS also documented her primary diagnosis of stroke and also has dementia, depression, and anxiety. Record review of an untitled fall report document for Resident #5 dated 4/12/24 documented she had a fall with two (2) staff present during a mechanical lift transfer. During the transfer Resident #5 sat up and leaned through the lift straps and fell out head first. She was taken to the local hospital due to a head laceration. Record review of Resident #5 Care Plan with a print…
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.
- Potential for harm · Dcited before2026-06-10 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure 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 staff interview, clinical record review, facility investigation review, and facility policy review the facility failed to ensure all staff responded appropriately to a sounding door alarm for 1 of 3 residents reviewed for inadequate nursing supervision (Resident #1). On 3/24/26 a confused, ambulatory resident (Resident #1), known to have exit seeking behaviors, exited the facility's East door unattended and was seen by staff walking in the road away from the facility. The facility failed to ensure the staff member who responded to the door alarm initiated resident checks to ensure all residents were accounted for after the door alarm sounded, and failed to communicate that no one was seen at and outside the door. The facility reported a census of 35 residents. The facility corrected the deficient practice per past noncompliance through the following actions: -Hourly then 15 minute checks for Resident #1 upon return to the facility-Stop sign redirections added to doors-Staff education on door alarm…
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.
- Potential for harm · D2026-02-12 · tag F0552 — isolatedEnsure that residents are fully informed and understand their health status, care and treatments.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on clinical record review, staff interview and policy review, the facility failed to obtain informed consent for psychotropic medications that have black box warnings (safety warning used by the Food and Drug Administration (FDA) and requires the healthcare provider to have a comprehensive discussion with the resident/representative about the risks, benefits and alternatives for use) for 2 of 5 resident reviewed for psychotropic medications (Resident #12, and Resident #13). The facility reported a census of 36 residents.Findings include:1. Review of the Minimum Data Set (MDS) assessment, dated 11/27/25, revealed Resident #12 had a Brief Interview for Mental Status (BIMS) score of 15 out of 15, which indicated intact cognition. Resident #12's diagnoses included anxiety disorder, depression, and non-Alzheimer's dementia. The MDS identified that Resident #12 received antidepressant medication. Review of the Order Summary Report revealed an order for antidepressant medication Zoloft (sertraline), increased from 50 milligrams (mg) every morning to 100 mg every morning, started 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.
- Potential for harm · D2026-02-12 · tag F0657 — failed to keep the care plan current — isolatedDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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 observation, clinical record review, staff interview, and policy review, the facility failed to update and revise the care plan to reflect the presence of an indwelling catheter, Enhanced Barrier Precautions (EBP) and Transmission Based Precautions (TBP) for 2 of 12 residents reviewed for Comprehensive Care Planning (Residents #24 and Resident #29). The facility reported a census of 36 residents.Findings include:1. The Minimum Data Set (MDS) assessment dated [DATE] revealed that Resident #24 had diagnoses of traumatic spinal cord dysfunction, C5-C7 incomplete quadriplegia, and kidney stone.The Nurse's Progress Notes dated 2/8/26 indicated Resident #24 returned to the facility from the hospital with an indwelling catheter for infected kidney stone until follow-up appointment with her Urologist.On 2/10/26 at 7:32 AM, observation revealed the resident had a catheter. The Care Plan initiated 9/18/19 lacked documentation that Resident #24 had an indwelling catheter or that she was in EBP. On 2/11/26, the…
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.
- Potential for harm · Dcited before2026-02-12 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure 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, staff interview, and clinical record review the facility failed to apply foot pedals to the wheelchair when transporting 1 of 3 residents reviewed for accidents (Resident #27). The facility reported a census of 36 residents. Findings include: Review of the Admission/readmission Nursing Assessment, dated 2/02/26, revealed that Resident #27 was readmitted to the facility for skilled nursing services post fall with right hip fracture and surgical repair. Resident #27 required assistance of 2 staff for bed mobility and toileting, 1 staff assistance to transfer. Review of the Care Plan, date initiated 8/21/25, revealed that Resident #27 was at risk of falling and listed an intervention to utilize wheelchair for mobility. During an observation on 2/11/26 at 2:32 PM, Resident #27 asked a Certified Nursing Assistant (CNA) to push her in the wheelchair, resident stated she could hold her legs up if that was okay, CNA responded okay. The CNA pushed Resident #27's wheelchair, without foot pedals attached to the wheelchair, as Resident #27 held legs up above the ground.…
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.
- Potential for harm · D2026-02-12 · tag F0760 — failed to prevent significant medication errors — isolatedEnsure that residents are free from significant medication errors.
