Bella Terra Schaumburg
675 South Roselle Road, Schaumburg, IL 60193 · Cook County · (847) 352-5500
214 certified beds, about 160 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1990
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 145678 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 15, 2026, inspectors cited 7 health deficiencies (the Illinois average is 12.6, the national average 9.2).
Of 37 health citations since October 2023, 3 were rated as actual harm or immediate jeopardy to residents.
CMS lists 3 fines totaling $96,025 in the last three years; the largest was $50,778, and the latest is dated November 4, 2024.
Nurses and nurse aides worked 3.65 hours per resident per day, against 3.45 across Illinois and 3.86 nationally. Registered nurses accounted for 0.90 of those hours.
39.2% of nursing staff left within the year CMS measured (Illinois average 44.5%).
CMS links it to Legacy Healthcare, an affiliated group of 95 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
1110/23
104/24
111/24
1711/24
701/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 37 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
3G
0H
0I
Potential for more than minimal harm
29D
3E
2F
Potential for minimal harm
0A
0B
0C
January 15, 2026Standard inspection · 7 citations
- E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a resident's head of the bed was upright during meals (R9). This applies to 1 of 5 residents reviewed for safety in the sample of 47. The facility also failed to ensure a second-floor medication cart was locked when unsupervised.
- E Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Inspectors wroteBased on interview and record review the facility failed to ensure residents were offered bedtime snacks for 5 of 5 residents (R21, R83, R88, R100, and R118) reviewed for snacks in the sample of 47.
- D Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure medical records were private for 1 of 1 resident (R105) reviewed for privacy in the sample of 47.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure staff thoroughly cleaned a resident who was dependent on staff for incontinent care for 1 of 1 resident (R159) reviewed for activities of daily living (ADLs) in the sample of 47.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview, and record review the facility failed to prevent, identify, initiate a treatment, and notify the physician of a new skin condition for 1 of 2 residents (R140) reviewed for non-pressure skin conditions in the sample of 47.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure an insulin pen was disinfected prior to attaching the needle for 1 of 1 resident (R108) reviewed for insulin injections in the sample of 47.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and record review, the facility failed to provide incontinent care in a manner to prevent cross contamination (R45, R159) and failed to ensure staff wore the personal protective equipment (PPE) required when accessing a resident's intravenous line (R2) for 3 of 3 residents (R45, R159, R2) reviewed for infection control in the sample of 47.
November 20, 2024Standard inspection · 17 citations
- G Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on observation, interview, and record review the facility failed to weigh, assess and monitor a resident with significant weight loss. This failure resulted in R137 losing 21 lbs. (pounds) in 14 days without being re-weighed or assessed. The facility also failed to provide physician ordered supplements for a resident (R118) with a history of significant weight loss. These failures apply to 2 of 7 residents (R137 & R118) reviewed for weight loss in the sample of 30.
- E Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Inspectors wroteBased on interview and record review the facility failed to ensure a resident and/or resident representative understood the arbitration agreement, and failed to educate staff providing the arbitration agreement to residents which applies to 4 of 4 (R20, R73, R144, R251) reviewed for the arbitration agreement in a sample of 30.
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on interview and record review, the facility failed to ensure residents (R115 and R13) were free of resident-to-resident verbal and physical abuse. This affects 2 of 30 residents reviewed for abuse in the sample of 30.
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on interview and record review the facility failed to notify the resident or their representative in writing of transfer. This applies to 2 of 30 (R31, R13) reviewed for notice of transfer or discharge in the sample of 30.
- D Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Inspectors wroteBased on interview and record review the facility failed to notify the resident or their representative of the bed hold policy. This applies to 3 of 30 (R23, R31, R13) reviewed for notice of bed hold in the sample of 30.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on interview and record review the facility failed to ensure a resident was assessed prior to being diagnosed with a serious mental illness according to professional standards of practice. This applies to 1 of 1 residents (R99) reviewed for professional standards of practice in the sample of 30.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview and record review the facility failed to provide ADL's (activities of daily living) for residents who require extensive assistance. This applies to 3 of 30 residents (R59, R118 & R49) reviewed for ADL's in the sample of 30.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure a residents skin preventive treatment was in place per physician orders. This applies to 1 of 5 residents (R59) reviewed for non-pressure skin conditions in the sample of 30.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, interview and record review the facility failed to report skin alterations, identify an unstageable pressure injury prior to developing and failed to protect a resident's heel from developing a stage 2 pressure injury. This applies to 2 of 5 residents (R137 and R118) reviewed for pressure injuries in the sample of 30.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, and record review the facility failed to monitor a resident on the toilet with a history of falls. This applies to 1 of 30 (R10) reviewed for safety supervision in the sample of 30.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on interview, and record review the facility failed to provide catheter care interventions to a resident (R119) with a history of urinary tract infection (UTI). This applies to 1 of 5 (R119) residents reviewed for catheters in the sample of 30.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure there were no discrepancies between physical doses of controlled medications (including methadone) and the correlating number documented on the record of controlled substances for 1 of 30 residents (R62) in the sample of 30 reviewed for pharmacy services.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on interview and record review, the facility failed to ensure pharmacy recommendations were followed after being agreed upon by the physician for 1 of 5 residents (R94) reviewed for psychotropic medications in the sample of 30.
