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Nursing home

Marmet Center

Marmet, West Virginia · Kanawha County

  • One Sutphin Drive, Marmet, WV 25315 · Directions
  • (304) 949‑1580
  • Medicare overall rating: 2 of 5 starsMedicare overall rating
  • Ownership: For profit – corporation
  • 67 health citations in its last 3 inspection cycles (most serious: level J), $72,205 in fines. See the inspection record

Summary

Marmet Center is a Medicare-certified nursing home in Marmet, West Virginia, with 90 certified beds. Medicare overall rating: 2 of 5 stars. Most recent standard health inspection: 2026-04-22, with 15 health deficiencies. Medicare lists 1 fine. Ownership: for profit – corporation. Source: Medicare (CMS) Provider Information, data updated 2026-10-01.

What is a nursing home?

A nursing home (skilled nursing facility) gives 24-hour nursing care and help with daily activities. Some people stay for a short time to recover after a hospital stay (rehabilitation); others live there long term. The homes listed here are certified by Medicare and/or Medicaid and inspected by the state.

Official Medicare data

Everything on this page comes from Medicare (CMS) data updated 2026-10-01. It is information, not a recommendation. Call the nursing home and visit before you decide, and talk with your doctor.

In a medical emergency, call 911.

At a glance

Medicare overall rating: 2 of 5 starsMedicare overall rating
90Certified beds
Health inspections: 2 of 5 starsHealth inspections

Quick answers

Where is Marmet Center?
One Sutphin Drive, Marmet, WV 25315, in Kanawha County, West Virginia.
What is the phone number of Marmet Center?
(304) 949-1580, as listed by Medicare (CMS).
What is the Medicare star rating of Marmet Center?
Medicare overall rating: 2 out of 5 stars (CMS data updated 2026-10-01).
Has Marmet Center been fined?
Medicare lists 1 fine totaling $72,205.
What did inspectors find at Marmet Center?
In its last three inspection cycles (March 16, 2023 to April 22, 2026), Medicare lists 67 health citations; the most serious was level J. 1 was level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).

Medicare ratings, explained

Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.

Overall rating
Overall rating: 2 of 5 stars
Medicare’s summary of the three ratings below, from 1 star (much below average) to 5 stars (much above average).
Health inspections
Health inspections: 2 of 5 stars
Based on state health inspections and complaint investigations of about the last three years, compared with other nursing homes in the same state.
Staffing
Staffing: 2 of 5 stars
Based on how many hours nurses and aides spend with each resident per day (from payroll records) and how often staff leave.
Quality of resident care
Quality of resident care: 4 of 5 stars
Based on how residents do on measures such as falls with injury, pressure sores, getting better at moving around and going back to the hospital.
Short-stay residents (rehab)
Short-stay residents (rehab): 2 of 5 stars
Quality rating for people who stay a short time, usually to recover after a hospital stay.
Long-stay residents
Long-stay residents: 5 of 5 stars
Quality rating for people who live in the nursing home.

Inspections, fines and staffing

In its last three inspection cycles (March 16, 2023 to April 22, 2026), Marmet Center had 67 health citations; the most serious was level J (immediate jeopardy to resident health or safety). 1 of them was level G or higher (actual harm or immediate jeopardy). It was fined $72,205 in total (1 fine, the latest on July 8, 2024). Nurse staffing is 3.28 hours per resident per day; the West Virginia average is 3.71 and the national average is 3.90.

Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.

Inspection history: last three cycles

State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.

What the letters A to L mean
Scope and severity letters
SeriousnessIsolated (a few residents)Pattern (some)Widespread (many)
No actual harm, potential for minimal harmABC
No actual harm, potential for more than minimal harmDEF
Actual harm to residentsGHI
Immediate jeopardy to resident health or safetyJKL

Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.

Most recent cycle: April 22, 2026 — 15 health citations

Inspections in this cycle: January 30, 2026 (complaint investigation); April 22, 2026 (complaint investigation); April 22, 2026 (standard health inspection).

Show 15 citations (levels A to F, no actual harm)
  • F0882 Level F April 22, 2026 · corrected May 28, 2026

    “Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.”

  • F0656 Level E April 22, 2026 · corrected May 28, 2026

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

  • F0684 Level E April 22, 2026 · corrected May 28, 2026

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

  • F0692 Level E April 22, 2026 · corrected May 28, 2026

    “Provide enough food/fluids to maintain a resident's health.”

