Special Focus Facility (“SFF”) Program

Special Focus Facility ("SFF") Program

This webpage offers a list of nursing homes that have a history of serious quality issues or are included in a special program to stimulate improvements in their quality of care. Please take a minute to review this background information on our "Special Focus Facility" program. The background here will help you be as informed as possible when you discuss your long term care options with any nursing home that is listed here ? and what they are doing to improve their quality of care.

Background The Centers for Medicare & Medicaid Services (CMS) and state agencies inspect nursing homes on a regular basis to determine if they are providing the quality of care that Medicare and Medicaid requires in order to protect and improve residents' health and safety. When nursing homes do not meet CMS' health care or fire safety standards, these instances are cited as deficiencies, and we require that the problems be corrected.

Most nursing homes have some deficiencies, with the average being 6-7 deficiencies per inspection. However, we have found that a minority of nursing homes have:

? More problems than other nursing homes (about twice the average number of deficiencies), ? More serious problems than most other nursing homes (including harm or injury experienced

by residents), and ? A pattern of serious problems that has persisted over a long period of time (as measured over

the three years before the date the nursing home was first put on the SFF list).

Although such nursing homes may periodically institute enough improvements to correct problems identified on one inspection, significant problems would often re-surface by the time of the next inspection. Such facilities with a "yo-yo" or "in and out" compliance history rarely address underlying systemic problems that give rise to repeated cycles of serious deficiencies, which pose risks to residents' health and safety. To address this problem CMS created the "Special Focus Facility" (SFF) program.

How the Special Focus Facility (SFF) Program Works The methodology for identifying facilities for the SFF program is based on the same methodology used in the health inspection domain of the Five-Star Quality Rating System. Results from over three cycles (approximately three years) of inspections are converted into points based on the number of deficiencies cited and the scope and severity level of those citations. The more deficiencies that are cited, and the more cited at higher levels of scope and severity, the more points are assigned. More information about this methodology can be found at .

The facilities with the most points in a state then become candidates for the SFF program. The number of nursing homes on the candidate list is based on five candidates for each SFF slot, with a minimum candidate pool of five nursing homes and a maximum of 30 per State. State agencies use

this list to select nursing homes to fill the SFF slot(s) in their state. See list of candidates in Table F below.

Once a state selects a facility as an SFF, the State Survey Agency, on CMS's behalf, conducts a full, onsite inspection of all Medicare health and safety requirements every six months and recommends progressive enforcement (e.g., fines, denial of Medicare payment) until the nursing home either (1) graduates from the SFF program; or (2) is terminated from the Medicare and/or Medicaid program(s).

Once an SFF graduates or is terminated, each State then selects a new SFF from a monthly list of candidates. CMS also informs candidate nursing homes of their inclusion on the SFF candidate list in the monthly preview of the Five-Star Quality Rating System.

How Can You Use This Information If you are considering admission to a nursing home included on this list you may want to:

? Visit the Nursing Home Compare website to view information about the nursing home's star ratings, staffing, quality measures, and inspection results (see ).

? Visit the nursing home. Talk to staff, residents, physicians, and other families. Ask the nursing home staff what they are doing to improve the quality of care for residents in the nursing home.

? Call the State survey agency (agency contact information is posted on Nursing Home Compare) to find out more about the nursing home.

? If the nursing home is an SFF, look at the length of time that a nursing home has been on the SFF list. This is particularly important if the nursing home has been an SFF nursing home for more than 18-24 months, since such nursing homes are closer to either graduating (due to improvements) or ending their participation in Medicare and Medicaid.

? Call your local State Ombudsman, Administration on Aging, and local groups to find out more about the nursing home.

If you currently reside in a SFF nursing home, please know that this home is being closely monitored (it is inspected twice as often as other nursing homes). You may also direct any questions you have to the contacts above. The good news is that most of the nursing homes in the SFF program significantly improve their quality of care within 18-24 months after being selected, while about 10% tend to be terminated from Medicare and Medicaid.

How to Interpret the Tables Below we list nursing homes in six (6) different categories:

A. Table A ? New Additions: Nursing homes newly added to the SFF (which have not yet had a standard inspection since being added to the list).

B. Table B ? Not Improved: Nursing homes that have failed to show significant improvement despite being given the opportunity to show improvement in at least one inspection after being named as a SFF nursing home.

C. Table C ? Improving: Nursing homes that have shown significant improvement, as indicated by the most recent inspection, and CMS is waiting to see if the improvement continues over time. If the improvement continues for about 12 months (through two standard inspections), these nursing homes will graduate from the SFF program. "Significant improvement" means that the most recent standard inspection (and any complaint investigations) found no deficiencies in which there was actual harm to any resident, and no deficiency in which there was widespread systemic potential for harm (i.e. no deficiency at or above an "F" level).

D. Table D ? Recently Graduated: These nursing homes not only improved, but they sustained significant improvement for about 12 months (through two standard inspections). CMS lists their names as "graduates" for a few months after they graduate so that anyone who has been tracking their progress will be informed. "Graduation" does not mean that there may not be problems in quality of care, but does generally indicate an upward trend in quality improvement compared to the nursing home's prior history of care.

E. Table E ? No Longer in Medicare and Medicaid: These are nursing homes that were either terminated by CMS from participation in Medicare and Medicaid within the past few months, or voluntarily chose not to continue such participation. In most cases the nursing homes will have closed, although some nursing homes that leave Medicare later seek to show better quality and re-enter the Medicare program after demonstrating their ability to comply with all Federal health and safety requirements.

F. Table F ? SFF Candidate list: These are nursing homes that qualify to be selected as an SFF. The number of nursing homes on the candidate list is based on five candidates for each SFF slot, with a minimum candidate pool of five nursing homes and a maximum of 30 per State.

Important Note about Information Delays

The State survey agencies are responsible for entering survey information into CMS' databases and providing updates as needed. Every attempt is made to assure the accuracy and timeliness of the information on the list. However, data lags of up to several months can occur between completion of an inspection and posting of data on this list. We advise interpreting this information cautiously and supplementing it with information from the ombudsman's office, the State survey agency, or other sources.

Facility Name Qhc Fort Dodge Villa , Llc University Rehab Transcendent Healthcare Of Boonville Infinity Park Post-Acute And Rehabilitation Center Riverside Nursing & Rehabilitation Center, Llc Minot Health And Rehab, Llc Hamilton Grove Healthcare And Rehabilitation, Llc Premier Cadbury Of Cherry Hill Polaris Rehabilitation And Care Center

Table A: Facilities Newly Added to the SFF Program

Address 2721 10th Avenue North 500 South Art Bartell Road 725 S Second St 6515 W 103rd Street 4700 Nw Cliffview Drive 600 S Main St 2300 Hamilton Ave 2150 Route 38 2700 E 12th Street

City Fort Dodge Urbana Boonville Overland Park Riverside Minot Hamilton Cherry Hill Cheyenne

State IA IL IN KS MO ND NJ NJ WY

Zip 50501 61802 47601 66212 64150 58701 08619 08002 82001

Phone Number

515-576-7525 217-384-3784 812-897-1375 913-642-5545 816-741-5105 701-852-1255 609-588-5800 856-667-4550 307-634-7986

Months as an SFF

1 4 4 4 3 4 6 6 0

Updated October 27, 2021

1

Facility Name Ahava Healthcare Of Alabaster Barrow Creek Health And Rehab The Waters Of Woodland Hills, Llc Golden Legacy Care Center Kingston Healthcare Center, Llc Terracina Post Acute Willows Center Apple Rehab Rocky Hill Windsor Care And Rehab Pioneer Health Of Central Georgia The Care Center Of Honolulu Qhc Winterset North, Llc Simmons Loving Care Health Facility The Willows At Springhurst Attleboro Healthcare Oxford Rehabilitation & Health Care Center, The Heritage Harbour Health And Rehabilitation Center The Villages Of Lapeer Nursing & Rehabilitation Victory Health & Rehabilitation Center Oakwood Estates Nursing & Rehab St Johns Place Pleasant Hills Community Living Center Premier Estates Of Kenesaw, Llc Princeton Place Sierra Ridge Health And Wellness Suites Creekview Nursing And Rehab Center Crystal Care Center Of Franklin Furnace Brighton Rehabilitation And Wellness Center Squirrel Hill Wellness And Rehabilitation Center Good Samaritan Society Sioux Falls Center Bailey Park Clc The Waters Of Robertson, Llc Focused Care At Allenbrook Arcadia Healthcare - University Place Allis Care Center Pine View Care Center

Table B: Facilities That Have Not Improved

Address 850 9th Street, Northwest 2600 Barrow Road 8701 Riley Drive 12260 Foothill Blvd 329 Real Road 1618 Laurel Avenue 320 North Crawford Street 45 Elm Street 501 S Palm Ave 712 Patterson Street 1900 Bachelot Street 411 East Lane Street 700 E 21st Ave 3001 N. Hurstbourne Parkway 27 George Street 689 Main Street 2700 South Haven Road 239 S Main St 512 49th Avenue North 5303 Bermuda Drive 3333 Brown Road 1600 Raymond Rd 100 West Elm Avenue 500 Louisiana Boulevard Ne 6225 Sharlands Avenue 525 Beahan Road 4734 Gallia Pike 246 Friendship Circle 2025 Wightman Street 401 West Second Street 2400 Mitchell Street 104 Watson Road 4109 Allenbrook Dr 5520 Bridgeport Way West 9047 W Greenfield Ave 400 County Rd R

City Alabaster Little Rock Little Rock Sylmar Bakersfield Redlands Willows Rocky Hill Palatka Byromville Honolulu Winterset Gary Louisville Attleboro Haverhill Annapolis Lapeer Minneapolis Normandy Saint Louis Jackson Kenesaw Albuquerque Reno Rochester Franklin Furnace Beaver Pittsburgh Sioux Falls Humboldt Springfield Baytown University Place West Allis Black River Falls

State AL AR AR CA CA CA CA CT FL GA HI IA IN KY MA MA MD MI MN MO MO MS NE NM NV NY OH PA PA SD TN TN TX WA WI WI

Zip 35007 72204 72205 91342 93309 92373 95988 06067 32177 31007 96817 50273 46407 40241 02703 01830 21401 48446 55430 63121 63114 39204 68956 87108 89523 14624 45629 15009 15217 57104 38343 37172 77521 98467 53214 54615

Phone Number

Most Recent Inspection

205-663-3859 07/16/2021 501-224-4173 08/13/2021 501-224-2700 04/30/2021 818-899-9545 07/08/2021 661-327-7107 04/26/2021 909-792-6050 04/26/2021 530-934-2834 04/21/2021 860-529-8661 04/15/2021 386-328-1472 04/08/2021 478-433-5711 05/05/2021 808-531-5302 03/15/2021 515-462-1571 04/08/2021 219-882-2563 04/27/2021 502-426-5531 09/03/2021 508-226-1650 09/01/2021 978-373-1131 08/27/2021 410-897-1300 06/23/2021 810-664-6611 08/04/2021 612-529-7747 08/06/2021 314-385-0910 08/04/2021 314-426-2211 07/28/2021 601-371-1700 07/09/2021 402-752-3212 08/24/2021 505-255-1717 07/15/2021 410-773-1000 04/09/2021 585-247-7880 04/14/2021 740-354-9151 05/13/2021 724-775-7100 09/30/2021 412-421-8443 09/23/2021 605-336-6252 06/23/2021 731-784-5183 04/26/2021 615-384-9565 04/28/2021 281-422-3546 04/13/2021 253-566-7166 05/12/2021 414-453-9290 06/21/2021 715-284-5396 07/15/2021

Months as an SFF

34 7 7 48 37 28 33 8 13 33 18 10 28 16 13 23 10 11 19 4 36 5 9 6 25 7 21 13 3 6 28 22 19 12 4 20

