Homes where the federal record contains at least one of the following: a CMS abuse icon, Special Focus
Facility status or candidacy, or a citation scored at actual harm or immediate jeopardy. Ordered with
Special Focus homes first.
Read this as a prompt, not a verdict. A citation can be years old and the management
responsible may have gone. It means you ask what happened and what changed, and you get a specific answer
before you sign anything.
Munster Med-Inn is county-run and large, 225 certified beds, but its current record is one of the heaviest in the CMS system. Inspectors have cited 57 deficiencies, five of them at a level where residents were actually harmed or put in immediate jeopardy, and three tied to abuse. That combination is why CMS has placed the home in its Special Focus Facility program, the agency's watchlist for the country's most persistently troubled nursing homes. Nurse staffing runs about 11% below the national average, and weekends drop roughly 18% below the home's own weekday levels, meaning coverage thins exactly when families tend to visit. The most recent inspection, in January 2026, is recent enough that this isn't a stale picture.
Brownsburg Health Care Center runs 160 beds under corporate ownership, and the staffing numbers are where the trouble starts. At 3.55 nurse hours per resident day, it sits about 8% under the national average, weekend coverage drops roughly 11% below its own weekday level, and nearly 60% of staff turned over in a year against a national rate near 46%. Inspectors have cited 44 deficiencies, including one at the harm level and four tied to abuse, with a $31,540 fine on record. CMS has placed the home in its Special Focus Facility program, and its last inspection was January 13, 2026. Families should ask directly how the home is fixing staffing and oversight.
Waters Of Covington carries 119 certified beds under for-profit LLC ownership, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.40 hours per resident day, roughly 12% under the national average, weekends drop about 7% below its own weekday levels, and annual turnover runs 48.6% against a national 45.8%. Its current record holds 38 deficiencies, four at harm or jeopardy level and three abuse-related, with two fines totaling $319,878. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care. The last inspection was December 15, 2025, so the findings are recent.
Castleton Health Care Center runs on thin staffing. At 3.28 nurse hours per resident day, it sits about 15% under the national average, with weekends roughly 10% lighter than weekdays. Annual turnover hits 67.8% against a national 45.8%, so the people caring for your relative are often new and still learning the building.
The inspection record is the harder problem: 59 deficiencies, two serious enough to involve harm or jeopardy, six tied to abuse, and CMS has placed this corporate-owned Indianapolis home in its Special Focus Facility program, a designation reserved for the worst repeat offenders. A recent September 2025 inspection means the state is watching closely, but the pattern behind those numbers is what matters.
Majestic Care of Deming Park is a for-profit, LLC-run home in Terre Haute with 86 certified beds, and its record carries serious weight: 28 deficiencies, three of them at the harm or jeopardy level, and three tied to abuse. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care. Nurse staffing sits at 3.41 hours per resident day, about 12% under the national average, and weekend coverage drops roughly 19% below its own weekday levels. Staff turnover runs 55.4% against a 45.8% national figure. The quality measure stars look strong, but that score reflects resident assessments, not the inspection and staffing problems documented here.
Cardinal Care Strategies has enough aides and nurses on paper, 4.27 hours per resident day, roughly 11% above the national average, but those hours are spread across a workforce that nearly completely turns over each year. At 98.7% turnover, almost every caregiver you meet in January is gone by the next, and weekends run about 7% thinner than weekdays. The inspection record is where the trouble concentrates: 57 deficiencies currently on file, three serious enough to endanger residents, and 18 tied to abuse. CMS has placed the home in its Special Focus Facility program, a designation reserved for the poorest performers. The most recent inspection, in January 2026, produced a health rating of 1 out of 5, matching its quality score.
The Waters of Scottsburg runs 99 beds under for-profit LLC ownership, and its staffing sits at 3.32 nurse hours per resident day, about 14% under the national average of 3.86, with weekends running roughly 5% thinner than weekdays. Annual turnover of 50.8% tops the national 45.8%, so the people caring for residents are, on average, fairly new to the building. The inspection record is where it gets serious: 70 deficiencies, including 2 at harm or jeopardy level and 8 tied to abuse, plus a $31,352 fine, a one-star health inspection rating, and placement in CMS's Special Focus Facility program. The most recent inspection was April 13, 2026.