  • F0761 Level E April 22, 2026 · corrected May 28, 2026

    “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.”

  • F0804 Level E April 22, 2026 · from a complaint · corrected May 28, 2026

    “Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”

  • F0812 Level E April 22, 2026 · corrected May 28, 2026

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

  • F0880 Level E April 22, 2026 · corrected May 28, 2026

    “Provide and implement an infection prevention and control program.”

  • F0921 Level E January 30, 2026 · from a complaint · corrected February 23, 2026

    “Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.”

  • F0559 Level D April 22, 2026 · corrected May 28, 2026

    “Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.”

  • F0605 Level D April 22, 2026 · from a complaint · corrected May 28, 2026

    “Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.”

  • F0641 Level D April 22, 2026 · corrected May 28, 2026

    “Ensure each resident receives an accurate assessment.”

  • F0693 Level D April 22, 2026 · corrected May 28, 2026

    “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.”

  • F0800 Level D April 22, 2026 · from a complaint · corrected May 28, 2026

    “Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.”

  • F0887 Level D April 22, 2026 · corrected May 28, 2026

    “Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.”

Previous cycle: December 18, 2024 — 27 health citations

Inspections in this cycle: November 13, 2024 (complaint investigation); December 18, 2024 (standard health inspection); February 3, 2025 (complaint investigation); June 25, 2025 (complaint investigation).

Show 27 citations (levels A to F, no actual harm)
  • F0812 Level E June 25, 2025 · from a complaint · corrected July 10, 2025

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

  • F0921 Level E June 25, 2025 · from a complaint · corrected July 10, 2025

    “Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.”

  • F0880 Level E February 3, 2025 · from a complaint · plan of correction accepted (March 19, 2025)

    “Provide and implement an infection prevention and control program.”

  • F0689 Level E December 18, 2024 · corrected January 16, 2025

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

  • F0756 Level E December 18, 2024 · corrected January 16, 2025

    “Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.”

  • F0761 Level E December 18, 2024 · corrected January 16, 2025

    “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.”

  • F0803 Level E December 18, 2024 · corrected January 16, 2025

    “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.”

  • F0812 Level E December 18, 2024 · corrected January 16, 2025

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

  • F0836 Level E December 18, 2024 · corrected January 16, 2025

    “Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.”

  • F0842 Level E December 18, 2024 · corrected January 16, 2025

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

  • F0880 Level E December 18, 2024 · corrected January 16, 2025

    “Provide and implement an infection prevention and control program.”

  • F0908 Level E December 18, 2024 · corrected January 16, 2025

    “Keep all essential equipment working safely.”

  • F0925 Level E December 18, 2024 · corrected January 16, 2025

    “Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.”

  • F0585 Level E November 13, 2024 · from a complaint · corrected December 5, 2024

    “Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.”

  • F0550 Level D February 3, 2025 · from a complaint · plan of correction accepted (March 4, 2025)

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

  • F0609 Level D February 3, 2025 · from a complaint · plan of correction accepted (March 4, 2025)

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

  • F0684 Level D February 3, 2025 · from a complaint · plan of correction accepted (March 4, 2025)

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

  • F0842 Level D February 3, 2025 · from a complaint · plan of correction accepted (March 4, 2025)

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

  • F0645 Level D December 18, 2024 · corrected January 16, 2025

    “PASARR screening for Mental disorders or Intellectual Disabilities”

  • F0656 Level D December 18, 2024 · corrected January 16, 2025

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

  • F0677 Level D December 18, 2024 · corrected January 16, 2025

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

  • F0684 Level D December 18, 2024 · corrected January 16, 2025

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

  • F0692 Level D December 18, 2024 · corrected January 16, 2025

    “Provide enough food/fluids to maintain a resident's health.”

  • F0697 Level D December 18, 2024 · corrected January 16, 2025

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

  • F0806 Level D December 18, 2024 · corrected January 16, 2025

    “Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.”

  • F0584 Level D November 13, 2024 · from a complaint · corrected December 5, 2024

    “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.”

  • F0684 Level D November 13, 2024 · from a complaint · corrected December 5, 2024

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

Earlier cycle: March 16, 2023 — 25 health citations

Inspections in this cycle: March 16, 2023 (standard health inspection); December 19, 2023 (complaint investigation); April 10, 2024 (complaint investigation); July 8, 2024 (complaint investigation).

  • F0684 Level J July 8, 2024 · from a complaint · corrected July 25, 2024

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

    immediate jeopardy to resident health or safety; isolated (a few residents) · Quality of Life and Care Deficiencies

Show 24 less serious citations (levels A to F)
  • F0584 Level E July 8, 2024 · from a complaint · corrected July 25, 2024

    “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.”

  • F0712 Level E July 8, 2024 · from a complaint · corrected July 25, 2024

    “Ensure that the resident and his/her doctor meet face-to-face at all required visits.”

  • F0584 Level E April 10, 2024 · from a complaint · corrected May 14, 2024

    “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.”

  • F0692 Level E April 10, 2024 · from a complaint · corrected May 14, 2024

    “Provide enough food/fluids to maintain a resident's health.”

  • F0584 Level E December 19, 2023 · from a complaint · corrected January 23, 2024

    “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.”

  • F0684 Level E December 19, 2023 · from a complaint · corrected January 23, 2024

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

  • F0582 Level E March 16, 2023 · corrected April 6, 2023

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

  • F0584 Level E March 16, 2023 · corrected April 6, 2023

    “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.”

  • F0585 Level E March 16, 2023 · corrected April 6, 2023

    “Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.”

  • F0623 Level E March 16, 2023 · corrected April 6, 2023

    “Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.”

  • F0888 Level E March 16, 2023 · corrected April 6, 2023

    “Ensure staff are vaccinated for COVID-19”

  • F0657 Level D December 19, 2023 · from a complaint · corrected January 23, 2024

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

  • F0695 Level D December 19, 2023 · from a complaint · corrected January 23, 2024

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

  • F0755 Level D December 19, 2023 · from a complaint · corrected January 23, 2024

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

  • F0880 Level D December 19, 2023 · from a complaint · corrected January 23, 2024

    “Provide and implement an infection prevention and control program.”

  • F0580 Level D March 16, 2023 · corrected April 6, 2023

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

  • F0622 Level D March 16, 2023 · corrected April 6, 2023

    “Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.”

  • F0684 Level D March 16, 2023 · corrected April 6, 2023

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

  • F0698 Level D March 16, 2023 · corrected April 6, 2023

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

  • F0809 Level D March 16, 2023 · corrected April 6, 2023

    “Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.”

  • F0812 Level D March 16, 2023 · corrected April 6, 2023

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

  • F0842 Level D March 16, 2023 · corrected April 6, 2023

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

  • F0883 Level D March 16, 2023 · corrected April 6, 2023

    “Develop and implement policies and procedures for flu and pneumonia vaccinations.”

  • F0887 Level D March 16, 2023 · corrected April 6, 2023

    “Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.”

Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.

Full inspection reports on Medicare Care Compare →

Fire safety citations (21)
  • K0347 Level F April 22, 2026 · corrected May 13, 2026

    “Properly provide smoke detection systems in areas open to corridors.”

  • K0321 Level C April 22, 2026 · corrected May 13, 2026

    “Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”

  • K0363 Level C April 22, 2026 · corrected May 13, 2026

    “Install corridor and hallway doors that block smoke.”

  • K0920 Level C April 22, 2026 · corrected May 13, 2026

    “Ensure proper usage of power strips and extension cords.”

  • K0521 Level F December 18, 2024 · corrected January 23, 2025

    “Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.”

  • K0324 Level D December 18, 2024 · corrected January 23, 2025

    “Provide properly protected cooking facilities.”

  • K0271 Level F March 16, 2023 · corrected April 3, 2023

    “Have exits that are accessible at all times.”

  • K0351 Level F March 16, 2023 · corrected April 3, 2023

    “Install an approved automatic sprinkler system.”

  • K0353 Level F March 16, 2023 · corrected April 3, 2023

    “Inspect, test, and maintain automatic sprinkler systems.”

  • K0372 Level F March 16, 2023 · corrected April 3, 2023

    “Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”

  • E0006 Level C March 16, 2023 · corrected April 3, 2023

    “Conduct risk assessment and an All-Hazards approach.”

  • K0324 Level C March 16, 2023 · corrected April 3, 2023

    “Provide properly protected cooking facilities.”

