Accura Healthcare of Fullerton
202 North Esther, Fullerton, NE 68638 · For profit - Corporation · 75 certified beds · (308) 536-2488 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- a middle-of-the-pack inspection score (3/5)
- no federal fines or payment denials on record
- it has an abuse, neglect, or exploitation citation (F0606), cited Dec 2023
- it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- a high number of inspection citations overall (19) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- its payroll-based staffing 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 | 3 of 5 |
| StaffingFrom payroll records (PBJ) | 2 of 5 |
| Quality measuresSelf-reported by the facility | 3 of 5 |
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 improved from 2 to 3 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 | 16.4% | 19.0% | 15.4% | typical |
| Long-stay residents who lose too much weight | 4.1% | 5.1% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.4% | 1.4% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 3.8% | 2.8% | 2.0% | worse |
| Long-stay residents with depressive symptoms | 0.0% | 4.3% | 6.5% | check this* — see note marked star below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.3% | 0.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with falls causing major injury | 5.8% | 4.5% | 3.3% | worse |
| Long-stay residents whose ability to walk worsened | 13.3% | 18.2% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 32.6% | 19.3% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 100.0% | 96.1% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 2.9% | 4.0% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 24.3% | 25.9% | 21.2% | worse |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 39.3% | 20.7% | 17.1% | worse |
| Long-stay hospitalizations per 1,000 resident days | 1.86 | 1.81 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 1.03 | 1.92 | 1.80 | better |
* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.
‡ 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 0.12 therapist hours per resident per day in 2026Q1 — more than 8% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 16% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. 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 — The number of residents or resident stays is too small to report. Call the facility to discuss this quality 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 75 beds and averages 63.0 residents a day — about 84% occupied, or roughly 12 beds typically open. It usually has some room. 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 2.93 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.27 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.10 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 2.63 hrs/resident/day on weekends vs 3.06 on weekdays — 14% thinner on weekends. RN hours go from 0.30 to 0.18 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 42% 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 unchanged from the previous inspection. 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.
19 citations, most serious first. The 10 most serious are shown; the remaining 9 are one tap away and print in full.
- Potential for harm · Fcited before2026-04-02 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure 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
Licensure Reference Number 175 NAC 12-006.11(E) Based on observations, record reviews, and interviews, the facility failed to ensure water temperatures in the dishwasher reached the required temperature during the wash cycle to ensure sanitization, failed to maintain cleanliness of the ice machine and convection oven surfaces, and failed to ensure hand hygiene was completed between glove changes in a manner to prevent the spread of foodborne illness. This had the potential to affect all residents. The facility census was 64.Findings are:A.A record review of the Ice Machine Monthly Cleaning for Year 2026 record revealed dates cleaned of 01/22/2026, 02/18/2026, and 03/24/2026.A record review of the undated Policy and Procedure Manual Cleaning Schedule copyright 2021 revealed that ice machines should be cleaned twice per month.An observation on 03/30/2026 at 9:15 AM revealed the white plastic piece above the ice in the ice machine had a black substance on it.An observation on 03/30/2026 at 9:18 AM revealed the top convection oven had thick streaks of brown greasy substance on the inner…
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 before2026-04-02 · tag F0759 — failed to keep medication error rate low — isolatedEnsure medication error rates are not 5 percent or greater.
What the surveyor found here — an excerpt from the official record, may be distressing
Licensure Reference Number 175 NAC 12-006.10(D) Based on observations, record reviews and interviews, the facility failed to maintain a medication error rate of less than 5%, which affected 2 residents (Resident 11 and Resident 17) of 3 sampled residents. The medication error rate was 7.69%. The facility census was 64. Findings are: A.An observation of a medication administration on 03/31/2026 at 8:00 AM with Medication Aide (MA) MA revealed MA was preparing Resident 11's medications that consisted of Levothyroxine (is a synthetic hormone used to treat hypothyroidism which is an underactive thyroid by replacing or supplementing the body's natural thyroxine. It boosts metabolism and restores energy levels, usually taken daily and on an empty stomach) 88 micrograms take one tablet on an empty stomach.An observation on 03/31/2026 at 8:00 AM of the bubble pack labeled Levothyroxine revealed to take medication on an empty stomach.During an observation MA administered Levothyroxine at the breakfast table where Resident 11 received breakfast at 8:05 AM.An interview on 03/31/2026 at 8:50 AM…
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 · D2026-04-02 · tag F0804 — failed to serve food at safe, palatable temperature — isolatedEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
What the surveyor found here — an excerpt from the official record, may be distressing
Licensure Reference Number 175 NAC 12-006.11(D) Based on observations and interviews, the facility failed to ensure that food was provided at a temperature that was appealing to the residents. This had the potential to affect all residents. The facility census was 64. Findings are: A. An interview on 03/30/2026 at 8:16 AM with Resident 2 revealed that Resident 2 complained that the food was cold when the food is suppose to be hot and cold foods warm An observation and interview on 03/31/2026 at 12:00 PM revealed during meal time Resident 2, Resident 14 and Resident 28 after being served their meals, which consisted of Chicken, mashed potatoes and gravy, and cauliflower, confirmed that the food was not hot that the food was lukewarm. An observation on 04/01/2026 at 1:00 PM revealed the last of the room tray was received. The dietary manager checked the temperature of the food on the room tray. The chicken temperature at 128, cauliflower 106, mashed potatoes and gravy 107. An interview with the DM confirmed that the cauliflower and potatoes on the test tray were not served at a…
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 · D2026-04-02 · tag F0923 — isolatedHave enough outside ventilation via a window or mechanical ventilation, or both.
What the surveyor found here — an excerpt from the official record, may be distressing
Licensure Reference Number 175 12-007.04 D Based on observations and interview, the facility failed to ensure that ventilation system were operational in residents bathroom for rooms 33,34,36,39,40 and 41 to prevent odors. The facility census was 64. Findings are:An observation on 3/30/26 between 9:45 AM and 10:15 AM revealed the ventilation in the bathrooms did not draw a 1 ply square of toilet paper in residents' bathrooms in rooms 33, 34, 36, 39, 40 and 41. The fans were running but not pulling the 1 ply square toilet paper. An observation on 3/31/26 between 9:54 AM 10:15 AM revealed the ventilation in the bathrooms did not draw a 1 ply square of toilet paper in residents' bathrooms in rooms 33, 34, 36, 39, 40 and 41. The fans were running but not pulling the 1 ply square toilet paper. An interview on 3/31/26 at 10:30 AM with the Maintenance Director confirmed that (gender) only checks the ventilations in the bathrooms monthly when cleaning the vents and turns on the fan and if (gender) hears the fan then (gender) said the ventilation was working. The Maintenance Director…
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 · Fcited before2025-01-06 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure 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
Licensure Reference Number 175 NAC 12-006.11(E) Based on observation, record review and interview; the facility failed to ensure measures were implemented to prevent the potential for food borne illness related to the proper storage and labeling of food items and the maintenance and cleaning of kitchen equipment. This had the ability to affect all residents that ate from the facility kitchen. The total sample size was 16 and the facility census was 57. Findings are: A. A record review of the Nebraska Food Code dated 2017, used as an authoritative reference for food service sanitation practices, revealed the following: -3-201.11(C) Packaged Food shall be labeled as specified by law, including 21 CFR 101 Food labeling, 9 CFR 317 Labeling, Marking Devices, and Containers and 9 CFR 381 Subpart Labeling and Containers. -4-602.13 revealed that non-food contact surfaces of equipment shall be cleaned at a frequency necessary to prevent the accumulation of soil residues. B. A record review of the facility policy Date Marking for Food Safety with a revision date of 3/20, revealed the facility…
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 · Ecited before2025-01-06 · tag F0584 — failed to keep a safe, clean, comfortable home — patternHonor 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.19 Based on observations, record review and interview; the facility failed to maintain the cleanliness and the condition of the bathroom ceiling ventilation covers, the bathroom floors and toilets and the walls in 14 (Rooms 2, 4, 6, 8, 10, 11, 12, 13, 18, 19, 20, 21, 32 and 35) of 38 occupied resident rooms in the facility. In addition, the facility failed to address missing dentures for Resident 35. The total sample size was 16 and the facility census was 57. Findings are: A. A record review of the facility Maintenance Log revealed the following concerns were reported by the staff: -10/1/24 the toilet in the bathroom of resident room [ROOM NUMBER] was leaking around the base of the toilet. -12/16/24 water was leaking around the base of the toilet in the bathroom of room [ROOM NUMBER] and from under the tiles of the bathroom flooring. -12/27/24 there was a severe leak at the base of the toilet in the bathroom of room [ROOM NUMBER]. B. Observations of resident rooms…
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 · Ecited before2025-01-06 · tag F0759 — failed to keep medication error rate low — patternEnsure medication error rates are not 5 percent or greater.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.10(D) Based on observation, interview, and record review; the facility failed to prime Resident 19's insulin pen to ensure delivery of accurate dosing and to ensure a medication error rate of less than 5 percent (%). There were 25 observed opportunities with 2 error observed. The sample size was 12 and the facility census was 57. Findings are: A record review of the facility policy Administering Medications with a revision date of [DATE], revealed the following: -Medications were to be administered in a safe and timely manner, and as prescribed. -Only licensed personnel permitted by the state prepared, administered, and documented medications. -Medications were administered in accordance with prescribers, including within any required time frames. -Medication errors were documented, reported, and reviewed by the Quality Assurance Performance Improvement (QAPI) committee to inform process changes and or the need for additional staff training. -Medication carts were kept…
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 before2025-01-06 · 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 Licensure Reference Number 175 NAC 12-006.09(F)(iii) Based on record review and interviews; the facility failed to develop new interventions and/or revise current interventions to prevent ongoing falls for Resident 32. The sample size was 7 and the facility census was 57. Findings are: A. A record review of the facility Fall Prevention Program with a revised date of 9/22, revealed each resident was to be assessed for fall risk and was to receive care and services in accordance with their individualized level of risk to minimize the likelihood of falls. At the time of admission, each resident's risk for falls was to be evaluated. If the resident's score was 10 or greater, they were considered high risk for falls. A fall risk care plan was to be developed for all residents as deemed appropriate. The following procedure was indicated after a resident fall: -Complete the Nursing Advantage Post Fall Evaluation. -The Nursing Advantage Post Fall Evaluation was to be reviewed at the next Department Clinical Meeting for…
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 · Ecited before2024-01-17 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — patternEnsure 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 Licensure Reference Number 175 NAC 12-006.18E1 Based on observation, record review and interview; the facility failed to ensure that portable space heaters were not used, and the exterior surface temperature of the heaters did not reach a level that could pose a risk of thermal burns. This practice had the potential to affect 23 residents that were identified as cognitively impaired with poor safety awareness and were self-mobile of a total census of 59 residents. Findings are: A. Record review of an article http://www.forensic pathologyonline.com/E Book/injuries/thermal injuries written by Dr. [NAME] revealed that a burn is an injury which is caused by application of heat to the external or internal surfaces of the body, which causes destruction of tissues. A temperature of 149 degrees Fahrenheit [F] for 2 seconds is sufficient to produce burns. B. Record review of Dr. [NAME] and Dr [NAME] Harvard Medical School Temperature /Time Burn Chart, cited as a reference in CFR 483.25(d), revealed the following…
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 · F2023-12-19 · tag F0801 — widespreadEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
What the surveyor found here — the official record, unedited, may be distressing
LICENSURE REFERENCE NUMBER 175 NAC 12-006.04D2 Based on interview and record review; the facility failed to have a qualified Dietary Manager (DM). This had the potential to affect all residents who consumed food from the kitchen. The facility staff identified a census of 58. Review of the facility Job Description for the role of Dietary Service Manager revealed necessary qualifications included the completion of a Dietary Manager certification course. An interview with the DM on 12/13/23 at 8:30 AM revealed the DM was enrolled in dietary manager classes and would not finish until March of 2024. Review of a list of key personnel received from the facility for this location revealed that the Food Service Supervisor was listed as the DM, and there was no Certified DM on the list.
Show the remaining 9 citations
- Potential for harm · Fcited before2023-12-19 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure 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
LICENSURE REFERENCE NUMBER NAC 12-006.11E Based on observation, record review, and interview; the facility failed to maintain food storage areas and kitchen equipment in a sanitary manner and to store food and perform meal service in a manner to prevent the potential for food borne illness and assure food safety as 1) failed to utilize handwashing and gloving techniques to prevent potential food contamination; 2) touched ready to eat food items with bare hands; 3) failed to properly store food items and to assure items were labeled and dated; and 4) kitchen equipment was free of dirt and debris. This had the ability to affect all residents that ate from the facility kitchen. The total sample size was 22 and the facility census was 58. Findings are: A. Review of the facility policy Dietary Employee Personal Health (undated) revealed the following guidelines were to be utilized to prevent contamination of food by foodservice employees; -hands must be always washed before putting on and after removing gloves; -gloves are to be worn and changed appropriately to reduce the spread 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.
- Potential for harm · Ecited before2023-12-19 · tag F0584 — failed to keep a safe, clean, comfortable home — patternHonor 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.18A Based on observation, interview, and record review; the facility failed to ensure the environment was clean and in good repair. There were 30 residents residing in the units with the identified concerns. The facility census was 58. Findings are: The following items were identified over the course of the survey from 12/13/23 through 12/19/23: -In the facility North hallway just north of the janitorial room the drywall was noted to be crumbling and peeling just above the baseboard over an area approximately 2 feet in length and 3-4 inches tall. -All the door frames to the resident rooms in the north hallway were noted to have chipped and peeling paint predominant over the bottom 6 inches of each doorway. -The hallway located between the kitchen/dining area and the north hall/unit had multiple areas of wallpaper peeling away from the wall. -The north hallway wall-paper boarder at the level of the handrails was torn and peeling in multiple areas. -The paint on the bottom…
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 · E2023-12-19 · tag F0606 — failed to not employ staff found guilty of abuse — patternNot hire anyone with a finding of abuse, neglect, exploitation, or theft.
What the surveyor found here — an excerpt from the official record, may be distressing
Licensure Reference Number 175 NAC 12-006.04A3b Based on record review and interview, the facility failed to ensure background checks through the State Nurse Aide (NA) registry were completed on 2 of 5 employees. The facility census was 58. Findings are: A. Review of the facility policy titled Compliance with Reporting Allegations of Abuse/Neglect/Exploitation dated 9/22 revealed, the purpose of the policy was to assure the facility was doing all that is within its control to prevent occurrences of abuse, neglect, mistreatment, and misappropriation of property. The facility would screen employees for a history of abuse, neglect or mistreating residents by attempting to obtain information from previous employers and/or current employers, and checking with the appropriate licensing boards and registries. B. Review of 5 employee files on 11/18/23 revealed no evidence Registered Nurse (RN)-U (hired 10/24/23) and Housekeeper-O (hired 10/3/23) had background checks completed through the State Nurse Aide registry at the time they were hired. C. An interview with the Business Office Manager…
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 · D2023-12-19 · tag F0580 — failed to tell family and doctor about changes — isolatedImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY LICENSURE REFERENCE NUMBER 175 NAC 12-006.04C3a(6) Based on record review and interview; the facility failed to notify Resident 27's physician of a change in condition and Resident 18's representative of a fracture in a timely manner. The sample size was 3 and the facility census was 58. Findings are: A. Review of a facility policy titled Change in Condition Notification with a revision date of 10/19 revealed it was the policy of the facility to monitor residents for changes in their condition, to respond appropriately to these changes and to notify the physician and the responsible party/family of changes. B. Review of Resident 18's Minimum Data Set (MDS-a federally mandated comprehensive assessment tool used for care planning) dated 10/26/23 revealed the resident was admitted [DATE] with diagnoses of non-traumatic brain dysfunction, anxiety, manic depression, and psychotic disorder. The following was assessed regarding the resident: -moderate cognitive impairment; -functional limitation of range of motion to…
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 · D2023-12-19 · tag F0582 — isolatedGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
What the surveyor found here — an excerpt from the official record, may be distressing
Licensure Reference Number 175 NAC 12-006.05(1) Based on record review and interview; the facility failed to ensure Residents 9 and 54 received the required Advanced Beneficiary Notification (ABN- required notice of discharge from Medicare skilled care services) that informed the residents of the cost of receiving continued skilled care services once discharged from Medicare. The sample size was 3 and the facility census was 58. Findings are: Review of Resident 9's Notice of Medicare Non-Coverage and ABN revealed the resident had received Medicare Services starting on 10/24/23 and ending on 10/31/23; however, the ABN did not include the required estimated out of pocket cost of continuing to receive those services. The estimated cost was documented as not available. Review of Resident 54's Notice of Medicare Non-Coverage and ABN revealed the resident had received Medicare Services starting on 7/27/23 and ending on 8/16/23; however, the ABN did not include the required estimated out of pocket cost of continuing to receive those services. The estimated cost was documented as not…
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 · D2023-12-19 · 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175NAC 12-006.02(8) Based on record review and interview; the facility failed to complete investigations for injuries of unknown origin for 2 (Residents 18 and 43) of 2 sampled residents. The facility census was 58. Findings are: A. Review of the facility policy titled Compliance with Reporting Allegations of Abuse/Neglect/Exploitation dated 9/22 revealed it was the policy of the facility to report and investigate all allegations of abuse/neglect/exploitation or mistreatment including injuries of unknown origin. Injuries of unknown origin included; circumstances when the source of the injury was not observed and could not be explained by the resident and the injury was suspicious because of the extent and/or the location of the injury, the number of injuries observed or the incidence of injuries over time. When suspicion or report of abuse/neglect/exploitation the Licensed Nurse was to complete an incident report and monitor/document the resident's condition including response to…
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 · D2023-12-19 · tag F0641 — isolatedEnsure each resident receives an accurate assessment.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.09B Based on observation, record review and interview; the facility failed to accurately Code the Minimum Data Set (MDS-federally mandated comprehensive assessment used to develop resident Care Plans) regarding Resident 19's Preadmission Screening and Resident Review (PASARR- federally mandated preadmission assessment performed to determine if resident's have Significant Mental Illness (SMI) or Intellectual Disability (ID), to assure appropriate placement and treatment) and Resident 32's use of Restraints. The sample size was 16 and the facility census was 58. Findings are: A. Review of Resident 19's MDS dated [DATE] revealed the resident had diagnoses of Schizophrenia, however, did not have a Level 2 PASARR screen that indicated SMI or ID. Review of Resident 19's PASARR dated 11/8/22 revealed that a Level 2 (in depth screen conducted as a result of a positive level 1 screening used to determine appropriate setting/placement and the appropriate services for a resident…