Robin Run has more direct nursing hours per resident than most homes, 4.27 versus a national average of 3.86, but those hours thin out on weekends, and the staff itself turns over at 66.2% a year against a national 45.8%. That churn matters more than the raw staffing number, because it's the same people who are supposed to know your parent's routine. The inspection record is the bigger problem: 60 deficiencies on file, four serious enough to put a resident in harm's way, two tied to abuse, and CMS has placed the home in its Special Focus Facility program, the list reserved for the country's most persistently troubled homes. A recent inspection in September 2025 doesn't erase that pattern. Its quality-measure scores look good on paper; the deficiency history says look closer.
Majestic Care of Goshen runs 186 beds under for-profit LLC ownership, and the numbers that matter most here are thin. Nurse staffing sits at 3.17 hours per resident day, roughly 18 percent under the national average, and weekends drop about 19 percent below what the home staffs on weekdays, so the coverage gap widens exactly when families tend to visit. Staff turnover at 56.1 percent runs well above the 45.8 percent national figure, which means caregivers are cycling through faster than residents can build familiarity with them. The inspection record is the heaviest weight: 77 deficiencies, 9 tied to abuse and 2 at harm or jeopardy level, with the most recent inspection in January 2025. The quality measure score looks better, but it sits on top of a staffing and compliance picture that doesn't hold up.
Brookside Care Strategies runs 42 beds in Muncie, and the numbers behind its record are worth knowing before you visit. Nurse staffing sits at 2.69 hours per resident day, roughly 30 percent under the national average, and the trouble isn't spread evenly: weekend coverage actually runs about 8 percent above the home's own weekday level, which tells you the weekday floor is the weak spot. The deficiency record is heavy: 54 citations on file, six of them serious enough to involve harm or jeopardy, 15 tied to abuse. CMS has placed the home in its Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care, and the most recent inspection was May 21, 2026.
The numbers here are hard to get around. Forty-two deficiencies on the current record, five of them serious enough to put residents at actual harm, plus $253,955 in fines across four separate penalties, that's a lot of enforcement for a 56-bed building. Staffing sits well below where you'd want it, and the low inspection rating reflects problems that keep showing up rather than getting fixed, which is why CMS put this home in its Special Focus Facility program. That designation means closer federal monitoring and a deadline to improve or lose Medicare funding.
The one piece of good news is that none of the deficiencies are abuse-related. But recent inspections and persistent shortfalls in care and staffing are the real story. If you're considering this home, ask what's changed since February 2026 and get specifics.
Plainfield Health Care Center runs 189 beds under corporate ownership, and the staffing numbers are the first thing to notice: 3.22 nurse hours per resident per day, about 17% under the national average, with weekends running roughly 12% lighter than weekdays. Annual turnover sits at 61.3% against a national 45.8%, meaning most of the people caring for residents weren't there a year ago. The inspection record shows 56 deficiencies, four of them serious enough to put residents in harm's way and six tied to abuse. CMS has placed the home in its Special Focus Facility program, a designation reserved for the most persistently troubled homes. One fine of $31,852 is on record. The last inspection was May 21, 2026.
Great Lakes Healthcare Center runs 134 beds in Dyer under corporate ownership, and the staffing numbers are where I'd start. At 3.42 nurse hours per resident day, it sits about 11% under the national average, and weekends dip roughly 12% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 51.4% tops the national rate, meaning the aides and nurses caring for your relative are likely to change often. The health inspection record is the other concern: 87 deficiencies, one abuse-related, and CMS has placed the home in its Special Focus Facility program, which is reserved for the country's most persistently troubled homes. The five-star quality measure score reflects charted care, not the inspection or staffing picture.
Core Of Dale is a 52-bed county-run home in Spencer County, and the numbers behind its record are worth reading closely. Nurse staffing sits at 2.99 hours per resident day, roughly 22% under the national average, and weekends run about 13% thinner than the home's own weekdays, so the thinnest coverage lands when families tend to visit. The deficiency record shows 31 citations, including 2 at the harm or jeopardy level and 6 tied to abuse, with two CMS fines totaling $86,444. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care. Its most recent inspection was April 7, 2026.
