Composite
59.6 / 100 percentile
Screener / 365644
B
EMBASSY OF WINCHESTER
snfOH
36 LEHMAN DR, CANAL WINCHESTER, OH 43110 · CCN 365644
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
176
Model
v1.2
Reads as: riskier than 59.6% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
Score model5Components16CHOW radar1Distress radar1Staffing13Penalties3Deficiencies81Licensure0Ownership5Related party6Transactions1Comps12Market rent33
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 92.8 | 90.5 | 0.30 | 0.2308 | 21.42 | in index |
| staffing risk | 77.5 | 77.5 | 0.25 | 0.1923 | 14.90 | in index |
| financial risk | 40.1 | 39.6 | 0.30 | 0.2308 | 9.25 | in index |
| chow risk | 54.9 | 53.1 | 0.15 | 0.1154 | 6.33 | in index |
| billing conduct | 0.0 | 0.0 | 0.30 | 0.2308 | 0.00 | in index |
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
Component scores and registry models
16| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 0.0 | A | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 25.0 | B | v0.1-pos | default · in composite | Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure. |
| chow risk | 81.1 | F | v0.6 | default · in composite | |
| financial risk | 39.6 | B | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.2 | — | 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 | 0.1 | — | 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 | 90.5 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 77.5 | D | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 84.7 | F | v0.1 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 64.7 | 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 | 26.9 | 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 | 44.7 | 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 | 90.5 | 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 | 90.5 | 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 | 77.5 | 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 | 77.5 | 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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
23.6
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) | 6.41 | -1.22 | |
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.53 | +0.49 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 0.00 | -0.40 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Facility size (log beds) | 5.18 | -0.13 |
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)
0.2%
model v0.1 · computed 2026-07-29
Percentile among SNFs
59.2
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 0.00 | +1.20 | |
| Occupancy | 0.53 | +0.93 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 6.41 | -0.20 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Staffing trend, last 4 quarters | -0.31 | -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
13| 2025Q4 HPRD | This facility | OH median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.85 | 3.24 | 3.28 | 2.90–3.77 |
| RN | 0.29 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 2.84 | 3.11 | 3.11 | — |
| Weekday total | 2.86 | 3.29 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 92.9 | 2.85 | 0.29 | 0.67 | 1.89 | 2.84 | 0.0% |
| 2025Q3 | 92 | 89.0 | 2.97 | 0.24 | 0.76 | 1.97 | 2.91 | 0.0% |
| 2025Q2 | 91 | 91.2 | 2.90 | 0.24 | 0.74 | 1.91 | 2.91 | 0.0% |
| 2025Q1 | 90 | 89.7 | 3.00 | 0.26 | 0.79 | 1.95 | 2.92 | 0.0% |
| 2024Q4 | 92 | 87.5 | 3.17 | 0.24 | 0.89 | 2.03 | 3.09 | 0.0% |
| 2024Q3 | 92 | 87.8 | 3.15 | 0.24 | 0.89 | 2.02 | 3.15 | 0.0% |
| 2024Q2 | 91 | 89.6 | 2.90 | 0.26 | 0.84 | 1.80 | 2.93 | 0.0% |
| 2024Q1 | 91 | 87.8 | 2.67 | 0.03 | 0.89 | 1.75 | 2.67 | 0.0% |
| 2023Q4 | 92 | 87.5 | 3.00 | 0.28 | 0.97 | 1.75 | 2.83 | 0.0% |
| 2023Q3 | 92 | 86.1 | 2.85 | 0.26 | 0.90 | 1.69 | 2.80 | 0.0% |
| 2023Q2 | 91 | 88.5 | 2.65 | 0.40 | 0.90 | 1.35 | 2.39 | 2.3% |
| 2023Q1 | 90 | 90.8 | 2.96 | 0.26 | 1.12 | 1.58 | 2.68 | 0.0% |
| 2022Q4 | 92 | 90.5 | 2.50 | 0.20 | 0.87 | 1.43 | 2.54 | 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
3| Date | Type | Fine | Source |
|---|---|---|---|
| 2023-11-16 | Fine | $167,295 | CMS provider data |
| 2023-11-16 | Payment Denial | — | CMS provider data |
| 2023-08-03 | Fine | $31,312 | CMS provider data |
Total fines on record: $198,607
Deficiencies
81C × 1D × 53E × 13F × 8G × 3J × 2L × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-05 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-03-18 |
| 2026-03-05 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2026-03-18 |
| 2026-01-27 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-02-24 |
