Composite
75.4 / 100 percentile
Screener / 365667
C
MEDINA CENTER FOR REHABILITATION AND NURSING
snfOHSFF: SFF Candidate
555 SPRINGBROOK DR, MEDINA, OH 44256 · CCN 365667
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
80
Model
v1.2
Reads as: riskier than 75.4% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
Score model5Components16CHOW radar1Distress radar1Staffing16Penalties5Deficiencies100Licensure0Ownership4Related party0Transactions1Comps12Market rent36
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 97.0 | 95.6 | 0.30 | 0.2308 | 22.38 | in index |
| financial risk | 76.5 | 64.1 | 0.30 | 0.2308 | 17.65 | in index |
| staffing risk | 62.2 | 62.2 | 0.25 | 0.1923 | 11.96 | in index |
| chow risk | 54.9 | 53.1 | 0.15 | 0.1154 | 6.33 | in index |
| billing conduct | 0.0 | 0.0 | 0.30 | 0.2308 | 0.00 | in index |
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
Component scores and registry models
16| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 0.0 | A | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 25.0 | B | v0.1-pos | default · in composite | Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure. |
| chow risk | 81.3 | F | v0.6 | default · in composite | |
| financial risk | 64.1 | C | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.4 | — | v0.1 | default · in composite | R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite. |
| p chow 12m | 0.0 | — | v0.1 | default · in composite | R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite. |
| regulatory risk | 95.6 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 62.2 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 89.7 | F | v0.1 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 69.7 | D | v0.2 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 65.2 | D | v0.3 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 64.5 | C | v0.4 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 95.6 | F | v0.1 | superseded | Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 95.6 | F | v0.2 | superseded | Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| staffing risk | 62.2 | C | v0.1 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| staffing risk | 62.2 | C | v0.2 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
CHOW radar — 12-month sale probability
full board →p(CHOW, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
15.3
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 5.24 | -1.34 | |
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.86 | -0.46 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 0.00 | -0.40 | |
| Contract staffing share | 0.28 | +0.34 | |
| Ownership changes, last 5 years | 0.00 | +0.20 |
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Distress radar — 12-month termination probability
full board →p(termination, 12m)
0.4%
model v0.1 · computed 2026-07-29
Percentile among SNFs
72.4
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 1.00 | +1.24 | |
| Chain size (log) | 0.00 | +1.20 | |
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.86 | -0.46 | |
| Staffing trend, last 4 quarters | 1.04 | +0.46 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Contract staffing share | 0.28 | +0.23 |
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
16| 2025Q4 HPRD | This facility | OH median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.10 | 3.24 | 3.28 | 2.90–3.77 |
| RN | 0.53 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 2.89 | 3.11 | 3.11 | — |
| Weekday total | 3.19 | 3.29 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 68.6 | 3.10 | 0.53 | 0.67 | 1.90 | 2.89 | 28.4% |
| 2025Q3 | 92 | 70.5 | 3.04 | 0.51 | 0.61 | 1.92 | 2.85 | 46.6% |
| 2025Q2 | 91 | 69.6 | 3.24 | 0.48 | 0.64 | 2.12 | 3.16 | 47.1% |
| 2025Q1 | 90 | 68.1 | 3.22 | 0.44 | 0.75 | 2.03 | 3.00 | 42.7% |
| 2024Q4 | 92 | 64.1 | 2.06 | 0.43 | 0.65 | 0.99 | 2.02 | 50.9% |
| 2024Q3 | 92 | 59.3 | 2.18 | 0.39 | 0.66 | 1.13 | 2.38 | 56.1% |
| 2024Q2 | 91 | 65.2 | 2.38 | 0.49 | 0.55 | 1.34 | 2.40 | 55.1% |
| 2024Q1 | 91 | 63.4 | 2.10 | 0.63 | 0.46 | 1.01 | 1.97 | 45.9% |
| 2023Q4 | 92 | 60.0 | 1.82 | 0.55 | 0.58 | 0.69 | 1.81 | 18.0% |
| 2023Q3 | 92 | 62.5 | 2.03 | 0.55 | 0.57 | 0.91 | 2.02 | 30.6% |
| 2023Q2 | 91 | 67.1 | 2.24 | 0.66 | 0.39 | 1.19 | 2.29 | 46.8% |
| 2023Q1 | 90 | 62.4 | 2.62 | 0.56 | 0.52 | 1.55 | 2.60 | 35.8% |
| 2022Q4 | 92 | 63.4 | 2.94 | 0.51 | 0.49 | 1.94 | 2.91 | 48.0% |
| 2022Q3 | 92 | 60.0 | 3.15 | 0.56 | 0.53 | 2.06 | 3.04 | 41.5% |
| 2022Q2 | 91 | 49.5 | 2.98 | 0.39 | 0.68 | 1.91 | 2.83 | 27.4% |
| 2022Q1 | 90 | 42.6 | 2.79 | 0.28 | 0.77 | 1.73 | 2.59 | 5.8% |
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.
