Composite
84.8 / 100 percentile
Screener / 366199
C
COUNTRY LANE GARDENS REHAB & NURSING CTR
snfOHSFF: SFF Candidate
7820 PLEASANTVILLE ROAD, PLEASANTVILLE, OH 43148 · CCN 366199 · chain BRAUNSTEIN BEARS 2016 TRUST
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
99
Model
v1.2
Reads as: riskier than 84.8% 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 signals3Components16CHOW radar1Distress radar1Staffing16Penalties3Deficiencies117Licensure0Ownership38Related party5Transactions1Comps12Market rent31
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 94.7 | 92.8 | 0.30 | 0.2308 | 21.85 | in index |
| billing conduct | 84.7 | 56.0 | 0.30 | 0.2308 | 19.55 | in index |
| staffing risk | 72.5 | 72.5 | 0.25 | 0.1923 | 13.94 | in index |
| chow risk | 41.7 | 40.8 | 0.15 | 0.1154 | 4.81 | in index |
| financial risk | 13.0 | 21.8 | 0.30 | 0.2308 | 3.00 | 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.
ML signals — parallel engine
3| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +20.7 vs natl | MILLER DANIEL | 14 facilities |
| connection | Owner spans multiple chains | 9 chains | MILLER DANIEL | 12 facilities |
| connection | Owner fleet enforcement cluster | 42% fined | KATZ LARRY | 19 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 | 56.0 | C | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 24.9 | 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 | 56.8 | C | v0.6 | default · in composite | |
| financial risk | 21.8 | A | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.0 | — | 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 | 0.3 | — | 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 | 92.8 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 72.5 | D | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 79.2 | D | 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 | 59.2 | C | 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 | 29.9 | B | 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 | 27.6 | B | 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 | 92.7 | 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 | 92.7 | 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 | 72.5 | 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 | 72.5 | 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)
0.3%
model v0.1 · computed 2026-07-29
Percentile among SNFs
45.8
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) | 9.58 | -0.92 | |
| Deficiencies, last 12 months | 37.00 | +0.73 | |
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.85 | -0.44 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| High-severity deficiencies, 12m | 5.00 | +0.26 | |
| 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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
0.0
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 | 37.00 | -5.43 | |
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.85 | -0.42 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| High-severity deficiencies, 12m | 5.00 | -0.36 | |
| Chain size (log) | 2.56 | -0.29 | |
| Never sold on record | 0.00 | -0.28 | |
| Fine amount, 12m (log) | 0.00 | +0.18 |
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 | 2.95 | 3.24 | 3.28 | 2.90–3.77 |
| RN | 0.15 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 2.88 | 3.11 | 3.11 | — |
| Weekday total | 2.97 | 3.29 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 84.0 | 2.95 | 0.15 | 1.03 | 1.76 | 2.88 | 10.7% |
| 2025Q3 | 92 | 90.8 | 2.59 | 0.13 | 0.86 | 1.59 | 2.64 | 0.0% |
| 2025Q2 | 91 | 88.2 | 2.79 | 0.21 | 0.85 | 1.73 | 2.66 | 0.1% |
| 2025Q1 | 90 | 92.5 | 2.63 | 0.18 | 0.76 | 1.69 | 2.72 | 0.4% |
| 2024Q4 | 92 | 74.6 | 2.85 | 0.23 | 0.87 | 1.75 | 2.92 | 0.2% |
| 2024Q3 | 92 | 77.7 | 3.00 | 0.24 | 0.89 | 1.87 | 2.98 | 0.0% |
| 2024Q2 | 91 | 81.4 | 2.83 | 0.32 | 0.82 | 1.70 | 2.77 | 0.0% |
| 2024Q1 | 91 | 83.4 | 2.69 | 0.34 | 0.79 | 1.56 | 2.67 | 0.0% |
| 2023Q4 | 92 | 76.8 | 2.87 | 0.33 | 0.81 | 1.73 | 2.88 | 3.6% |
| 2023Q3 | 92 | 79.9 | 2.90 | 0.30 | 0.81 | 1.78 | 2.86 | 5.4% |
| 2023Q2 | 91 | 84.1 | 2.74 | 0.21 | 0.82 | 1.71 | 2.71 | 15.6% |
| 2023Q1 | 90 | 87.0 | 2.72 | 0.13 | 0.84 | 1.76 | 2.69 | 22.4% |
| 2022Q4 | 92 | 89.5 | 2.44 | 0.08 | 0.81 | 1.56 | 2.26 | 32.4% |
| 2022Q3 | 92 | 89.6 | 2.54 | 0.11 | 0.81 | 1.62 | 2.42 | 28.3% |
| 2022Q2 | 91 | 85.3 | 2.88 | 0.14 | 0.92 | 1.82 | 2.69 | 31.4% |
| 2022Q1 | 90 | 81.0 | 2.70 | 0.13 | 0.80 | 1.76 | 2.56 | 22.8% |
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
3fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-04-29 | Fine | $17,655 | CMS provider data |
| 2024-07-08 | Fine | $26,737 | CMS provider data |
| 2024-04-02 | Fine | $10,230 | CMS provider data |
Total fines on record: $54,622
Deficiencies
117C × 4D × 86E × 10F × 9G × 3J × 5
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-05 | Health · complaint | F0679 | Provide activities to meet all resident's needs. | E | 2026-03-19 |
| 2026-03-05 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-03-19 |
| 2026-03-05 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2026-03-19 |
| 2026-03-05 | Health · complaint | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2026-03-19 |
| 2026-03-05 | Health · complaint | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | 2026-03-19 |
| 2026-02-02 | 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. | F | 2026-02-05 |
| 2026-02-02 | Health · complaint | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | J | 2026-02-05 |
| 2025-12-15 | Health · complaint | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2026-02-02 |
| 2025-12-15 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-02-02 |
| 2025-12-15 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2026-02-02 |
| 2025-11-26 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2026-02-02 |
| 2025-11-26 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-02-02 |
| 2025-11-26 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2026-02-02 |
| 2025-11-26 | Health · complaint | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2026-02-02 |
| 2025-10-28 | 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 | 2026-02-02 |
| 2025-10-15 | Health · complaint | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | 2026-02-02 |
| 2025-10-15 | 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 | 2026-02-02 |
| 2025-10-15 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2026-02-02 |
| 2025-10-15 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2026-02-02 |
| 2025-10-15 | Health · complaint | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | 2026-02-02 |
| 2025-10-15 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-02-02 |
| 2025-10-15 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2026-02-02 |
| 2025-10-15 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2026-02-02 |
| 2025-10-15 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | 2026-02-02 |
| 2025-10-15 | Health · complaint | F0687 | Provide appropriate foot care. | G | 2026-02-02 |
| 2025-10-15 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | G | 2026-02-02 |
| 2025-10-15 | Health · complaint | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2026-02-02 |
| 2025-10-15 | 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 | 2026-02-02 |
| 2025-10-15 | Health · complaint | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2026-02-02 |
| 2025-10-15 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2026-02-02 |
| 2025-10-15 | Health · complaint | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | 2026-02-02 |
| 2025-10-15 | Health · complaint | F0837 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | F | 2026-02-02 |
| 2025-10-15 | Health · complaint | F0841 | Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | F | 2026-02-02 |
| 2025-10-15 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2026-02-02 |
| 2025-10-15 | Health · complaint | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | 2026-02-02 |
| 2025-08-15 | 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 | 2025-08-27 |
| 2025-08-15 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-08-27 |
| 2025-07-02 | 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 | 2025-07-18 |
| 2025-07-02 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-07-18 |
| 2025-07-02 | Health · complaint | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | 2025-07-18 |
| 2025-06-12 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2025-06-02 |
| 2025-05-19 | Health · complaint | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2025-07-02 |
| 2025-04-29 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-07-02 |
| 2025-04-29 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-07-02 |
| 2025-04-29 | Health · complaint | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | 2025-07-02 |
| 2024-07-08 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-08-01 |
| 2024-07-08 | Health | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2024-08-01 |
