Medilodge of St. Clair
4220 S. Hospital Drive, East China, MI 48054 · St. Clair County · (810) 329-4736
158 certified beds, about 117 residents a day · For profit - Corporation · Medicare and Medicaid since 1978
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 235370 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on December 10, 2025, inspectors cited 12 health deficiencies (the Michigan average is 9.9, the national average 9.2).
None of its 36 health citations since August 2023 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 3.89 hours per resident per day, against 3.99 across Michigan and 3.86 nationally. Registered nurses accounted for 0.74 of those hours.
37.0% of nursing staff left within the year CMS measured (Michigan average 44.1%).
CMS links it to Medilodge, an affiliated group of 53 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.
1008/23
1210/24
101/25
109/25
1212/25
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 36 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
30D
2E
4F
Potential for minimal harm
0A
0B
0C
December 10, 2025Standard inspection, Complaint inspection · 12 citations
- F Dispose of garbage and refuse properly.
Inspectors wroteBased on observation, interview, and record review, the facility failed to properly dispose of waste and maintain dumpster area to mitigate the presence of pests, potentially affecting all residents in the facility.
- F Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an effective pest control program by eliminating harborage conditions. This deficient practice had the potential to affect all residents, staff and visitors.
- E Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteThis citation pertains to Intake number 2660263. Based on observation, interview and record review, the facility failed to ensure sufficient staff were available to answer call lights and to provide timely resident care for four residents (R19, R20, R23, R131) and six group residents in a census of 120.
- E Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide palatable food items per the resident's preference for four residents (R20, R55, R69 and R80) and eight resident council group members from a census of 120.
- D Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Inspectors wroteBased on observation, interview, and record review, the facility failed to honor the right to share a room with their spouse and failed to provide written notice, including reason for the change, prior to a room change for one sampled resident (R19) of nine reviewed for resident rights.
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteThis citation pertains to complaint number 2686759. Based on interviews/record review, the facility failed to protect one resident's (R106) right to be free from physical abuse by another resident (R104) of two residents reviewed for abuse.
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on interview and record review the facility failed to ensure a PASARR (Preadmission Screening Annual Resident Review for mental health needs) was completed timely for two residents (R11, R75) of three reviewed for PASARR completion.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteThis citation pertains to intake 2660263. Based on observation, interview, and record review, the facility failed to provide timely Activities of Daily Living (ADLs) for three sampled residents (R19, R55, and R80) of six reviewed for ADLs.
- D Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on interview and record review, the facility failed to administer pain medications as ordered for one resident (R63) of one resident reviewed for pain management.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on interview and record review the facility failed to ensure medications were available for two residents (R8 and R132) of three reviewed for medications.
- 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 properly store medications for one resident (R6) of one reviewed for medication storage, ensure expired medications were discarded when opened, and inhalers were labeled with a resident identifier and/or an opened date in one of four medication carts.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure hand hygiene and medical device cleaning was completed during medication pass for one resident (R89) of four residents observed during observed.
September 4, 2025Complaint inspection · 1 citation
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteThis citation pertains to Intake: 2584046. Based on interview and record review, the facility failed to administer physician order medication in a timely manner for two (R900, R901) of two residents reviewed for medication administration.
January 21, 2025Complaint inspection · 1 citation
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteThis citation pertains to Intake MI00149376. Based on interview and record review, the facility failed to follow professional standards of practice for blood pressure medication hold parameters for one resident (R300) of three residents reviewed for medication administration.
October 3, 2024Standard inspection · 12 citations
- F Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain a pest-free environment, resulting in flies in the facility and resident complaints. This deficient practice had the potential to affect all residents in the facility.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, interview, and record review, the facility failed to meet professional standards of care for medication administration for two residents (R71, R107) of nine residents reviewed for medication administration.
- 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 apply compression stockings as physician ordered for one (R111) of four residents reviewed for care standards.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, interview, and record review, the facility failed to update the status of wound from non-pressure to pressure classification and implement interventions (adequate seating and positioning) for a Stage 4 (full thickness skin loss that extends through the skin into the muscle, bone, tendon or joint) pressure ulcer for one Resident (R64) of three residents reviewed for pressure ulcers.
- 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 wroteThis citation has two deficient practice statements. Deficient Practice #1. Based on interview and record review, the facility failed to provide recommended restorative therapy for one (R59) of three residents reviewed for restorative therapy services.
- 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 safely and properly store portable oxygen for one (R27) of four residents reviewed.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide respiratory care consistent with professional standards of practice for two (R61, R93) of two residents receiving nebulizer treatments.