Penalties
5fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-02-25 | Fine | $17,644 | CMS provider data |
| 2025-02-25 | Fine | $61,384 | CMS provider data |
| 2025-02-25 | Payment Denial | — | CMS provider data |
| 2024-10-09 | Fine | $57,779 | CMS provider data |
| 2023-12-12 | Payment Denial | — | CMS provider data |
Total fines on record: $136,807
Deficiencies
100C × 3D × 56E × 17F × 20G × 3J × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-08-14 | Health · complaint | F0679 | Provide activities to meet all resident's needs. | E | 2025-08-15 |
| 2025-04-22 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-05-02 |
| 2025-04-22 | Health · complaint | F0584 | 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. | E | 2025-05-02 |
| 2025-04-22 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-05-02 |
| 2025-04-22 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-05-02 |
| 2025-04-22 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-05-02 |
| 2025-04-22 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | J | 2025-05-02 |
| 2025-04-22 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | 2025-05-02 |
| 2025-04-22 | Health · complaint | F0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | E | 2025-05-02 |
| 2025-04-22 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-05-02 |
| 2025-04-22 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2025-05-02 |
| 2025-02-25 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | F | 2025-04-22 |
| 2025-02-25 | Health | F0583 | Keep residents' personal and medical records private and confidential. | D | 2025-04-22 |
| 2025-02-25 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2025-04-22 |
| 2025-02-25 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-05-02 |
| 2025-02-25 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-05-02 |
| 2025-02-25 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2025-04-22 |
| 2025-02-25 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | 2025-04-22 |
| 2025-02-25 | Health · complaint | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | 2025-04-22 |
| 2025-02-25 | Health · complaint | F0761 | 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. | D | 2025-04-22 |
| 2025-02-25 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | 2025-05-02 |
| 2025-02-25 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-04-22 |
| 2025-02-25 | Health | F0814 | Dispose of garbage and refuse properly. | F | 2025-04-22 |
| 2025-02-25 | Health | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | C | 2025-04-22 |
| 2025-02-25 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | F | 2025-05-02 |
| 2025-02-25 | Health | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | 2025-04-22 |
| 2025-02-25 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2025-04-22 |
| 2025-02-25 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2025-05-02 |
| 2025-02-25 | Health | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | D | 2025-04-22 |
| 2024-11-27 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-11-29 |
| 2024-11-27 | Health · complaint | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | 2024-11-29 |
| 2024-11-27 | Health · complaint | F0908 | Keep all essential equipment working safely. | D | 2024-11-29 |
| 2024-10-09 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-11-06 |
| 2024-10-09 | Health · complaint | F0584 | 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. | D | 2024-11-06 |
| 2024-10-09 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-11-06 |
| 2024-10-09 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2024-11-06 |
| 2024-10-09 | Health · complaint | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2024-11-06 |
| 2024-10-09 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | F | 2024-11-06 |
| 2024-10-09 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-11-06 |
| 2024-10-09 | Health · complaint | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2024-11-06 |
| 2024-10-09 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-11-06 |
| 2024-10-09 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-11-06 |
| 2024-10-09 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2024-11-06 |
| 2024-10-09 | Health · complaint | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | G | 2024-11-06 |
| 2024-10-09 | Health · complaint | F0732 | Post nurse staffing information every day. | C | 2024-11-06 |
| 2024-10-09 | Health · complaint | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | 2024-11-06 |
| 2024-10-09 | Health · complaint | F0803 | 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. | E | 2024-11-06 |
| 2024-10-09 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | 2024-11-06 |
