Kingston Health Center of Vermilion
4210 Telegraph Lane, Vermilion, OH 44089 · Lorain County · (440) 967-1800
120 certified beds, about 100 residents a day · For profit - Corporation · Medicare and Medicaid since 1984
CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 365639 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 31, 2025, inspectors cited 2 health deficiencies (the Ohio average is 10.5, the national average 9.2).
None of its 24 health citations since March 2020 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.88 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.80 of those hours.
48.5% of nursing staff left within the year CMS measured (Ohio average 48.7%).
CMS links it to Trilogy Health Services, an affiliated group of 127 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.
803/20
1008/23
207/24
207/25
212/25
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 24 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
18D
6E
0F
Potential for minimal harm
0A
0B
0C
December 24, 2025Complaint inspection · 2 citations
- E Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, medical record review, and staff and resident interview, the facility failed to ensure showers were provided to dependent residents as scheduled. This affected two (#72 and #37) of three residents reviewed for showers. Additionally, the facility failed to ensure residents received timely assistance with eating. This affected three (#37, #84, and #65) of three residents reviewed for assistance with eating. The facility identified 21 residents who required staff assistance with eating. The facility census was 99.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on closed medical record review, review of hospital records, and staff interview, the facility failed to ensure physician orders were in place to monitor medication levels. This affected one (#100) of three residents reviewed for medication monitoring. The facility census was 99.
July 31, 2025Standard inspection · 2 citations
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on record review, staf interview and policy review, the facility failed to ensure a Preadmission Screening and Resident Review (PASRR) Level 1 was updated and resubmitted following a new diagnosis of a serious mental illness for one (Resident #13) of three residents reviewed for PASRR. The facility census was 94.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, staff interview, record review, and facility policy review, the facility failed to post appropriate oxygen use signage for one (Resident #1) of three residents reviewed for respiratory care. The facility census was 94.
July 18, 2024Complaint inspection · 2 citations
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on Observations, interviews and record review the facility failed to provide privacy during resident care. This affected six (Resident #13, #51, #65, #68, #71, and #106) of 20 residents residing on the memory care unit.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record review and interview the facility failed to use a mechanical lift for a transfer for one, (Resident #53) of three reviewed for falls. The facility census was 107.
August 31, 2023Standard inspection · 10 citations
- E 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, staff interview, medical record review, and policy review, the facility failed to ensure medications were stored securely. This affected one (#61) and had the potential to affect four additional residents (#35, #54, #68, and #79) the facility identified as cognitively impaired and independently mobile on the 300 hall. The facility census was 108.
- E Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Inspectors wroteBased on observation, record review, staff interview, and review of policy, the facility failed to ensure proper portion sizes were served to residents. This had the potential to affect all residents, except for Resident #19 and #28 who were identified as consuming nothing by mouth. The facility census was 108.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on record review, observation, staff interview, and review of policy, the facility failed to safely store resident food items in the refrigerator/freezer located in the staff break room. This had the potential to affect all residents, except for Resident #19 and #28 who were identified as consuming nothing by mouth. The facility census was 108.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, staff interview, policy review, and medical record review, the facility failed to ensure dignity was respected regarding urinary catheter use. This affected three (#61, #89 and #357) of three residents reviewed for dignity. The facility census was 108.
- D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on staff interview and medical record review, the facility failed to ensure a resident had an accurate and consistent advance directive in place throughout the medical record. This affected one (#39) of eight residents reviewed for advance directives. The facility census was 108.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record review, observation, staff interview, and review of policy, the facility failed to ensure a resident was safely transfered utilizing a mechanical lift. This affected two (#54 and #71) of three residents reviewed for transfers. The facility census was 108.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on medical record review, observation, staff interview, and review of the policy, the facility failed to ensure infection control was maintain for oxygen tubing, by storing nasal cannula's to prevent contamination and changing oxygen tubing as ordered. This affected two (#22 and #62) of two residents reviewed for oxygen. The facility census was 108.
- D Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Inspectors wroteBased on observation, staff interview, medical record review, and policy review, the facility failed to ensure bedrail consents were obtained and assessments were accurate. This affected three (#40, #13, and #62) of three residents reviewed for bedrails. The facility idenitfied 103 residents with orders for assist rails. The facility census was 108.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on medical record review, policy review and staff interview, the facility failed to ensure medications were administered to residents as prescribed by physician's orders. This affected one (#48) of five resident reviewed for medication administration. The facility census was 108 residents.
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on record review, staff interview, review of policy, and review of the Centers for Disease Control and Prevention (CDC) guidance, the facility failed to ensure the pneumococcal vaccine was offered according to guidelines. This affected one (#62) of five residents reviewed for immunizations. The facility census was 108.
March 5, 2020Standard inspection · 8 citations
- E Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on medical record review, staff and resident interviews, review of the facility's self-reported incidents, review of the facility's policy, the facility failed to report allegations of abuse to the State Survey Agency. This affected five (#2, #13, #30, #62 and #96) of five residents reviewed for abuse. The facility census was 99.
- E Ensure each resident receives an accurate assessment.
Inspectors wroteBased on medical record review, review of the Resident Assessment instrument (RAI) manual and staff interviews, the facility failed to ensure the residents had accurate Minimum Data Set (MDS) assessments. This affected 11 (Resident #4 #14, #16, #18, #23, #26, #40, #59, #60, #67 and #77) of 32 resident reviewed for MDS assessments. The facility census was 99.
- 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 medical record review and staff interviews, the facility failed to provide written notification of the resident's transfer to the hospital to the resident and/or resident's representative and to the Office of the State Long-Term Care Ombudsman. This affected two (Resident #95 and #100) of two residents reviewed for hospitalization. The facility census was 99.
- 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 medical record review, staff interview, review of the Ohio and Federal Nursing Home Residents' [NAME] of Rights handbook and review of the facility's policy, the facility failed to provide a notice to the resident and/or resident's representative of the facility's bed hold policy upon the resident's discharge to the hospital. This affected two (#95 and #100) of two residents reviewed for hospitalization. The facility census was 99.
- D Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Inspectors wroteBased on staff interview and record review, the facility failed to ensure the restorative nursing was implemented for Resident #47. This affected one (#47) of two residents reviewed for limited range of motion and mobility. The facility census was 99.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observations, medical record review and staff interview, the facility failed to implement fall interventions for one (Resident #18) of three residents reviewed for falls. The facility census was 99.
- 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 record review, observation, staff interview and policy review, the facility failed to ensure a resident's anchoring device was in place to attempt to prevent accidental trauma, pain or injury from excessive tension or removal of a indwelling catheter. This affected one (Resident #200) of one resident reviewed for catheter care. This facility identified nine residents who had with indwelling catheters. The facility census was 99.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on record review, staff interview and review of the facility's policy, the facility failed to ensure the resident-to-resident incidents were documented in the medical record. This affected three (#13, #30 and #62) of 32 resident's record reviewed. The facility census was 99.
Fire safety inspections
20 fire safety citations on file: 10 on July 31, 2025, 3 on August 31, 2023, 7 on March 5, 2020.
Every fire safety citation20 citations
- F Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Install corridor and hallway doors that block smoke.
- F Provide a written emergency evacuation plan.
- F Ensure proper usage of power strips and extension cords.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Meet other general requirements that are deficient.
- E Have properly installed electrical wiring and gas equipment.
- E Have restrictions on the use of highly flammable decorations.
- E Have proper medical gas storage and administration areas.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Have simulated fire drills held at unexpected times.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E Have simulated fire drills held at unexpected times.
- E To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E Have generator or other power source capable of supplying service within 10 seconds.
- E Ensure proper usage of power strips and extension cords.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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 | Ohio | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.88 | 3.69 | 3.86 |
| Registered nurses | 0.80 | 0.64 | 0.69 |
| All nursing staff on weekends | 3.43 | 3.28 | 3.42 |
| Nurse aides | 2.17 | ||
| Licensed practical nurses | 0.91 | ||
| Nursing staff turnover (share who left in a year) | 48.5% | 48.7% | 45.8% |
| Registered nurse turnover | 47.8% | 43.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.48 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 4.06 on weekdays and 3.43 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.08 in April to June 2025 to 3.88 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 | 3.88 | 0.80 | 4.06 | 3.43 | 0.7% | 0 of 90 | 100 |
| Oct to Dec 2025 | 4.01 | 0.89 | 4.16 | 3.62 | 1.7% | 0 of 92 | 98 |
| Jul to Sep 2025 | 4.11 | 0.86 | 4.28 | 3.68 | 5.6% | 0 of 92 | 98 |
| Apr to Jun 2025 | 4.08 | 0.84 | 4.28 | 3.57 | 9.4% | 0 of 91 | 101 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Ohio, Jan to Mar 2026 | 3.64 | 0.60 | 3.80 | 3.24 | 4.6% | 0.4% 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.
