Composite
76.1 / 100 percentile
Screener / 365607
C
AYDEN HEALTHCARE OF PIQUA
snfOH
275 KIENLE DRIVE, PIQUA, OH 45356 · CCN 365607 · chain BUCKEYE FAMILY TRUST
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
99
Model
v1.2
Reads as: riskier than 76.1% 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 model5ML signals2Components16CHOW radar1Distress radar1Staffing16Penalties1Deficiencies41Licensure0Ownership25Related party4Transactions1Comps12Market rent33
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 69.7 | 64.5 | 0.30 | 0.2308 | 16.08 | in index |
| staffing risk | 72.9 | 72.9 | 0.25 | 0.1923 | 14.02 | in index |
| financial risk | 58.0 | 50.9 | 0.30 | 0.2308 | 13.38 | in index |
| billing conduct | 44.6 | 37.2 | 0.30 | 0.2308 | 10.29 | in index |
| chow risk | 42.8 | 49.8 | 0.15 | 0.1154 | 4.94 | 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.
ML signals — parallel engine
2| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +22.6 vs natl | BUCKEYE FAMILY TRUST | 5 facilities |
| connection | Owner spans multiple chains | 8 chains | LAHASKY EPHRAM | 23 facilities |
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.
Component scores and registry models
16| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 37.2 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 20.3 | A | 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 | 79.3 | D | v0.6 | default · in composite | |
| financial risk | 50.9 | C | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.1 | — | 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 | 64.5 | C | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 72.9 | D | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 89.3 | 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 | 69.3 | 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 | 50.8 | C | 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 | 55.0 | 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 | 64.3 | C | 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 | 64.3 | C | 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 | 72.9 | D | 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 | 72.9 | D | 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
1.1
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) | 4.57 | -1.40 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Occupancy | 0.83 | -0.38 | |
| Deficiencies, last 12 months | 0.00 | -0.17 | |
| Contract staffing share | 0.00 | -0.10 |
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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
57.2
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 | 0.00 | +1.43 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Occupancy | 0.83 | -0.33 | |
| Never sold on record | 0.00 | -0.28 | |
| Chain size (log) | 1.61 | +0.26 | |
| Ownership changes, last 5 years | 1.00 | +0.23 | |
| Current owner tenure (years) | 4.57 | -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 | 2.94 | 3.24 | 3.28 | 2.90–3.77 |
| RN | 0.12 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 2.77 | 3.11 | 3.11 | — |
| Weekday total | 3.00 | 3.29 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 81.9 | 2.94 | 0.12 | 0.96 | 1.85 | 2.77 | 0.0% |
| 2025Q3 | 92 | 82.5 | 2.93 | 0.24 | 0.87 | 1.82 | 2.81 | 11.0% |
| 2025Q2 | 91 | 79.2 | 3.04 | 0.23 | 0.89 | 1.92 | 2.89 | 9.9% |
| 2025Q1 | 90 | 79.9 | 2.86 | 0.18 | 0.90 | 1.78 | 2.73 | 6.0% |
| 2024Q4 | 92 | 81.5 | 2.81 | 0.15 | 0.85 | 1.82 | 2.66 | 4.8% |
| 2024Q3 | 92 | 77.3 | 3.00 | 0.22 | 0.97 | 1.81 | 2.68 | 0.0% |
| 2024Q2 | 91 | 70.7 | 2.97 | 0.20 | 1.00 | 1.78 | 2.58 | 0.0% |
| 2024Q1 | 91 | 70.9 | 2.95 | 0.16 | 0.90 | 1.89 | 2.63 | 0.0% |
| 2023Q4 | 92 | 74.8 | 3.00 | 0.28 | 0.94 | 1.78 | 2.63 | 0.0% |
| 2023Q3 | 92 | 73.1 | 2.94 | 0.22 | 0.89 | 1.83 | 2.66 | 0.0% |
| 2023Q2 | 91 | 72.6 | 2.84 | 0.21 | 1.09 | 1.54 | 2.57 | 0.0% |
| 2023Q1 | 90 | 73.8 | 2.98 | 0.24 | 1.15 | 1.59 | 2.72 | 0.0% |
| 2022Q4 | 92 | 71.8 | 3.21 | 0.39 | 1.20 | 1.62 | 2.86 | 0.0% |
| 2022Q3 | 92 | 69.5 | 3.09 | 0.25 | 1.13 | 1.71 | 2.75 | 0.0% |
| 2022Q2 | 91 | 69.1 | 2.89 | 0.18 | 0.94 | 1.77 | 2.61 | 0.0% |
| 2022Q1 | 90 | 69.9 | 3.06 | 0.14 | 1.07 | 1.85 | 2.75 | 0.0% |
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
1| Date | Type | Fine | Source |
|---|---|---|---|
| 2023-10-27 | Fine | $19,890 | CMS provider data |
Total fines on record: $19,890
Deficiencies
41D × 33E × 3F × 3G × 2
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-06-26 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2025-08-14 |