| 2024-10-09 | Health · complaint | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2024-11-06 |
| 2024-10-09 | Health · complaint | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | E | 2024-11-06 |
| 2024-10-09 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-11-06 |
| 2024-10-09 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2024-11-06 |
| 2024-10-09 | Health · complaint | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | C | 2024-11-06 |
| 2024-10-09 | Health · complaint | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | E | 2024-11-06 |
| 2024-06-10 | Health · complaint | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2024-06-11 |
| 2024-06-10 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2024-06-11 |
| 2024-06-10 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-06-11 |
| 2024-06-10 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-06-11 |
| 2024-03-26 | Health · complaint | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | 2024-03-29 |
| 2024-03-26 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-03-29 |
| 2024-03-26 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2024-03-29 |
| 2024-03-26 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-03-29 |
| 2024-03-06 | Health · complaint | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2024-03-29 |
| 2024-03-06 | Health · complaint | F0726 | 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. | E | 2024-03-29 |
| 2024-03-06 | Health · complaint | F0729 | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | F | 2024-03-29 |
| 2024-03-06 | Health · complaint | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | 2024-03-29 |
| 2024-02-12 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-03-29 |
| 2024-02-12 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-03-29 |
| 2024-02-12 | Health · complaint | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D | 2024-03-29 |
| 2023-12-28 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-01-12 |
| 2023-12-12 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-01-12 |
| 2023-12-12 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-01-12 |
| 2023-12-12 | Health · complaint | F0624 | Prepare residents for a safe transfer or discharge from the nursing home. | D | 2024-01-12 |
| 2023-12-12 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-01-12 |
| 2023-12-12 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-01-12 |
| 2023-12-12 | Health · complaint | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | G | 2024-01-12 |
| 2023-12-12 | Health · complaint | F0726 | 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. | D | 2024-01-12 |
| 2023-12-12 | Health · complaint | F0761 | 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. | E | 2024-01-12 |
| 2023-12-12 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | 2024-01-12 |
| 2023-12-12 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-01-12 |
| 2023-12-12 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2024-01-12 |
| 2023-04-24 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2023-05-31 |
| 2023-04-24 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2023-05-31 |
| 2023-04-24 | Health | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2023-05-31 |
| 2023-04-24 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-05-31 |
| 2023-04-24 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-05-31 |
| 2023-04-24 | Health | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2023-05-31 |
| 2023-04-24 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-05-31 |
| 2023-04-24 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | F | 2023-05-31 |
| 2023-04-24 | Health | F0758 | 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. | E | 2023-05-31 |
| 2023-04-24 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-05-31 |
| 2023-04-24 | Health | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | 2023-05-31 |
| 2023-04-24 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2023-05-31 |
| 2023-04-24 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2023-05-31 |
| 2020-02-12 | Health | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2020-03-16 |
| 2020-02-12 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2020-03-16 |
| 2020-02-12 | Health | F0758 | 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. | D | 2020-03-16 |
| 2020-02-12 | Health | F0761 | 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. | E | 2020-03-16 |
| 2020-02-12 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2020-03-16 |
| 2020-02-12 | Health | F0881 | Implement a program that monitors antibiotic use. | F | 2020-03-16 |
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.
