Home›Browse›California›Glendora›Arbor Glen Care Center

Nursing homeFAID #1159

Arbor Glen Care Center

1033 E. ARROW HIGHWAY, GLENDORA, CA, 91740

(626) 963-7531

98 licensed beds

CMS rates Arbor Glen Care Center 2 out of 5 overall. Federal inspectors issued 98 citations across 23 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★2/5CMS Five-Star overall2/5 health inspections3/5 staffing4/5 quality measuresSource: CMS Care Compare

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Address

1033 E. Arrow Highway

Glendora, CA 91740

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Public record summary

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Bed capacity

CMS facility ID

056360

Care type

Nursing home

County

Los Angeles

Facility name

Arbor Glen Care Center

Street address

1033 E. ARROW HIGHWAY

City / state / ZIP

Glendora, CA 91740

Phone

(626) 963-7531

Website

ensignservices.net

About this facility — Arbor Glen Care Center

Arbor Glen Care Center is a Medicare/Medicaid-certified skilled nursing facility in Glendora, California. It is licensed for 98 beds — close to the median for skilled nursing facilities in California (98 beds).

It is one of 50 senior care facilities in Glendora and 1,165 skilled nursing facilities across California. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of The Ensign Group, a group of 347 facilities on this site.

Federal inspectors have cited Arbor Glen Care Center 98 times across 23 inspections in the last three years, including 2 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

The Ensign Group

Ownership type

For profit - Limited Liability company

Registered owners & officers

Arrow Tree Health Holdings Llc

Additional disclosable party — since 2001

Burnam, Soon

Governing body · Officer — since 2006

Caretrust Gp Llc

Additional disclosable party — since 2001

Caretrust Reit Inc

Additional disclosable party — since 2001

Ctr Partnership Lp

Additional disclosable party — since 2001

Ensign Services Inc

Additional disclosable party — since 2006

Johnson, Wacy

Governing body · Operational control · Additional disclosable party — since 2019

Mehta, Krunal

Governing body · Operational control · Additional disclosable party — since 2020

Port, Barry

Officer — since 2001

Twomagnets Llc

Operational control — since 2001

Willits, Adam

Officer — since 2018

Regulatory standing

Federal court records

11 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1973-04-01

CMS overall rating

2 of 5 stars

Health deficiencies

25 at the last standard inspection

Federal fines

None on record

Last standard inspection

2026-03-27

Nurse staffing

4.2 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$493 per day (≈ $14,990/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

60% Medicaid · 22% Medicare · 18% private/other

Occupancy

88% (fiscal year 2023)

Vs. state median

4% below the CA median of $514/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.

2026-07-30Health inspectionComplaint-triggered1 citation

F-0755

E · No harm foundFrom a complaint

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2026-08-21

2026-05-22Health inspectionComplaint-triggered3 citations

F-0580

D · No harm foundFrom a complaint

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

Corrected 2026-06-17

F-0684

D · No harm foundFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2026-06-17

F-0842

E · No harm foundFrom a complaint

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2026-06-17

20 earlier / fire-safety inspections (94 citations)

2026-03-27Health inspection14 citations

F-0550

E · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2026-04-16

F-0628

D · No harm found

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2026-04-16

F-0636

D · No harm found

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2026-04-17

F-0656

D · No harm found

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

Corrected 2026-04-17

F-0658

D · No harm found

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2026-04-16

F-0676

D · No harm found

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2026-04-16

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2026-04-16

F-0684

E · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2026-04-16

F-0686

D · No harm found

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2026-04-16

F-0689

D · No harm found

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

Corrected 2026-04-16

F-0812

E · No harm foundFood safety

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

Corrected 2026-04-16

F-0825

E · No harm found

Provide or get specialized rehabilitative services as required for a resident.

Corrected 2026-04-16

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-04-16

F-0919

D · No harm found

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2026-04-16

2026-02-20Health inspectionComplaint-triggered3 citations

F-0686

D · No harm foundFrom a complaint

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2026-03-18

F-0697

D · No harm foundFrom a complaint

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2026-03-18

F-0880

D · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2026-03-18

2026-01-20Health inspectionComplaint-triggered1 citation

F-0684

E · No harm foundFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2026-02-13