Updated October 27, 2021

2

Facility Name Estrella Center La Mariposa Care And Rehabilitation Center The Hills Post Acute Sundance Skilled Nursing And Rehabilitation Manorcare Health Services - Pike Creek Oak Haven Rehab And Nursing Center University East Rehabilitation Center River Brook Healthcare Center Clearwater Health & Rehabilitation Of Cascadia Aperion Care Capitol Elevate Care Waukegan Generations At Rock Island Valley View Healthcare Center Life Care Center Of Osawatomie White Oak Post Acute Care Marshwood Center Mission Point Nursing And Rehab Ctr Of Belding Moorhead Rehabilitation & Healthcare Center Crest Nursing Home Accordius Health At Clemmons The Citadel Salisbury Greenbriar Healthcare Pontiac Nursing Home The Villages Of Orleans Health And Rehab Center Crystal Care Of Coal Grove Dixon Healthcare Center Scioto Pointe White Oak Manor Sienna Extended Care & Rehab Thunder Care And Rehabilitation Prestige Post-Acute & Rehab Center - Mcminnville Grove At North Huntingdon, The Laurelwood Care Center Kingston Center For Rehabilitation And Health Care Brenham Nursing And Rehabilitation Center Heritage House Health Care Centre Kennedy Health & Rehab Marshall Manor Nursing & Rehabilitation Center The Medical Resort At Woodlands Millcreek Rehabilitation And Nursing, Llc Envoy Of Williamsburg, Llc Pines Rehab & Health Ctr Trinity Health Care Of Logan

Table C: Facilities That Have Shown Improvement

Address 350 East La Canada 1244 Travis Blvd 1800 Old Tustin Road 2612 W Cucharras St 5651 Limestone Road 919 Old Winter Haven Rd 991 E New York Ave 390 Sweat Street 1204 Shriver Road 555 West Carpenter 2222 West 14th Street 2545 24th Street 333 W Mishawaka Rd 1615 Parker Avenue 2828 Westfork 33 Roger Street 414 E State St 2810 Second Avenue North 3131 Amherst Ave 3905 Clemmons Road 710 Julian Road 55 Harris Road 303 East River Road 14012 Route 31 813 1/2 Marion Pike 135 Reichart Avenue 740 Canonby Place 1926 Ridge Avenue 9221 Harmony Drive 2120 North Broadway 421 Se Evans Street 249 Maus Drive 100 Woodmont Road 415 Gardner Road 400 E Sayles St 1026 E Goode St 504 N John Redditt Dr 1007 S Washington Ave 24854 Cathedral Lakes Pkwy 3520 South Highland Drive 1235 Mt Vernon Avenue 601 Red Village Road 1000 West Park Avenue

City

State

Avondale

AZ

Fairfield

CA

Santa Ana

CA

Colorado Springs CO

Wilmington

DE

Auburndale

FL

Deland

FL

Homerville

GA

Orofino

ID

Springfield

IL

Waukegan

IL

Rock Island

IL

Elkhart

IN

Osawatomie

KS

Baton Rouge

LA

Lewiston

ME

Belding

MI

Moorhead

MN

Butte

MT

Clemmons

NC

Salisbury

NC

Nashua

NH

Oswego

NY

Albion

NY

Coal Grove

OH

Wintersville

OH

Columbus

OH

Warren

OH

Midwest City

OK

Moore

OK

Mcminnville

OR

North Huntingdon PA

Johnstown

PA

West Kingston RI

Brenham

TX

Quitman

TX

Lufkin

TX

Marshall

TX

Spring

TX

Salt Lake City

UT

Williamsburg

VA

Lyndonville

VT

Logan

WV

Zip 85323 94533 92705 80904 19808 33823 32724 31634 83544 62702 60085 61201 46517 66064 70816 04240 48809 56560 59701 27012 28147 03062 13126 14411 45638 43953 43223 44484 73130 73160 97128 15642 15905 02892 77833 75783 75904 75670 77386 84106 23185 05851 25601