| 2024-07-08 | 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 | 2024-08-01 |
| 2024-07-08 | Health | F0585 | 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. | D | 2024-08-01 |
| 2024-07-08 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-08-01 |
| 2024-07-08 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-08-01 |
| 2024-07-08 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-08-01 |
| 2024-07-08 | 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 | 2024-08-01 |
| 2024-07-08 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | J | 2024-08-01 |
| 2024-07-08 | Health | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | E | 2024-08-01 |
| 2024-07-08 | Health | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | 2024-08-01 |
| 2024-07-08 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2024-08-01 |
| 2024-07-08 | 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 | 2024-08-01 |
| 2024-07-08 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-08-01 |
| 2024-07-08 | Health | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | 2024-08-01 |
| 2024-07-08 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-08-01 |
| 2024-07-08 | Health | F0881 | Implement a program that monitors antibiotic use. | D | 2024-08-01 |
| 2024-04-02 | 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 | 2024-04-18 |
| 2024-04-02 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-04-18 |
| 2024-04-02 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2024-04-18 |
| 2024-04-02 | 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 | 2024-04-18 |
| 2024-02-26 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-03-01 |
| 2023-11-08 | Health · complaint | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2023-11-29 |
| 2023-11-08 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | E | 2023-11-29 |
| 2022-04-25 | Health | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | 2022-06-02 |
| 2022-04-25 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2022-06-02 |
| 2022-04-25 | Health | F0622 | 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. | D | 2022-06-02 |
| 2022-04-25 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2022-06-02 |
| 2022-04-25 | 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 | 2022-06-02 |
| 2022-04-25 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2022-06-02 |
| 2022-04-25 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2022-06-02 |
| 2022-04-25 | Health | F0646 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D | 2022-06-02 |
| 2022-04-25 | Health | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | 2022-06-02 |
| 2022-04-25 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2022-06-02 |
| 2022-04-25 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2022-06-02 |
| 2022-04-25 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2022-06-02 |
| 2022-04-25 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2022-06-02 |
| 2022-04-25 | Health | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | 2022-06-02 |
| 2022-04-25 | 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 | 2022-06-02 |
| 2022-04-25 | 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 | 2022-06-02 |
| 2022-04-25 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2022-06-02 |
| 2022-04-25 | Health | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | 2022-06-02 |
| 2022-04-25 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2022-06-02 |
| 2022-04-25 | Health | F0881 | Implement a program that monitors antibiotic use. | D | 2022-06-02 |
| 2022-04-25 | Health | F0888 | Ensure staff are vaccinated for COVID-19 | D | 2022-06-02 |
| 2022-04-25 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | 2022-06-02 |
| 2019-09-26 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2019-11-19 |
| 2019-09-26 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2019-11-19 |
| 2019-09-26 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | C | 2019-11-19 |
| 2019-09-26 | Health | F0575 | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | C | 2019-11-19 |
| 2019-09-26 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2019-11-19 |
| 2019-09-26 | Health | F0585 | 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. | D | 2019-11-19 |
| 2019-09-26 | Health | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2019-11-19 |
| 2019-09-26 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | C | 2019-11-19 |