2025-12-18Health inspectionComplaint-triggered3 citations

F-0550

D · No harm foundFrom a complaint

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2026-01-07

F-0565

D · No harm foundFrom a complaint

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2026-01-07

F-0842

D · No harm foundFrom a complaint

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2026-01-14

2025-04-11Health inspectionComplaint-triggered2 citations

F-0550

D · No harm foundFrom a complaint

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-05-01

F-0677

D · No harm foundFrom a complaint

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-05-01

2025-03-20Health inspectionComplaint-triggered3 citations

F-0693

D · No harm foundFrom a complaint

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2025-04-03

F-0726

D · No harm foundFrom a complaint

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2025-04-03

F-0880

D · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2025-04-03

2025-02-06Health inspectionComplaint-triggered17 citations

F-0550

D · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-02-28

F-0558

D · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-03-03

F-0641

D · No harm foundFrom a complaint

Ensure each resident receives an accurate assessment.

Corrected 2025-03-03

F-0645

D · No harm found

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2025-02-28

F-0657

D · No harm foundFrom a complaint

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-03-03

F-0679

D · No harm found

Provide activities to meet all resident's needs.

Corrected 2025-03-03

F-0684

D · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-03-03

F-0686

E · No harm found

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-03-03

F-0689

D · No harm foundFrom a complaint

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

Corrected 2025-03-03

F-0695

D · No harm found

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

Corrected 2025-03-03

F-0725

E · No harm foundFrom a complaint

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-02-28

F-0812

D · No harm foundFood safety

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

Corrected 2025-02-28

F-0868

D · No harm found

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2025-02-28

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-03-03

F-0881

E · No harm found

Implement a program that monitors antibiotic use.

Corrected 2025-03-03

F-0911

D · No harm found

Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

Corrected 2025-03-03

F-0919

E · No harm found

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2025-03-03

2025-01-30Health inspectionComplaint-triggered2 citations

F-0656

D · No harm foundFrom a complaint

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

Corrected 2025-02-22

F-0755

E · No harm foundFrom a complaint

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-02-22

2024-12-13Health inspectionComplaint-triggered2 citations

F-0694

D · No harm foundFrom a complaint

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2025-01-01

F-0880

E · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2025-01-01

2024-11-21Health inspectionComplaint-triggered1 citation

F-0689

D · No harm foundFrom a complaint

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

Corrected 2024-12-16

2024-11-06Health inspectionComplaint-triggered4 citations

F-0550

D · No harm foundFrom a complaint

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-11-29

F-0580

D · No harm foundFrom a complaint

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

Corrected 2024-11-30

F-0656

D · No harm foundFrom a complaint

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

Corrected 2024-11-29

F-0684

G · Actual harmFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-11-29

2024-09-27Health inspectionComplaint-triggered1 citation

F-0609

D · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-10-21

2024-09-11Health inspectionComplaint-triggered1 citation

F-0725

E · No harm foundFrom a complaint

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2024-10-02

2024-07-15Health inspectionComplaint-triggered1 citation

F-0690

D · No harm foundFrom a complaint

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-08-07

2024-03-22Health inspectionComplaint-triggered1 citation

F-0558

D · No harm foundFrom a complaint

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-04-08

2024-03-05Health inspectionComplaint-triggered1 citation

F-0550

D · No harm foundFrom a complaint

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-03-18

2024-01-25Health inspection21 citations

F-0550

E · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-02-15

F-0582

D · No harm found

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2024-02-15

F-0584

D · No harm found

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.

Corrected 2024-02-15

F-0636

D · No harm found

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2024-02-15

F-0655

D · No harm found

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2024-02-15

F-0656

D · No harm found

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

Corrected 2024-02-15

F-0657

D · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-02-15

F-0679

D · No harm found

Provide activities to meet all resident's needs.

Corrected 2024-02-15

F-0684

D · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-02-15

F-0686

D · No harm found

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-02-15

F-0689

D · No harm found

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

Corrected 2024-02-15

F-0697

D · No harm found

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2024-02-15

F-0698

D · No harm found

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2024-02-15

F-0755

D · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-02-15

F-0758

D · No harm found

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.

Corrected 2024-02-15

F-0759

E · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-02-15

F-0760

E · No harm found

Ensure that residents are free from significant medication errors.

Corrected 2024-02-15

F-0761

E · No harm found

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.

