Above average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Life Care Center At Inverrary during CMS and state inspections, most recent first.
Failure to provide ordered double portions and fortified foods was observed in the kitchen and during meal service. A cook did not understand the meaning of double portion, fortified mashed potatoes were not prepared for the tray line until the issue was identified, and a resident with a double portion order received only single portions on the tray. Another resident with weight loss and mild cognitive impairment had a double portion order but received less than the RD described as required, and the resident also did not receive fortified oatmeal at breakfast.
Incorrect Puree Diet Consistency Served to Multiple Residents: Surveyors observed several residents ordered puree diets being served food that was lumpy, grainy, or otherwise not fully pureed as ordered. Residents with diagnoses including Parkinson’s disease, encephalopathy, dementia, dysphagia, and severe cognitive impairment received trays labeled puree with textures that staff described inconsistently, and the RD confirmed photographic evidence showing lumpy puree served to one resident.
A resident on contact precautions for C. Diff was not provided a weekly menu. He had mild cognitive impairment and significant weight loss, and during a meal observation he said he was tired of being served eggs every morning, the ham was tough, and he had not seen a menu in a long time. The Dietary Director said she had alternate menu options but did not give them to him because he was on isolation and would not answer the phone, while the Diet Technician said the menu had only been brought when he first arrived and was not provided weekly.
The facility failed to follow physician orders for oxygen therapy for two residents, including incorrect O2 flow settings and improper labeling/storage of tubing. It also failed to disinfect and store nebulizer masks and parts properly for two residents, with staff rinsing equipment with tap water, drying it, and placing it in bags or on bathroom sinks. In addition, trach care was performed without maintaining sterility, a trach tube size order was missing, and a resident’s trach inner cannula was not readily available in the room.
Failure to Follow Dialysis Access Arm BP Order: A resident with ESRD and a fistula/shunt had a physician order not to take BP on the right arm, yet PCC documentation showed repeated BP readings on that arm. The resident stated staff sometimes used the dialysis access arm, and an RN confirmed BP should be taken on the opposite arm while documenting which arm was used.
A resident with anoxic brain injury, severe cognitive impairment, bipolar disorder, and seizures had Seroquel orders for bipolar disorder, but the MAR/TAR lacked written behavior monitoring documentation for the antipsychotic. The ADON stated the resident had gone out to the hospital and the Seroquel behavior monitoring was not reimplemented, and both an LPN and an RN stated that residents on Seroquel require behavior monitoring documented on the MAR or TAR.
Meals Did Not Match Resident Preferences: A resident with no cognitive impairment repeatedly received broccoli and cauliflower despite those items being listed as dislikes, another resident who requested double protein was served a single-patty cheeseburger on two observations, and a third resident said she ordered spaghetti with meat sauce but received mashed potatoes with meat sauce instead. The RD stated that double portions should include a double entree, and the CDD acknowledged the findings and said an alternative could have been sent to the first resident.
A resident on contact precautions for CDI had meal trays removed from the room without being bagged, contrary to the facility’s CDI policy. In separate observations, CNAs failed to disinfect a transfer machine and a vital signs cart after resident use, instead using hand sanitizer or hand sanitizer wipes that the DON said were not the approved disinfectant for equipment. The IP RN stated she had not observed tray removal and did not know the approved disinfectants for machines and equipment.
A resident with multiple diagnoses, including Dementia and Hypertension, received Atenolol despite a heart rate below the prescribed parameter, and a Multivitamin without the required minerals. Staff failed to notify the physician in a timely manner, and the correct supplement was not available in the medication cart.
The facility failed to initiate care plans and accurately assess five residents for the use of bed rails. Additionally, the facility did not honor a resident's representative's decision to decline the use of bed rails and failed to obtain orders for another resident. The Director of Rehabilitation confirmed that the rails being used were not the recommended type.
The facility failed to ensure a resident's drug regimen was free from unnecessary medications by not timely relaying the Consulting Pharmacist's recommendations to the resident's Psychiatrist. Despite the recommendation for a gradual dose reduction of Risperidone, the Primary Care Physician did not discuss this with the resident's Guardian or Psychiatrist in a timely manner, leading to the deficiency.
