nursing home in Bend, OR

Pilot Butte Rehabilitation Center

1876 NE Highway 20, Bend, OR 97701 · (541) 382-5531

★★★★★1
Much below average
CMS overall star rating
  • Health inspections★★★★★1
  • Staffing★★★★★4
  • Quality measures★★★★★3
  • Abuse citation

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Pilot Butte Rehabilitation Center at a glance

Pilot Butte Rehabilitation Center is a 74-bed for-profit nursing home in Bend, Oregon (Deschutes County).

CMS gives it 1 out of 5 stars on its overall star rating, worse than the Oregon average of 3.1.

Residents receive about 4.9 hours of nursing care per day (0.9 of them from registered nurses), close to the state average of 5 hours.

Its most recent standard health inspection (September 19, 2025) found 13 health citations. The Oregon average is 9.2.

Federal regulators fined it 1 time in the past three years, totaling $8,827.

Nursing staff turnover is 50.8% per year (state average 47.4%).

Facility details

Type
Nursing home
Ownership
For Profit - Corporation
Beds
74
Certified for
Medicare and Medicaid
Chain / affiliated entity
Regency Pacific Management
Medicare-certified since
May 1, 1978
Resident/family council
Resident
County
Deschutes County
CMS Certification Number
385138

Ratings

MeasureThis facilityOregon avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)1 / 53.1 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)1 / 52.8 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)4 / 53.9 / 52.9 / 5Better
Quality measures rating ⓘ (higher is better)3 / 53.5 / 53.6 / 5Worse
Long-stay quality rating (higher is better)2 / 53.4 / 53.8 / 5Worse
Short-stay (rehab) quality rating (higher is better)4 / 53.7 / 53.3 / 5Better

Staffing

This facility4.89 hrsOregon average5.03 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Oregon and U.S. averages
MeasureThis facilityOregon avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)4.89 hrs5.03 hrs3.86 hrsBetter
Registered nurse hours per resident per day (higher is better)0.94 hrs0.72 hrs0.69 hrsBetter
Nurse aide hours per resident per day (higher is better)3.09 hrs3.40 hrs2.32 hrsBetter
Weekend nurse staff hours per resident per day (higher is better)3.94 hrs4.51 hrs3.42 hrsBetter
Nursing staff turnover (yearly) (lower is better)50.8%47.4%45.8%Worse
Registered nurse turnover (yearly) (lower is better)27.3%51.6%42.9%Better
Administrators who left in the past year (lower is better)211Worse

Inspections

This facility13Oregon average9U.S. average9
Health citations in the most recent inspection: this facility vs. Oregon and U.S. averages
MeasureThis facilityOregon avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)1399Worse
Citations from complaint investigations (latest cycle) (lower is better)823Worse
Weighted health inspection score ⓘ (lower is better)102.871.880.6Worse

Penalties

This facility1Oregon average1U.S. average1
Fines in the past 3 years: this facility vs. Oregon and U.S. averages
MeasureThis facilityOregon avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)111Worse
Total fines in the past 3 years (lower is better)$8,827$27,522$30,972Better
All federal penalties in the past 3 years (lower is better)111Average

Size

MeasureThis facilityOregon avg.U.S. avg.vs. U.S.
Certified beds7483107
Average residents per day415886
Occupancy55.3%71.9%80.9%

Long-stay residents

This facility0%Oregon average2.4%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Oregon and U.S. averages
MeasureThis facilityOregon avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)0%2.4%3.2%Better
Long-stay residents with pressure ulcers (lower is better)8.5%5.8%4.6%Worse
Long-stay residents given antipsychotic medication (lower is better)9.8%13.9%15.4%Better
Long-stay residents with a urinary tract infection (lower is better)2.7%2%1.6%Worse
Long-stay residents with a catheter left in the bladder (lower is better)8%1.4%0.8%Worse
Long-stay residents needing more help with daily activities (lower is better)20.8%14.9%13.9%Worse
Long-stay residents whose walking worsened (lower is better)10.9%20.6%14.1%Better
Long-stay residents who lose too much weight (lower is better)4.1%4.7%5.2%Better
Long-stay residents with depressive symptoms (lower is better)7.4%4.9%12.8%Better
Long-stay residents who were physically restrained (lower is better)0%0.1%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)15.5%12.4%19.5%Better
Long-stay residents with new or worse incontinence (lower is better)17.2%21.8%19%Better
Long-stay residents given a flu vaccine (higher is better)68.8%95.2%95.5%Worse
Long-stay residents given a pneumonia vaccine (higher is better)99.1%95.2%93.6%Better

Short-stay residents

This facility1.9%Oregon average1.4%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Oregon and U.S. averages
MeasureThis facilityOregon avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)1.9%1.4%1.6%Worse
Short-stay residents given a flu vaccine (higher is better)76.6%81.2%79.8%Average
Short-stay residents given a pneumonia vaccine (higher is better)97%85.6%82%Better

Inspection citations

State inspectors cited this home for 50 health deficiencies and 18 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm, including 1 rated "immediate jeopardy".