Newburgh Health and Rehab runs 114 certified beds under corporate for-profit ownership, and the staffing picture is genuinely mixed. Total nurse coverage sits at 4.31 hours per resident day, roughly 12% above the national average, but weekends drop about 15% below the home's own weekday level, and annual turnover hits 51.5% against a national 45.8%. That combination, decent average hours, thinner weekends, half the staff leaving each year, matters more than the headline number. The inspection record is the harder read: 34 deficiencies on file, one abuse-related, and a 1-out-of-5 health inspection rating, even though quality measures score 4 out of 5 and the last inspection was recent, in April 2026. Ask about weekend coverage and what's changed since that survey before deciding.
The Waters of Tipton carries 44 deficiencies on its current record, and five of those rose to the level where inspectors found actual harm or jeopardy, plus four tied to abuse. That combination is why CMS put this home in its Special Focus Facility program, a status reserved for the small share of nursing homes with a pattern of serious, repeated problems. Staffing sits at 3.46 nurse hours per resident day, roughly 10% under the national figure, and weekends run about 12% thinner than weekdays, which matters when residents need help on a Saturday. Turnover at 36.8% is actually better than average, so the trouble isn't retention. With 150 beds and two fines totaling $20,494, ask hard questions before you tour.
Hillside Manor runs on leaner staffing than most homes, 3.18 nurse hours per resident day against a national average of 3.86, with weekends even thinner than weekdays. That shortfall shows up in the CMS staffing rating of 2 out of 5, and 51.9% of staff left over the past year, higher than the 45.8% national figure. The inspection record is the bigger concern: 57 deficiencies on file, two of them serious enough to put residents in harm's way, a 1-out-of-5 health inspection rating, and a spot in Medicare's Special Focus Facility watch list. The quality measure score of 4 out of 5 stands out against all that, but it's built from reported data, not from what inspectors found on their December 2025 visit.
Aperion Care Lincoln is a 47-bed for-profit home in Evansville that CMS has placed in its Special Focus Facility program, a designation reserved for homes with a persistent record of poor quality. The inspection history backs that up: 54 deficiencies on the current record, three of them serious enough to cause harm or put residents in jeopardy, plus two abuse-related citations and $53,454 in fines. Staffing sits just under the national average at 3.83 hours per resident day, but the bigger issue is turnover at 65.5%, well above the 45.8% national figure, and weekend coverage that drops about 14% below weekday levels. The last inspection was April 2025.
Warsaw Meadows runs 80 certified beds as a for-profit corporation, and the numbers worth knowing sit in its inspection record and its staffing. State inspectors have cited 29 deficiencies, four of them at a level involving actual harm or jeopardy, and five tied to abuse. Fines total $105,073, and the most recent inspection was September 8, 2025.
Nurse staffing comes to 3.35 hours per resident day, roughly 13% under the national average, with weekends about 4% thinner than weekdays. Annual turnover runs 54.7%, against a national 45.8%. CMS rates the health inspection side 1 out of 5, staffing and quality measures 2 out of 5 each.
If you're weighing this one, ask about the abuse citations directly, and ask how the weekend shift is covered.
Brickyard Healthcare's Golden Rule Care Center carries a one-star inspection rating and 45 deficiencies on its current record, including six tied to abuse and four serious enough to put residents in harm's way. That's the part families should sit with, not the fine total of $55,102, which is comparatively small next to the pattern itself. Staffing sits about 16% under the national average, and roughly two-thirds of the nursing staff left over the past year, well above the typical rate, with weekend coverage thinner than weekdays. At 170 beds under corporate ownership, it's a large building running short-handed, and the September 2025 inspection is recent enough to reflect current conditions.
Hickory Creek At New Castle runs 36 certified beds as a nonprofit, and the numbers families tend to ask about first are the ones worth sitting with. Nurse staffing sits at 3.55 hours per resident day, roughly 8% under the national average, with weekends dipping about 8% below the home's own weekday level, the staffing star rating lands at 1 out of 5. Turnover is the sharper number: 69.4% annually against a national average of 45.8%, meaning most of the people caring for your family member may not be there in a year. The current record shows 16 deficiencies, none at harm or jeopardy level, but three tied to abuse. Its last inspection was May 29, 2026.
