What is Gosnell Health and Rehab's Medicare star rating?

CMS rates Gosnell Health and Rehab 3 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 2 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Gosnell Health and Rehab get at its last inspection?

1 health deficiency at the standard inspection on March 26, 2026. The Arkansas average is 2.7.

Does Gosnell Health and Rehab 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 Gosnell Health and Rehab?

CMS lists 35 owners and managers. Legal business name: CHC GOSNELL HEALTH AND REHAB LLC.

Gosnell Health and Rehab: Inspections, Staffing & Ratings

The record in brief

At its most recent standard inspection, on March 26, 2026, inspectors cited 1 health deficiency (the Arkansas average is 2.7, the national average 9.2).

Of 11 health citations since September 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 1 fine totaling $13,627 in the last three years; the largest was $13,627, and the latest is dated September 19, 2024.

Nurses and nurse aides worked 3.68 hours per resident per day, against 4.02 across Arkansas and 3.86 nationally. Registered nurses accounted for 0.57 of those hours.

53.0% of nursing staff left within the year CMS measured (Arkansas average 49.5%).

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.

609/23

309/24

203/26

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 11 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

March 26, 2026Standard inspection, Complaint inspection · 2 citations

D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 24, 2026

Inspectors wroteBased on observations, interviews, record review, facility document review, and facility policy review, it was determined that the facility failed to develop and implement a comprehensive person-centered care plan for one (Resident #5) of five residents reviewed for the resident's comprehensive assessment. Specifically, the facility failed to ensure Resident #5's comprehensive care plan included information that would require staff to provide care and monitor for resident safety.
D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it

Inspectors wroteBased on record review, interview, and facility policy review, the facility failed to ensure safety straps were placed and secured to all four wheels of a resident's wheelchair before being transported in the facility van which resulted in the resident falling backwards from the wheelchair for one (Resident #65) of four residents reviewed for accidents.

September 19, 2024Standard inspection, Complaint inspection · 3 citations

J

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 21, 2024

Inspectors wroteBased on interviews, record review, observations, and document review, the facility failed to prevent an accident that caused serious injury during a van with lift transfer due to not following the manufacturer's guidelines for the lift and training for 1 (Resident #199) of 1 resident reviewed for accidents. This deficient practice resulted in Resident #199 sustaining a left ankle fracture on 09/10/2024, and a suspected fracture to the sacrum.
D

Ensure each resident receives an accurate assessment.

F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 17, 2024

Inspectors wroteBased on observation, record review, and interview the facility failed to accurately code a Minimum Data Set (MDS) for a contracture under Section GG for one out of one sampled residents (Resident #3).
D

Provide appropriate foot care.

F687 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 17, 2024

Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure residents who required assistance with foot care were regularly provided with the necessary assistance to maintain good hygiene and grooming, as evidenced by failure to ensure toenails were kept clean and trimmed for one resident of one sampled resident. (Resident #24).

September 29, 2023Standard inspection · 6 citations

F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) October 19, 2023

Inspectors wroteBased on observation and interview, the facility failed to ensure foods stored in the refrigerator and freezer were covered and dietary staff washed their hands before handling clean equipment or food items to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen. These failed practices had the potential to affect 56 residents who received meals from the kitchen (Total Census: 57), as documented on a list provided by the Dietary Supervisor on 09/26/23 at 3:01 PM.
E

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 19, 2023

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure the resident's living space (9 of 37 rooms, the hallways (1 of 4), shower rooms (2 of 2) and equipment were clean and well maintained. The failed practice had the ability to affect all residents who live in the facility, who utilize the common areas and shower rooms according to the census and condition which was provided by the administrator on 9/25/23 at 1:30 PM.
E

Provide safe and appropriate respiratory care for a resident when needed.

F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 19, 2023

Inspectors wroteBased on observation, record review and interview, the facility failed to ensure portable oxygen was used when transporting a resident who required continuous oxygen for 1 (Resident #10) and oxygen tanks were checked to ensure the resident was receiving oxygen as ordered by the Physician for 1 (Resident #18) of 2 (Residents #10 and #18) sampled resident who received oxygen.
D

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

F569 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 19, 2023

Inspectors wroteBased on record review and interview, the facility failed to ensure Medicaid recipient residents and/or their responsible parties were notified when the amount in their Trust Fund account was within $200 of the maximum Medicaid recipient cash assets for 3 (Residents #9, #18 and #30) of 12 (Residents #1, #8, #9, #18, #23, #24, #25, #26, #30, #32, #36 and #41) sampled residents who had Medicaid coverage and had Trust Funds managed by the facility.
D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 19, 2023

Inspectors wroteBased on record review and interview, the facility failed to ensure the resident's representative or Power of Attorney (POA) was notified after a resident choked and the Heimlich Maneuver was performed for 1 (Resident #32) of 1 sampled resident.
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.

F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 19, 2023

Inspectors wroteBased on observation and record review, the facility failed to ensure insulin vials were dated when opened, and expired medications were removed from the narcotic box. This failed practice had the potential to affect 8 residents who received insulin off the medication cart for the 100 and 200 Halls, and (1) resident with an expired narcotic card.

Fire safety inspections

10 fire safety citations on file: 3 on March 26, 2026, 1 on February 4, 2026, 4 on September 19, 2024, 2 on September 29, 2023.

Every fire safety citation10 citations

F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K 321 · March 26, 2026 · Corrected (the home has a date of correction)
F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · March 26, 2026 · Corrected (the home has a date of correction)
D
Have power receptacles that are properly grounded.

K 912 · March 26, 2026 · Corrected (the home has a date of correction)
F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

K 354 · February 4, 2026 · Corrected (the home has a date of correction)
F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K 321 · September 19, 2024 · Corrected (the home has a date of correction)
F
Properly provide smoke detection systems in areas open to corridors.

K 347 · September 19, 2024 · Corrected (the home has a date of correction)
F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · September 19, 2024 · Corrected (the home has a date of correction)
F
Have simulated fire drills held at unexpected times.

K 712 · September 19, 2024 · Corrected (the home has a date of correction)
F
Implement emergency and standby power systems.

E 41 · September 29, 2023 · Corrected (the home has a date of correction)
F
Ensure proper usage of power strips and extension cords.

K 920 · September 29, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

Date	Penalty	Amount or length
September 19, 2024	Fine	$13,627

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	Arkansas	United States
All nursing staff (RN, LPN and aides)	3.68	4.02	3.86
Registered nurses	0.57	0.41	0.69
All nursing staff on weekends	2.96	3.45	3.42
Nurse aides	2.40
Licensed practical nurses	0.71
Nursing staff turnover (share who left in a year)	53.0%	49.5%	45.8%
Registered nurse turnover	62.5%	44.8%	42.9%
Administrators who left	1

CMS expects 3.25 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 3.97 on weekdays and 2.96 on weekends, 25% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.41 in April to June 2025 to 3.68 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	3.68	0.57	3.97	2.96	0.9%	0 of 90	59
Oct to Dec 2025	3.51	0.37	3.77	2.83	0.5%	0 of 92	61
Jul to Sep 2025	3.80	0.34	4.04	3.19	1.4%	0 of 92	55
Apr to Jun 2025	4.41	0.39	4.82	3.39	2.6%	0 of 91	49
United States, Jan to Mar 2026	3.75	0.62	3.92	3.33	5.3%	0.5% of days
Arkansas, Jan to Mar 2026	4.05	0.40	4.28	3.47	2.0%	0.1% 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.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Arkansas

Job	Median	Middle half	Employed
Arkansas, all employers
CNAs (nursing assistants)	$16.55	$14.52 to $17.34	17,260
LPNs and LVNs	$27.22	$23.82 to $29.43	10,010
Registered nurses	$37.95	$32.04 to $43.40	29,400
United States, nursing care facilities
CNAs (nursing assistants)	$20.67	$17.91 to $22.55	534,270
LPNs and LVNs	$33.86	$30.05 to $37.40	188,210
Registered nurses	$41.11	$37.85 to $47.68	142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

Measure	This home	Arkansas	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	13.1	9.5	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	1.1	0.6	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	2.6	1.2	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	2.0	3.9	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	4.1	1.3	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	19.0	10.1	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	12.6	4.2	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	8.1	10.9	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	40.8	24.1	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	17.6	12.5	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	3.4	2.0	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	2.4	2.1	1.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Gosnell Health and Rehab's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (38.9% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

38.9% this home

No different from the national rate

US median of homes 51.5% · Arkansas: 7 better, 25 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 40 eligible stays.

Potentially preventable readmissions

13.2% this home

No different from the national rate

US median of homes 10.7% · Arkansas: 0 better, 3 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 54 eligible stays.

Infections that led to a hospital stay

7.6% this home

No different from the national rate

US median of homes 7.1% · Arkansas: 0 better, 7 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 30 eligible stays.

Self-care and mobility at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Arkansas64.4% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 15 residents counted.

Falls with major injury

0.0% this home

Median of homes: Arkansas0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 28 residents counted.

New or worsened pressure ulcers

2.9% this home

Median of homes: Arkansas2.7% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 28 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Arkansas98.8% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 5 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: CHC GOSNELL HEALTH AND REHAB LLC.