Phone Number

Most Recent Inspection

623-932-2282 04/12/2021 707-422-7750 06/15/2021 714-835-4900 04/13/2021 719-632-7474 03/04/2021 302-239-8583 06/23/2021 863-967-4125 09/23/2021 386-734-9083 08/27/2021 912-487-5328 04/22/2021 208-476-4568 06/14/2021 217-525-1880 04/16/2021 847-249-2400 05/05/2021 309-788-0458 09/23/2021 574-293-1550 05/07/2021 913-755-4165 08/26/2021 225-291-7049 07/16/2021 207-784-0108 04/29/2021 616-794-0460 03/18/2021 218-233-7578 06/16/2021 406-494-7035 09/16/2021 336-766-9158 08/23/2021 704-636-5812 09/02/2021 603-888-1573 07/30/2021 315-343-1800 04/22/2021 585-589-5637 04/26/2021 740-532-0449 06/22/2021 740-264-1155 04/22/2021 614-224-5738 04/15/2021 330-369-4672 06/10/2021 405-869-0700 04/14/2021 405-794-2428 04/12/2021 503-472-3141 09/15/2021 724-863-4374 08/26/2021 814-255-1488 09/02/2021 401-295-8520 03/04/2021 979-836-9770 08/12/2021 903-763-2284 04/14/2021 936-632-3331 07/13/2021 903-935-7971 07/07/2021 346-831-0656 08/18/2021 801-484-7638 09/30/2021 757-229-4121 09/17/2021 802-626-4304 04/21/2021 304-752-8723 09/01/2021

Months as an SFF

19 63 8 11 5 27 7 31 20 32 12 16 23 9 9 23 22 25 52 18 14 27 7 7 27 21 28 21 20 25 48 12 3 28 4 29 31 4 4 19 3 40 41

Updated October 27, 2021

3

Table D: Facilities That Have Recently Graduated from the SFF Program

Facility Name Brandywine Nursing & Rehabilitation Center Touchstone Healthcare Community Aperion Care Bradley Signature Healthcare Of Lafayette Overland Park Rehabilitation And Healthcare Green Park Senior Living Community Western Horizons Care Center Pleasant Acres Rehabilitation And Nursing Center Willow Terrace Magnolia Manor - Columbia Colonial Manor Care Center River City Care Center Windcrest Nursing And Rehabilitation Bay At Colonial Manor Health And Rehab (The) Shepherd Of The Valley Rehabilition And Wellness

Address 505 Greenbank Road 1800 Indian Hills Drive 650 North Kinzie 300 Windy Hill Dr 5211 W 103rd Street 9350 Green Park Road 1104 Hwy 12 118 Pleasant Acres Rd,rd7 One Penn Boulevard 1007 N King St 821 Us Hwy 81 W 921 Nolan St 8800 Fourwinds Dr 1010 E Wausau Ave 60 Magnolia

City Wilmington Sioux City Bradley Lafayette Overland Park Saint Louis Hettinger York Philadelphia Columbia New Braunfels San Antonio San Antonio Wausau Casper

State DE IA IL IN KS MO ND PA PA SC TX TX TX WI WY

Zip 19808 51104 60915 47905 66207 63123 58639 17402 19144 29223 78130 78202 78239 54403 82604

Phone Number

Most Recent Inspection

302-998-0101 05/06/2021 712-239-4582 07/22/2021 815-933-1666 04/29/2021 765-477-7791 05/14/2021 913-383-2569 08/17/2020 314-845-0900 03/11/2021 701-567-2401 03/17/2021 717-840-7100 05/05/2021 215-951-8500 04/28/2021 803-699-4111 07/27/2021 830-625-7526 10/16/2020 210-226-6397 10/07/2020 210-637-2700 04/09/2021 715-842-2028 05/12/2021 307-234-9381 07/29/2021

Months as an SFF

19 47 21 24 28 28 23 8 19 13 19 16 15 18 23

Updated October 27, 2021

4

Facility Name Grand Pavilion At The Plaza

Table E: Facilities No Longer Participating in the Medicare and Medicaid Program

Phone

Most Recent

Address

City

State Zip

Number

Inspection

4330 Washington

Kansas City

MO 64111 816-753-6800 05/12/2021

Months as an SFF 4

Updated October 27, 2021

5

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