nursing home in Texarkana, TX

Avir at Citizens Trail

1008 Citizens Trail, Texarkana, TX 75501 · (903) 838-9526

★★★★★1
Much below average
CMS overall star rating
  • Health inspections★★★★★1
  • Staffing★★★★★2
  • Quality measures★★★★★2

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

Avir at Citizens Trail at a glance

Avir at Citizens Trail is a 114-bed for-profit nursing home in Texarkana, Texas (Bowie County).

CMS gives it 1 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.

Residents receive about 3.5 hours of nursing care per day (0.5 of them from registered nurses), close to the state average of 3.4 hours.

Its most recent standard health inspection (November 20, 2025) found 26 health citations. The Texas average is 9.4.

Federal regulators fined it 2 times in the past three years, totaling $120,751.

Nursing staff turnover is 66.7% per year (state average 55.3%).

Facility details

Type
Nursing home
Ownership
For Profit - Limited Liability Company
Beds
114
Certified for
Medicare and Medicaid
Chain / affiliated entity
Avir Health Group
Medicare-certified since
April 3, 2003
Resident/family council
Resident
County
Bowie County
CMS Certification Number
675958

Ratings

MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)1 / 52.7 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)1 / 52.8 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)2 / 51.9 / 52.9 / 5Worse
Quality measures rating ⓘ (higher is better)2 / 53.7 / 53.6 / 5Worse
Long-stay quality rating (higher is better)3 / 54 / 53.8 / 5Worse
Short-stay (rehab) quality rating (higher is better)1 / 53.2 / 53.3 / 5Worse

Staffing

This facility3.53 hrsTexas average3.39 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.53 hrs3.39 hrs3.86 hrsWorse
Registered nurse hours per resident per day (higher is better)0.48 hrs0.43 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)1.91 hrs2.01 hrs2.32 hrsWorse
Weekend nurse staff hours per resident per day (higher is better)3.05 hrs2.98 hrs3.42 hrsWorse
Nursing staff turnover (yearly) (lower is better)66.7%55.3%45.8%Worse
Registered nurse turnover (yearly) (lower is better)71.4%54.6%42.9%Worse
Administrators who left in the past year (lower is better)011Better

Inspections

This facility26Texas average9U.S. average9
Health citations in the most recent inspection: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)2699Worse
Citations from complaint investigations (latest cycle) (lower is better)043Better
Weighted health inspection score ⓘ (lower is better)237.810280.6Worse

Penalties

This facility2Texas average1U.S. average1
Fines in the past 3 years: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)211Worse
Total fines in the past 3 years (lower is better)$120,751$44,141$30,972Worse
All federal penalties in the past 3 years (lower is better)221Worse

Size

MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Certified beds114113107
Average residents per day527686
Occupancy45.7%67.6%80.9%

Long-stay residents

This facility6.7%Texas average3.3%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)6.7%3.3%3.2%Worse
Long-stay residents with pressure ulcers (lower is better)5.1%3.8%4.6%Worse
Long-stay residents given antipsychotic medication (lower is better)12.4%9.6%15.4%Better
Long-stay residents with a urinary tract infection (lower is better)0.5%0.8%1.6%Better
Long-stay residents with a catheter left in the bladder (lower is better)0%0.3%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)13.8%15.8%13.9%Average
Long-stay residents whose walking worsened (lower is better)10.6%14%14.1%Better
Long-stay residents who lose too much weight (lower is better)4.9%3%5.2%Better
Long-stay residents with depressive symptoms (lower is better)0%2.4%12.8%Better
Long-stay residents who were physically restrained (lower is better)0%0%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)20.8%18%19.5%Worse
Long-stay residents with new or worse incontinence (lower is better)19%13.4%19%Average
Long-stay residents given a flu vaccine (higher is better)100%98%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)100%96.6%93.6%Better

Short-stay residents

This facility7.1%Texas average1.5%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)7.1%1.5%1.6%Worse
Short-stay residents given a flu vaccine (higher is better)97.7%88%79.8%Better
Short-stay residents given a pneumonia vaccine (higher is better)98.7%88.9%82%Better

Inspection citations

State inspectors cited this home for 52 health deficiencies and 9 fire safety deficiencies in the inspection records CMS currently publishes. 7 citations involved actual harm, including 6 rated "immediate jeopardy".

DateCitationSeverityStatus
November 20, 2025
Fire safety
Have properly installed electrical wiring and gas equipment.
Services Deficiencies · Tag K0511
D
Potential harm, isolated
Corrected November 21, 2025
November 20, 2025
Fire safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies · Tag K0521
C
No harm, widespread
No revisit needed
November 20, 2025
Standard
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · Tag F0881
F
Potential harm, widespread
Corrected November 21, 2025
November 20, 2025
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
F
Potential harm, widespread
Corrected November 21, 2025
November 20, 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
F
Potential harm, widespread
Corrected November 21, 2025
November 20, 2025
Standard
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
E
Potential harm, pattern
Corrected November 21, 2025
November 20, 2025
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
E
Potential harm, pattern
Corrected November 21, 2025
November 20, 2025
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 November 21, 2025
November 20, 2025
Standard
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.
Pharmacy Service Deficiencies · Tag F0761
E
Potential harm, pattern
Corrected November 21, 2025
November 20, 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 November 21, 2025
November 20, 2025
Standard
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Tag F0698
E
Potential harm, pattern
Corrected November 21, 2025
November 20, 2025
Standard
Have policies on smoking.
Environmental Deficiencies · Tag F0926
D
Potential harm, isolated
Corrected November 21, 2025
November 20, 2025
Standard
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Tag F0558
D
Potential harm, isolated
Corrected November 21, 2025
November 20, 2025
Standard
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected November 21, 2025
November 20, 2025
Standard
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary Deficiencies · Tag F0813
D
Potential harm, isolated
Corrected November 21, 2025
November 20, 2025
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 November 21, 2025
November 20, 2025
Standard
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Tag F0760
D
Potential harm, isolated
Corrected November 21, 2025
November 20, 2025
Standard
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected November 21, 2025
November 20, 2025
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 November 21, 2025
November 20, 2025
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 November 21, 2025
November 20, 2025
Standard
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
D
Potential harm, isolated
Corrected November 21, 2025
November 20, 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 November 21, 2025
November 20, 2025
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
D
Potential harm, isolated
Corrected November 21, 2025
November 20, 2025
Standard
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Tag F0697
D
Potential harm, isolated
Corrected November 21, 2025
November 20, 2025
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
D
Potential harm, isolated
Corrected November 21, 2025
November 20, 2025
Standard
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.
Quality of Life and Care Deficiencies · Tag F0693
D
Potential harm, isolated
Corrected November 21, 2025
November 20, 2025
Standard
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Tag F0692
D
Potential harm, isolated
Corrected November 21, 2025
November 20, 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 November 21, 2025
August 21, 2024
Fire safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies · Tag K0372
F
Potential harm, widespread
Corrected September 6, 2024
August 21, 2024
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected September 27, 2024
August 21, 2024
Fire safety
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0929
E
Potential harm, pattern
Corrected September 4, 2024
August 21, 2024
Fire safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies · Tag K0521
C
No harm, widespread
Waiver has been granted
August 21, 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 August 22, 2024
August 21, 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
D
Potential harm, isolated
Corrected August 22, 2024
August 21, 2024
Standard
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Tag F0655
D
Potential harm, isolated
Corrected August 22, 2024
August 21, 2024
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 August 22, 2024
August 21, 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 August 22, 2024
July 17, 2024
Complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607
J
Immediate jeopardy, isolated
Corrected October 8, 2023
July 17, 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
J
Immediate jeopardy, isolated
Corrected October 8, 2023
February 24, 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
K
Immediate jeopardy, pattern
Corrected March 13, 2024
February 24, 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
K
Immediate jeopardy, pattern
Corrected March 13, 2024
February 24, 2024
Complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607
K
Immediate jeopardy, pattern
Corrected March 13, 2024
February 24, 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
G
Actual harm, isolated
Corrected March 13, 2024
February 24, 2024
Complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected March 13, 2024
July 12, 2023
Fire safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies · Tag K0222
F
Potential harm, widespread
Corrected August 14, 2023
July 12, 2023
Fire safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies · Tag K0372
F
Potential harm, widespread
Corrected August 16, 2023
July 12, 2023
Fire safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies · Tag K0521
C
No harm, widespread
Waiver has been granted
July 12, 2023
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
J
Immediate jeopardy, isolated
Corrected August 9, 2023
July 12, 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 August 9, 2023
July 12, 2023
Standard
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Tag F0725
F
Potential harm, widespread
Corrected August 9, 2023
July 12, 2023
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
E
Potential harm, pattern
Corrected August 9, 2023
July 12, 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
E
Potential harm, pattern
Corrected August 9, 2023
July 12, 2023
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 August 9, 2023
July 12, 2023
Standard
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Tag F0558
E
Potential harm, pattern
Corrected August 9, 2023
July 12, 2023
Standard
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
E
Potential harm, pattern
Corrected August 9, 2023
July 12, 2023
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected August 9, 2023
July 12, 2023
Standard
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Tag F0697
D
Potential harm, isolated
Corrected August 9, 2023
July 12, 2023
Standard
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Tag F0692
D
Potential harm, isolated
Corrected August 9, 2023
July 12, 2023
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 August 9, 2023
July 12, 2023
Standard
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Tag F0679
D
Potential harm, isolated
Corrected August 9, 2023
July 12, 2023
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
D
Potential harm, isolated
Corrected August 9, 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 2 federal penalties in the past three years, including $120,751 in fines.