Corrected 2024-02-15

F-0842

E · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-02-15

F-0847

D · No harm found

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Corrected 2024-02-15

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-02-15

2026-03-27Fire-safety inspection3 citations

K-0223

E · No harm found

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2026-04-17

K-0363

D · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2026-04-17

K-0712

D · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2026-04-17

2025-02-06Fire-safety inspection6 citations

K-0345

D · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-03-03

K-0346

C · No harm found

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2025-02-12

K-0354

C · No harm found

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2025-02-12

K-0355

E · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-03-03

K-0741

D · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2025-03-03

K-0920

E · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2025-03-03

2024-01-25Fire-safety inspection7 citations

E-0023

C · No harm found

Establish policies and procedures for medical documentation.

Corrected 2024-02-23

E-0024

C · No harm found

Establish policies and procedures for volunteers.

Corrected 2024-02-23

E-0036

F · No harm found

Establish emergency prep training and testing.

Corrected 2024-02-23

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2024-02-23

K-0362

E · No harm found

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2024-02-23

K-0363

D · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2024-02-23

K-0511

D · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2024-02-23

Federal penalties

2024-11-06Medicare payment denial — 26 days

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 056360.

Quality of care & staffing

How it compares in California.

Inspection citations, 3 years

More than 83% of nursing homes in the state

State median: 65

Federal fines, 3 years

No federal fines on record

State median: $0

Nurse staffing, hours per resident per day

4.2

Higher than 48% of nursing homes in the state

State median: 4.3

Nursing staff turnover, annual

47%

Higher than 81% of nursing homes in the state

State median: 36%

Resident outcomes

On 21 federal quality measures, this facility does better than the California average on 11 and worse on 6. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	6.7%	10.2%	13.5%	Better than state
Lose too much weight	3.5%	4.1%	5.1%	Better than state
With a catheter inserted and left in their bladder	0.0%	0.7%	0.7%	Better than state
With a urinary tract infection	0.4%	1.2%	1.5%	Better than state
Have depressive symptoms	2.2%	7.6%	13.5%	Better than state
Were physically restrained	0.0%	0.3%	0.1%	Better than state
Experiencing one or more falls with major injury	0.0%	1.6%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	100.0%	98.7%	93.7%	Near state average
Ability to walk independently worsened	5.7%	8.9%	12.7%	Better than state
Received an antianxiety or hypnotic medication	6.8%	13.7%	19.5%	Better than state
Assessed and appropriately given the seasonal influenza vaccine	97.1%	97.9%	95.3%	Near state average
With pressure ulcers	6.6%	4.3%	4.5%	Worse than state
With new or worsened bowel or bladder incontinence	24.3%	9.8%	18.3%	Worse than state
Received an antipsychotic medication	5.6%	12.3%	15.4%	Better than state
Hospitalizations per 1000 long-stay resident days	3.84	2.21	1.81	Worse than state
Outpatient emergency department visits per 1000 long-stay resident days	2.27	1.50	1.69	Worse than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	100.0%	94.6%	82.3%	Near state average
Newly received an antipsychotic medication	1.5%	1.3%	1.5%	Worse than state
Were assessed and appropriately given the seasonal influenza vaccine	97.9%	93.1%	80.1%	Near state average
Were rehospitalized after a nursing home admission	29.3%	22.6%	23.4%	Worse than state
Had an outpatient emergency department visit	9.2%	11.1%	11.8%	Better than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0550 7 inspections. Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F-0684 6 inspections. Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F-0880 6 inspections. Provide and implement an infection prevention and control program.
F-0656 4 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F-0686 4 inspections. Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F-0689 4 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Verify & compare

Where to check, and what's nearby.

Who to contact in California

Licensing: California Department of Public Health, Center for Health Care Quality, Licensing and Certification
File a complaint: 844-538-8766 · Online
Long-Term Care Ombudsman: 800-231-4024. A free advocate for residents and families.
Adult Protective Services: 833-401-0832. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

San Dimas Community Hospital, about 1.0 miles. CMS rating 2 of 5.
Aurora Charter Oak, about 1.1 miles.
Emanate Health Inter-community Hospital, about 2.7 miles. CMS rating 1 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

El Descanso Retirement Home, Covina, about 0.4 miles. 12 state visits on record.
Maison De Fleurs, Covina, about 0.4 miles. 10 state visits on record.
St Matthew's Home for the Elderly Iv, Glendora, about 0.4 miles. 1 state visits on record.
St Matthew's Home for the Elderly V, Glendora, about 0.4 miles. 2 state visits on record.
St. Christopher and Jude Home for the E, Glendora, about 0.5 miles. 3 state visits on record.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

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Inspection citations — last 5 years

Locked

The 98 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered