Composite
95.9 / 100 percentile
Screener / 365559
F
ROLLING HILLS REHAB AND CARE CTR
snfOHSFF: SFF Candidate
68222 COMMERCIAL DRIVE, BRIDGEPORT, OH 43912 · CCN 365559 · chain BRAUNSTEIN BEARS 2016 TRUST
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
75
Model
v1.2
Reads as: riskier than 95.9% 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 radar1Staffing16Penalties2Deficiencies77Licensure0Ownership23Related party5Transactions1Comps12Market rent31
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 90.9 | 88.6 | 0.30 | 0.2308 | 20.98 | in index |
| billing conduct | 77.3 | 51.3 | 0.30 | 0.2308 | 17.84 | in index |
| financial risk | 75.6 | 63.4 | 0.30 | 0.2308 | 17.45 | in index |
| staffing risk | 51.5 | 51.5 | 0.25 | 0.1923 | 9.90 | in index |
| chow risk | 56.2 | 54.5 | 0.15 | 0.1154 | 6.48 | 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 | +21.5 vs natl | GAMZEH DAVID | 15 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 | 51.3 | C | 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 | 84.0 | F | v0.6 | default · in composite | |
| financial risk | 63.4 | C | 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 | 0.2 | — | 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 | 88.6 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 51.5 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 86.0 | 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 | 66.0 | 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 | 58.0 | 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 | 66.0 | D | 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 | 88.5 | 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 | 88.5 | 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 | 51.5 | 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 | 51.5 | 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)
0.2%
model v0.1 · computed 2026-07-29
Percentile among SNFs
42.6
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 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Deficiencies, last 12 months | 18.00 | +0.27 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Chain size (log) | 2.56 | +0.14 | |
| Penalties, last 12 months | 2.00 | +0.09 |
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 | 18.00 | -1.91 | |
| For-profit ownership | 1.00 | -0.69 | |
| Fine amount, 12m (log) | 11.41 | -0.66 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Chain size (log) | 2.56 | -0.29 | |
| Never sold on record | 0.00 | -0.28 | |
| Penalties, last 12 months | 2.00 | -0.17 | |
| Occupancy | 0.71 | +0.17 |
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 | 3.25 | 3.24 | 3.28 | 2.90–3.77 |
| RN | 0.17 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 3.23 | 3.11 | 3.11 | — |
| Weekday total | 3.26 | 3.29 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 53.1 | 3.25 | 0.17 | 1.02 | 2.07 | 3.23 | 1.5% |
| 2025Q3 | 92 | 52.5 | 3.47 | 0.32 | 0.94 | 2.21 | 3.35 | 1.1% |
| 2025Q2 | 91 | 57.3 | 3.40 | 0.24 | 0.99 | 2.16 | 3.15 | 0.0% |
| 2025Q1 | 90 | 57.1 | 3.38 | 0.18 | 1.01 | 2.19 | 3.29 | 2.2% |
| 2024Q4 | 92 | 53.8 | 3.48 | 0.27 | 0.92 | 2.30 | 3.31 | 1.9% |
| 2024Q3 | 92 | 54.2 | 3.04 | 0.22 | 0.73 | 2.09 | 3.02 | 1.1% |
| 2024Q2 | 91 | 51.8 | 2.87 | 0.21 | 0.75 | 1.91 | 2.89 | 0.0% |
| 2024Q1 | 91 | 57.9 | 2.91 | 0.14 | 0.86 | 1.92 | 2.82 | 0.0% |
| 2023Q4 | 92 | 50.3 | 2.88 | 0.14 | 0.89 | 1.86 | 2.78 | 4.3% |
| 2023Q3 | 92 | 48.1 | 2.97 | 0.24 | 0.81 | 1.93 | 2.98 | 9.7% |
| 2023Q2 | 91 | 53.2 | 2.98 | 0.16 | 0.80 | 2.03 | 2.95 | 14.7% |
| 2023Q1 | 90 | 51.2 | 2.81 | 0.21 | 0.77 | 1.83 | 2.74 | 14.5% |
| 2022Q4 | 92 | 49.6 | 2.62 | 0.26 | 0.74 | 1.62 | 2.47 | 12.1% |
| 2022Q3 | 92 | 48.8 | 2.66 | 0.36 | 0.78 | 1.51 | 2.65 | 6.0% |
| 2022Q2 | 91 | 45.6 | 2.86 | 0.43 | 0.83 | 1.60 | 2.72 | 1.6% |
| 2022Q1 | 90 | 45.8 | 2.93 | 0.46 | 0.76 | 1.70 | 2.73 | 0.8% |
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
2| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-08-11 | Fine | $90,558 | CMS provider data |
| 2025-08-11 | Payment Denial | — | CMS provider data |
Total fines on record: $90,558
Deficiencies
77C × 1D × 57E × 2F × 16J × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-13 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2026-02-25 |
| 2026-04-13 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2026-04-28 |
| 2026-04-13 | Health · complaint | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2026-04-28 |
| 2026-03-11 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-04-09 |
| 2026-03-11 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2026-04-09 |
| 2026-03-11 | 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 | 2026-04-09 |
| 2026-03-11 | 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 | 2026-04-09 |
| 2026-03-11 | Health · complaint | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | 2026-04-09 |
| 2026-03-11 | Health · complaint | 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 | 2026-04-09 |
| 2025-09-17 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | 2025-09-18 |
| 2025-08-21 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-09-17 |
| 2025-08-11 | 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 | 2025-09-17 |
| 2025-08-11 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2025-09-17 |
| 2025-08-11 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-09-17 |
| 2025-08-11 | 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 | 2025-09-17 |