DateCitationSeverityStatus
June 24, 2026
Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
E
Potential harm, pattern
Corrected July 14, 2026
June 24, 2026
Complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600
E
Potential harm, pattern
Corrected July 14, 2026
June 24, 2026
Complaint
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610
E
Potential harm, pattern
Corrected July 14, 2026
June 24, 2026
Complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights Deficiencies · Tag F0627
D
Potential harm, isolated
Corrected July 14, 2026
June 24, 2026
Complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602
D
Potential harm, isolated
Corrected January 18, 2026
September 19, 2025
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
F
Potential harm, widespread
Corrected October 1, 2025
September 19, 2025
Fire safety
Have proper medical gas storage and administration areas.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923
D
Potential harm, isolated
Corrected October 21, 2025
September 19, 2025
Fire safety
Have properly installed electrical wiring and gas equipment.
Services Deficiencies · Tag K0511
D
Potential harm, isolated
Corrected October 9, 2025
September 19, 2025
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
E
Potential harm, pattern
Corrected October 21, 2025
September 19, 2025
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected October 21, 2025
September 19, 2025
Complaint
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected October 21, 2025
September 19, 2025
Standard
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Tag F0552
D
Potential harm, isolated
Corrected October 21, 2025
September 19, 2025
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected October 21, 2025
September 19, 2025
Standard
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · Tag F0628
D
Potential harm, isolated
Corrected October 21, 2025
September 19, 2025
Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected October 21, 2025
September 19, 2025
Complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600
D
Potential harm, isolated
Corrected October 21, 2025
September 9, 2024
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
J
Immediate jeopardy, isolated
Corrected September 10, 2024
May 31, 2024
Fire safety
Address subsistence needs for staff and patients.
Emergency Preparedness Deficiencies · Tag E0015
F
Potential harm, widespread
Corrected July 19, 2024
May 31, 2024
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected July 19, 2024
May 31, 2024
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
F
Potential harm, widespread
Corrected July 19, 2024
May 31, 2024
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
F
Potential harm, widespread
Corrected July 19, 2024
May 31, 2024
Fire safety
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies · Tag K0712
F
Potential harm, widespread
Corrected July 19, 2024
May 31, 2024
Fire safety
Meet other general requirements.
Egress Deficiencies · Tag K0200
E
Potential harm, pattern
Corrected July 19, 2024
May 31, 2024
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
E
Potential harm, pattern
Corrected July 19, 2024
May 31, 2024
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
D
Potential harm, isolated
Corrected July 19, 2024
May 31, 2024
Fire safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies · Tag K0372
D
Potential harm, isolated
Corrected July 19, 2024
May 31, 2024
Standard
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.
Resident Rights Deficiencies · Tag F0584
E
Potential harm, pattern
Corrected July 20, 2024
May 31, 2024
Standard
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Tag F0804
E
Potential harm, pattern
Corrected July 20, 2024
May 31, 2024
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected July 20, 2024
May 31, 2024
Standard
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.
Nutrition and Dietary Deficiencies · Tag F0803
E
Potential harm, pattern
Corrected July 20, 2024
May 31, 2024
Standard
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Tag F0883
D
Potential harm, isolated
Corrected July 20, 2024
May 31, 2024
Standard
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Tag F0552
D
Potential harm, isolated
Corrected July 20, 2024
May 31, 2024
Standard
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · Tag F0561
D
Potential harm, isolated
Corrected July 20, 2024
May 31, 2024
Standard
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies · Tag F0578
D
Potential harm, isolated
Corrected July 20, 2024
May 31, 2024
Standard
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Tag F0582
D
Potential harm, isolated
Corrected July 20, 2024
May 31, 2024
Complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600
D
Potential harm, isolated
Corrected July 20, 2024
May 31, 2024
Standard
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Tag F0657
D
Potential harm, isolated
Corrected July 20, 2024
May 31, 2024
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected July 20, 2024
May 31, 2024
Standard
Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care Deficiencies · Tag F0685
D
Potential harm, isolated
Corrected July 20, 2024
May 31, 2024
Standard
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
D
Potential harm, isolated
Corrected July 20, 2024
May 31, 2024
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected July 20, 2024
May 31, 2024
Standard
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Quality of Life and Care Deficiencies · Tag F0745
D
Potential harm, isolated
Corrected July 20, 2024
May 31, 2024
Standard
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Tag F0698
D
Potential harm, isolated
Corrected July 20, 2024
May 31, 2024
Standard
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.
Pharmacy Service Deficiencies · Tag F0758
D
Potential harm, isolated
Corrected July 20, 2024
May 31, 2024
Standard
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Tag F0760
D
Potential harm, isolated
Corrected July 20, 2024
May 31, 2024
Standard
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · Tag F0806
D
Potential harm, isolated
Corrected July 20, 2024
April 17, 2024
Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected May 14, 2024
April 17, 2024
Complaint
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610
D
Potential harm, isolated
Corrected May 14, 2024
April 17, 2024
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected May 14, 2024
February 25, 2023
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
F
Potential harm, widespread
Corrected April 3, 2023
February 25, 2023
Fire safety
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies · Tag K0712
F
Potential harm, widespread
Corrected April 3, 2023
February 25, 2023
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
E
Potential harm, pattern
Corrected April 3, 2023
February 25, 2023
Fire safety
Install proper backup exit lighting.
Egress Deficiencies · Tag K0281
D
Potential harm, isolated
Corrected April 3, 2023
February 25, 2023
Fire safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Construction Deficiencies · Tag K0131
D
Potential harm, isolated
Corrected April 3, 2023
February 25, 2023
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
D
Potential harm, isolated
Corrected April 3, 2023
February 25, 2023
Standard
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
G
Actual harm, isolated
Corrected April 3, 2023
February 25, 2023
Standard
Perform COVID19 testing on residents and staff.
Infection Control Deficiencies · Tag F0886
F
Potential harm, widespread
Corrected April 3, 2023
February 25, 2023
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
F
Potential harm, widespread
Corrected April 3, 2023
February 25, 2023
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected April 3, 2023
February 25, 2023
Standard
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
F
Potential harm, widespread
Corrected April 3, 2023
February 25, 2023
Standard
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Tag F0921
E
Potential harm, pattern
Corrected April 3, 2023
February 25, 2023
Standard
Provide care by qualified persons according to each resident's written plan of care.
Resident Assessment and Care Planning Deficiencies · Tag F0659
D
Potential harm, isolated
Corrected April 3, 2023
February 25, 2023
Standard
Provide appropriate foot care.
Quality of Life and Care Deficiencies · Tag F0687
D
Potential harm, isolated
Corrected April 3, 2023
February 25, 2023
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected April 3, 2023
February 25, 2023
Standard
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
D
Potential harm, isolated
Corrected April 3, 2023
February 25, 2023
Standard
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.
Nursing and Physician Services Deficiencies · Tag F0726
D
Potential harm, isolated
Corrected April 3, 2023
February 25, 2023
Standard
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Tag F0657
D
Potential harm, isolated
Corrected April 3, 2023
February 25, 2023
Standard
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Tag F0580
D
Potential harm, isolated
Corrected April 3, 2023

