Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Silver Hills Health Care Center during CMS and state inspections, most recent first.
A resident with dementia reported that a staff member, described as a friend, used the resident's bank card to withdraw cash, resulting in unauthorized withdrawals and missing items. The facility did not thoroughly investigate the incident, failed to document interviews with the CNA involved, and did not report the CNA to the State Board of Nursing as required by policy.
A resident with Alzheimer's disease and dementia had an allegation of misappropriation of property documented by nursing staff, but the facility did not report the incident to the State Agency within the required timeframe. Staff interviews confirmed knowledge of the policy requiring immediate reporting, but the process used—entering information into the electronic health record—resulted in a delay, and the report was not submitted until two days after the allegation was documented.
A resident was found with melatonin gummies at their bedside without a completed assessment or physician's order for self-administration. The RN was unaware of the medication, and the DON confirmed the lack of necessary documentation and approval. Facility policy requires a nurse's evaluation, interdisciplinary assessment, physician's approval, and secured storage for self-administration, which were not followed.
A resident reported rough handling and rude behavior by staff during care, but the facility failed to conduct a thorough investigation. The Social Services Assistant identified the staff member involved, and the Director of Nursing adjusted the staff schedule. However, no interviews with staff or other residents were conducted, and the facility did not complete a thorough investigation as required by their policy.
The facility failed to document adequate discharge planning for two residents, leading to deficiencies in ensuring safe discharges. One resident with multiple medical conditions did not have documented discharge planning before a Medicare Non-Coverage notice, and the second resident with paralysis had discharge planning notes kept on a personal tracker, not in the medical record. The facility lacked a formal discharge planning policy.
A resident with a fracture and muscle weakness required maximal assistance for bathing. The facility failed to adhere to the scheduled twice-weekly bathing, as documentation showed missed bathing days. Staff confirmed the schedule, but records lacked entries for several days, indicating a deficiency in care.
The facility failed to properly label, date, and store food and cleaning agents, and did not maintain clean ice machines. Expired water cartons were found in the cooler, and a spray bottle with an unidentified liquid was improperly stored. Ice machines had debris buildup, indicating a failure to maintain sanitary conditions.
The facility failed to provide necessary assistance with ADLs for three residents, leading to potential health risks. One resident was not repositioned or assisted during night shifts, another was left in urine for hours, and a third was not checked or changed for long periods. The MDS Director and DON confirmed the lack of documentation and assistance.
A resident with a pulmonary embolism did not receive their prescribed Lovenox medication on time due to it being out of stock. An LPN was unable to find the medication in the cart or back-up supply, leading to a delay of more than 12 hours in administration. The physician noted that this delay increased the risk of another embolism. The facility's policy lacked guidance on managing low or unavailable medications.
A resident with muscle wasting and weakness was not administered Gabapentin as scheduled, compromising pain management. The medication was often given outside the prescribed one-hour window, as confirmed by the DON and an LPN, contrary to the facility's policy.
The facility failed to properly label and store personal food items brought in by family or visitors for two residents. Despite being within the manufacturer's expiration date, food items were discarded after three days, causing frustration for residents with specific dietary needs. The facility's policy required prepared food to be consumed within three days, but unopened items with manufacturer dates should not have been relabeled or discarded prematurely. This inconsistency led to the improper handling of residents' food.
A facility failed to follow infection control practices when an LPN administered a contaminated pill to a resident. The pill fell onto the bedding, and the LPN, unaware of the facility's policy, picked it up with bare hands and gave it to the resident. The facility's policy lacked specific guidance on handling contaminated medications.
A resident identified as high risk for falls did not receive appropriate fall interventions upon admission, leading to a fall incident. The facility failed to investigate the fall circumstances or notify the physician and family in a timely manner. Additionally, after the resident returned from the hospital with a fractured wrist, the facility did not complete an assessment or obtain care orders to manage the injury.
A resident with chronic conditions was found unresponsive, and an anonymous report alleged that the DSD did not perform CPR when needed. The Administrator recognized this as an allegation of neglect but did not report it to the state agency, contrary to facility policy. An investigation was conducted, and the DSD was suspended during this process.