| 2026-01-27 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2026-02-24 |
| 2026-01-27 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2026-02-24 |
| 2025-08-05 | Health · complaint | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | 2025-08-29 |
| 2025-08-05 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-08-29 |
| 2025-08-05 | 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 | 2025-08-29 |
| 2025-07-01 | Health · complaint | F0679 | Provide activities to meet all resident's needs. | E | 2025-07-24 |
| 2025-07-01 | Health · complaint | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | 2025-07-24 |
| 2024-12-05 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2025-01-21 |
| 2024-12-05 | Health · complaint | F0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D | 2025-01-21 |
| 2024-12-05 | 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 | 2025-01-21 |
| 2024-12-05 | 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 | 2025-01-21 |
| 2024-12-05 | 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 | 2025-01-21 |
| 2024-12-05 | 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 | 2025-01-21 |
| 2024-12-05 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-01-21 |
| 2024-12-05 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-01-21 |
| 2024-12-05 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-01-21 |
| 2024-12-05 | 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 | 2025-01-21 |
| 2024-12-05 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-01-21 |
| 2024-12-05 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2025-01-21 |
| 2024-12-05 | Health | 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. | F | 2025-01-21 |
| 2024-12-05 | 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 | 2025-01-21 |
| 2024-12-05 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2025-01-21 |
| 2024-12-05 | 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 | 2025-01-21 |
| 2024-12-05 | Health | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | 2025-01-21 |
| 2024-12-05 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2025-01-21 |
| 2024-12-05 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-01-21 |
| 2024-12-05 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2025-01-21 |
| 2024-12-05 | Health | F0881 | Implement a program that monitors antibiotic use. | D | 2025-01-21 |
| 2024-12-05 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2025-01-21 |
| 2024-02-15 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-03-04 |
| 2023-11-16 | 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 | 2023-12-28 |
| 2023-11-16 | Health | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | E | 2023-12-28 |
| 2023-11-16 | Health · complaint | F0641 | Ensure each resident receives an accurate assessment. | D | 2023-12-28 |
| 2023-11-16 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2023-12-28 |
| 2023-11-16 | 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 | 2023-12-28 |
| 2023-11-16 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2024-03-04 |
| 2023-11-16 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2023-12-28 |
| 2023-11-16 | 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 | 2023-12-28 |
| 2023-11-16 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2023-12-28 |
| 2023-11-16 | 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 | 2023-12-28 |
| 2023-11-16 | Health | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | 2023-12-28 |
| 2023-11-16 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | 2023-12-28 |
| 2023-11-16 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-12-28 |
| 2023-11-16 | Health | F0908 | Keep all essential equipment working safely. | D | 2023-12-28 |
| 2023-09-20 | Health · complaint | F0679 | Provide activities to meet all resident's needs. | D | 2023-10-13 |
| 2023-08-03 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-08-22 |
| 2023-08-03 | Health · complaint | 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. | G | 2023-08-22 |
| 2021-11-05 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2021-12-10 |
| 2021-11-05 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2021-12-10 |
| 2021-11-05 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | C | 2021-12-10 |
| 2021-11-05 | Health | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | D | 2021-12-10 |
| 2021-11-05 | 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 | 2021-12-10 |
| 2021-11-05 | Health | F0583 | Keep residents' personal and medical records private and confidential. | D | 2021-12-10 |