| 2019-09-26 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2019-11-19 |
| 2019-09-26 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2019-11-19 |
| 2019-09-26 | Health | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | 2019-11-19 |
| 2019-09-26 | Health | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2019-11-19 |
| 2019-09-26 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2019-11-20 |
| 2019-09-26 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2019-11-20 |
| 2019-09-26 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2019-11-20 |
| 2019-09-26 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2019-11-19 |
| 2019-09-26 | Health | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2019-11-19 |
| 2019-09-26 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2019-11-19 |
| 2019-09-26 | 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 | 2019-11-19 |
| 2019-09-26 | Health | 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 | 2019-11-19 |
| 2019-09-26 | Health | F0809 | 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. | E | 2019-11-19 |
| 2019-09-26 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2019-11-19 |
| 2019-09-26 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2019-11-19 |
| 2019-09-26 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2019-11-19 |
| 2019-09-26 | Health | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | 2019-11-19 |
| 2019-09-26 | Health | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | C | 2019-11-19 |
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
38| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| CHICKIESTRONG FAIRFIELD GARDENS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 86% | 2017-09-01 | current | pecos_ownership |
| BRAUNSTEIN BEARS 2016 TRUST | ADP OF THE SNF | — | 2017-09-01 | current | pecos_ownership |
| CHICKIESTRONG REAL ESTATE LLC | ADP OF THE SNF | — | 2017-09-01 | current | pecos_ownership |
| EATERY CAPITAL LLC | ADP OF THE SNF | — | 2017-09-01 | current | pecos_ownership |
| EATERY MANAGER LLC | ADP OF THE SNF | — | 2017-09-01 | current | pecos_ownership |
| EATERY TRUST | ADP OF THE SNF | — | 2017-09-01 | current | pecos_ownership |
| FAIRFIELD GARDENS REAL ESTATE | Corporation, partnership or other organization has financial interest in provider | — | 2023-01-01 | current | hcris_a_8_1 |
| FAIRFIELD GARDENS REAL ESTATE | Corporation, partnership or other organization has financial interest in provider | — | 2024-01-01 | current | hcris_a_8_1 |
| FEUER, SAMUEL | ADP OF THE SNF | — | 2017-09-01 | current | pecos_ownership |
| GARDEN CARE EL-DG HOLDINGS, LLC | ADP OF THE SNF | — | 2017-09-01 | current | pecos_ownership |
| HARRIS, KENT | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-11-10 | current | pecos_ownership |
| KATZ, LARRY | ADP OF THE SNF | — | 2017-09-01 | current | pecos_ownership |
| LESHKOWITZ, ELI | INDIRECT OWNERSHIP INTEREST | — | 2017-09-01 | current | pecos_ownership |
| LESHKOWITZ, ELI | CORPORATE OFFICER | — | 2016-12-30 | current | pecos_ownership |
| MILLER, DANIEL | ADP OF THE SNF | — | 2017-09-01 | current | pecos_ownership |
| FAIRFIELD GARDENS | Corporation, partnership or other organization has financial interest in provider | 100% | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| GARDEN OHIO OPERATING HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 86% | 2017-09-01 | ended 2026-05-18 | pecos_ownership |
| CHICKIESTRONG FAIRFIELD GARDENS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 80% | 2016-12-30 | ended 2026-04-01 | pecos_ownership |
| GARDEN OHIO OPERATING HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 80% | 2016-12-30 | ended 2026-04-01 | pecos_ownership |
| GARDEN OHIO OPERATING MANAGING MEMBER LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 64% | 2017-09-01 | ended 2026-05-18 | pecos_ownership |
| GARDEN OHIO OPERATING MANAGING MEMBER LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 60% | 2016-12-30 | ended 2026-04-01 | pecos_ownership |
| BRAUNSTEIN BEARS 2016 TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 45% | 2016-12-30 | ended 2026-04-01 | pecos_ownership |
| CHICKIESTRONG REAL ESTATE LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20% | 2016-12-30 | ended 2026-04-01 | pecos_ownership |
| ELI LESHKOWITZ | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | 2016-12-30 | ended 2026-04-01 | pecos_ownership |