- D Provide medically-related social services to help each resident achieve the highest possible quality of life.
Inspectors wroteBased on observation, interview, and record review, and facility failed to provide medically related social services for two Residents (R23 and R73) of eight residents reviewed for medically-related social services.
- 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 put a 14 day stop date on an PRN (as needed) antianxiety medication for one resident (R60) out of two reviewed for unnecessary medications. Findings Include: A review of the medical record revealed that R60 admitted into the facility on 1/30/2024 with the following medical diagnoses, End Stage Renal Disease and Atrial Fibrillation. A review of the Minimum Data Set (MDS) revealed a Brief Interview for Mental Status (BIMS) score of 14/15 indicating an intact cognition. R60 also required staff assistance with transfers and bed mobility. A review of the physician orders revealed the following order. Ativan Oral Tablet 0.5 MG (milligrams) (Lorazepam). Directions: Give one tablet by mouth every 4 hours as needed for restlessness or anxiety. Status: Active. Start Date: 8/28/2024. No end date was noted on the order. On 10/3/2024 at 10: [...]
- 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 one unattended medication cart (the C-wing cart) of three carts reviewed was locked during medication administration.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on observation,interview and record review, the facility failed to maintain complete and accurate medical records for two residents (R5 and R60) out of two reviewed for medical records.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review the facility failed to follow infection prevention and control guidelines for glove use for one (R92) of one resident reviewed for infecton control.
August 9, 2023Standard inspection · 10 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the proper concentration of chemical sanitizer, failed to ensure handwashing to prevent cross contamination, and failed to ensure hot food items were held at 135 degrees Fahrenheit or higher. This deficient practice had the potential to affect all residents that consume food from the kitchen.
- D 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.
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain a comfortable, homelike environment for three residents, (R4, R27, R102) of three residents reviewed for a comfortable homelike environment, resulting in verbalized complaints and dissatisfaction with the physical conditions of the building.
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteThis citation pertains to Intake M100136063. Based on interviews and record review, the facility failed to protect the resident's (R88) right to be free from verbal abuse by staff.
- 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 document and provide showers per resident schedule for one sampled resident (R41) of two reviewed for showers resulting in, dissatisfaction with hygiene and bathing care.
- D Provide appropriate foot care.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that podiatry services were offered to one resident (R92) of one reviewed for ancillary services, resulting in discomfort and dissatisfaction with services.
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on interview, and record review the facility failed to assure timely transportation to and from dialysis for one resident (R92) of one residents reviewed for dialysis.
- 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 expired medications were removed from one of three medications rooms and ensure resident medications were not left at the bedside for one resident (R68), resulting in the potential for decreased effectiveness of medication, lost doses of medication or medication not taken.
- D Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased upon observation, interview and record review, the facility failed to serve food in a palatable manner and at the preferred temperature for three (R52, R92, R211) of ten residents reviewed for food concerns.
- D 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 that bedtime snacks were offered/provided to one resident (R40) of seven residents reviewed for bedtime snacks.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure infection control practices were followed during resident provided care for three residents (R42, R76, R23) of three residents reviewed for infection control practices.
Fire safety inspections
14 fire safety citations on file: 3 on December 10, 2025, 8 on October 3, 2024, 3 on August 9, 2023.
Every fire safety citation14 citations
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have a battery powered remote alarm panel in a location accessible by operating personnel.
- E Have properly located and lighted "Exit" signs.
- F Conduct testing and exercise requirements.
- F Provide properly protected cooking facilities.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Have simulated fire drills held at unexpected times.