Southwood Healthcare Center is a for-profit home in Terre Haute with a staffing problem that shows up in the numbers: 3.09 nurse hours per resident day, roughly a fifth below the national average, and weekends run about 11% leaner than weekdays. Annual staff turnover sits at 57%, well above the 45.8% national figure, which helps explain the low staffing rating. The inspection record is heavier to carry, 49 deficiencies, including two at the harm level and four tied to abuse, plus a $40,790 fine. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a pattern of serious problems. The quality measure rating looks better, but that's built from resident assessments, not the staffing and inspection issues a family would actually feel day to day.
Willow Crossing is county-owned, and it runs 112 beds in Columbus with staffing that sits about 10% under the national average, 3.46 nurse hours per resident day against 3.86. Weekends tell a bigger story than the yearly figure: coverage drops roughly 22% below the home's own weekday level, so the hours your family member gets on a Saturday look different from a Tuesday. Turnover sits at 48.4%, a few points above the national 45.8%, meaning nearly half the nursing staff turns over in a year. The inspection record shows 26 deficiencies, including one at the harm level and two tied to abuse, with the most recent survey dated March 11, 2026. All three CMS star ratings land at 2 out of 5.
Signature Healthcare of Muncie is a for-profit home with 140 beds, and its inspection record is the first thing to look at: 59 deficiencies, including 17 tied to abuse and one at the level that caused actual harm or put residents in jeopardy. The last inspection was March 20, 2026, so the record is recent. Nurse staffing sits at 3.80 hours per resident day, slightly below the national average, and it thins out on weekends by roughly 15% compared to weekdays. Staff turnover is 70.3% against a national average of 45.8%, meaning most of the people caring for residents are new to the building. The quality measure rating looks strong on paper, but that's survey data, not the inspection findings.
University Nursing Center runs on 3.28 nurse hours per resident day, about 15% under the national average, and weekend coverage drops roughly 11% below what it manages on weekdays. Staff turnover sits at 65.4% against a national average of 45.8%, so the people caring for residents change often. Its current record carries 30 deficiencies, including 4 at the harm or jeopardy level and 9 tied to abuse, with two fines totaling $74,585 and an inspection as recent as September 2025. The quality measure score looks strong, but that reflects charted care, not the staffing and inspection problems underneath it.
Hooverwood has real nursing hours behind it, 4.80 per resident day, roughly a quarter above the national average, and that's the strongest thing in its file. The rest is harder to sit with. State inspectors have cited 35 deficiencies, four of them at a level where residents were harmed or put in immediate jeopardy, and five tied to abuse. Three fines total $41,064. Weekend coverage dips about 7% below its own weekday staffing, so the hours you see aren't evenly spread across the week. This is a nonprofit with enough direct care on paper but a documented pattern of serious problems, including one of the most recent inspection dates on record.
Majestic Care Of Bedford runs 142 beds under corporate ownership, and its nursing hours come in around 3.26 per resident day, roughly 16% under the national average of 3.86. Weekend coverage drops about 13% below what the home staffs on weekdays, so families should ask who's actually on the floor Saturday and Sunday. The inspection history shows 22 deficiencies, two of them abuse-related, though none rose to harm or jeopardy level, and the last survey was in May 2026. Turnover sits at 37.2%, better than the 45.8% national figure. Quality measures score well; staffing and inspections don't.
Brickyard Healthcare's Richmond location runs on a for-profit corporate model with 87 beds, and the numbers tell a mixed story. Nurse staffing sits right at the national average, but weekends drop about 15% below its own weekday coverage, meaning care thins out exactly when families tend to visit. Annual turnover of 54.1% outpaces the national 45.8%, so the people showing up may not know your relative yet.
The bigger concern is the inspection record: 59 deficiencies, including 5 at harm or jeopardy level and 4 abuse-related, with two fines totaling $24,764. A 1-out-of-5 health inspection rating reflects that pattern. The most recent inspection was December 2025, so the record is current, not stale.
Stonebrooke is county-owned, which is unusual in this business, and the staffing reflects it: 4.24 nurse hours per resident day, roughly 10% above the national average. Turnover sits at 38.8%, better than the 45.8% national figure, so the people caring for residents tend to stick around. Weekends get thinner, though, down about 14% from weekday coverage. The tradeoff shows up elsewhere. Inspectors cited 30 deficiencies, including two tied to abuse, and the quality measure rating lands at 2 out of 5. The most recent inspection was May 2025, so the record is current. Good staffing, real compliance problems, and a county government holding the license. Worth asking about those two abuse citations directly.