  • K0341 Level C March 16, 2023 · corrected April 3, 2023

    “Install a fire alarm system that can be heard throughout the facility.”

  • K0355 Level C March 16, 2023 · corrected April 3, 2023

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

  • K0363 Level C March 16, 2023 · corrected April 3, 2023

    “Install corridor and hallway doors that block smoke.”

  • K0374 Level C March 16, 2023 · corrected April 3, 2023

    “Install smoke barrier doors that can resist smoke for at least 20 minutes.”

  • K0712 Level C March 16, 2023 · corrected April 3, 2023

    “Have simulated fire drills held at unexpected times.”

  • K0741 Level C March 16, 2023 · corrected April 3, 2023

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

  • K0911 Level C March 16, 2023 · corrected April 3, 2023

    “Meet requirements for the installation and maintenance of electrical systems.”

  • K0918 Level C March 16, 2023 · corrected April 3, 2023

    “Have generator or other power source capable of supplying service within 10 seconds.”

  • K0921 Level C March 16, 2023 · corrected April 3, 2023

    “Ensure that testing and maintenance of electrical equipment is performed.”

Fines and payment denials

Total fines over about the last three years: $72,205 (1 fine). A payment denial means Medicare stopped paying for new admissions for a time.

DatePenaltyAmount or length
July 8, 2024Fine$72,205

Source: Medicare (CMS) Penalties file, data updated October 1, 2026.

Staffing

Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.

MeasureThis homeWest VirginiaNational
Registered nurse (RN) hours per resident per day0.540.740.69
Licensed practical nurse (LPN) hours per resident per day0.750.900.86
Nurse aide hours per resident per day1.992.072.35
Total nurse staff hours per resident per day3.283.713.90
Total nurse staff hours per resident per day on the weekend2.853.173.43
RN hours per resident per day on the weekend0.340.400.48
Nursing staff turnover (per year)31.6%43.7%45.3%
RN turnover (per year)57.1%42.4%42.5%
Administrators who left in the last year0.00.70.5

Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.

Owners and operator

Part of a group of 183 nursing homes: Genesis Healthcare.

Legal business name: 1 Sutphin Drive Operations LLC.

Owners and managers Medicare lists (11)
NameRoleShareSince
Genesis WV Holdings LLCDirect owner100%February 2, 2015
Fc-Gen Operations Investment LLCIndirect owner—February 2, 2015
Gen Operations I LLCIndirect owner—February 2, 2015
Gen Operations II LLCIndirect owner—February 2, 2015
Genesis Healthcare IncIndirect owner—February 2, 2015
Genesis Healthcare LLCIndirect owner—February 2, 2015
Genesis Holdings LLCIndirect owner—February 2, 2015
Genesis Operations LLCIndirect owner—February 2, 2015
GHC Holdings LLCIndirect owner—February 2, 2015
Sun Healthcare Group IncIndirect owner—February 2, 2015
Whitman, ArnoldIndirect owner—February 2, 2015

Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.

Compare with other nursing homes

Key facts

TypeNursing home
Certified beds90
Average residents per day86.6
Takes part inMedicare and Medicaid
OwnershipFor profit – corporation
Group or chain (affiliated entity)Genesis Healthcare
Legal business name1 Sutphin Drive Operations LLC
First approved by Medicare/Medicaid1996-10-02
Resident and family councilsResident council
Sprinklers in all required areasYes
Changed ownership in the last 12 monthsNo
AddressOne Sutphin Drive, Marmet, WV 25315
CountyKanawha County
StateWest Virginia
Phone(304) 949‑1580
CMS Certification Number515146
Name in Medicare recordsMARMET CENTER
CorrectionsReport an error or suggest an update →

What to ask when you call or visit

A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.

  • Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
  • Can you see the latest state inspection report? Ask how any problems found were fixed.
  • How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
  • Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
  • What therapy (physical, occupational, speech) is offered, and how many days a week?
  • Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
  • What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
  • Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
  • Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
  • Visit more than once, including at a mealtime or in the evening, without an appointment.

Other nursing homes nearby

By straight-line distance (not driving distance).

Nearest hospital emergency rooms

Sources

  1. Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this provider
  3. Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  4. Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  5. Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
  6. Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
  7. State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
  8. Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
  9. Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
  10. Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13