- D Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on interview and record review, the facility failed to ensure psychotropic medication doses were reduced for 1 of 5 residents (R94) reviewed for unnecessary psychotropic medications in the sample of 30.
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure a resident's medications were labeled and stored for 1 (R123) of 30 residents reviewed for medication storage in the sample of 30.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review the facility failed to perform hand hygiene and change their gloves during perineal care in a manner to prevent cross contamination for two of five residents (R80, R137) reviewed for infection control in the sample of 30.
- D Implement a program that monitors antibiotic use.
Inspectors wroteBased on interview and record review the facility failed to ensure a resident was not prescribed an unnecessary antibiotic. This applies to 1 of 5 residents (R128) reviewed for unnecessary medications in the sample of 30.
November 4, 2024Complaint inspection · 1 citation
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a resident was safely transferred for 1 of 3 residents (R1) reviewed for safety in the sample of 3. This failure resulted in R1 sustaining a laceration of 11 centimeters (cm) requiring 13 sutures.
April 8, 2024Complaint inspection · 1 citation
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on interview and record review the facility failed to protect residents' right to be free from resident to resident physical abuse. This applies to 2 of 3 residents (R2 and R3) reviewed for abuse in the sample of 3.
October 25, 2023Standard inspection · 11 citations
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure fall interventions were in place for a resident who is a HIGH risk for falls and failed to ensure a resident was safely transferred. This failure resulted in R135 falling on the floor in the dining room sustaining a right femoral neck fracture and requiring surgical intervention. This applies to 1 of 2 residents (R135, R459) reviewed for safety in the sample of 31.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on interview and record review, the facility failed to test and record the concentration level of the sanitizer in the third sink of the three compartment sink five of the 12 days reviewed. This failure has the potential to affect all 158 residents residing in the facility.
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to have an effective system in place to test staff and residents for COVID-19 during a facility outbreak, failed to ensure a resident exhibiting COVID-like symptoms was tested, separated, and isolated, and failed to ensure staff wore the required PPE (personal protective equipment) when caring for residents with COVID-19. These failures have the potential to affect all 158 residents residing in the facility.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure residents were treated in a dignified manner for 2 of 31 residents (R152, R459) reviewed for dignity in the sample of 31.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview, and record review the facility failed to provide fingernail care to a resident that required extensive assistance with personal hygiene for 1 of 31 residents (R20) reviewed for activities of daily living in the sample of 31.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure wounds were assessed, documented, and treatment orders were placed upon identification of a new wound and failed to ensure a wound dressing was changed daily, as ordered, for 1 of 31 residents (R58) reviewed for quality of care in the sample of 31.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure pressure injury interventions were in place for 3 of 8 residents (R458, R457, R37) reviewed for pressure injuries in the sample of 31.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observation, interview, and record review facility staff failed to maintain a resident's indwelling urinary catheter bag below the level of the resident's bladder and off the floor for a resident with a urinary tract infection (UTI) for 1 of 5 residents (R459) reviewed for urinary catheters in the sample of 31.
- D Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure a resident with a diagnosis of dementia received the necessary care and services for behaviors of wandering. This applies to 1 of 4 residents (R124) reviewed for dementia care in the sample of 31.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure prescription medications were administered according to standards of practice for 1 of 31 residents (R456) reviewed for medication administration in the sample of 31.