Greenwood Healthcare Center runs 185 beds under hospital-district ownership, and its staffing is the weak spot: 3.64 nurse hours per resident day sits about 6% under the national average, weekends drop roughly 8% below its own weekday coverage, and CMS gives it 2 out of 5 stars for staffing. Turnover is actually better than most, at 36.8% against a national 45.8%, so the problem looks more like thin coverage than a churning workforce. Inspections in July 2025 turned up 15 deficiencies, including one at the harm level and one abuse-related, plus a single $8,278 fine. Quality measures score well; the hands-on hours don't.
Maple Park Village runs on 3.37 nurse hours per resident day, roughly 13% under the national average of 3.86, and weekends drop about 15% below its own weekday staffing. That thin coverage shows up in the numbers: a 2/5 staffing rating, 56.3% annual turnover against a national 45.8%, and 21 deficiencies on the current record, two of them at the harm or jeopardy level and one abuse-related. The county owns it, so there's no corporate parent to blame or credit. Its quality measure score is strong at 4/5, which suggests some clinical care is being tracked well, but the last inspection was September 2025 and the health inspection rating sits at 2/5.
American Village is county-owned and holds 150 beds, and its last inspection was in March 2026, so the record on file is recent. That record shows 34 deficiencies, including one at the harm or jeopardy level and one tied to abuse. Staffing is where the pattern holds: 3.37 nurse hours per resident day against a national average of 3.86, weekends running about 16% below its own weekdays, and turnover at 54.4% compared with 45.8% nationally. The quality measure rating of 5 out of 5 sits alongside a 2 out of 5 on both inspection and staffing, which tells you the clinical measures look better than the day-to-day coverage.
Indian Creek Healthcare Center runs 135 certified beds in Corydon under nonprofit ownership, and the staffing numbers are the first thing worth noticing. At 3.38 nurse hours per resident day, it sits about 13 percent under the national average of 3.86, and weekends drop roughly 11 percent below its own weekday coverage. Turnover is genuinely better than most, at 35.8 percent against a national 45.8 percent, so the people who stay seem to stay. The tradeoff shows up in oversight: ten deficiencies on the current record, three tied to abuse, no harm-level findings, and a health inspection rating of 2 out of 5. Quality measures score 5, staffing 2. Ask about weekend coverage and how the abuse deficiencies were resolved before deciding.
Wildwood Healthcare Center runs 160 beds on Indianapolis's east side, and the staffing numbers are where the trouble starts. At 3.51 nurse hours per resident day it sits about 9% under the national average, and weekends drop roughly 12% below its own weekday level, so the hours thin out exactly when families tend to visit. The inspection record backs that up: 27 deficiencies, including one at the harm level and two tied to abuse. Turnover at 43.2% is slightly better than the 45.8% national figure, and the quality measures look decent, but a 1-out-of-5 staffing rating tells you where the pressure lands. Ask who's on the floor on a Sunday.
The Waters of Indianapolis runs 81 beds under for-profit limited liability ownership, and its nurse staffing sits at 3.29 hours per resident day, about 15% under the national average of 3.86. Weekends are thinner still, roughly 9% below what the home staffs on weekdays. Staff turnover is 46.6%, close to the national 45.8%, so retention isn't the outlier here; raw hours are. The current record shows 25 deficiencies, six of them abuse-related, with zero flagged at harm or jeopardy level. Inspectors were last in on June 26, 2025. CMS gives 2 of 5 stars for both health inspections and staffing, 3 of 5 for quality measures.
Albany Health Care & Rehabilitation Center runs 102 certified beds under corporate for-profit ownership, and its staffing sits right at the national line, 3.81 nurse hours per resident day against a 3.86 average. Weekends are where that thins out, dropping roughly 15% below the home's own weekday coverage. Turnover is the brighter spot at 33.3%, well under the 45.8% national figure, which suggests less churn than most places. What pulls the record down is inspection history: 24 deficiencies on file, including one at harm or jeopardy level and four tied to abuse. The last inspection was recent, February 2026. Quality and staffing measures both rate 4 out of 5, but that inspection record is the part worth asking about directly.