The facility failed to secure OTC and prescription medications, as well as a nebulizer treatment, for a resident with severe dementia. An LPN left the medications unattended during administration, making them accessible to the resident and others. Both the LPN and RN/ADON acknowledged the error.
The facility failed to properly clean and disinfect a glucometer between uses for four residents, did not perform adequate hand hygiene during medication administration for four residents, and did not implement proper Contact Precautions signage for a resident with MRSA. These deficiencies were observed and confirmed through staff interviews and record reviews.
Failure to Provide Ordered Double Portions and Fortified Foods
Penalty
Summary
The facility failed to provide ordered double portions and fortified foods during meal service observations and record review. During a main kitchen observation, a Dietary Aide read a double portion meal ticket to the Cook, but the Cook did not understand what double portion meant and a plate had already been prepared with single portions. The Certified Dietary Manager had to explain that double portion meant two scoops of each food item. During the same observation period, the Certified Dietary Director realized that fortified mashed potatoes had not been prepared for the tray line until the surveyor asked to identify them, and a dietary aide was then asked to make them. The Registered Dietitian stated that fortified foods were part of the nutritional intervention and that the kitchen followed a corporate recipe for fortified foods. Resident #107 was observed in the dining room with a meal ticket documenting double portions and a scoop plate, but the plate contained only one scoop of mashed potatoes, vegetables, and meat. A later observation showed the resident being fed by a CNA, and the CNA could not state whether the resident had received a double portion meal. The consultant RD stated that a resident with a double portion order should receive double protein, carbohydrate, and vegetables, and that a scoop plate should have two plates to accommodate double portions. The ADON stated she did not have any resident on double food portions and said staff, including CNAs, nurses, and herself, check meal trays to ensure residents get the right tray. Resident #6 had diagnoses including malignant neoplasm of the temporal lobe, malignant neoplasm of the parietal lobe, and C. diff, and had a BIMS score of 11 indicating mild cognitive impairment. The resident lost weight from 174.4 pounds to 154.6 pounds, a loss of 11.35%, and the dietician recommended double portions for weight loss. During lunch observation, the meal ticket documented double portion, but the meal delivered included a magic cup, apple juice, one slice of meatloaf, two servings of mashed potatoes, one scoop of spinach, and one piece of pie. The RD stated the lunch should have included two slices of meatloaf, two scoops of mashed potatoes, two scoops of spinach, and one piece of pie. In interview, the Dietary Director stated Resident #6 should have received two slices of meatloaf, and the resident later stated he ate pancakes for breakfast and did not receive the fortified oatmeal.
Incorrect Puree Diet Consistency Served to Multiple Residents
Penalty
Summary
The facility failed to provide the correct diet consistency for residents ordered pureed diets. Survey observations and record reviews identified that 5 of 5 sampled residents on pureed diets—Resident #20, Resident #45, Resident #108, Resident #33, and Resident #15—were served food that appeared lumpy, grainy, or otherwise not fully pureed as ordered. The report states this issue had the potential to affect 10 residents receiving pureed diets. Resident #20 had diagnoses including Degenerative Disease of Nervous System and was on a regular diet with puree texture and nectar/mildly thick fluids by teaspoon. During observation, the meal ticket reflected puree regular and nectar fluid, and the tray contained lumpy beige pureed food, grainy light brown pureed food, and yellow and brown pureed food with red sauce. Resident #45, who had Parkinson’s disease and severe cognitive impairment, was ordered a regular diet with puree texture, honey/moderately thick liquids, and fortified foods with all meals; on two separate observations, the meal ticket reflected puree regular honey/moderately thick consistency and the tray contained lumpy, grainy, and pureed-like foods rather than a smooth puree. Resident #108, with encephalopathy and atherosclerotic heart disease and severe cognitive impairment, was ordered a regular diet with puree texture and nectar/mildly thick liquids. Observation showed the meal ticket listed puree regular double portions nectar, and the tray contained lumpy beige, grainy light brown, and yellow and brown food with red sauce. Resident #33 and Resident #15, both unable to be interviewed and unable to feed themselves, were observed on the unit with meal tickets reading puree regular diets, but their food was lumpy and not pureed as ordered. Interviews with the RD, Dietary Director, cook, and SLP reflected differing descriptions of what puree should look like, while the RD acknowledged the findings and confirmed photographic evidence of lumpy puree served to Resident #15.