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 observation, staff interview, clinical record review, and facility document review, the facility failed to ensure an opened insulin vial was not expired prior to administration for 1 of 1 resident (Resident #12) reviewed for insulin. The facility reported a census of 36 residents. Findings include: Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #12 had a Brief Interview for Mental Status (BIMS) score of 15 out of 15, which indicated intact cognition. The list of diagnoses included diabetes mellitus. The MDS indicated that Resident #12 received insulin injections for 7 out of 7 days during the look back period. Review of the Care Plan, initiated on [DATE], revealed of Focus area for diabetes mellitus with the goal that Resident #12 would have no complications related to diabetes. Review of the Order Summary Report revealed an active order, started on [DATE], for Novolog (insulin Aspart) 100 units per milliliter (mL) solution with instructions to inject subcutaneously per…
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.
- Potential for harm · D2026-02-12 · tag F0868 — isolatedHave the Quality Assessment and Assurance group have the required members and meet at least quarterly
What the surveyor found here — an excerpt from the official record, may be distressing
Based on facility record review, staff interview, and policy review, the facility failed to have the minimum required members at the Quality Assessment and Assurance (QAA) meetings to identify issues with respect to which quality assessment and assurance activities were necessary. The facility identified a census of 36 residents. Findings include:Review of the facility QAA sign in sheets revealed the Administrator, Medical Director, Director of Nursing (DON), and at least two other staff were present at the meetings. The Infection Preventionist was not present at the April 2025 or the December 2025 quarterly meetings. On 2/12/26 at 12:40 PM, Staff E, Corporate Nurse reported at the quarterly meetings in April and December there was no Infection Preventionist present at the meeting. She reported that the previous Assistant Director of Nursing (ADON) was the Infection Preventionist in April 2025 but she was not listed on the April QAA sign in sheets either.The facility's Quality Assurance and Performance Improvement (QAPI) Plan lacked information that indicated the Infection…
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.
- Potential for harm · D2026-02-12 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
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 clinical record review, observation, staff and resident interviews, and policy review, the facility failed to implement Enhanced Barrier Precautions (EBP) for 1 of 2 residents reviewed for EBP (Resident #24) and demonstrate proper hand hygiene practices to prevent cross contamination for 1 of 12 residents reviewed for infection control (Resident #24). The facility reported a census of 36.Findings include:The Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #24 had diagnoses of traumatic spinal cord dysfunction and C5-C7 incomplete quadriplegia.The Nurse's Progress Notes dated 2/8/26 indicated that Resident #24 returned to the facility from the hospital with an indwelling catheter for infected kidney stone until follow-up appointment with her Urologist.The Care Plan initiated 9/18/19 lacked documentation that Resident #24 had an indwelling catheter or that she was in EBP. The Care Plan was updated to include both on 2/11/26 after the Director of Nursing (DON) was questioned about…
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.
- Potential for harm · D2025-10-16 · tag F0742 — isolatedProvide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
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 clinical record review, staff interviews and facility policy review the facility failed to provide individualized Care Plan interventions to address resident trauma one out of one resident reviewed (Resident #1). The facility reported a census of 35 residents.Findings include:The admission Minimum Data Set assessment dated [DATE], listed diagnoses of Atrial fibrillation (irregular heart beat), pneumonia, urinary tract infection (UTI), malnutrition, adult failure to thrive. The MDS included a Brief Interview for Mental Status (BIMS) score of 5 (severe cog impairment).The MDS revealed Resident#1's behaviors were physical behavioral symptoms directed towards others and verbal behavioral symptoms directed towards others 1 to 3 days in the 7 day look back period. Wandering, and rejection of care1-3 days. The Trauma Informed Care assessment dated [DATE], revealed Resident#1 reported repeated disturbing memories, thoughts or images of a stressful experience from the past and he confirmed upsetting dreams about…
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.
- Potential for harm · D2024-05-23 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review, staff and physician interviews, and policy review the facility failed to document routine assessment and interventions completed by the facility for 1 of 6 residents reviewed (Resident #8). The facility reported a census of 34 residents. Findings include: The Minimum Data Set (MDS) for Resident #8 dated 11/24/2023 documented a Brief Interview for Mental Status (BIMS) of 14 indicating he was cognitively intact. The MDS informed he was independent with toileting and walking. The MDS documented a primary diagnosis of other neurological conditions and also diagnoses of diabetes, anemia, malnutrition, and Parkinson's. Record review of Resident #8 Assessments in his Electronic Health record (EHR) lacked documentation of complete assessments related to a decline in condition from 12/13/23 to 12/17/23. Record review of Resident #8 Progress Notes and Point of Care Records in his EHR revealed the following: 12/13/23 - Resident #8 had a medium formed bowel movement. 12/14/23 - Resident #8 had an emesis and the facility notified his Doctor of his decline with no new…
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.