A facility failed to develop a baseline care plan within 48 hours for a resident at high risk for falls, who had a history of falling and was diagnosed with conditions like Parkinson's disease and muscle weakness. Despite a high fall risk assessment score, the care plan was not formulated, as confirmed by staff interviews. The facility's policy required such a plan, but it was not implemented, leading to inadequate management of the resident's fall-related injuries.
A resident, admitted with a right femur fracture and head contusion, required maximum assistance with bathing. The DON confirmed that the resident's showers were scheduled twice weekly, but there was no documentation of showers or bed baths being provided or refused on two occasions. A family member reported the missed showers, and the facility's ADLs policy required care based on comprehensive assessments.
A facility failed to properly assess and document a resident's surgical incision site and skin condition, resulting in a deficiency. The resident had a right femur fracture with surgical incisions and staples, but the location of the staples was unclear. Physician orders for wound care were not followed with thorough assessments or documentation. Interviews revealed that the wound team did not complete baseline or weekly skin assessments as required by facility policy.
A resident with a surgical wound on the right hip did not receive wound care treatment as ordered, leading to a deficiency in care. The treatment was scheduled for specific days but was not performed on one occasion, despite being documented as completed. The lapse was confirmed by the Wound Coordinator and Wound Care Treatment Nurse, and the importance of timely wound care was emphasized by the Wound Care Nurse Practitioner.
Failure to Investigate and Report Staff Misappropriation of Resident Property
Penalty
Summary
The facility failed to conduct a thorough investigation and did not report an allegation of misappropriation involving a certified nursing assistant (CNA) to the State Board of Nursing. A resident with Alzheimer's disease and dementia was found to have multiple twenty dollar bills and explained to a nurse that a staff member, identified as a friend, had used the resident's bank card to withdraw cash. The nurse documented the incident and secured the cash, but the debit card was not returned. Further review revealed that the staff member, who was assigned to care for the resident and spouse, had also taken other items such as a garage remote and keys, and significant unauthorized withdrawals and expenses were made from the resident's account. The facility's investigation file lacked documentation of interviews with the CNA, did not identify the CNA as the resident's friend, and did not include a determination of the outcome of the in-house investigation. Additionally, there was no evidence that the CNA was reported to the State Board of Nursing, despite facility policy requiring notification of relevant licensing boards when an employee is found to have committed abuse, neglect, exploitation, or misappropriation. The deficient practice had the potential to place all residents at risk for unreported financial exploitation.
Delayed Reporting of Misappropriation Allegation
Penalty
Summary
The facility failed to ensure that an allegation of misappropriation of resident property involving a certified nursing assistant was reported to the State Agency within the required timeframe. A resident with Alzheimer's disease and dementia was admitted and later had a nursing progress note documenting an allegation of misappropriation on 07/27/2025. However, the facility did not report this allegation to the State Survey Agency until 07/29/2025, exceeding the required reporting window as outlined in facility policy and regulatory requirements. Interviews with staff, including an LPN, the DON, and the Administrator, confirmed knowledge of the abuse reporting policy, which requires immediate reporting of such allegations, defined as within two hours for abuse involving physical harm or within 24 hours for other allegations, including misappropriation. The Administrator explained that the nurse notified the abuse coordinator by entering information into the electronic health record, which only generated an alert for the next user login, rather than immediate notification. The Social Services Director initiated an investigation the following day, and the initial report to the State Agency was delayed, not meeting the facility's policy or regulatory requirements.
Failure to Assess Self-Administration of Medication
Penalty
Summary
The facility failed to complete an assessment for the self-administration of medication for one resident, leading to a deficiency. The resident, who was admitted with diagnoses including gout, Type 2 diabetes, and generalized muscle weakness, was found with a bottle of melatonin gummies on their bedside table. The resident's family had brought the medication to the facility two days prior, and the resident had taken two gummies the previous night. However, there was no documented evidence of an assessment for self-administration of medication or a physician's order in the resident's medical record. A Registered Nurse confirmed the presence of the medication and was unaware of its existence at the bedside, indicating that the family should have informed the nursing staff about the medication. The Director of Nursing verified the absence of a physician's order and a self-administration assessment. According to the facility's policy, a resident must have a nurse's evaluation, an interdisciplinary team's assessment, physician's approval, and secured bedside storage to self-administer medication, none of which were in place for this resident.