Licensure actions
0No licensure actions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Ownership
4| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| GOLDSTEIN, JEFFREY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 49% | 2021-03-04 | current | pecos_ownership |
| SHERMAN, LEA | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 49% | 2021-03-04 | current | pecos_ownership |
| JEFFREY GOLDSTEIN | W-2 MANAGING EMPLOYEE | 49% | 2021-03-04 | ended 2026-05-18 | pecos_ownership |
| LEA SHERMAN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 49% | 2021-03-04 | ended 2026-05-18 | pecos_ownership |
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Transactions
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2021-05-01 | — | MEDINA OPCO LLC | SANCTUARY MEDINA LLC | chow |
Comparable trades — OH snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2024-12-31 | SAPPHIRE REHABILITATION AND CARE CENTER | — | — | — | 113 | SAPPHIRE OPCO LLC |
| 2024-12-31 | MAJESTIC CARE OF POINT PLACE | — | — | — | 82 | POINT PLACE OH HEALTH & REHAB OPCO LLC |
| 2024-12-31 | MAJESTIC CARE OF NEW LEXINGTON | — | — | — | 82 | NEW LEXINGTON OH HEALTH & REHAB OPCO LLC |
| 2024-12-31 | Atrium Nursing and Rehabilitation | — | — | — | 99 | ATRIUM OPCO LLC |
| 2024-12-31 | Inniswood Health and Rehabilitation | — | — | — | 99 | FHS INNISWOOD, INC. |
| 2024-12-31 | COMMUNITY SKILLED HEALTHCARE | — | — | — | 110 | CS OPCO LLC |
| 2024-12-31 | MAJESTIC CARE OF PERRYSBURG | — | — | — | 75 | PERRYSBURG OH HEALTH & REHAB OPCO LLC |
| 2024-12-31 | GRAFTON OAKS NURSING CENTER | — | — | — | 99 | GO OPCO LLC |
| 2024-12-31 | MAJESTIC CARE OF KENT | — | — | — | 74 | KENT OH HEALTH & REHAB OPCO LLC |
| 2024-12-30 | Chardon Woods | — | — | — | 161 | CHARDON WOODS OF JOURNEY LLC |
| 2024-12-16 | The Pavilion at Canal Fulton for Nursing and Rehab | — | — | — | 60 | PAVILION AT CANAL FULTON LLC |
| 2024-12-02 | BENNINGTON GLEN NURSING & REHABILITATION CENTER | — | — | — | 79 | FHS BENNINGTON INC |
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
36| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 39103 | acs median gross | 0 | $848 | 2024-12-31 | CENSUS_ACS5 |
| county 39103 | fmr | 0 | $933 | 2025-10-01 | HUD_USER_FMR |
| county 39103 | acs median gross | 1 | $901 | 2024-12-31 | CENSUS_ACS5 |
| county 39103 | fmr | 1 | $1,058 | 2025-10-01 | HUD_USER_FMR |
| county 39103 | acs median gross | 2 | $1,151 | 2024-12-31 | CENSUS_ACS5 |
| county 39103 | fmr | 2 | $1,279 | 2025-10-01 | HUD_USER_FMR |
| county 39103 | acs median gross | 3 | $1,337 | 2024-12-31 | CENSUS_ACS5 |
| county 39103 | fmr | 3 | $1,646 | 2025-10-01 | HUD_USER_FMR |
| county 39103 | acs median gross | 4 | $1,563 | 2024-12-31 | CENSUS_ACS5 |
| county 39103 | fmr | 4 | $1,760 | 2025-10-01 | HUD_USER_FMR |
| county 39103 | acs median gross | 5 | $1,319 | 2024-12-31 | CENSUS_ACS5 |
| county 39103 | acs median gross | $1,143 | 2024-12-31 | CENSUS_ACS5 | |
| county 39103 | acs recent mover gross | $1,368 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 44256 | acs median gross | 0 | $919 | 2024-12-31 | CENSUS_ACS5 |
| zcta 44256 | acs median gross | 1 | $921 | 2024-12-31 | CENSUS_ACS5 |
| zcta 44256 | acs median gross | 2 | $1,167 | 2024-12-31 | CENSUS_ACS5 |
| zcta 44256 | acs median gross | 3 | $1,638 | 2024-12-31 | CENSUS_ACS5 |
| zcta 44256 | acs median gross | 4 | $1,461 | 2024-12-31 | CENSUS_ACS5 |
| zcta 44256 | acs median gross | 5 | $1,652 | 2024-12-31 | CENSUS_ACS5 |
| zcta 44256 | acs median gross | $1,191 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 44256 | acs recent mover gross | $1,518 | 2024-12-31 | CENSUS_ACS5 | |
| zip 44256 | payment standard 110 | 0 | $1,144 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44256 | payment standard 90 | 0 | $936 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44256 | safmr | 0 | $1,040 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44256 | payment standard 110 | 1 | $1,298 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44256 | payment standard 90 | 1 | $1,062 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44256 | safmr | 1 | $1,180 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44256 | payment standard 110 | 2 | $1,562 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44256 | payment standard 90 | 2 | $1,278 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44256 | safmr | 2 | $1,420 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44256 | payment standard 110 | 3 | $2,013 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44256 | payment standard 90 | 3 | $1,647 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44256 | safmr | 3 | $1,830 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44256 | payment standard 110 | 4 | $2,145 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44256 | payment standard 90 | 4 | $1,755 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44256 | safmr | 4 | $1,950 | 2025-10-01 | HUD_USER_SAFMR |
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.