DatePenaltyAmount / length
July 17, 2024Fine$16,055
February 24, 2024Fine$104,696

Owners and managers

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

NameRoleShareSince
FANNIN COUNTY HOSPITAL AUTHORITY
Organization
5% or greater direct ownership interest100%06/01/2024
1008 CITIZENS TRAIL PROPERTY OWNER LLC
Organization
adp of the snfNOT APPLICABLE08/01/2025
BRADFORD, JEFFREY
Individual
adp of the snfNOT APPLICABLE06/01/2024
FERGUSON, CLAY
Individual
adp of the snfNOT APPLICABLE06/01/2024
JOHNSON, JUSTIN
Individual
adp of the snfNOT APPLICABLE06/01/2024
SLIMMER, CHRISTOPHER
Individual
adp of the snfNOT APPLICABLE06/01/2024
WELLTOWER NNN GROUP, LLC
Organization
adp of the snfNOT APPLICABLE08/01/2025
WELLTOWER OP, LLC
Organization
adp of the snfNOT APPLICABLE08/01/2025
HOLT, ERIN
Individual
corporate directorNOT APPLICABLE02/25/2020
KEETON, WENDY
Individual
corporate directorNOT APPLICABLE10/29/2012
KISSLING, MONICA
Individual
corporate directorNOT APPLICABLE06/27/2017
MCBEAN, PATRICIA
Individual
corporate directorNOT APPLICABLE08/30/2021
OWENS, ANGELA
Individual
corporate directorNOT APPLICABLE06/22/2016
TROMPLER, KELLY
Individual
corporate directorNOT APPLICABLE02/22/2022
SANDERSON, CLARK
Individual
corporate officerNOT APPLICABLE10/29/2012
1008 CITIZENS TRAIL OPCO, LLC
Organization
operational/managerial controlNOT APPLICABLE08/01/2025
BRADFORD, JEFFREY
Individual
operational/managerial controlNOT APPLICABLE06/01/2024
FANNIN COUNTY HOSPITAL AUTHORITY
Organization
operational/managerial controlNOT APPLICABLE06/01/2024
FERGUSON, CLAY
Individual
operational/managerial controlNOT APPLICABLE06/01/2024
JOHNSON, JUSTIN
Individual
operational/managerial controlNOT APPLICABLE06/01/2024
SLIMMER, CHRISTOPHER
Individual
operational/managerial controlNOT APPLICABLE06/01/2024

Other nursing homes near Avir at Citizens Trail

  1. Avir at Cowhorn Creek

    5524 Cowhorn Creek, Texarkana, TX 75503 · 3 mi

    Government · 76 beds · Part of Avir Health Group

    ★★★★★1Much below average
  2. The Villa at Texarkana

    4920 Elizabeth St, Texarkana, TX 75503 · 3.1 mi

    For-profit · 106 beds · Part of Caring Healthcare Group

    ★★★★★3Average
  3. Cornerstone Retirement Community

    4100 Moores Lane, Texarkana, TX 75503 · 3.1 mi

    Non-profit · 40 beds · Part of Methodist Retirement Communities

    ★★★★★4Above average
  4. Avir at Sweetwater

    4925 Elizabeth St., Texarkana, TX 75503 · 3.2 mi

    For-profit · 79 beds · Part of Avir Health Group

    ★★★★★3Average
  5. Avir at Texarkana

    4925 Elizabeth St, Texarkana, TX 75503 · 3.2 mi

    For-profit · 110 beds · Part of Avir Health Group

    • Abuse citation
    • New owner (last 12 months)
    ★★★★★1Much below average
  6. Reunion Plaza Senior Care and Rehabilitation Cente

    1401 Hampton Rd, Texarkana, TX 75503 · 3.2 mi

    For-profit · 129 beds · Part of Stonegate Senior Living

    ★★★★★1Much below average

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Frequently asked questions

What is Avir at Citizens Trail's rating?

Avir at Citizens Trail has 1 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.

How many inspection citations did Avir at Citizens Trail receive?

Its most recent standard health inspection found 26 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.

Does Avir at Citizens Trail 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 Avir at Citizens Trail?

It is for profit - limited liability company and part of Avir Health Group. The ownership section on this page lists the owners and managers reported to CMS.

Where is Avir at Citizens Trail and how do I contact it?

Avir at Citizens Trail is at 1008 Citizens Trail, Texarkana, TX 75501. Phone: (903) 838-9526.

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.