Failure to Investigate Alleged Abuse Thoroughly
Penalty
Summary
The facility failed to thoroughly investigate an allegation of physical and verbal abuse involving a resident who reported that two staff members were rough and spoke rudely during care. The incident was documented in a Grievance/Complaint Resolution Report, but the date was initially incorrect. The Social Services Assistant (SSA) attempted to gather more details from the resident, who could not recall specifics due to the incident occurring at night. The SSA identified the staff member based on the resident's description and informed the Director of Nursing (DON), who agreed to remove the staff member from the resident's care. Despite the grievance being confirmed and adjustments made to the staff schedule, the facility did not conduct interviews with the alleged staff or other residents, nor did they complete a thorough investigation as per their policy. The Director of Staff Development (DSD) and the Administrator, who is the Abuse Coordinator, confirmed that no documentation of interviews or a complete investigation was available. The facility's policy requires immediate reporting and thorough investigation of abuse allegations, including interviews with all involved parties, but these steps were not followed in this case.
Inadequate Discharge Planning Documentation
Penalty
Summary
The facility failed to provide and document adequate discharge planning for two residents, leading to a deficiency in ensuring safe transfers or discharges. For the first resident, who had multiple medical conditions including a urinary tract infection and chronic obstructive pulmonary disease, the discharge planning process was not initiated until after a Notice of Medicare Non-Coverage was issued. Despite the resident's family successfully appealing two previous discharge notices, the facility did not document any discharge planning prior to the third notice. The Social Services Director only became involved after conflicts arose between the family and the Case Manager, and the medical record lacked evidence of discharge planning before the notice was issued. For the second resident, who had partial left-side paralysis due to a stroke, the facility also failed to document discharge planning prior to the resident's insurance coverage ending and subsequent discharge. The Case Manager admitted to keeping discharge planning notes on a personal tracker, which were not included in the electronic medical record and were destroyed after discharge. The Director of Nursing confirmed that the medical record lacked documentation of discharge planning, and the facility did not have a formal policy for discharge planning, relying instead on a best practice document that was not followed.
Failure to Adhere to Scheduled Bathing for a Resident
Penalty
Summary
The facility failed to provide scheduled bathing for a resident, identified as Resident 1, who was admitted with diagnoses including a displaced intertrochanteric fracture of the right femur, muscle weakness, and difficulty walking. The Admission Minimum Data Set indicated that Resident 1 required maximal assistance for bathing activities. The facility's records showed that Resident 1 was scheduled to receive showers twice a week, specifically on Wednesdays and Sundays. However, documentation revealed that Resident 1 only received a bed bath on two occasions and a shower on two other occasions during the month of May 2024, missing several scheduled bathing days. Interviews with facility staff, including a Registered Nurse, a Restorative Nurse Assistant, and a Certified Nursing Assistant, confirmed the twice-weekly bathing schedule. The Director of Nursing also confirmed that shower activities were to be documented in the electronic medical record and on shower day skin inspection sheets. Despite this, there was a lack of documentation for several scheduled bathing days, indicating a failure to adhere to the resident's bathing schedule, which could potentially impact the resident's overall well-being.
Deficiencies in Food Storage and Ice Machine Sanitation
Penalty
Summary
The facility failed to ensure proper labeling, dating, and storage of food and cleaning agents, as well as the cleanliness of ice machines. During a walkthrough of the kitchen, surveyors observed a box of thickened liquid lemon-flavored water cartons in the walk-in cooler with an expiration date of the previous day. The Dietary Manager acknowledged that the water cartons should have been discarded and had them disposed of during the survey. Additionally, a spray bottle containing an unidentified liquid was found in the utility room, which the Dietary Manager identified as a de-limer and stated it would be labeled and stored properly. Further observations revealed issues with the cleanliness of ice machines. A water/ice machine in the kitchen and an ice machine in the 200-hall nourishment room both had a wet brownish debris buildup on the ice spouts. The Dietary Manager explained that the ice machines are cleaned periodically and had been recently cleaned. However, the presence of debris indicated a failure to maintain sanitary conditions as outlined in the facility's Ice Machine Sanitation policy. These deficiencies posed a potential risk to safety and health standards, potentially leading to contamination and foodborne illness.