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 · D2023-12-19 · tag F0757 — failed to avoid unnecessary drugs — isolatedEnsure each resident’s drug regimen must be free from unnecessary drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
Licensure Reference Number 175 NAC 12-006.09D Based on record review and interview, the facility failed to ensure residents were free from unnecessary medications related to long term use of antibiotic medications for 3 residents (Resident 22, 43 & 44) that did not specify a duration and had no supporting documentation for clinical use based on laboratory results. The sample size was 3 and the facility census was 58. Findings are: A. Review of the facility policy Antibiotic Stewardship Program with a review date 6/2023 revealed the following: -The purpose of the program is to optimize the treatment of infections while reducing the adverse events associated with antibiotic use. - The Antibiotic Stewardship Committee has been established and includes the Medical Director, Infection Control Preventionist, Director of Nursing Services (DON), Pharmacy Consultant, Executive Director and the Minimum Data Set (MDS) Coordinator. Committee members support the program and actively participate in developing, promoting, and implementing a facility-wide system for monitoring the use 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.
- Potential for harm · D2023-12-19 · tag F0758 — failed to limit and justify psychotropic drugs — isolatedImplement 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.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12.006.09D Based on record review and interview, the facility failed to ensure psychotropic medications (a type of psychoactive medication which alters chemicals in the brain to affect changes in behavior, mood and emotion) had the required diagnosis for 1(Resident 57) of 6 sampled residents. The facility census was 58. Findings are: A. Review of the facility policy Use of Psychotropic Drugs with a review date of 2/2020 revealed the following: - Residents are not given psychotropic drugs unless the medication is necessary to treat a specific condition, as diagnosed and documented in the clinical record, and the medication is beneficial to the resident, as demonstrated by monitoring and documentation of the resident's response to the medication(s). - The use of psychotropic medications in specific circumstances (ie. acute, chronic or prolonged conditions) indicate the resident's symptoms and therapeutic goals shall be clearly and specifically identified and documented. - An…
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 ACCURA HEALTHCARE — 41 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 | 3 of 5 | 2.5 | +0.5 vs chain |
| Health inspection | 3 of 5 | 2.6 | +0.4 vs chain |
| Staffing | 2 of 5 | 3.1 | -1.1 vs chain |
| Quality measures | 3 of 5 | 2.8 | +0.2 vs chain |
The other 40 homes this chain runs (chain average 2.5★, per CMS)
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 | Since |
|---|---|---|---|
| LENEAVE, TED | Individual | CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 05/01/2025 |
| TOTI, LISA | Individual | CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 05/01/2025 |
| ACCURA MANAGEMENT CONSULTING SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 05/01/2025 |
| ALLEN, BRADY | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 05/01/2025 |
| FRANCIS, SARA | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 05/01/2025 |
| GLASER, KRISTOPHER | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 05/01/2025 |
| KLEINSASSER, MEGAN | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 05/01/2025 |
| KOHL, SEAN | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 05/01/2025 |
| SNYGG, CARRIE | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 05/01/2025 |
| AVIV FINANCING II LLC | Organization | ADP OF THE SNF | since 05/01/2025 |
| AVIV HEALTHCARE OF THE MIDWEST LLC | Organization | ADP OF THE SNF | since 06/30/2025 |
| AVIV HEALTHCARE PROPERTIES OPERATING PARTNERSHIP I LP | Organization | ADP OF THE SNF | since 05/01/2025 |
| NEBRASKA SNF FACILITIES, LLC | Organization | ADP OF THE SNF | since 05/01/2025 |
| OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP | Organization | ADP OF THE SNF | since 05/01/2025 |
| OMEGA HEALTHCARE INVESTORS INC | Organization | ADP OF THE SNF | since 05/01/2025 |
CMS files one row per role, so the 26 rows in the source record cover these 15 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.
7 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.
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 NE
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 Nebraska 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 285115. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-04-02, 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.