Majestic Care of Connersville runs 113 certified beds under corporate ownership, and the staffing numbers are the real story here. At 3.72 nurse hours per resident day, it trails the national average of 3.86, and weekends drop roughly 19% below its own weekday level, that's when coverage thins out most. The inspection record backs up the concern: 34 deficiencies on file, including two at the harm or jeopardy level and three tied to abuse. The last inspection was August 2025, so the findings are recent. Quality measures score well, but staffing and inspection results tell the more important part of this home's story.
Waters of Dunkirk runs 46 beds under corporate ownership, and its last inspection in March 2025 turned up 10 deficiencies, including one at the harm level and two tied to abuse. That inspection history is why its health inspection rating sits at 1 out of 5. Staffing tells a mixed story: 3.37 nurse hours per resident day is about 13% under the national average, and weekends run roughly 11% lighter than weekdays. The 25.8% turnover rate is well below the 45.8% national figure, so aides tend to stay. Quality measures score 5 out of 5. Ask about weekend coverage and how the abuse deficiencies were resolved before deciding.
Miller's Merry Manor in Walkerton runs 107 certified beds under corporate, for-profit ownership, and its staffing sits right at the middle of the pack, 3.89 nurse hours per resident day, barely a percentage point above the national average of 3.86. That number looks fine until you notice weekends drop about 10% below the home's own weekday coverage, which matters most when families visit and residents need help. Turnover runs 41.8%, a bit better than the 45.8% national figure, so there's some stability in the workforce. The real concern is the inspection record: 16 deficiencies, including one at the harm level and three tied to abuse, with a health inspection rating of 2 out of 5. The last inspection was December 2025, so the findings are recent.
Heritage Pointe of Huntington is a nonprofit home with 78 beds, and its staffing is the strongest part of the picture, 4.33 nurse hours per resident day, about 12% above the national average, with turnover at 38.2% compared to 45.8% nationally. Weekend coverage dips roughly 9% below weekday levels, so ask how that plays out on Saturdays and Sundays.
The inspection record is where the concern sits. Sixteen deficiencies are on file, including one at the harm or jeopardy level and two tied to abuse, and the last inspection was February 11, 2026. That combination, solid staffing alongside a 2-out-of-5 inspection rating and serious citations, is worth asking the administrator about directly before you decide.
Northview Health And Living runs 94 certified beds in Anderson under nonprofit ownership, and the staffing picture is genuinely above average, 4.94 nurse hours per resident day against a national 3.86. That advantage narrows on weekends, which run about 9% lighter than weekdays, and turnover sits at 40.4%, a bit better than the 45.8% national figure. The inspection record is where it gets harder to defend: 20 deficiencies on file, including one at the harm or jeopardy level and six tied to abuse. Both the health inspection and quality measure ratings come in at 2 out of 5, and the most recent survey dates to March 2026. Strong hours don't cancel out that many serious findings.
Aperion Care Marion runs a mixed picture. The 70-bed for-profit home on Grant County's west side logs 4.00 nurse hours per resident day, a bit above the 3.86 national average, though weekends drop about 12% below its own weekday staffing and annual turnover hits 56.7% against a 45.8% national norm, meaning the people around your relative keep changing. The bigger concerns are on record: 52 deficiencies, one at harm or jeopardy level, five tied to abuse, with a health inspection rating of 1 out of 5. That last inspection was April 2026, so the findings are recent rather than historical. Quality measures score well; the inspection record and turnover do not. Ask specifically how abuse-related issues were resolved.
Summit Health And Living runs 34 beds as a nonprofit, and its nurse staffing sits at 4.85 hours per resident day, roughly a quarter above the national average of 3.86. Weekend coverage dips about 7% below its own weekday levels, and turnover lands at 45.2%, essentially matching the national 45.8%. The inspection history is where families should look closely: 13 deficiencies on the current record, none flagged at harm or jeopardy level, but four tied to abuse. The last inspection was May 7, 2026. Federal inspectors gave four stars for health inspections but only two for quality measures, so the day-to-day care numbers don't match the clean inspection sheet.