| 2025-08-11 | Health · complaint | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | 2025-09-17 |
| 2025-08-11 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | 2025-09-18 |
| 2025-08-11 | Health · complaint | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | 2025-09-17 |
| 2025-06-05 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | 2025-06-16 |
| 2025-04-30 | 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 | 2025-05-15 |
| 2025-04-30 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-05-15 |
| 2025-04-15 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-05-15 |
| 2025-04-15 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2025-05-15 |
| 2024-11-21 | Health | F0583 | Keep residents' personal and medical records private and confidential. | D | 2024-12-24 |
| 2024-11-21 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-12-24 |
| 2024-11-21 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-12-24 |
| 2024-11-21 | 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 | 2024-12-24 |
| 2024-11-21 | 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 | 2024-12-24 |
| 2024-11-21 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-12-24 |
| 2024-11-21 | 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 | 2024-12-24 |
| 2024-11-21 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-12-24 |
| 2024-11-21 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-12-24 |
| 2024-11-21 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2024-12-24 |
| 2024-11-21 | 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 | 2024-12-24 |
| 2024-11-21 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2024-12-24 |
| 2024-11-21 | Health | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | D | 2024-12-24 |
| 2024-11-21 | Health | 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 | 2024-12-24 |
| 2024-11-21 | Health | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | F | 2024-12-24 |
| 2024-11-21 | Health | F0848 | Provide a neutral and fair arbitration process and agree to arbitrator and venue. | F | 2024-12-24 |
| 2024-11-21 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | 2024-12-24 |
| 2024-11-21 | Health | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | 2024-12-24 |
| 2024-10-17 | 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 | 2024-11-08 |
| 2024-09-12 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-10-03 |
| 2024-09-12 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | F | 2024-10-03 |
| 2024-05-13 | Health · complaint | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2024-07-16 |
| 2024-05-13 | Health · complaint | F0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | 2024-07-16 |
| 2024-04-11 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-04-01 |
| 2024-01-17 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-01-30 |
| 2024-01-17 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-01-30 |
| 2024-01-17 | Health · complaint | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2024-01-30 |
| 2022-11-17 | Health | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | 2022-12-09 |
| 2022-11-17 | 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 | 2022-12-09 |
| 2022-11-17 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2022-12-09 |
| 2022-11-17 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2022-12-09 |
| 2022-11-17 | 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 | 2022-12-09 |
| 2022-11-17 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2022-12-09 |
| 2022-11-17 | Health | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2022-12-09 |
| 2022-11-17 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2022-12-09 |
| 2022-11-17 | 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 | 2022-12-09 |
| 2022-11-17 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | 2022-12-09 |
| 2022-11-17 | Health | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | 2022-12-09 |
| 2022-11-17 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2022-12-09 |
| 2022-11-17 | Health | F0881 | Implement a program that monitors antibiotic use. | D | 2022-12-09 |
| 2020-03-13 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2020-04-08 |
| 2020-03-13 | Health | F0641 | Ensure each resident receives an accurate assessment. | E | 2020-04-08 |
| 2020-03-13 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2020-04-08 |
| 2020-03-13 | 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 | 2020-04-08 |
| 2020-03-13 | 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 | 2020-04-08 |
| 2020-03-13 | Health | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | 2020-04-08 |
| 2020-03-13 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2020-04-08 |
| 2020-03-13 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2020-04-08 |
| 2020-03-13 | 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 | 2020-04-08 |
| 2020-03-13 | Health | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | 2020-04-08 |
| 2020-03-13 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2020-04-08 |
| 2020-03-13 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | 2020-04-08 |
| 2020-03-13 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2020-04-08 |
| 2020-03-13 | Health | F0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | D | 2020-04-08 |
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
23| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| CHICKIESTRONG LANSING GARDENS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 80% | 2016-12-30 | current | pecos_ownership |
| GAMZEH, DAVID | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5% | 2016-12-30 | current | pecos_ownership |
| GLATZER, AKIVA | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5% | 2016-12-30 | current | pecos_ownership |
| GARDEN HEALTHCARE GROUP LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-12-30 | current | pecos_ownership |
| LAHASKY, EPHRAM | CORPORATE OFFICER | — | 2016-12-30 | current | pecos_ownership |
| LANSING GARDENS REAL ESTATE LLC | Corporation, partnership or other organization has financial interest in provider | — | 2023-01-01 | current | hcris_a_8_1 |
| LANSING GARDENS REAL ESTATE LLC | Corporation, partnership or other organization has financial interest in provider | — | 2024-01-01 | current | hcris_a_8_1 |
| LESHKOWITZ, ELI | CORPORATE OFFICER | — | 2016-12-30 | current | pecos_ownership |
| RICHARDS, MARK | W-2 MANAGING EMPLOYEE | — | 2016-12-30 | current | pecos_ownership |
| LANSING GARDEN REAL ESTATE | 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 | 80% | 2016-12-30 | ended 2026-05-18 | pecos_ownership |
| GARDEN OHIO OPERATING MANAGING MEMBER LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 60% | 2016-12-30 | ended 2026-05-18 | pecos_ownership |
| BRAUNSTEIN BEARS 2016 TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 45% | 2016-12-30 | ended 2026-05-18 | pecos_ownership |
| CHICKIESTRONG REAL ESTATE LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20% | 2016-12-30 | ended 2026-05-18 | pecos_ownership |
| ELI LESHKOWITZ | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | 2016-12-30 | ended 2026-05-18 | pecos_ownership |
| SAMUEL FEUER | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | 2016-12-30 | ended 2026-05-18 | pecos_ownership |
| AKIVA GLATZER | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5% | 2016-12-30 | ended 2026-05-18 | pecos_ownership |
| DAVID GAMZEH | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5% | 2016-12-30 | ended 2026-05-18 | pecos_ownership |
| EPHRAM LAHASKY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5% | 2016-12-30 | ended 2026-05-18 | pecos_ownership |
| JOSHUA FARKOVITS | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5% | 2016-12-30 | ended 2026-05-18 | pecos_ownership |
| LANSING GARDEN REAL ESTATE | Corporation, partnership or other organization has financial interest in provider | — | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| LANSING GARDEN REAL ESTATE | Corporation, partnership or other organization has financial interest in provider | — | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| MARK RICHARDS | W-2 MANAGING EMPLOYEE | — | 2016-12-30 | 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 |
|---|---|---|---|---|
| 2016-12-30 | — | LANSING GARDENS REHABILITATION AND CARE CENTER LLC | HEARTLAND-LANSING OF BRIDGEPORT 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 39013 | fmr | 0 | $683 | 2025-10-01 | HUD_USER_FMR |
| county 39013 | acs median gross | 1 | $470 | 2024-12-31 | CENSUS_ACS5 |
| county 39013 | fmr | 1 | $816 | 2025-10-01 | HUD_USER_FMR |
| county 39013 | acs median gross | 2 | $799 | 2024-12-31 | CENSUS_ACS5 |
| county 39013 | fmr | 2 | $991 | 2025-10-01 | HUD_USER_FMR |
| county 39013 | acs median gross | 3 | $995 | 2024-12-31 | CENSUS_ACS5 |
| county 39013 | fmr | 3 | $1,277 | 2025-10-01 | HUD_USER_FMR |
| county 39013 | acs median gross | 4 | $1,121 | 2024-12-31 | CENSUS_ACS5 |
| county 39013 | fmr | 4 | $1,413 | 2025-10-01 | HUD_USER_FMR |
| county 39013 | acs median gross | 5 | $825 | 2024-12-31 | CENSUS_ACS5 |
| county 39013 | acs median gross | $793 | 2024-12-31 | CENSUS_ACS5 | |
| county 39013 | acs recent mover gross | $941 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 43912 | acs median gross | 1 | $274 | 2024-12-31 | CENSUS_ACS5 |
| zcta 43912 | acs median gross | 2 | $797 | 2024-12-31 | CENSUS_ACS5 |
| zcta 43912 | acs median gross | 3 | $800 | 2024-12-31 | CENSUS_ACS5 |
| zcta 43912 | acs median gross | $656 | 2024-12-31 | CENSUS_ACS5 | |
| zip 43912 | payment standard 110 | 0 | $737 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43912 | payment standard 90 | 0 | $603 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43912 | safmr | 0 | $670 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43912 | payment standard 110 | 1 | $880 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43912 | payment standard 90 | 1 | $720 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43912 | safmr | 1 | $800 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43912 | payment standard 110 | 2 | $1,067 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43912 | payment standard 90 | 2 | $873 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43912 | safmr | 2 | $970 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43912 | payment standard 110 | 3 | $1,375 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43912 | payment standard 90 | 3 | $1,125 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43912 | safmr | 3 | $1,250 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43912 | payment standard 110 | 4 | $1,529 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43912 | payment standard 90 | 4 | $1,251 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43912 | safmr | 4 | $1,390 | 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.