- Potential for harm · F2023-11-09 · tag F0865 — failed to run a quality-improvement (QAPI) program — widespreadHave a plan that describes the process for conducting QAPI and QAA activities.
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 clinical record review, staff interview, and facility policy review, the facility failed to develop, implement, and maintain an effective, comprehensive, data-driven Quality Assurance and Performance Improvement (QAPI) Program that focuses on indicators of the outcomes of care and quality of life. The facility reported a census of 34 residents. Findings Include: A review of the Summary Statement of Deficiencies and provider's Plan of Correction (POC) dated 7/18/22, with corrections initially dated 8/18/22 and revised to 10/1/22, identified the following deficiencies: a. F609 - Reporting of Alleged Violations. b. F657 - Care Plan Timing and Revision. c. F684 - Quality of Care. d. F689 - Free of Accident Hazards/Supervision/Devices. e. F727 - Sufficient Nursing Staff. f. F868 - QAA Committee. The POC documented a plan to audit Incident Reports according to a schedule and to report and address identified concerns in QAPI Committee Meetings. The POC revealed training that instructed staff to immediately report…
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.
Show the remaining 6 citations
- Potential for harm · D2023-11-09 · tag F0554 — isolatedAllow residents to self-administer drugs if determined clinically appropriate.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, clinical record review, staff and resident interviews and facility policy review, the facility failed to assess for the safety and competency of self-administration of inhalant medications for 1 of 7 residents observed during medication administration (Resident #25) . The facility reported a census of 34 residents. Findings Include: The Minimum Data Set (MDS) Assessment, dated 9/06/23, revealed the Brief Interview for Mental Status (BIMS) score of 15 out of indicating intact cognition. The MDS included diagnoses of chronic respiratory failure with hypoxia, shortness of breath, dyspnea, and generalized muscle weakness. The Care Plan, revised 08/30/23, revealed a focus area for impaired Activities of Daily Living (ADLs) and mobility independence related to chronic respiratory failure with hypoxia. The Care Plan lacked focus area or intervention for the self administration of medications. The Medication Administration Record (MAR), dated November 2023, revealed the following medication orders: a. Breyna (Budesonide-Formoterol Fumarate Dihydrate) Inhalation…
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.
- Potential for harm · D2023-11-09 · tag F0584 — failed to keep a safe, clean, comfortable home — isolatedHonor 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.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on clinical record review, observations, resident and staff interviews, review of a Maintenance Work Order, the facility failed to maintain good repair of a floor heating register in resident room for 1 of 8 resident's rooms screened for a homelike environment (Resident #21). The facility reported a census of 34 residents. Findings Include: The Minimum Data Set (MDS) Assessment, dated 7/07/23, revealed a Brief Interview for Mental Status (BIMS) score of 15 out of 15, indicating intact cognition. The MDS listed diagnoses of late-onset cerebellar ataxia, multi-system degeneration of the autonomic nervous system, adjustment disorder with anxiety, and depression. The MDS, revealed Resident #21 required extensive assistance of two staff for bed mobility, transferring, and toileting and non-ambulatory. Review of facility form titled Maintenance Work Order revealed on 8/02/23, the Administrator requested a work order for a heat register cover off in Resident #21's room. Order signed and marked as done by Maintenance staff on 8/02/23. On 11/06/23 at 11:50 AM, half of floor heating…
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.
- Potential for harm · D2023-11-09 · tag F0609 — failed to report abuse allegations — isolatedTimely 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 clinical record review, staff interviews, employee file review, and facility policy review, staff failed to report to the facility and the facility failed to identify situations as an alleged violation involving abuse and to report allegations within required regulatory time frames for 3 of 3 residents reviewed (Residents #9, #26 and #28). The facility reported a census of 34 residents. Findings Include: 1. The Minimum Data Set (MDS) Assessment for Resident #9 signed 10/12/23 revealed the resident scored 2 out of 15 on a Brief Interview for Mental Status (BIMS) exam, which indicated severe cognitive impairment. Section I signed 10/24/23 documented diagnoses of cancer, anxiety disorder, and encephalopathy (change in brain function). A document titled Self-Report dated 2/1/23 revealed another resident touched and patted Resident #9 on the breast on 1/12/23 in a common area of the facility. The report indicated Staff H, Licensed Practical Nurse (LPN), and the former Director of Nursing (DON), Staff B, were aware of the incident on 1/12/23. Staff B investigated the incident,…
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.