Weekly Menu Not Provided to Resident on Contact Precautions
Penalty
Summary
The facility failed to provide a weekly menu to a resident on contact precautions for C. Diff. Resident #6 was admitted with diagnoses including malignant neoplasm of the temporal lobe, malignant neoplasm of the parietal lobe, and enterocolitis due to C. Diff. His BIMS score on the admission MDS was 11, indicating mild cognitive impairment. Record review showed he weighed 174.4 pounds on 07/01/2025 and 154.6 pounds on 08/11/2025, a loss of 11.35%. During a breakfast observation, he did not eat the scrambled eggs, ham, cereal, or toast and only drank apple juice. When asked why he did not eat breakfast, he stated he was served eggs every morning and was sick of eggs, the ham was tough, and he wished he could get something else to eat. He also stated he had not seen a menu in a long time. The Diet Technician stated the Dietary Director handled meal preferences. The Dietary Director stated she had no preferences recorded for the resident except that he disliked fish and was unaware that he did not want eggs. She stated she had an alternate menu for pancakes, french toast, or bagels but did not give it to him because he was on isolation and would not answer the phone. She said she did not want him to touch a menu and have it brought back to the kitchen. The Diet Technician stated she had brought the resident a menu when he first came to the facility and that it was good for a week, but she said it was not her responsibility to bring it weekly and that this was the Dietary Director's responsibility. The Administrator heard the conversation and acknowledged the findings.
Respiratory Care Orders, Nebulizer Hygiene, and Tracheostomy Care Failures
Penalty
Summary
The facility failed to follow physician orders for oxygen therapy for two residents. One resident with severe cognitive impairment had an order for oxygen at 2 liters per minute continuously by nasal cannula, but during two separate observations the oxygen concentrator calibration ball was found at 3.5 liters per minute and then 2.5 liters per minute instead of the ordered setting. Another resident with COPD and intact cognition had an order for oxygen at 2 liters per minute as needed for shortness of breath, along with an order to change oxygen tubing and nebulizer circuit every night shift and every Sunday, but during observation the oxygen tubing was marked with a date that did not match the ordered change schedule. The tubing and nebulizer supplies were also observed stored in a plastic bag without a visible dated tag, despite the facility policy requiring oxygen supplies to be labeled with the resident name and date when set up or changed. The facility also failed to properly disinfect and store nebulizing masks and parts for two residents receiving nebulizer treatments. One resident with severe cognitive impairment and COPD had nebulizer equipment observed on the bathroom sink after treatment, and staff stated the equipment was rinsed with tap water and air dried, with the mask and parts later placed in a plastic bag and stored in the resident’s drawer. Another resident with severe cognitive impairment and multiple respiratory and neurologic diagnoses had nebulizer parts observed being rinsed under running tap water, dried with a paper towel, left on the bathroom sink, and then placed in a plastic bag for storage in the bedside drawer. Staff described cleaning the nebulizer mask and parts with tap water, with one LPN stating she used no soap and another stating she washed them with soap and water. For a resident with a tracheostomy and no cognitive impairment, the facility failed to have a physician order for the tracheostomy tube size and failed to maintain sterility during tracheostomy care. During observation, the LPN contaminated sterile gloves and continued the procedure after being informed of the contamination. She handled sterile supplies and gauze in a manner that broke sterility, used an unsterile saline bottle, and opened a suction catheter kit without knowing its expiration date. The DON stated the tracheostomy care kit used for the resident had no expiration date. For another resident with a tracheostomy and chronic respiratory failure, staff failed to keep a readily available inner cannula in the room. An empty inner cannula box was found on the dresser, no replacement box was brought, and the private aide reported that staff had taken the empty box the day before and did not replace it. Staff also stated they did not know the resident’s tracheostomy size and that the central supply person knew the size.