Failure to Assist Residents with ADLs
Penalty
Summary
The facility failed to provide necessary assistance with activities of daily living (ADLs) for three residents, leading to potential risks for their health and well-being. Resident 225, who was admitted with conditions such as muscle wasting and weakness, required assistance with bed mobility, transfer, and toilet use. However, there was no documented evidence of repositioning or assistance during the night shifts on specific dates, and the resident expressed feeling insecure and neglected. The Minimum Data Set (MDS) Director confirmed the lack of documentation and noted that the resident had not refused assistance. Resident 226, admitted with muscle weakness and chronic pain, required substantial assistance with toileting hygiene. The resident's family member reported that the resident was often left lying in urine for extended periods. A review of the ADL Flowsheet revealed no documented evidence of toileting hygiene assistance during several night shifts. The MDS Director confirmed these findings, indicating the resident's need for help with toileting hygiene, including changing adult briefs. Resident 229, who had a BIMS score indicating cognitive intactness, required assistance with bed mobility and toileting hygiene. The resident reported not being checked by staff for long periods, especially during night shifts, and having to wait for hours without being changed, even after a bowel movement. The ADL Flowsheet review confirmed the lack of documented assistance on a specific night shift. The Director of Nursing (DON) acknowledged that the resident was not using a low air loss mattress, which could have aided in repositioning.
Failure to Administer Blood-Thinning Medication Timely
Penalty
Summary
The facility failed to follow physician's orders for a resident diagnosed with a pulmonary embolism, which required the administration of blood-thinning medication, Lovenox, every 12 hours. On the morning of September 5, 2024, an LPN was unable to locate the resident's Lovenox medication and found none in the back-up supply. The LPN was uncertain about when the medication would arrive, resulting in a delay in administration. The medication was eventually delivered at 4:00 PM, more than 12 hours after the last dose was administered the previous evening. The physician confirmed that the resident was placed on Lovenox because Warfarin alone was not providing adequate therapeutic effects. The physician emphasized that missing a dose for more than 12 hours significantly increased the risk of another pulmonary embolism. The Director of Nursing acknowledged that the medication should have been reordered by the nurse who administered the last dose, and the situation could have been avoided with timely ordering. The facility's medication administration policy did not provide guidance on handling situations when medications were running low or unavailable.
Failure to Administer Pain Medication as Scheduled
Penalty
Summary
The facility failed to administer pain medication as scheduled for a resident, identified as R228, which compromised the effectiveness of the resident's pain management. R228 was admitted with diagnoses including muscle wasting, atrophy, muscle weakness, and malaise, and was prescribed Gabapentin to be taken three times daily at specific times. However, the Medication Administration Audit Report revealed that the medication was frequently administered outside the prescribed one-hour window before or after the scheduled times, as per the facility's policy. Interviews with the Director of Nursing (DON) and a Licensed Practical Nurse (LPN) confirmed the discrepancies in medication administration times. The DON acknowledged that the medication was not consistently given within the required timeframe, which could lead to increased pain for the resident. The facility's policy required medications to be administered within 60 minutes of the scheduled time unless otherwise ordered by a physician, but this was not adhered to in the case of R228.