| 2025-06-26 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2025-08-14 |
| 2025-06-26 | 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 | 2025-08-14 |
| 2025-06-26 | 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. | E | 2025-08-14 |
| 2025-06-26 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-08-14 |
| 2025-06-26 | Health | F0685 | Assist a resident in gaining access to vision and hearing services. | D | 2025-08-14 |
| 2025-06-26 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2025-08-14 |
| 2025-06-26 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2025-08-14 |
| 2025-06-26 | 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. | D | 2025-08-14 |
| 2025-06-26 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2025-08-14 |
| 2025-06-26 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-08-14 |
| 2025-04-29 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-05-14 |
| 2025-04-29 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2025-05-14 |
| 2025-03-18 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-04-02 |
| 2025-03-18 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-04-02 |
| 2025-02-27 | Health · complaint | F0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | D | 2025-04-02 |
| 2024-12-18 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-01-02 |
| 2024-04-11 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | F | 2024-04-25 |
| 2024-01-29 | Health · complaint | F0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | 2024-02-12 |
| 2024-01-29 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-02-12 |
| 2024-01-29 | Health · complaint | F0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | D | 2024-02-12 |
| 2023-10-27 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | G | 2023-11-13 |
| 2023-09-18 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-10-10 |
| 2023-09-18 | Health · complaint | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | 2023-10-10 |
| 2022-09-07 | Health | 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 | 2022-10-05 |
| 2022-09-07 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2022-10-05 |
| 2022-09-07 | Health | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | 2022-10-05 |
| 2022-09-07 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | G | 2022-10-05 |
| 2022-09-07 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2022-10-05 |
| 2022-09-07 | Health | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | 2022-10-05 |
| 2022-09-07 | 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. | D | 2022-10-05 |
| 2022-09-07 | Health | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D | 2022-10-05 |
| 2022-09-07 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2022-10-05 |
| 2022-09-07 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2022-10-05 |
| 2022-09-07 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2022-10-05 |
| 2019-10-10 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2019-10-17 |
| 2019-10-10 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2019-10-17 |
| 2019-10-10 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2019-10-17 |
| 2019-10-10 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2019-10-17 |
| 2019-10-10 | 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 | 2019-10-17 |
| 2019-10-10 | 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 | 2019-10-17 |
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
25| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| BUCKEYE FAMILY TRUST | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 51% | 2025-12-31 | current | pecos_ownership |
| KATZ, GEORGE | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25% | 2025-02-01 | current | pecos_ownership |
| KAZARNOVSKY, SOLOMON | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 12% | 2025-02-01 | current | pecos_ownership |
| STEIN, ABBA | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 12% | 2025-02-01 | current | pecos_ownership |
| CUSNER, ADAM | ADP OF THE SNF | — | 2025-01-27 | current | pecos_ownership |
| DEGYANSKY, JEFFREY | CORPORATE OFFICER | — | 2020-01-01 | current | pecos_ownership |
| DEGYANSKY, JEFFREY | ADP OF THE SNF | — | 2024-05-01 | current | pecos_ownership |
| GOLDISH, ELIEZER | CORPORATE OFFICER | — | 2023-10-09 | current | pecos_ownership |
| GOLDISH, ELIEZER | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-05-01 | current | pecos_ownership |
