College Park Rehabilitation Center

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

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

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

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

47.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 70 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 60.3% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 68 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.51 therapist hours per resident per day in 2026Q1 — more than 82% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 30% 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.

Staffing

How full it usually is: this home is certified for 188 beds and averages 86.2 residents a day — about 46% occupied, or roughly 102 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.63 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.54 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.29 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 4.18 hrs/resident/day on weekends vs 4.82 on weekdays — 13% thinner on weekends. RN hours go from 1.78 to 0.95 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 28% is below 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.

20 citations, most serious first. The 10 most serious are shown; the remaining 10 are one tap away and print in full.

• Potential for harm · D2025-11-24 · tag F0576 — isolated
  Ensure residents have reasonable access to and privacy in their use of communication methods.
  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 document review and interview, the facility failed to ensure residents mail were delivered on Saturdays for 1 of 23 sampled residents (Resident 12) and 2 unsampled residents (Residents 54 and 57). The deficient practice had the potential for residents' mail not to be delivered on the weekend. Findings include:1) Resident 12 (R12) was admitted to the facility on [DATE] with diagnoses of acute and chronic respiratory failure with hypoxia, metabolic encephalopathy, and other specified sepsis.R12 had a Brief Interview for Mental Status (BIMS) score of 14 indicating intact cognition. 2) Resident 54 (R54) was re-admitted to the facility on [DATE] and was a long-term care resident.3) Resident 57 (R57) was re-admitted to the facility on [DATE] and was a long-term care resident.On 09/18/2025 in the morning, during a resident council meeting, R12 indicated mail was not delivered to residents on Saturdays. If mail were delivered to the facility on Saturday, the residents would have to wait until Monday to get 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-24 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  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, interview, and record review, the facility failed to ensure that mattresses and equipment used in resident rooms were maintained in a clean and sanitary condition for 2 resident rooms observed (rooms [ROOM NUMBERS]). The deficient practice had the potential to contribute to an environment that was not homelike and posed a risk for cross-contamination and infection for residents.Findings include:On 09/17/2025 at 10:00 AM, during an inspection of resident room [ROOM NUMBER], two floor mattresses were observed placed bilaterally on the floor near a resident's bed, close to the door, and a pole used to hang gastrostomy feeding formula was located on the right side of the bed. The mattresses and the pole were visibly soiled with dried feeding formula residue, dust, and other unidentified stains.On 09/17/2025 at 10:40 AM, during an inspection of Resident room [ROOM NUMBER], a floor mattress was observed on the left side of the bed near the window. The mattress was visibly soiled with dust and…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-24 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, record review, and document review, the facility failed to ensure a copy of the discharge notice was sent to a representative of the Office of the State Long-Term Care Ombudsman for 1 of 23 sampled residents (Resident 11). The deficient practice had the potential for resident rights not being advocated for improper discharges.Findings include:Resident 11was re-admitted to the facility on [DATE] with diagnoses of metabolic encephalopathy, cellulitis of abdominal wall, gastrostomy malfunction, and pain.R11 had a Brief Interview for Mental Status (BIMS) score of 0 indicating severe cognitive impairment. The facility was not able to provide records of the resident's discharge notice having been sent to a representative of the Office of the State Long-Term Care Ombudsman when the resident was sent to the hospital.On 09/19/2025 at 3:32 PM the Social Services Director (SSD) was not aware discharge notices for residents who had been discharged to a hospital had to be submitted to the Ombudsman's…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-24 · tag F0641 — isolated
  Ensure 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 Based on record review, interview, and document review, the facility failed to ensure the accuracy of the Minimum Data Set (MDS) assessment for 1 of 20 sampled residents (Resident 4), by inaccurately coding a psychiatric diagnosis. This deficient practice had the potential to have a negative impact on the residents' care planning, and the coordination and delivery of services.Findings include: The Minimum Data Set (MDS) was a standardized assessment tool used to assess the clinical needs and functional capabilities of individuals residing in a skilled nursing facility.Resident 4 (R4) was admitted to the facility on [DATE] with diagnoses including dementia, depression, and schizophrenia.A Psychiatric Consult note dated 02/27/2025 documented a diagnosis of schizoaffective disorder bipolar type.A Nursing Progress Note dated 05/06/2025 indicated R4 was transferred to the hospital for gastrostomy tube (G-tube) re-placement.The MDS Discharge assessment dated [DATE] listed schizophrenia as the only psychiatric…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-24 · tag F0655 — isolated
  Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
  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 interview, record review, and document review, the facility failed to ensure a baseline care plan was initiated after a resident was admitted for 1 of 23 sampled residents (Resident 104). The deficient practice had the potential to place residents at risk for inappropriate care, supervision, and other incidents.Findings include:Resident 104 (R104) was re-admitted to the facility on [DATE] with diagnoses including other sequelae of other cerebrovascular disease, metabolic encephalopathy, non-ST elevation myocardial infarction, atherosclerotic heart disease, hemiplegia and hemiparesis.The hospital discharge records documented R104 was to be transferred to a nursing facility with hospice for end-of-life care.A Nursing Progress Notes on 05/13/2025 at 5:28 PM revealed the resident was seen by the hospice nurse who stated the resident was officially under hospice now, and the family were already informed and signed the consents.A hospice company consent was signed by the family representative on 05/14/2025…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-24 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review and document review, the facility failed to ensure that 1 of 20 sampled residents (Resident 1) had an updated comprehensive person-centered care plan. The deficient practice had the potential to place residents at risk of not receiving the appropriate care. Findings include:Resident 1 (R1) was admitted on [DATE] with a diagnosis of Parkinson's disease with dyskinesia.On 09/17/2025 at 10:00 AM, observed R1 with a mitten on the right hand. A Physician Order dated 07/08/2025, documented R1 to have a right-hand mitten to prevent resident from pulling out tubing's for 14 days. A Physician Order dated 07/23/2025, documented for R1 to have a right-hand mitten to prevent resident from pulling out tubing's for 14 days. A Behavior Note dated 07/10/2025, documented R1 had disconnected self from ventilator four times in 20 minutes and was observed pulling at tracheostomy once and was disconnected. A Progress Note dated 07/22/2025, documented the respiratory therapist (RT) was…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-11-24 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  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, record review, and document review, the facility failed to ensure heel protective devices were implemented for 1 of 20 sampled residents (Resident 22). This deficient practice had the potential to contribute to the development or worsening of pressure injuries, pain, and impaired skin integrity.Findings include: Resident 22 (R22) was admitted on [DATE] with diagnoses including atrial fibrillation, congestive heart failure, diabetes mellitus, and non-ST elevation myocardial infarction (NSTEMI).A Wound Management Record dated 03/20/2025 documented a left heel pressure ulcer (PU).The Pressure Ulcer Scale for Healing (PUSH) chart dated 03/20/2025 recorded left hell PU length of 0.7 centimeters (cm) and width of 1.0 cmA Braden Scale assessment dated [DATE] identified R22 as being at moderate risk for pressure ulcer development. The care plan dated 07/25/2025 documented interventions for pressure injury prevention, including the use of a low air loss mattress, daily mattress…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-24 · tag F0759 — failed to keep medication error rate low — isolated
  Ensure medication error rates are not 5 percent or greater.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure residents were free from medication errors exceeding 5 percent during observed medication administration passes. Three errors were identified out of 25 medication administration opportunities, resulting in a medication error rate of 12 percent. This deficient practice had the potential to result in reduced therapeutic effectiveness, adverse drug reactions, and compromised resident safety.Findings include:1) On 09/18/2025 at 8:15 AM, a medication administration observation was conducted with Registered Nurse (RN1) and Resident 13 (R13). RN1 administered Fluticasone 200 micrograms (mcg), 1 puff via inhalation (a steroid nasal spray used to treat allergy symptoms), to R13. RN1 did not direct R13 to rinse their mouth with water following administration.A Physician Order dated 07/02/2025 specified Fluticasone 200 mcg, 1 puff once daily for chronic obstructive pulmonary disease, with special instructions to rinse the mouth with water after administration and not to swallow.On 09/18/2025 at 11:00 AM, RN1…