Failure to Follow Dialysis Access Arm BP Order
Penalty
Summary
The facility failed to follow the professional standards of practice and the physician’s order for a resident with ESRD who required dialysis care. Resident #5 was admitted with diagnoses including End Stage Renal Disease, Acute Post Hemorrhagic Anemia, and Respiratory Tuberculosis. The most recent MDS assessment dated 06/08/25 showed a BIMS score of 13, indicating intact cognition. A physician order dated 06/12/25 directed staff not to take blood pressure on the resident’s right arm because of the fistula/shunt. Review of BP documentation in PCC showed multiple instances in which BP was taken on the right arm despite the order, including readings documented on 05/14/25, 05/16/25, 06/07/25, 06/08/25, 06/11/25, 06/12/25, 06/25/25, 06/30/25, 07/05/25, 07/06/25, 07/19/25, 07/20/25, 07/21/25, 07/25/25, 07/29/25, 08/02/25, and 08/06/25. During interview, the resident stated that staff sometimes took BP on the arm with the dialysis site. An RN stated that staff should check for bruit and pulses on the access site but take BP on the opposite arm, and that nurses document which arm was used in PCC.
Missing Behavior Monitoring for Psychotropic Medication
Penalty
Summary
The facility failed to ensure that a resident's psychotropic medication regimen was monitored appropriately, as there was no written documentation of behavior monitoring for the resident's Seroquel use. The resident had diagnoses including anoxic brain injury, cognitive communication deficit, bipolar disorder, and seizures, and the clinical record showed active orders for Seroquel for bipolar disorder, including daytime and bedtime dosing changes during the review period. Review of the July and August 2025 MAR and TAR showed a lack of documented behavior monitoring related to the antipsychotic medication. The resident's MDS admission assessment documented a BIMS score of 3, indicating severe cognitive impairment, and also noted antipsychotic use within 7 days of assessment completion. During record review, the ADON stated the resident had gone out to the hospital and the Seroquel behavior monitoring was not reimplemented, and confirmed the record did not contain behavior monitoring documentation. An LPN and an RN stated that residents on Seroquel require behavior monitoring and that it is documented on the MAR or TAR.
Meals Did Not Match Resident Preferences
Penalty
Summary
The facility failed to provide food that matched resident allergies, dislikes, and preferences for 3 of 22 residents observed during dining. Resident #21, who was admitted with diagnoses including an unspecified fracture of the right femur and had a BIMS score of 14 indicating no cognitive impairment, had broccoli and cauliflower listed under allergies and dislikes on the meal ticket, yet the tray delivered contained a mixed vegetable item that included cauliflower and broccoli. The resident ate everything on the plate except the mixed vegetables and stated that she was tired of explaining that she does not eat broccoli or cauliflower, but she always gets them on her tray. Resident #55, who was admitted and readmitted with diagnoses of anemia and hereditary and idiopathic neuropathy and had a BIMS score of 15 indicating no cognitive impairment, had double protein listed in preferences on the meal ticket but was served a single patty cheeseburger with lettuce and tomato on two separate observations. Resident #62, admitted with diagnoses of cachexia and cognitive communication deficit and also with a BIMS score of 15, stated that she ordered spaghetti with meat sauce but received mashed potato with meat sauce; she said this was not the first time. During the observation, the tray contained mashed potato and meat sauce, and Resident #63 showed a paper where she writes what she wants to eat every day for lunch and dinner. The Registered Dietitian stated that a double portion should include a double entree, such as two patties for a cheeseburger, and the Certified Dietary Director acknowledged the findings and stated she could have sent the alternative to Resident #21.