Improper Handling of Residents' Personal Food Items
Penalty
Summary
The facility failed to ensure that personal food items brought in by family or visitors for two residents were properly labeled and stored. Resident #77, who has a history of hypertension, protein-calorie malnutrition, type 2 diabetes, and chronic kidney disease, reported that their vegetarian food items, such as ice cream and cottage cheese, were discarded after three days despite being within the manufacturer's expiration date. Similarly, Resident #84, with diagnoses including peripheral vascular disease, type 2 diabetes, depression, and protein-calorie malnutrition, expressed frustration over their food items, like bread and butter pickles, being thrown away within three days even though they were not expired according to the manufacturer's date. The facility's policy required that prepared food items brought in by family or visitors be labeled, dated, and consumed within three days of preparation, after which they would be discarded. However, the policy also stated that unopened food in original containers with manufacturer expiration dates did not need to be relabeled and should be discarded only if past the expiration date. The Dietary Manager and other staff confirmed that they followed a three-day rule for open items, regardless of the manufacturer's date, leading to the unnecessary disposal of residents' food items. This inconsistency between the facility's policy and practice resulted in the improper handling of residents' personal food items.
Infection Control Breach During Medication Administration
Penalty
Summary
The facility failed to adhere to infection control practices during medication administration for an unsampled resident, identified as Resident 276. The resident was admitted with a diagnosis including a urinary tract infection and had a care plan that included strategies to reduce infection risk. On the morning of September 5, 2024, an LPN was observed administering pills to the resident using a medication cup. During the process, one pill fell onto the bedding. The LPN picked up the pill with bare hands and gave it to the resident, who ingested it. The LPN was unaware of the facility's policy regarding handling contaminated medications. The Infection Control Preventionist later confirmed that the expectation was to discard any medication that touched an unclean surface. The facility's Medication Administration Policy, revised in October 2023, stated that medications should be administered in a manner to prevent contamination, but it did not provide specific guidance on handling contaminated medications.
Failure to Implement Fall Prevention and Management
Penalty
Summary
The facility failed to implement fall interventions and management for a resident identified as high risk for falls upon admission. Despite the resident's high-risk status, no fall precautions were in place, such as low bed positioning or fall mats, which contributed to a fall incident. The Assistant Director of Nursing (ADON) confirmed that the facility had not implemented fall indicators or precautions for high-risk residents, and staff training on these measures was only beginning. The facility also failed to thoroughly investigate a post-fall incident involving the same resident. Documentation indicated the resident fell during peri-care, but the fall circumstances and root cause analysis were not determined, and no interventions were implemented based on actual causal factors. The ADON acknowledged the lack of investigation and discussion with the Interdisciplinary Team (IDT) regarding the fall incident, and there was no documented evidence of attempts to determine the root cause or implement interventions. Additionally, the facility did not timely notify the physician and family following the post-fall incident, as required by policy. The resident's medical records lacked documentation of family notification, and the attending physician was only informed about the fall after the resident's return from the hospital. Furthermore, upon the resident's return from the hospital with a fractured wrist, the facility failed to complete an assessment or obtain care orders to manage the resident's cast, resulting in inadequate management of the fall-related injury.
Failure to Report Alleged Neglect Incident
Penalty
Summary
The facility failed to report an alleged incident of neglect involving a resident to the state agency. The resident, who had chronic kidney disease, diabetes mellitus, and atherosclerotic heart disease, was admitted with a Physician's Order for Life Sustaining Treatment indicating a full code status. A certified nursing assistant found the resident unresponsive, and despite the initiation of CPR and the arrival of emergency services, the resident was declared deceased. An anonymous report alleged that the Director of Staff Development (DSD) did not perform CPR when necessary, which was recognized by the Administrator as an allegation of neglect. The Administrator conducted an investigation, including verbal interviews and written statements from staff, but did not report the incident to the state survey agency, believing it was not reportable at the time. The facility's policy required immediate reporting of such allegations to the state agency, but this was not done. The DSD was suspended during the investigation, and written statements were collected from staff members. The failure to report the incident as required by policy constituted a deficiency in the facility's handling of the situation.
Failure to Develop Baseline Care Plan for High-Risk Resident
Penalty
Summary
The facility failed to develop a person-centered baseline care plan within 48 hours of admission for a resident at high risk for falls. This deficiency was identified for one of the sampled residents, who had a history of falling and was diagnosed with conditions such as Parkinson's disease, muscle wasting, and weakness. The resident's cognitive status was moderately impaired, and a fall risk assessment indicated a high risk of falling with a score of 75. Despite these indicators, the facility did not formulate a baseline care plan to manage the resident's fall risk, which was confirmed by a Registered Nurse and the Assistant Director of Nursing. Interviews with facility staff, including the Director of Staff Development, revealed that the admission nurse was responsible for initiating the care plan upon the resident's admission. However, the baseline care plan was not developed, and fall risk indicators had not been implemented at the time. The facility's policy required the development of a baseline care plan within 48 hours of admission, but this was not adhered to, resulting in inadequate management of the resident's fall-related injuries.