| SAMUEL FEUER | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% | 2016-12-30 | ended 2026-04-01 | pecos_ownership |
| ELI LESHKOWITZ | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 9% | 2017-09-01 | ended 2026-05-18 | pecos_ownership |
| SAMUEL FEUER | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 9% | 2017-09-01 | ended 2026-05-18 | pecos_ownership |
| LARRY KATZ | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 8% | 2017-09-01 | ended 2026-05-18 | pecos_ownership |
| AKIVA GLATZER | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5% | 2016-12-30 | ended 2026-04-01 | pecos_ownership |
| DAVID GAMZEH | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5% | 2016-12-30 | ended 2026-04-01 | pecos_ownership |
| JOSHUA FARKOVITS | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5% | 2016-12-30 | ended 2026-04-01 | pecos_ownership |
| DANIEL MILLER | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-09-01 | ended 2026-05-18 | pecos_ownership |
| EPHRAM LAHASKY | CORPORATE OFFICER | — | 2016-12-30 | ended 2026-04-01 | pecos_ownership |
| FAIRFIELD GARDENS | Corporation, partnership or other organization has financial interest in provider | — | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| FAIRFIELD GARDENS | Corporation, partnership or other organization has financial interest in provider | — | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| GARDEN HEALTHCARE GROUP LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-12-30 | ended 2026-04-01 | pecos_ownership |
| KENT HARRIS | MANAGING CONTROL - GOVERNING BODY | — | 2025-11-10 | ended 2026-05-18 | pecos_ownership |
| ROBERT GARRETT | W-2 MANAGING EMPLOYEE | — | 2016-12-30 | ended 2026-04-01 | 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 |
|---|---|---|---|---|
| 2016-12-30 | — | FAIRFIELD GARDENS REHABILITATION AND CARE CENTER LLC | HEARTLAND-FAIRFIELD OF PLEASANTVILLE OH 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
31| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 39045 | acs median gross | 0 | $663 | 2024-12-31 | CENSUS_ACS5 |
| county 39045 | fmr | 0 | $1,111 | 2025-10-01 | HUD_USER_FMR |
| county 39045 | acs median gross | 1 | $826 | 2024-12-31 | CENSUS_ACS5 |
| county 39045 | fmr | 1 | $1,194 | 2025-10-01 | HUD_USER_FMR |
| county 39045 | acs median gross | 2 | $1,215 | 2024-12-31 | CENSUS_ACS5 |
| county 39045 | fmr | 2 | $1,430 | 2025-10-01 | HUD_USER_FMR |
| county 39045 | acs median gross | 3 | $1,310 | 2024-12-31 | CENSUS_ACS5 |
| county 39045 | fmr | 3 | $1,715 | 2025-10-01 | HUD_USER_FMR |
| county 39045 | acs median gross | 4 | $1,551 | 2024-12-31 | CENSUS_ACS5 |
| county 39045 | fmr | 4 | $1,927 | 2025-10-01 | HUD_USER_FMR |
| county 39045 | acs median gross | 5 | $1,686 | 2024-12-31 | CENSUS_ACS5 |
| county 39045 | acs median gross | $1,172 | 2024-12-31 | CENSUS_ACS5 | |
| county 39045 | acs recent mover gross | $1,257 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 43148 | acs median gross | 2 | $844 | 2024-12-31 | CENSUS_ACS5 |
| zcta 43148 | acs median gross | 3 | $1,036 | 2024-12-31 | CENSUS_ACS5 |
| zcta 43148 | acs median gross | $968 | 2024-12-31 | CENSUS_ACS5 | |
| zip 43148 | payment standard 110 | 0 | $1,056 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43148 | payment standard 90 | 0 | $864 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43148 | safmr | 0 | $960 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43148 | payment standard 110 | 1 | $1,133 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43148 | payment standard 90 | 1 | $927 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43148 | safmr | 1 | $1,030 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43148 | payment standard 110 | 2 | $1,353 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43148 | payment standard 90 | 2 | $1,107 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43148 | safmr | 2 | $1,230 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43148 | payment standard 110 | 3 | $1,628 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43148 | payment standard 90 | 3 | $1,332 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43148 | safmr | 3 | $1,480 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43148 | payment standard 110 | 4 | $1,848 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43148 | payment standard 90 | 4 | $1,512 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43148 | safmr | 4 | $1,680 | 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.