| KAZARNOVSKY, SOLOMON | ADP OF THE SNF | — | 2024-05-01 | current | pecos_ownership |
| LAHASKY, EPHRAM | TRUSTEE OF THE SNF | — | 2025-12-31 | current | pecos_ownership |
| LAHASKY, EPHRAM | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-01 | current | pecos_ownership |
| STEIN, ABBA | CORPORATE OFFICER | — | 2024-05-01 | current | pecos_ownership |
| EPHRAM LAHASKY | INDIRECT OWNERSHIP INTEREST | 51% | 2025-12-31 | ended 2026-05-18 | pecos_ownership |
| GEORGE KATZ | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25% | 2025-02-01 | ended 2026-05-18 | pecos_ownership |
| ABBA STEIN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 12% | 2025-02-01 | ended 2026-05-18 | pecos_ownership |
| SOLOMON KAZARNOVSKY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 12% | 2025-02-01 | ended 2026-05-18 | pecos_ownership |
| ABBA STEIN | ADP OF THE SNF | — | 2024-05-01 | ended 2026-05-18 | pecos_ownership |
| ADAM CUSNER | CORPORATE OFFICER | — | 2025-01-27 | ended 2026-05-18 | pecos_ownership |
| ELIEZER GOLDISH | CORPORATE OFFICER | — | 2023-10-09 | ended 2026-05-18 | pecos_ownership |
| ELIEZER GOLDISH | ADP OF THE SNF | — | 2024-05-01 | ended 2026-05-18 | pecos_ownership |
| EPHRAM LAHASKY | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-01 | ended 2026-05-18 | pecos_ownership |
| JEFFREY DEGYANSKY | ADP OF THE SNF | — | 2024-05-01 | ended 2026-05-18 | pecos_ownership |
| JEFFREY DEGYANSKY | CORPORATE OFFICER | — | 2020-01-01 | ended 2026-05-18 | pecos_ownership |
| SOLOMON KAZARNOVSKY | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-05-01 | 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 |
|---|---|---|---|---|
| 2021-12-31 | — | BUCKEYE FOREST AT PIQUA LLC | PIQUA HEALTHCARE 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
33| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 39109 | acs median gross | 0 | $538 | 2024-12-31 | CENSUS_ACS5 |
| county 39109 | fmr | 0 | $928 | 2025-10-01 | HUD_USER_FMR |
| county 39109 | acs median gross | 1 | $768 | 2024-12-31 | CENSUS_ACS5 |
| county 39109 | fmr | 1 | $1,009 | 2025-10-01 | HUD_USER_FMR |
| county 39109 | acs median gross | 2 | $924 | 2024-12-31 | CENSUS_ACS5 |
| county 39109 | fmr | 2 | $1,273 | 2025-10-01 | HUD_USER_FMR |
| county 39109 | acs median gross | 3 | $1,186 | 2024-12-31 | CENSUS_ACS5 |
| county 39109 | fmr | 3 | $1,651 | 2025-10-01 | HUD_USER_FMR |
| county 39109 | acs median gross | 4 | $1,292 | 2024-12-31 | CENSUS_ACS5 |
| county 39109 | fmr | 4 | $1,817 | 2025-10-01 | HUD_USER_FMR |
| county 39109 | acs median gross | $966 | 2024-12-31 | CENSUS_ACS5 | |
| county 39109 | acs recent mover gross | $1,301 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 45356 | acs median gross | 1 | $639 | 2024-12-31 | CENSUS_ACS5 |
| zcta 45356 | acs median gross | 2 | $904 | 2024-12-31 | CENSUS_ACS5 |
| zcta 45356 | acs median gross | 3 | $1,181 | 2024-12-31 | CENSUS_ACS5 |
| zcta 45356 | acs median gross | 4 | $1,173 | 2024-12-31 | CENSUS_ACS5 |
| zcta 45356 | acs median gross | $921 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 45356 | acs recent mover gross | $1,222 | 2024-12-31 | CENSUS_ACS5 | |
| zip 45356 | payment standard 110 | 0 | $979 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45356 | payment standard 90 | 0 | $801 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45356 | safmr | 0 | $890 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45356 | payment standard 110 | 1 | $1,067 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45356 | payment standard 90 | 1 | $873 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45356 | safmr | 1 | $970 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45356 | payment standard 110 | 2 | $1,342 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45356 | payment standard 90 | 2 | $1,098 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45356 | safmr | 2 | $1,220 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45356 | payment standard 110 | 3 | $1,738 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45356 | payment standard 90 | 3 | $1,422 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45356 | safmr | 3 | $1,580 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45356 | payment standard 110 | 4 | $1,914 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45356 | payment standard 90 | 4 | $1,566 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45356 | safmr | 4 | $1,740 | 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.