Failure to Follow CDI Tray Handling and Equipment Disinfection Policies
Penalty
Summary
The facility failed to follow its own CDI policy for meal tray removal for a resident who was admitted with diagnoses including benign prostatic hypertrophy, hypertension, diverticulosis, and hypothyroidism and who had a positive toxigenic C. difficile test, placing him on contact precautions. The resident’s MDS assessment showed a BIMS score of 11, indicating mild cognitive impairment. During two observations, CNAs removed the resident’s meal tray from the room without bagging or containing it as required by the facility’s CDI policy. The Infection Preventionist RN stated she provided in-services on contact precautions and enhanced barrier precautions, but she had not observed staff bagging the meal tray and had not performed those observations or education because she had been assigned different tasks for the past few months. She also stated she was not sure about the utensils and dining supplies used by the resident and did not respond when asked whether observation of staff infection control practices was part of her responsibility. The facility also failed to follow its policy for cleaning and disinfection of non-critical patient care equipment during two observations. After a bed-to-chair transfer using a Golvo 7007 ES machine, a CNA left the room with the machine, parked and plugged it in near the nurses’ station, and did not disinfect it after use. In another observation, a CNA rolled a vital signs machine cart out of a resident’s room and stated she cleaned it inside the room using hand sanitizer or hand sanitizer wipes. The DON stated those Sysco Reliance sanitizing wipes were not the facility’s recommended disinfectant for machines and equipment and were only used for hand sanitation. The Infection Preventionist RN stated she did not know the approved disinfectants for machines such as vital signs carts, Hoyer lifts, and other transfer devices.
Failure to Follow Physician's Orders for Medication Administration
Penalty
Summary
The facility failed to follow physician's orders for medication administration for Resident #51, who was readmitted with multiple diagnoses including Dementia, Hypertension, and Anemia. The resident's April 2024 Medication Administration Record (MAR) documented orders for Atenolol 25mg daily with parameters to hold the medication if the heart rate was less than 60 bpm and notify the physician, and a Multivitamin with minerals supplement daily for Anemia. On 04/15/24, Staff C administered Atenolol to the resident despite a documented heart rate of 55 bpm and did not notify the physician until 2.5 hours later after surveyor intervention. Additionally, Staff C administered a Multivitamin without the required minerals because the correct supplement was not available in the medication cart. Interviews with Staff C and Staff D confirmed that the physician's orders were not followed. Staff C was unaware of the parameters for Atenolol and acknowledged the error in administering the Multivitamin without minerals. The Director of Nursing (DON) was informed of these findings and acknowledged the failure to follow physician orders for both the antihypertensive medication and the multivitamin supplement.
Failure to Assess and Plan for Bed Rail Use
Penalty
Summary
The facility failed to initiate care plans for the use of bed rails and accurately assess five residents for the use of side rails. The facility's policy required residents to be assessed upon admission, readmission, or upon initiation of bed rails, and reassessed quarterly or with a change of condition. However, the facility did not follow these procedures for Residents #25, #46, #89, #258, and #259. Additionally, the facility did not honor a resident's representative's decision to decline the use of bed rails for Resident #258 and failed to obtain orders for the use of bed rails for Resident #259. Resident #25 had a doctor's order for side rails for support and stability during transfers and bed mobility, but there was no care plan or assessment to determine the potential risks associated with the use of bed rails. Similarly, Resident #46 had orders for side rails but lacked a care plan and assessment. Resident #46 expressed dissatisfaction with the bed rails, stating they were installed to prevent falls, although the resident had no issues with falling out of bed. The Director of Rehabilitation confirmed that the rails being used were half rails and not the recommended quarter rails. Resident #89 had half bed rails in place, but there was no care plan or assessment to determine the potential risks. The resident's ex-wife mentioned that the rails had been on the bed before a fall occurred. Resident #258 had half rails in place despite the resident's representative declining their use. There was no care plan or assessment for the potential risks associated with the use of bed rails. Resident #259 also had half rails in place without any orders, care plan, or assessment to determine the potential risks. The Director of Rehabilitation confirmed that the rails were half side rails and not quarter rails, which would have been more appropriate for the residents' needs.