- Potential for harm · D2023-11-09 · tag F0610 — failed to investigate and act on abuse reports — isolatedRespond appropriately to all alleged violations.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on clinical record review, staff interviews, and facility policy review, the facility failed to complete a thorough investigation of alleged violations of abuse, maintain documentation, and prevent further incidents. (Residents #9 and #26). The facility reported a census of 34 residents. Findings Include: 1. The Minimum Data Set (MDS) Assessment for Resident #9 signed 10/12/23 revealed the resident scored 2 out of 15 on a Brief Interview for Mental Status (BIMS) exam, which indicated severe cognitive impairment. Section I of the MDS signed 10/24/23 documented diagnoses of cancer, anxiety disorder, and encephalopathy (change in brain function). A document titled Self-Report dated 2/1/23 revealed another resident touched and patted Resident #9 on the breast on 1/12/23 in a common area of the facility. The report indicated Staff H, Licensed Practical Nurse (LPN), and the former Director of Nursing (DON), Staff B, were aware of the incident on 1/12/23. Staff B investigated the incident, and she did not find the other resident had intentionally had inappropriate contact with…
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.
- Potential for harm · D2023-11-09 · tag F0636 — isolatedAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on clinical record review, staff interviews, and facility policy review, the facility failed to conduct a Comprehensive Assessment of a resident in accordance with the timeframes specified for 1 of 1 residents reviewed (Resident #138). The facility reported a census of 34. Findings Include: A Minimum Data Set (MDS) 3.0 Assessment Summary in the Electronic Health Record, labeled Entry with a target date of 10/26/23, revealed 33 questions remained with a status of 'in progress' and 7 days overdue. An MDS Assessment for Resident #138 dated 11/1/23, revealed an unsigned document with Section K completed 11/7/23, Section F completed 11/8/23, and Sections C and D completed 11/8/23. The remaining assessment sections were incomplete. The MDS summary revealed 365 questions remained with a status of 'in progress' and 1 day overdue. The Baseline Care Plan for Resident #138 dated 10/26/23 indicated the resident was oriented to person, place, and time and communication was within normal limits. A document titled Clinical Physician Orders dated 11/8/23 documented that the resident's next…
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.
- Potential for harm · Dcited before2023-11-09 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure 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 clinical record review, observations, staff interviews and facility policy review, the facility failed to implement interventions, monitor for effectiveness, and modify interventions to minimize the likelihood of falling for 1 of 2 residents reviewed for accidents (Resident #12). The facility reported a census of 34 residents. Findings Include: The Minimum Data Set (MDS) Assessment, dated 8/28/23, revealed Resident #12 required limited assistance of one staff for transfers, locomotion and required extensive assistance of one staff for toileting, dressing, and personal hygiene. The MDS indicated Resident #12 unsteady with transfers or ambulation but able to stabilize without staff assistance. The Care Plan, initiated 8/21/23, listed diagnoses of dementia and anxiety initiated. The Care Plan, revealed a Focus Area for impaired activities of daily living (ADL's) and mobility independence related to impaired safety awareness and recent decline at home. Interventions included: assist of one with transfers and resident to use a walker with tray, staff to provide assistance with…
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.
“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.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record.
Part of a chain
This home belongs to LIFE CARE SERVICES — 43 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 →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 2 of 5 | 4.1 | -2.1 vs chain |
| Health inspection | 2 of 5 | 3.7 | -1.7 vs chain |
| Staffing | 4 of 5 | 4.4 | -0.4 vs chain |
| Quality measures | 3 of 5 | 4.0 | -1.0 vs chain |
The other 42 homes this chain runs (chain average 4.1★, per CMS)
Showing 40 of 42; lowest-rated first.
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
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| GRAND HAVEN HOMES, INC. | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | NO PERCENTAGE PROVIDED | since 07/03/1978 |
| ERICKSON, CALVIN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST; CORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | NO PERCENTAGE PROVIDED | since 03/01/2020 |
| FITCH, JON | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST; CORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | NO PERCENTAGE PROVIDED | since 09/01/2020 |
| GRATTON, DAVID | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST; CORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | NO PERCENTAGE PROVIDED | since 09/01/2020 |
| LUKENSMEYER, ANDREW | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST; CORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | NO PERCENTAGE PROVIDED | since 09/01/2020 |
| MCCALLEY, CAMERON | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST; CORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | NO PERCENTAGE PROVIDED | since 09/01/2020 |
| UHLENHOPP, PAUL | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST; CORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | NO PERCENTAGE PROVIDED | since 03/21/2003 |
| RICHARDSON, ROBERT | Individual | CORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 03/13/2023 |
| CRAIN, MARY | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 08/20/2017 |
| TAEGER, VINCENT | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 08/26/2025 |
CMS files one row per role, so the 39 rows in the source record cover these 10 parties — each is shown once here with every role it holds. Nothing is omitted.
1 organizational owner 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.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. 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, FY2024). 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 IA
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Iowa Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 165511. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-02-12, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.