  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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-24 · tag F0812 — failed to store, cook, and serve food safely — isolated
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and document review, the facility failed to ensure that raw food, residents and staff food was stored by guidelines and facility policies. This deficient practice had the potential to contaminate and spread bacterial growth. Findings include: On 09/16/2025 at 8:10 AM, prep refrigerator had employee food stored inside, which contained a container of blueberries and a protein drink. On 09/16/2025 at 8:21 AM, walk-in refrigerator had employee food stored inside with contents containing a container of kimchi, an avocado and a cucumber.On 09/16/2025 at 8:22 AM, walk-in refrigerator had a box of raw shrimp, raw chicken and raw turkey stored above of cooked food.On 09/16/2025 at 8:23 AM, the Assistant Kitchen Manager voiced that raw meats should not be placed above any cooked food and employee food was not allowed where resident foods were stored.On 09/16/2025 at 8:30 AM, the Administrator expressed employees were not allowed to store personal food items in the kitchen refrigerators. The Administrator explained that employees were to store personal food…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-13 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  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 interview, record review, and document review, the facility failed to ensure medications were administered timely to 1 of 4 sampled residents (Resident #1). The deficient practice had a potential for the intended use of the medication to be insufficient or ineffective with a possible cause of harm to the resident. Findings include: Resident #1 (R1) R1 was admitted to the facility on [DATE] with diagnoses of degenerative diseases of nervous system, pain, vitamin deficiency, and major depressive disorder. A physician order dated 11/18/2024 for Methocarbamol 1000 milligram (mg) tablet was ordered for pain and was to be given at 9:00 AM, 1:00 PM, 5:00 PM, and 9:00 PM. The medication administration record (MAR) revealed the resident missed the 1:00 PM and 5:00 PM doses on 11/18/2024, and the first dose of the medication was administered at 9:00 PM. The MAR documented the medication was not administered because the medication was not available. A physician order dated 11/14/2024 for Thiamine HCl (Vitamin B1)…

  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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to FUNDAMENTAL HEALTHCARE — 66 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

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

Who owns this facility

CMS files one row per role, so the 4 rows in the source record cover these 3 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.

About 82% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $1.9M paid to related parties — landlords or management companies under common ownership — equal to about 13% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

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

Cost & finances

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

What families pay in NV