Failure to Timely Relay Pharmacist's Recommendations
Penalty
Summary
The facility failed to ensure that a resident's drug regimen was free from unnecessary medications by not timely relaying the Consulting Pharmacist's recommendations to the resident's Psychiatrist. The resident, who had diagnoses of Depressive Disorder, Bipolar Disorder, and Psychosis, was prescribed Risperidone and Sertraline. Despite the Consulting Pharmacist's recommendation for a gradual dose reduction (GDR) of Risperidone, the Primary Care Physician (PCP) did not discuss this recommendation with the resident's Guardian or Psychiatrist in a timely manner. The resident's behavior had been controlled, and she did not exhibit any abnormal behaviors. The PCP initially denied the GDR recommendation without providing additional rationale and acknowledged during an interview that he had not yet discussed the recommendation with the Guardian or Psychiatrist. The Guardian confirmed that she had not been contacted about the medication changes and stated that the Psychiatrist would need to decide on the GDR. The PCP eventually contacted the Psychiatrist to inform him of the Pharmacist's recommendation, but this was done only after the surveyor's inquiry. The delay in communication and action regarding the GDR recommendation led to the deficiency, as the facility did not ensure the resident's drug regimen was free from unnecessary medications in a timely manner.
Failure to Secure Medications in Locked Dementia Unit
Penalty
Summary
The facility failed to secure over-the-counter (OTC) and prescription medications, as well as a nebulizer treatment medication solution, for a resident with severe dementia. During a medication administration observation, an LPN was seen placing a cup with eleven different medications and a nebulizer treatment on a tray next to the resident's bed. The LPN then left the medications unattended while washing her hands in the bathroom, making the medications accessible to the resident, other wandering residents, staff members, and visitors. This incident occurred in the facility's locked dementia unit, which houses residents who ambulate and wander throughout the unit. In a subsequent observation, the same LPN placed the resident's medication tray with a nebulizer treatment on the bedside table and left the room to obtain applesauce, again leaving the medication unattended. The resident's medical records did not indicate any self-assessment allowing her to administer her own medications. Both the LPN and the RN/ADON acknowledged that the medications should not have been left unattended. The DON also recognized that the medications should have been secured and not left unattended at the resident's bedside.
Infection Control and Hand Hygiene Deficiencies
Penalty
Summary
The facility failed to clean and disinfect the glucometer per manufacturer's instructions for four residents. Staff A, an LPN, was observed using a single glucometer for multiple residents without proper disinfection between uses. Instead of using the recommended Sani-Cloth Germicidal Disposable Wipes, Staff A used alcohol wipes, which is not in accordance with the facility's policy. Additionally, the glucometer was stored without being cleaned and disinfected after use, as confirmed by the Director of Nursing (DON) during an interview. This failure to follow proper cleaning protocols was observed during blood glucose monitoring for Residents #29, #70, #80, and #93. The facility also failed to properly perform hand hygiene during medication administration for four residents. Staff A was observed washing her hands for only five to six seconds after administering medications to two residents and did not use hand sanitizer afterward. Additionally, Staff A did not don gloves while administering eye drops to another resident and washed her hands for only ten seconds afterward. Staff B, an RN, was also observed exiting a resident's room without performing hand hygiene after medication administration. These observations were made during medication administration for Residents #52, #76, #77, and #78. Furthermore, the facility failed to implement proper signage for Contact Precautions as per Physician's orders for a resident with MRSA. Resident #311, who had a diagnosis of MRSA in the wound and was receiving antibiotics via an IV midline, was observed to have an Enhanced Barrier Precaution sign instead of the required Contact Precautions sign. This discrepancy was confirmed by the DON, who acknowledged that the posted signage did not follow the Physician's orders. The failure to implement proper signage was observed during a tour of the unit and confirmed through interviews with staff and record reviews.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 337 citations issued within 25 miles in the last 12 months — including the 4 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Lauderhill
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Palms Care Center And Rehab | 0.6 mi | ★★★★★ | 1 | 0 |
| Nspire Healthcare Lauderhill | 0.9 mi | ★★★★★ | 0 | 0 |
| St Johns Nursing Center | 1.7 mi | ★★★★★ | 2 | 0 |
| Nspire Healthcare Plantation | 2.1 mi | ★★★★★ | 0 | 0 |
| Springtree Rehabilitation & Health Care Center | 2.7 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Life Care Center At Inverrary.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.