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports 1 federal penalty in the past three years, including $8,827 in fines.

DatePenaltyAmount / length
September 9, 2024Fine$8,827

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
BD FACILITIES LLC
Organization
5% or greater direct ownership interest100%04/01/2010
BEDDOE, MARVIN
Individual
5% or greater indirect ownership interest99%04/01/2017
BD FACILITIES LLC
Organization
adp of the snfNOT APPLICABLE02/19/2026
BEDDOE, MARVIN
Individual
adp of the snfNOT APPLICABLE06/01/2016
BEDDOE, SANDRA
Individual
adp of the snfNOT APPLICABLE05/01/2017
JOHNSON, SARAH
Individual
adp of the snfNOT APPLICABLE09/05/2023
OMNICARE LLC
Organization
adp of the snfNOT APPLICABLE09/01/2013
RAPP, ANDREW
Individual
adp of the snfNOT APPLICABLE03/08/2016
REGENCY PACIFIC MANAGEMENT LLC
Organization
adp of the snfNOT APPLICABLE08/26/2025
SUAREZ, YOLANDA
Individual
adp of the snfNOT APPLICABLE02/01/2026
BEDDOE, SANDRA
Individual
indirect ownership interestNOT APPLICABLE05/01/2017
BEDDOE, MARVIN
Individual
individual is an owner, partner or trustee of any adp of the snfNOT APPLICABLE03/10/2026
BEDDOE, MARVIN
Individual
operational/managerial controlNOT APPLICABLE06/01/2016
JOHNSON, SARAH
Individual
operational/managerial controlNOT APPLICABLE09/05/2023
RAPP, ANDREW
Individual
operational/managerial controlNOT APPLICABLE03/08/2016
REGENCY PACIFIC MANAGEMENT LLC
Organization
operational/managerial controlNOT APPLICABLE01/01/2010
SUAREZ, YOLANDA
Individual
operational/managerial controlNOT APPLICABLE02/01/2026

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  4. Regency Prineville Rehabilitation and Nursing Cent

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Frequently asked questions

What is Pilot Butte Rehabilitation Center's rating?

Pilot Butte Rehabilitation Center has 1 out of 5 stars on the CMS overall star rating. The average for Oregon nursing homes is 3.1 stars.

How many inspection citations did Pilot Butte Rehabilitation Center receive?

Its most recent standard health inspection found 13 citations, compared with a Oregon average of 9.2. Every citation is listed on this page with its severity.

Does Pilot Butte Rehabilitation Center accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Pilot Butte Rehabilitation Center?

It is for profit - corporation and part of Regency Pacific Management. The ownership section on this page lists the owners and managers reported to CMS.

Where is Pilot Butte Rehabilitation Center and how do I contact it?

Pilot Butte Rehabilitation Center is at 1876 NE Highway 20, Bend, OR 97701. Phone: (541) 382-5531.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.