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on interview and record review, the facility failed to ensure all residents were offered and/or received the influenza and/or pneumococcal immunizations for 3 of 5 residents (R118, R122, R16) reviewed for immunizations in the sample of 31.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| November 4, 2024 | Fine | $14,050 |
| November 4, 2024 | Fine | $50,778 |
| November 4, 2024 | Payment Denial | 21 days from November 27, 2024 |
| October 25, 2023 | Fine | $31,197 |
| October 25, 2023 | Payment Denial | 4 days from November 17, 2023 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Illinois | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.65 | 3.45 | 3.86 |
| Registered nurses | 0.90 | 0.72 | 0.69 |
| All nursing staff on weekends | 3.51 | 3.07 | 3.42 |
| Nurse aides | 2.25 | ||
| Licensed practical nurses | 0.51 | ||
| Nursing staff turnover (share who left in a year) | 39.2% | 44.5% | 45.8% |
| Registered nurse turnover | 34.3% | 41.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 5.06 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.71 on weekdays and 3.51 on weekends, 5% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 4.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.73 in April to June 2025 to 3.65 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.65 | 0.90 | 3.71 | 3.51 | 4.7% | 0 of 90 | 160 |
| Oct to Dec 2025 | 3.71 | 0.92 | 3.78 | 3.54 | 3.3% | 0 of 92 | 156 |
| Jul to Sep 2025 | 3.80 | 1.03 | 3.85 | 3.67 | 6.3% | 0 of 92 | 152 |
| Apr to Jun 2025 | 3.73 | 1.03 | 3.80 | 3.57 | 5.9% | 0 of 91 | 155 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Illinois, Jan to Mar 2026 | 3.26 | 0.65 | 3.40 | 2.92 | 5.4% | 0.6% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Illinois | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 7.1 | 13.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.6 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.6 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.6 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.6 | 2.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 10.8 | 14.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.7 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 22.8 | 21.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 26.5 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 13.5 | 13.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.2 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 2.2 | 1.8 |
Owners and operators
Legal business name: SCHAUMBURG SKILLED NURSING FACILITY LLC. CMS links this home to Legacy Healthcare, a group of 95 nursing homes averaging 2.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Doros Generation Trust U/a/D 1/3/12 | 5% or greater direct ownership interest | Organization | 17% | 06/01/2021 |
| Gpn Family Trust U/a/D 4/28/08 | 5% or greater direct ownership interest | Organization | 17% | 06/01/2021 |
| Garden, Daniel | 5% or greater direct ownership interest | Individual | 59% | 06/01/2021 |
| Ninio, Mordechay | 5% or greater direct ownership interest | Individual | 8% | 06/01/2021 |
| Lee, Jason | W-2 managing employee | Individual | 06/01/2021 | |
| Tbdmd Il, LLC | Operational/managerial control | Organization | 06/01/2021 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 16 problems in this area, most recently on January 15, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 6 problems in this area, most recently on January 15, 2026: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 5 problems in this area, most recently on January 15, 2026: "Provide and implement an infection prevention and control program."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on January 15, 2026: "Keep residents' personal and medical records private and confidential."
Other nursing homes nearby
- Encore Village Schaumburg, 1 mi · 5 of 5 stars · 26 citations
- Abbington Vlge Nrsg & Rhb Ctr Roselle, 2.2 mi · 3 of 5 stars · 37 citations
- Pearl of Elk Grove, the Elk Grove Village, 2.2 mi · 1 of 5 stars · 55 citations
- Ignite Medical Hanover Park Hanover Park, 3.9 mi · 5 of 5 stars · 30 citations
- Alden Poplar Creek Rehab & HCC Hoffman Estates, 4.1 mi · 5 of 5 stars · 29 citations
- Bella Terra Bloomingdale Bloomingdale, 4.1 mi · 2 of 5 stars · 32 citations
- Bella Terra Streamwood Streamwood, 4.3 mi · 5 of 5 stars · 16 citations
- Inverness Rehab Inverness, 4.8 mi · 2 of 5 stars · 32 citations
Illinois contacts for a concern about a nursing home
These are the official offices in Illinois. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Illinois Department of Public Health, Nursing Homes, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Illinois Long-Term Care Ombudsman Program, Illinois Department on Aging, 1-800-252-8966. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: IDPH Quarterly Reports of Nursing Home Violators, where Illinois publishes its own records on licensed homes.
Common questions
- What is Bella Terra Schaumburg's Medicare star rating?
- CMS rates Bella Terra Schaumburg 4 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Bella Terra Schaumburg get at its last inspection?
- 7 health deficiencies at the standard inspection on January 15, 2026. The Illinois average is 12.6.
- Has Bella Terra Schaumburg been fined?
- Yes. CMS lists 3 fines totaling $96,025 in the last three years.
- Does Bella Terra Schaumburg accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Bella Terra Schaumburg?
- CMS lists 6 owners and managers, and links the home to Legacy Healthcare. Legal business name: SCHAUMBURG SKILLED NURSING FACILITY LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.