Name	Role	Type	Share	Since
Vann, David	5% or greater direct ownership interest	Individual	50%	11/01/2018
Wright, Boyd	5% or greater direct ownership interest	Individual	50%	11/01/2018
McGinnis, Larry	Indirect ownership interest	Individual		09/10/2007
First Arkansas Bank and Trust	5% or greater mortgage interest	Organization		11/01/2018
Gnnc, Inc	5% or greater mortgage interest	Organization		11/01/2018
Cooper, Benjamin	5% or greater mortgage interest	Individual		11/01/2013
Hartley, James	Managing control - governing body	Individual		09/01/2025
Wilkes, Pamela	Managing control - governing body	Individual		10/12/2021
Hartley, James	Corporate officer	Individual		09/01/2025
Vann, David	Corporate officer	Individual		11/01/2018
Wright, Blake	Corporate officer	Individual		11/01/2018
Wright, Boyd	Corporate officer	Individual		11/01/2018
Care Systems, LLC	Operational/managerial control	Organization		11/01/2018
Credence Health Care, LLC	Operational/managerial control	Organization		11/01/2018
Pharmacy Consults, LLC	Operational/managerial control	Organization		11/01/2018
Botha, Amy	Operational/managerial control	Individual		01/20/2025
Hartley, James	Operational/managerial control	Individual		09/01/2025
Jarvis, David	Operational/managerial control	Individual		12/09/2025
Wilkes, Pamela	Operational/managerial control	Individual		10/12/2021
Care Systems, LLC	Adp of the SNF	Organization		02/25/2026
Credence Health Care, LLC	Adp of the SNF	Organization		02/25/2026
First Arkansas Bank and Trust	Adp of the SNF	Organization		11/01/2018
Gnnc, Inc	Adp of the SNF	Organization		11/01/2018
Health Care Solutions, LLC	Adp of the SNF	Organization		11/01/2018
Pharmacy Consults, LLC	Adp of the SNF	Organization		02/25/2026
Botha, Amy	Adp of the SNF	Individual		01/20/2025
Cooper, Benjamin	Adp of the SNF	Individual		11/01/2013
Cooper, James	Adp of the SNF	Individual		11/01/2013
Cooper, Robert	Adp of the SNF	Individual		11/01/2013
Hahn, Mark	Adp of the SNF	Individual		11/01/2018
Jarvis, David	Adp of the SNF	Individual		12/09/2025
McGinnis, Larry	Adp of the SNF	Individual		11/01/2018
Vann, David	Adp of the SNF	Individual		11/01/2018
Wilkes, Pamela	Adp of the SNF	Individual		10/21/2021
Wright, Boyd	Adp of the SNF	Individual		02/26/2026

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 4 problems in this area, most recently on March 26, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on September 29, 2023: "Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely."
When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on March 26, 2026: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on September 29, 2023: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.96 hours per resident per day, below the Arkansas average of 3.45.
How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Heritage Square Healthcare Center
Blytheville, 3.8 mi · 4 of 5 stars · 16 citations
Manila Healthcare Center
Manila, 11.9 mi · 3 of 5 stars · 14 citations
River Oaks Care Center
Steele, 12.5 mi · 3 of 5 stars · 15 citations
Harris Health and Rehab
Osceola, 15 mi · 5 of 5 stars · 22 citations
NHC Healthcare, Kennett
Kennett, 19 mi · 5 of 5 stars · 11 citations
Heritage Nursing Center - Skilled Nursing by Ameri
Kennett, 19.9 mi · 4 of 5 stars · 11 citations
Monette Manor, LLC
Monette, 20.9 mi · 1 of 5 stars · 19 citations
Southgate Living Center
Caruthersville, 23.7 mi · 4 of 5 stars · 20 citations

Arkansas contacts for a concern about a nursing home

These are the official offices in Arkansas. NursingHomeClear cannot take or act on complaints.

Inspections and complaints: Arkansas Department of Human Services, Office of Long Term Care, the state agency that inspects nursing homes for CMS and takes complaints about care.
Resident advocate: Arkansas Long-Term Care Ombudsman Program. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Licensed home lookup: Arkansas Long Term Care Facilities Map.

Common questions

What is Gosnell Health and Rehab's Medicare star rating?: CMS rates Gosnell Health and Rehab 3 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Gosnell Health and Rehab get at its last inspection?: 1 health deficiency at the standard inspection on March 26, 2026. The Arkansas average is 2.7.
Has Gosnell Health and Rehab been fined?: Yes. CMS lists 1 fine totaling $13,627 in the last three years.
Does Gosnell Health and Rehab 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 Gosnell Health and Rehab?: CMS lists 35 owners and managers. Legal business name: CHC GOSNELL HEALTH AND REHAB 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.