Ramsey Village
1611 27th Street, Des Moines, IA 50310 · Polk County · (515) 274-3612
78 certified beds, about 68 residents a day · Non profit - Other · Medicare and Medicaid since 2004
Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165514 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 28, 2025, inspectors cited 8 health deficiencies (the Iowa average is 6.5, the national average 9.2).
Of 31 health citations since July 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.05 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.50 of those hours.
47.1% of nursing staff left within the year CMS measured (Iowa average 44.0%).
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.
807/23
408/24
610/24
104/25
808/25
310/25
104/26
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 31 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
27D
2E
0F
Potential for minimal harm
0A
1B
0C
April 23, 2026Complaint inspection · 1 citation
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on clinical record review, staff interview, pharmacy record review and policy review, the facility failed to follow professional standards regarding following physician's orders by failing to remove previously applied fentanyl patches after 72 hours of use and before applying new patches, putting residents at risk of an overdose for 1 of 3 residents (Resident #1) reviewed for medication administration. The facility reported a census of 69 residents.
October 23, 2025Complaint inspection · 3 citations
- E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, record review, staff interview, and policy review, the facility failed to ensure mechanical lifts were used correctly during transfers for 3 of 5 residents (#1, #4, #5). The facility failed to lock wheelchairs during resident transfers for 2 of 5 residents (#2, #4), and failed to ensure foot pedals were attached while transporting a resident in a wheelchair for 1 of 5 residents (#3). The facility reported a census of 69 residents.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, record review, staff interview, and policy review, the facility failed to provide repositioning and incontinence care for 1 of 3 residents (#6). The facility reported a census of 69 residents.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, record review, staff interview, and policy review the facility failed to disinfect a mechanical lift after use between 2 of 2 residents, failed to perform hand hygiene during perineal care for 1 of 3 residents reviewed (#4), and failed to remove Personal Protective Equipment (PPE) before leaving a resident's room who was on Enhanced Barrier Precautions (EBP). The facility reported a census of 69 residents.
August 28, 2025Standard inspection · 8 citations
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, clinical record review, staff interviews, guidance from the Centers for Disease Control (CDC) and facility policy review the facility failed to implement enhanced barrier precautions for one of one resident reviwed (Resident #4), and failed to perform appropriate hand hygiene during personal cares for three of three residents observed for toileting hygiene (Res #3, Res #4 and Res #61). The facility additionally failed to properly sanitize a full body mechanical lift between the usage of the lift between two residents. The facility reported a census of 62 residents.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on electronic health record review, staff interview, and policy review, the facility failed to notify the physician of blood sugars <60 for 1 of 1 residents reviewed for insulin use (Resident #22). The facility reported a census of 62.
- D Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteBased on record review, staff interview, and policy review, the facility failed to identify target behaviors for psychotropic medications (medications that affect a person's mental state, emotions, and behavior) for 2 of 5 resident (#28, #50). The facility reported a census of 62.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on clinical record review, staff interview, guidance from the 2024 Resident Assessment Instrument (RAI) Manual, and facility policy review, the facility failed to fully develop a comprehensive care plan for 3 of 17 residents reviewed (Resident #4, #28, & #50). The faciltiy reported a census of 62 residents.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on electronic health record review, staff interview, and policy review, the facility failed to update the Care Plan for 1 of 17 residents reviewed (Resident #9) for the discontinued use of a diuretic. The facility reported a census of 62.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on clinical record review, observation, staff interviews, and policy review, the facility failed to ensure safe and accurate delivery of oxygen therapy for one of three residents reviewed for respiratory care (Resident #71). The facility reported a census of 62 residents.
- D Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on observations, family interviews and staff interviews, the facility staff failed to provide sufficient staff to safely feed residents who required feeding assistance during three of three meals observed. The facility staff also failed to complete incontinence care for 1 of 2 residents reviewed for incontinence care (#2) in a timely manner. The facility reported a census of 62 residents.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on clinical record review, observation, staff interview and manufacturer's instructions, the facility failed to prime an insulin flexpen prior to administering the insulin dose to ensure the proper amount of insulin administered for one of one residents observed who received insulin during medication pass (Resident #72). The facility reported a census of 62 residents.
April 24, 2025Complaint inspection · 1 citation
- G Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observations, clinical record review, staff interviews and policy review, the facility failed to appropriately provide assessments and interventions for necessary care and services for 1 of 4 residents reviewed (Resident #1). Clinical record review revealed the Assistant Director of Nursing notified the nursing staff of a wound on Resident #1's left foot after admission. The nurse failed to conduct an assessment and failed to notify the provider to acquire an intervention for 48 days after admission. The facility reported a census of 61 residents.
October 3, 2024Standard inspection · 6 citations
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on clinical record review, staff interview, and the Resident Assessment Instrument (RAI) Manual the facility failed to accurately complete a Minimum Data Set (MDS) assessment for one of sixteen residents reviewed (Resident #4). The facility reported a census of 62 residents.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on clinical record review, observation, staff interview, and policy review the facility failed to develop and implement a comprehensive person-centered Care Plan for one of sixteen residents sampled (Residents #54). The facility reported a census of 62 residents.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on clinical record review, observations, staff interview, and policy review the facility failed to check and verify placement of a gastrostomy tube (g-tube) before medications and enteral feeding administered through the gastrostomy tube for one of one residents reviewed with a gastrostomy tube (Resident #117). Facility staff also failed to flush the gastrostomy tube with water after each medication administered. The facility reported a census of 62 residents.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on direct observation, clinical record review, staff interview, and facility policy review, the facility failed to provide assessments and timely intervention regarding skin conditions and wounds for one of sixteen residents observed (Resident #15). The facility reported a census of 62 residents.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, staff interviews, clinical record review, and policy review, the facility failed to follow enhanced barrier precautions (EBP) practices for residents with indwelling medical devices for two of three residents reviewed for infection control (Resident #54 and Resident #117). The facility also failed to ensure infection control policy & procedure manual updated on an annual basis. The facility reported a census of 62 residents.
- B Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Inspectors wroteBased on clinical record review, staff interview, facility policy review, and the Resident Assessment Instrument (RAI) Manual, and policy review, the facility failed to complete and transmit a resident Minimum Data Set assessment upon a resident's discharge within the required timeframe for one of sixteen residents reviewed (Resident #58). The facility reported a census of 62 residents.
August 7, 2024Complaint inspection · 4 citations
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on clinical record review, facility document review, and staff interview, the facility failed to treat a resident with respect and dignity when providing cares one of three residents reviewed for dignity (Resident # 9). The facility reported a census of 61 residents.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on clinical record review, pharmacy & hospital record review, and staff interview, the facility failed to notify the physician when medication was unavailable and was not administered for 1 of 3 residents reviewed (Resident #3). The facility reported a census of 61.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on clinical record review, facility document review, and staff interview, the facility failed to report suspected dependent adult abuse within the required two hour time frame for one resident (Resident # 9). The facility reported a census of 61 residents.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on clinical record review, pharmacy & hospital record review, staff interview, and facility policy review, the facility failed to transcribe and administer medication as ordered by the physician for 1 of 3 residents reviewed (Resident #3). The facility reported a census of 61.
July 20, 2023Standard inspection · 8 citations
- 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 clinical record review, staff interview and facility policy review, the facility failed to notify the Long Term Care Ombudsman for 1 of 1 residents who transferred to the hospital (Resident #56). The facility reported a census of 67 residents.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on clinical record review, resident and staff interviews, direction from the Resident Assessment Instrument, and facility policy review, the facility failed to ensure each resident received an accurate Minimum Data Set (MDS) assessment, reflective of the resident's status at the time of the assessment for 1 of 17 residents reviewed for accuracy of assessment (Resident #16).
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on clinical record review, staff interview and facility policy review, the facility failed to submit a Level 2 Preadmission Screening and Resident Review (PASRR) evaluation for 2 of 2 residents reviewed with a new mental health diagnosis (Residents #16 and #42). The facility reported a census of 67 residents.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on clinical record review, resident and staff interviews, and facility policy review, the facility failed to update the Comprehensive Care Plan care for 1 of 17 (Resident #16) residents reviewed for care plan completion and revision.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on clinical record review, observation, staff interview and manufacturer's recommendation, the facility failed to administer insulin according to accepted standards of clinical practice for 1 of 2 residents reviewed for administration of insulin (Resident #37). The facility reported a census of 67 residents.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on clinical record review, observations, staff interviews and policy review, the facility failed to provide 1 resident (Resident #8) with sufficient fluid intake. The facility reported a census of 67 residents.
- D Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on resident interview, staff interview, and record and policy review the facility failed to answer call lights timely (within 15 minutes) for 3 of 5 residents reviewed (Resident #2, #31, and #68). The facility reported a census of 67 residents.
- 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 clinical record review, facility document review, staff interviews and facility policy review, the facility failed to maintain accurate and complete records for controlled medications for 2 of 2 residents (Resident #8 & #57) reviewed for controlled medication review. Schedule II-V controlled medications have a potential for abuse and may also lead to physical or psychological dependence.
Fire safety inspections
29 fire safety citations on file: 16 on August 28, 2025, 6 on October 3, 2024, 7 on July 20, 2023.
Every fire safety citation29 citations
- F Establish policies and procedures for sheltering.
- F Create arrangements with other facilities to receive patients.
- F Establish roles under a Waiver declared by secretary.
- F Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F Install an approved automatic sprinkler system.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Provide a written emergency evacuation plan.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Ensure that testing and maintenance of electrical equipment is performed.
- E Install corridor and hallway doors that block smoke.
- E Have properly installed electrical wiring and gas equipment.
- E Ensure proper usage of power strips and extension cords.
- D Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D Have simulated fire drills held at unexpected times.
- D Have proper medical gas storage and administration areas.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- E Have an enclosure around a vertical opening shaft.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Provide properly protected cooking facilities.
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E Have proper medical gas storage and administration areas.
- F Conduct testing and exercise requirements.
- F Inspect, test, and maintain automatic sprinkler systems.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F Ensure that testing and maintenance of electrical equipment is performed.
- E Install emergency lighting that can last at least 1 1/2 hours.
- E Have properly located and lighted "Exit" signs.
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 | Iowa | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.05 | 3.82 | 3.86 |
| Registered nurses | 0.50 | 0.74 | 0.69 |
| All nursing staff on weekends | 3.59 | 3.37 | 3.42 |
| Nurse aides | 2.69 | ||
| Licensed practical nurses | 0.86 | ||
| Nursing staff turnover (share who left in a year) | 47.1% | 44.0% | 45.8% |
| Registered nurse turnover | 28.6% | 42.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.60 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 4.23 on weekdays and 3.59 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.98 in April to June 2025 to 4.05 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 | 4.05 | 0.50 | 4.23 | 3.59 | 3.2% | 0 of 90 | 68 |
| Oct to Dec 2025 | 3.83 | 0.39 | 3.98 | 3.44 | 3.8% | 2 of 92 | 70 |
| Jul to Sep 2025 | 3.81 | 0.48 | 3.94 | 3.47 | 5.1% | 0 of 92 | 60 |
| Apr to Jun 2025 | 3.98 | 0.55 | 4.09 | 3.70 | 3.8% | 0 of 91 | 61 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Iowa, Jan to Mar 2026 | 3.80 | 0.71 | 3.98 | 3.36 | 4.7% | 0.3% 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 | Iowa | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 13.0 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.5 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.0 | 3.8 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.5 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 24.4 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.3 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 24.2 | 19.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 21.2 | 20.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 10.0 | 13.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.5 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 2.1 | 1.8 |
Owners and operators
Legal business name: CLAREMONT'S RAMSEY VILLAGE LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Claremont House Inc. | 5% or greater direct ownership interest | Organization | 100% | 12/31/2010 |
| Gill, Douglas | Corporate director | Individual | 12/15/2010 | |
| Walgenbach, Brian E | Corporate director | Individual | 12/15/2010 | |
| Claremont Retirement Management Services Corp | Operational/managerial control | Organization | 12/15/2010 | |
| Gill, Douglas | Operational/managerial control | Individual | 12/15/2010 | |
| Walgenbach, Brian E | Operational/managerial control | Individual | 12/15/2010 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 12 problems in this area, most recently on April 23, 2026: "Ensure services provided by the nursing facility meet professional standards of quality."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 6 problems in this area, most recently on October 23, 2025: "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 4 problems in this area, most recently on August 28, 2025: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on October 23, 2025: "Provide and implement an infection prevention and control program."
Other nursing homes nearby
- Calvin Community Des Moines, 1.2 mi · 4 of 5 stars · 12 citations
- Scottish Rite Park Inc Des Moines, 1.4 mi · 5 of 5 stars · 9 citations
- Wesley on Grand Des Moines, 1.8 mi · 4 of 5 stars · 5 citations
- Iowa Jewish Senior Life Center Des Moines, 1.8 mi · 3 of 5 stars · 13 citations
- University Park Nursing and Rehabilitation Center Des Moines, 1.8 mi · 4 of 5 stars · 22 citations
- Rehabilitation Center of Des Moines Des Moines, 2.3 mi · 3 of 5 stars · 36 citations
- Azria Health Park Place Des Moines, 2.4 mi · 1 of 5 stars · 66 citations
- Trinity Center at Luther Park Des Moines, 3.2 mi · 1 of 5 stars · 13 citations
Iowa contacts for a concern about a nursing home
These are the official offices in Iowa. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Iowa Department of Inspections, Appeals, and Licensing, Health Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Iowa Office of the State Long-Term Care Ombudsman, 866-236-1430. 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: Iowa Health Facility Database, Entity Search, where Iowa publishes its own records on licensed homes.
Common questions
- What is Ramsey Village's Medicare star rating?
- CMS rates Ramsey Village 2 out of 5 stars overall, with 2 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Ramsey Village get at its last inspection?
- 8 health deficiencies at the standard inspection on August 28, 2025. The Iowa average is 6.5.
- Has Ramsey Village been fined?
- CMS lists no fines in the last three years.
- Does Ramsey Village 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 Ramsey Village?
- CMS lists 6 owners and managers. Legal business name: CLAREMONT'S RAMSEY VILLAGE 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.