River Ridge Rehabilitation and Care Center
1100 East Martin Drive, Wynne, AR 72396 · Cross County · (870) 238-4400
100 certified beds, about 69 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1990
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 045157 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 6, 2025, inspectors cited 7 health deficiencies (the Arkansas average is 2.7, the national average 9.2).
None of its 31 health citations since June 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 3.49 hours per resident per day, against 4.02 across Arkansas and 3.86 nationally. Registered nurses accounted for 0.44 of those hours.
46.2% of nursing staff left within the year CMS measured (Arkansas average 49.5%).
CMS links it to Southern Administrative Services, an affiliated group of 35 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.
1206/23
203/24
1005/24
706/25
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 31 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
22D
6E
3F
Potential for minimal harm
0A
0B
0C
June 6, 2025Standard inspection, Complaint inspection · 7 citations
- F 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, interviews, record review, facility document review, facility policy review, it was determined that the facility failed to ensure sufficient staffing to meet the residents' needs as evidenced by not following the facility assessment staffing guidelines for 74 of 87 shifts reviewed from 03/01/2025 day shift through 03/31/2025 night shift.
- E Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, record review, interview, and facility policy review, the facility failed to ensure the medication error rate was not 5 % or greater for one of one medication administration pass reviewed for medication errors. Four (Residents #9, #24, #49, and #32) of seven residents observed during medication administration. Eleven medication errors were observed during 42 observed medication administration opportunities. This resulted in a medication error rate of 26.19 %.
- E 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 facility policy review, the facility failed to ensure food stored in the dry storage area was covered and sealed, dented cans were removed from stock, and expired food items were discarded on or before the expiration or use- by date for 1 of 1 kitchen observed.
- 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, record review, and facility policy review, it was determined that the facility failed to dress a resident in their preferred attire for one (Resident #19) of one resident reviewed for dignity.
- 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 observations, interviews, record review, and facility document review, the facility failed to ensure the comprehensive person-centered care plan was developed and implemented to include ordered care for one (Resident #6) of one sampled resident.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interviews, record review, and facility document review, the facility failed to implement a physician ' s order to get a resident up to a chair, for one (Resident #6) of one sampled resident, reviewed for quality of care.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, interviews, record review, and facility policy review, it was determined that the facility failed to provide supplemental oxygen per physician orders for 1 (Resident #49) of 1 resident reviewed for respiratory care.
May 31, 2024Standard inspection, Complaint 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 and interview, the facility failed to ensure (1) that the kitchen floor, wall and ceiling tiles were cleaned and free of stains, chipped, grease and paint peeling to provide a sanitary environment for food preparation, (2) food items stored in the refrigerator, freezer, and storage area were covered or sealed, (3) expired dressing were promptly removed from stock to prevent potential food borne illness for residents who received meal trays from I of 2 kitchen, (4) the ice machine was maintained in clean and sanitary condition, and (5) 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 63 residents who received meals from the kitchen.
- 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, and interview, the facility failed to ensure meals were prepared and served according to the planned written menu, and recipes were followed to meet the nutritional needs of the residents for 2 of 2 meals observed. This failed practice had the potential to affect 15 residents who received mechanical soft diets and 21 residents who received enhanced diets from 1 of 1 kitchen.
- E Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure the meals were served in a method that conserved nutritive value and maintained appearance, that cold product was stored at 41 degrees Fahrenheit or below, and hot food items were served at temperatures that were acceptable to the residents to improve palatability and encourage good nutritional intake during 1 of 1 meal observed. This failed practice had the potential to affect 9 residents who receive meal trays in their rooms on the A-Hall, 7 residents who receive meal trays in their room on the B-Hall, 9 residents who receive meal trays on the C-Hall, and 10 residents who receive meal trays in their room on the D-Hall.
- E Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Inspectors wroteBased on observation and interview, the facility failed to ensure pureed food items were blended to a smooth, lump-free consistency to minimize the risk of choking or other complications for residents who required pureed diets for 2 of 2 meals observed. This failed practice had the potential to affect 1 resident who received a pureed diet.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observations, interviews, record review, facility document review, and facility policy review, it was determined the facility failed to perform proper incontinent care for 1 (Resident #9) of 1 resident reviewed for incontinent care.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interviews, and record review, the facility failed to ensure assistance in positioning/repositioning were provided for 1 (Resident #26) of 1 sampled resident who required assistance.
- 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 observations, interviews, and record review, the facility failed to ensure a leg strap was in place to prevent trauma from the indwelling catheter for 1 (Resident #26) of 2 (Resident #26 and #54) sampled residents who were dependent on staff for indwelling catheter care.
- 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 wroteThrough observation, record review, and interview, the facility failed to ensure expired medications were removed and placed into an area for destruction to prevent potential administration to residents.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, interviews, record review, facility document review, and facility policy review, the facility failed to perform hand hygiene during resident care to prevent the spread of bacteria for 1 (Resident #9) of 1 resident reviewed for incontinent care.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observations, interviews, record review, facility document review, and facility policy review, the facility failed to perform wound care treatments as ordered by the physician to prevent worsening of an identified pressure ulcer for 1 (Resident #465) of 1 resident reviewed for pressure ulcers.
March 1, 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 observation, interview and record review, the facility failed to ensure staff sat at eye level while assisting residents with meals for 1 (Resident #1) of 3 case mix residents.
- D 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 hands were washed between clean and dirty tasks to prevent cross contamination.
June 2, 2023Standard inspection · 12 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 and interview, the facility failed to ensure that the kitchen vents were cleaned to provide a sanitary environment for food preparation, floors, dish washer and kitchen walls, the door frames and baseboards were free of rotten wood, chipped floor tiles, debris, dirt, grease, rust, stains, wall tiles were replaced, food item stored in the refrigerator were covered or sealed, expired food items were promptly removed from stock to prevent potential food borne illness for residents who received meal trays from I of I kitchen; ice machine and ice scoop holder were maintained in clean and sanitary condition 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. [...]
- E Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Inspectors wroteBased on observation and interview, the facility failed to ensure that alternate dietary choices were made known and available to 4 (Residents #8, #20, #27, #33) of 24 (# 2, #6, #8, #9, #10, #14, #16, #17, #19, #20, #24, #25, #27, #33, #42, #45, #47, #50, #55, #59, #61, #64, #65, #116) sampled residents who relied on the facility to meet their dietary needs.
- D Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Inspectors wroteBased on record review and interview, the facility failed to ensure resident funds were refunded promptly after the resident's discharged /expired for 10 (Residents #366, #368, #369, #370, #371, #372, #373, #374, #375, #376) of 10 case mix residents who had been discharged /expired and had a remaining balance in the resident trust fund account at 1 of 1 facility according to the list provided by the Business Office Manager (BOM) on [DATE].
- D Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on observation and interview, the facility failed to ensure privacy and confidentiality of resident's personal and medical records was maintained for 1 resident (Resident #249) of 4 sampled residents (#49, #247, #249, and #351) during medication pass by not locking the laptop screen when not in use, and not ensuring confidential information on a notepad such as names, diagnoses, and medications were not visible to passersby.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure fingernails were trimmed and clean for a resident to maintain good hygiene and prevent complications for 1 (Resident #7) of 14 (#2, #6, #7, #8, #9, #10, #14, #16, #18, #20, #27, #45, #55, #61) sampled residents who require assistance with Activities of Daily Living (ADL's).
- 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 follow care planned interventions intended to prevent falls for 1 (Resident #25) of 5 (#10, #16, #25, #33, #42) sampled residents identified as having a high risk of falls as documented by a list titled High Fall Risk provided by the Administrator on 06/02/23 at 10:50 AM.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on interview and record review, the facility failed to provide assessment and intervention intended to prevent severe weight loss for 1 (Resident #16) of 24 (Residents #2, #6, #8, #9, #10, #14, #16, #17, #19, #20, #24, #25, #27, #33, #42, #45, #47, #50, #55, #59, #61, #64, #65, #116) sampled residents who relied on the facility to meet their dietary needs.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, and record review, the facility failed to obtain a Physician's Order before administering supplemental oxygen to 1 (Resident #6) of 4 (#6, #20, #27, #50) sampled residents receiving supplemental oxygen in the facility.
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, record review, and interview the facility failed to ensure the medication error rate was less than 5% (percent). The medication error rate was 7.41 %.
- D 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, and interview, the facility failed to ensure meals were prepared and served according to the planned written menu to meet the nutritional needs of the residents for 1 of 1 meal observed. This failed practice had the potential to affect 15 residents who received mechanical soft diets from 1 of 1 kitchen according to a list provided by the Dietary Supervisor on 05/31/23 at 11:58 AM.
- D Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure the meals were served in a method that maintained the appearance of cold product and at temperatures that were acceptable to the residents to improve palatability and encourage good nutritional intake during 1 of 1 meal observed. This failed practice had the potential to affect 9 residents who receive meal trays in their rooms on the A-Hall, 13 residents who receive meal trays in their room on the B-Hall, 10 residents who receive meal trays on the C-Hall, and 14 residents who receive meal trays in their room on the D-Hall, as documented on a list provided by Dietary Supervisor on 05/31/23 at 11:58 PM.
- 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 was preformed, failed to ensure the stethoscope was disinfected between residents, and failed to ensure a multi-resident use glucometer was disinfected before and after use to decrease the potential for spread of infection for 1 (Resident #47) of 1 sampled resident who had Physician Orders for Capillary Blood Glucose (CBG) monitoring and resided on the 200 Hall according to a list provided by the Director of Nursing (DON) on 06/02/23 at 10:30 am.
Fire safety inspections
7 fire safety citations on file: 2 on June 6, 2025, 3 on May 31, 2024, 2 on June 2, 2023.
Every fire safety citation7 citations
- F Provide properly protected cooking facilities.
- F Install corridor and hallway doors that block smoke.
- F Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Have an alternate power supply for its alarm system.
- F Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Have simulated fire drills held at unexpected times.
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 | Arkansas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.49 | 4.02 | 3.86 |
| Registered nurses | 0.44 | 0.41 | 0.69 |
| All nursing staff on weekends | 3.01 | 3.45 | 3.42 |
| Nurse aides | 2.39 | ||
| Licensed practical nurses | 0.67 | ||
| Nursing staff turnover (share who left in a year) | 46.2% | 49.5% | 45.8% |
| Registered nurse turnover | 55.6% | 44.8% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.33 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 3.69 on weekdays and 3.01 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.86 in April to June 2025 to 3.49 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 | 3.49 | 0.44 | 3.69 | 3.01 | 2.7% | 0 of 90 | 69 |
| Oct to Dec 2025 | 3.71 | 0.36 | 3.88 | 3.27 | 2.3% | 0 of 92 | 66 |
| Jul to Sep 2025 | 3.90 | 0.39 | 4.16 | 3.25 | 2.3% | 0 of 92 | 63 |
| Apr to Jun 2025 | 3.86 | 0.35 | 4.14 | 3.13 | 1.9% | 0 of 91 | 65 |
| 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.
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 | 3.2 | 9.5 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.2 | 0.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.4 | 1.2 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.3 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.4 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 5.1 | 10.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.7 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 1.4 | 10.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 16.6 | 24.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 14.8 | 12.5 | 12.0 |
Owners and operators
Legal business name: CROSS SNF OPERATIONS LLC. CMS links this home to Southern Administrative Services, a group of 35 nursing homes averaging 3.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| 4p2t1 Ops Holding LP | 5% or greater direct ownership interest | Organization | 100% | 07/01/2020 |
| Alexark1 LLC | 5% or greater indirect ownership interest | Organization | 01/01/2022 | |
| Jej Assets LP | 5% or greater indirect ownership interest | Organization | 01/01/2022 | |
| Jej Management, LLC | 5% or greater indirect ownership interest | Organization | 01/01/2022 | |
| Ponthie, Sharlot | 5% or greater indirect ownership interest | Individual | 50% | 01/01/2022 |
| Burks, Willard | Operational/managerial control | Individual | 07/01/2020 | |
| Rogers, Spencer | Operational/managerial control | Individual | 02/07/2025 | |
| Jej Assets LP | Adp of the SNF | Organization | 07/01/2025 | |
| Burks, Willard | Adp of the SNF | Individual | 07/01/2020 | |
| Ponthie, John | Adp of the SNF | Individual | 07/01/2025 | |
| Rogers, Spencer | Adp of the SNF | Individual | 02/07/2025 |
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.
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 10 problems in this area, most recently on June 6, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 10 problems in this area, most recently on June 6, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- 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 June 6, 2025: "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 June 6, 2025: "Ensure medication error rates are not 5 percent or greater."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.01 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
- Crestpark Wynne, LLC Wynne, 0.5 mi · 3 of 5 stars · 16 citations
- Crestpark Forrest City, LLC Forrest City, 13.4 mi · 2 of 5 stars · 22 citations
- Woodruff County Health Center McCrory, 23.6 mi · 3 of 5 stars · 16 citations
- Woodbriar Nursing Home Harrisburg, 24.8 mi · 4 of 5 stars · 10 citations
Arkansas contacts for a concern about a nursing home
These are the official offices in Arkansas. NursingHomeClear cannot take or act on complaints.
- 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.
Common questions
- What is River Ridge Rehabilitation and Care Center's Medicare star rating?
- CMS rates River Ridge Rehabilitation and Care Center 3 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did River Ridge Rehabilitation and Care Center get at its last inspection?
- 7 health deficiencies at the standard inspection on June 6, 2025. The Arkansas average is 2.7.
- Has River Ridge Rehabilitation and Care Center been fined?
- CMS lists no fines in the last three years.
- Does River Ridge Rehabilitation and Care Center 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 River Ridge Rehabilitation and Care Center?
- CMS lists 11 owners and managers, and links the home to Southern Administrative Services. Legal business name: CROSS SNF OPERATIONS 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.