- E Have properly located and lighted "Exit" signs.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Install corridor and hallway doors that block smoke.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Inspect, test, and maintain automatic sprinkler systems.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
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 | Michigan | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.89 | 3.99 | 3.86 |
| Registered nurses | 0.74 | 0.78 | 0.69 |
| All nursing staff on weekends | 3.47 | 3.50 | 3.42 |
| Nurse aides | 2.38 | ||
| Licensed practical nurses | 0.77 | ||
| Nursing staff turnover (share who left in a year) | 37.0% | 44.1% | 45.8% |
| Registered nurse turnover | 44.0% | 39.2% | 42.9% |
| Administrators who left | 2 |
CMS expects 3.51 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 3.47 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.97 in April to June 2025 to 3.89 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 | 3.89 | 0.74 | 4.06 | 3.47 | 0.0% | 0 of 90 | 117 |
| Oct to Dec 2025 | 4.06 | 0.81 | 4.30 | 3.45 | 0.0% | 0 of 92 | 120 |
| Jul to Sep 2025 | 4.11 | 0.87 | 4.40 | 3.37 | 0.0% | 0 of 92 | 114 |
| Apr to Jun 2025 | 3.97 | 0.87 | 4.24 | 3.30 | 0.0% | 0 of 91 | 111 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Michigan, Jan to Mar 2026 | 3.95 | 0.70 | 4.14 | 3.45 | 3.3% | 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.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Michigan | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 7.7 | 10.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.7 | 0.8 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.2 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.1 | 3.0 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.9 | 1.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 11.2 | 12.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.8 | 5.1 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 6.0 | 14.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 34.5 | 24.0 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 13.1 | 11.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.5 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 1.6 | 1.8 |
Owners and operators
Legal business name: ST. CLAIR OPCO, LLC. CMS links this home to Medilodge, a group of 53 nursing homes averaging 3.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Fifteeninone Opco Group LLC | 5% or greater direct ownership interest | Organization | 100% | 06/24/2013 |
| B&y Healthcare S Corp | 5% or greater indirect ownership interest | Organization | 06/24/2013 | |
| B&y Trust | 5% or greater indirect ownership interest | Organization | 06/24/2013 | |
| Cody Healthcare S Corp | 5% or greater indirect ownership interest | Organization | 06/24/2013 | |
| Craig Flashner 2007 Trust | 5% or greater indirect ownership interest | Organization | 06/24/2013 | |
| Norcross, Robert | Contracted managing employee | Individual | 06/24/2013 | |
| Rogers, Stacey | Contracted managing employee | Individual | 10/20/2014 | |
| Kirk, Kristine | W-2 managing employee | Individual | 01/01/2018 | |
| Flashner, Craig | Corporate director | Individual | 06/24/2013 | |
| Perlstein, Yitzchok | Corporate director | Individual | 06/24/2013 | |
| Generations Healthcare Management LLC | Operational/managerial control | Organization | 06/24/2013 | |
| Prestige Administrative Services, LLC | Operational/managerial control | Organization | 01/01/2016 | |
| Flashner, Craig | Operational/managerial control | Individual | 06/24/2013 | |
| Perlstein, Yitzchok | Operational/managerial control | Individual | 06/24/2013 |
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 12 problems in this area, most recently on December 10, 2025: "Provide care and assistance to perform activities of daily living for any resident who is unable."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 5 problems in this area, most recently on December 10, 2025: "Dispose of garbage and refuse properly."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on December 10, 2025: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on December 10, 2025: "PASARR screening for Mental disorders or Intellectual Disabilities"
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.47 hours per resident per day, below the Michigan average of 3.50.
- How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.
Other nursing homes nearby
- Marwood Manor Nursing Home Port Huron, 12.2 mi · 5 of 5 stars · 15 citations
- Medilodge of Richmond Richmond, 14.5 mi · 4 of 5 stars · 14 citations
- The Village of East Harbor Chesterfield Township, 16.4 mi · 3 of 5 stars · 17 citations
- Michigan Veterans Home of Chesterfield Township Chesterfield Township, 19.3 mi · 5 of 5 stars · 1 citation
- Medilodge of Port Huron Fort Gratiot, 19.9 mi · 5 of 5 stars · 15 citations
- Regency on the Lake - Fort Gratiot Fort Gratiot, 20 mi · 5 of 5 stars · 13 citations
- The Orchards at Armada Armada, 21.3 mi · 5 of 5 stars · 16 citations
- Martha T Berry Mcf Mount Clemems, 23.6 mi · 4 of 5 stars · 17 citations
Michigan contacts for a concern about a nursing home
These are the official offices in Michigan. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Michigan Department of Licensing and Regulatory Affairs, Bureau of Survey and Certification, Long Term Care Division, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Michigan Long Term Care Ombudsman Program, 1-866-485-9393. 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: LARA State Licensing Search, where Michigan publishes its own records on licensed homes.
Common questions
- What is Medilodge of St. Clair's Medicare star rating?
- CMS rates Medilodge of St. Clair 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Medilodge of St. Clair get at its last inspection?
- 12 health deficiencies at the standard inspection on December 10, 2025. The Michigan average is 9.9.
- Has Medilodge of St. Clair been fined?
- CMS lists no fines in the last three years.
- Does Medilodge of St. Clair 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 Medilodge of St. Clair?
- CMS lists 14 owners and managers, and links the home to Medilodge. Legal business name: ST. CLAIR OPCO, 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.