Failure to Provide Scheduled Showers for a Resident
Penalty
Summary
The facility failed to ensure that showers were provided as scheduled for one of the sampled residents, identified as Resident 5. Resident 5 was admitted with diagnoses including a right femur fracture and head contusion, and the admission minimum data set indicated that the resident required maximum substantial assistance with bathing. The Director of Nursing confirmed that Resident 5's showers were scheduled for Wednesdays and Sundays during the day shift. However, the medical record lacked documented evidence that Resident 5 was provided a shower or bed bath on two specific dates, May 8 and May 12, 2024. The Director of Nursing also recounted that a family member of Resident 5 had called the facility regarding the missed showers, and upon review, confirmed the absence of documentation indicating that the showers or bed baths were offered, provided, or refused on those dates. The facility's Activities of Daily Living policy, revised in October 2022, stated that care and services would be provided based on the resident's comprehensive assessment, which included bathing.
Deficient Skin Assessment and Documentation
Penalty
Summary
The facility failed to ensure proper assessment and documentation of a resident's surgical incision site and skin condition, leading to a deficiency in care. The resident, who was admitted with a displaced intertrochanteric fracture of the right femur, had three surgical incisions on the right hip with staples. However, the location of these staples was not clearly documented. Physician orders were in place for cleansing and dressing the surgical incisions, but the medical records lacked evidence of thorough assessments and documentation of the resident's skin condition both before and after the removal of the staples. Interviews with the Assistant Director of Nursing and the Wound Care Treatment Nurse revealed that the wound team was responsible for assessing and treating surgical wounds. However, the baseline skin assessment was incomplete, and weekly skin assessments were not conducted as per protocol. The Wound Care Treatment Nurse confirmed that there were no follow-through assessments of the surgical site, and the condition of the surgical site with the staples was inadequately documented. The facility's policy required routine assessments and documentation of skin integrity issues, which were not adhered to in this case.
Failure to Provide Timely Wound Care Treatment
Penalty
Summary
The facility failed to provide wound care treatment as ordered for a resident with a surgical wound on the right hip, leading to a deficiency in care. The resident, who was admitted with diagnoses including right hip arthritis due to bacteria and surgical aftercare, had a care plan initiated to address impaired skin integrity. A physician's order required the wound to be cleansed and dressed every Tuesday, Thursday, and Saturday. However, during an observation on June 13, 2024, it was discovered that the wound dressing was dated June 8, 2024, indicating that the treatment scheduled for June 11, 2024, was not performed despite being documented as completed. The Wound Coordinator and Wound Care Treatment Nurse confirmed the lapse in treatment, acknowledging that the wound care was not provided as ordered. The resident, who was alert and cognitively intact, confirmed that the last wound treatment was provided five days prior to the observation. The Wound Care Nurse Practitioner emphasized the importance of timely wound care to promote healing and prevent complications. The Assistant Director of Nursing and Director of Nursing both acknowledged the expectation for accurate documentation and timely provision of wound care treatments. The facility's policy on skin integrity, dated August 2014, highlighted the need for active management of risk and appropriate interventions to achieve positive clinical outcomes.
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 291 citations issued within 25 miles in the last 12 months — 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 Las Vegas
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Neurorestorative | 0.1 mi | — | 3 | 0 |
| Advanced Health Care Of Summerlin | 1 mi | — | 1 | 0 |
| Royal Springs Healthcare And Rehab | 1.4 mi | — | 22 | 0 |
| Marquis Plaza Regency Post Acute Rehab | 1.7 mi | — | 23 | 0 |
| El Jen Skilled Care | 2.3 mi | — | 3 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Silver Hills Health Care Center.
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 August 2026) and official state health department websites.