Official wage estimates for Ohio
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Ohio, all employers | |||
| CNAs (nursing assistants) | $18.76 | $17.93 to $21.44 | 63,280 |
| LPNs and LVNs | $29.78 | $27.34 to $31.68 | 39,900 |
| Registered nurses | $39.67 | $38.08 to $47.61 | 143,730 |
| 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.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Ohio | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 3.8 | 5.3 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.2 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.3 | 0.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.1 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.3 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 0.9 | 6.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.5 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 16.5 | 8.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 30.2 | 24.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 18.2 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 1.8 | 1.8 |
Owners and operators
Legal business name: TRILOGY HEALTHCARE OF TELEGRAPH, LLC. CMS links this home to Trilogy Health Services, a group of 127 nursing homes averaging 4.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Continental Merger Sub LLC | 5% or greater indirect ownership interest | Organization | 26% | 12/16/2025 |
| Barney, Leigh | Managing control - governing body | Individual | 11/01/2019 | |
| Conner, Gregory | Managing control - governing body | Individual | 06/03/2021 | |
| Davis, David | Managing control - governing body | Individual | 08/21/2017 | |
| McNamara, Donald | Managing control - governing body | Individual | 08/01/2024 | |
| Mehaffey, Todd | Managing control - governing body | Individual | 01/31/2022 | |
| Pietrowski, Cristina | Managing control - governing body | Individual | 01/31/2022 | |
| Prosky, Danny | Managing control - governing body | Individual | 12/01/2015 | |
| Willhite, Gabriel | Managing control - governing body | Individual | 08/15/2023 | |
| Trilogy Management Services LLC | Operational/managerial control | Organization | 12/16/2025 | |
| Corbin, Kathy | Operational/managerial control | Individual | 11/01/2023 | |
| Pasco, Meredith | Operational/managerial control | Individual | 12/16/2025 | |
| Pietrowski, Cristina | Operational/managerial control | Individual | 01/31/2022 | |
| American Healthcare Reit Holdings LP | Adp of the SNF | Organization | 12/16/2025 | |
| American Healthcare Reit Inc | Adp of the SNF | Organization | 12/16/2025 | |
| Continental Merger Sub LLC | Adp of the SNF | Organization | 12/16/2025 | |
| Gahc3 Trilogy Jv LLC | Adp of the SNF | Organization | 12/16/2025 | |
| Gahc4 Trilogy Jv LLC | Adp of the SNF | Organization | 12/16/2025 | |
| Trilogy Investors LLC | Adp of the SNF | Organization | 12/16/2025 | |
| Trilogy Real Estate Investment Trust | Adp of the SNF | Organization | 12/16/2025 | |
| Trilogy Reit Holdings LLC | Adp of the SNF | Organization | 12/16/2025 | |
| Eren, Itri | Adp of the SNF | Individual | 12/16/2025 | |
| Pasco, Meredith | Adp of the SNF | Individual | 02/20/2026 |
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 9 problems in this area, most recently on December 24, 2025: "Provide care and assistance to perform activities of daily living for any resident who is unable."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on July 18, 2024: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on December 24, 2025: "Ensure each resident’s drug regimen must be free from unnecessary drugs."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on July 31, 2025: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
Other nursing homes nearby
- Mill Manor Care Center Vermilion, 1.6 mi · 5 of 5 stars · 13 citations
- Oak Hills Nursing Center Lorain, 4.9 mi · 3 of 5 stars · 22 citations
- Lake Pointe Health Care Lorain, 5.3 mi · 5 of 5 stars · 18 citations
- Amherst Manor Nursing Home Amherst, 5.3 mi · 2 of 5 stars · 19 citations
- Anchor Lodge Nursing Home Inc Lorain, 6.5 mi · 3 of 5 stars · 34 citations
- Autumn Aegis Nursing Home Lorain, 7.9 mi · 4 of 5 stars · 21 citations
- Kendal at Oberlin Oberlin, 10.8 mi · 5 of 5 stars · 0 citations
- Welcome Nursing Home Oberlin, 11.8 mi · 2 of 5 stars · 22 citations
Ohio contacts for a concern about a nursing home
These are the official offices in Ohio. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Ohio Department of Health, Nursing Homes and Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Ohio Office of the State Long-Term Care Ombudsman, 1-800-282-1206. 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: Ohio Long-Term Care Quality Navigator (Ohio Department of Aging), where Ohio publishes its own records on licensed homes.
Common questions
- What is Kingston Health Center of Vermilion's Medicare star rating?
- CMS rates Kingston Health Center of Vermilion 5 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Kingston Health Center of Vermilion get at its last inspection?
- 2 health deficiencies at the standard inspection on July 31, 2025. The Ohio average is 10.5.
- Has Kingston Health Center of Vermilion been fined?
- CMS lists no fines in the last three years.
- Does Kingston Health Center of Vermilion 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 Kingston Health Center of Vermilion?
- CMS lists 23 owners and managers, and links the home to Trilogy Health Services. Legal business name: TRILOGY HEALTHCARE OF TELEGRAPH, 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.