| 2021-11-05 | Health | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | 2021-12-10 |
| 2021-11-05 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2021-12-10 |
| 2021-11-05 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | 2021-12-10 |
| 2021-11-05 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2021-12-10 |
| 2021-11-05 | 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 | 2021-12-10 |
| 2021-11-05 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2021-12-10 |
| 2021-11-05 | Health | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | 2021-12-10 |
| 2021-11-05 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2021-12-10 |
| 2021-11-05 | Health | F0685 | Assist a resident in gaining access to vision and hearing services. | D | 2021-12-10 |
| 2021-11-05 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2021-12-10 |
| 2021-11-05 | 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. | E | 2021-12-10 |
| 2021-11-05 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2021-12-10 |
| 2021-11-05 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2021-12-10 |
| 2021-11-05 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2021-12-10 |
| 2021-11-05 | Health | 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 | 2021-12-10 |
| 2021-11-05 | Health | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | E | 2021-12-10 |
| 2021-11-05 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2021-12-10 |
| 2021-11-05 | 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 | 2021-12-10 |
| 2021-11-05 | 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 | 2021-12-10 |
| 2021-11-05 | Health | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | 2021-12-10 |
| 2021-11-05 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2021-12-10 |
| 2021-11-05 | Health | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | 2021-12-10 |
| 2021-11-05 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2021-12-10 |
| 2021-11-05 | Health | F0880 | Provide and implement an infection prevention and control program. | L | 2021-12-10 |
| 2021-11-05 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2021-12-10 |
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
5| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| HOOPER, DASHAE | W-2 MANAGING EMPLOYEE | — | 2020-03-01 | current | pecos_ownership |
| REPCHICK, GEORGE | CORPORATE DIRECTOR | — | 2020-03-01 | current | pecos_ownership |
| BENJAMIN LANDA | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2020-03-01 | ended 2026-05-18 | pecos_ownership |
| DASHAE HOOPER | W-2 MANAGING EMPLOYEE | 100% | 2020-03-01 | ended 2026-05-18 | pecos_ownership |
| GEORGE REPCHICK | CORPORATE OFFICER | 100% | 2020-03-01 | 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 |
|---|---|---|---|---|
| 2020-03-01 | — | EMBASSY WINCHESTER, LLC | WINCHESTER PLACE LEASING 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 39049 | acs median gross | 0 | $1,112 | 2024-12-31 | CENSUS_ACS5 |
| county 39049 | fmr | 0 | $1,111 | 2025-10-01 | HUD_USER_FMR |
| county 39049 | acs median gross | 1 | $1,119 | 2024-12-31 | CENSUS_ACS5 |
| county 39049 | fmr | 1 | $1,194 | 2025-10-01 | HUD_USER_FMR |
| county 39049 | acs median gross | 2 | $1,339 | 2024-12-31 | CENSUS_ACS5 |
| county 39049 | fmr | 2 | $1,430 | 2025-10-01 | HUD_USER_FMR |
| county 39049 | acs median gross | 3 | $1,469 | 2024-12-31 | CENSUS_ACS5 |
| county 39049 | fmr | 3 | $1,715 | 2025-10-01 | HUD_USER_FMR |
| county 39049 | acs median gross | 4 | $1,711 | 2024-12-31 | CENSUS_ACS5 |
| county 39049 | fmr | 4 | $1,927 | 2025-10-01 | HUD_USER_FMR |
| county 39049 | acs median gross | 5 | $1,617 | 2024-12-31 | CENSUS_ACS5 |
| county 39049 | acs median gross | $1,302 | 2024-12-31 | CENSUS_ACS5 | |
| county 39049 | acs recent mover gross | $1,444 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 43110 | acs median gross | 1 | $1,119 | 2024-12-31 | CENSUS_ACS5 |
| zcta 43110 | acs median gross | 2 | $1,323 | 2024-12-31 | CENSUS_ACS5 |
| zcta 43110 | acs median gross | 3 | $1,528 | 2024-12-31 | CENSUS_ACS5 |
| zcta 43110 | acs median gross | $1,287 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 43110 | acs recent mover gross | $1,289 | 2024-12-31 | CENSUS_ACS5 | |
| zip 43110 | payment standard 110 | 0 | $1,221 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43110 | payment standard 90 | 0 | $999 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43110 | safmr | 0 | $1,110 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43110 | payment standard 110 | 1 | $1,309 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43110 | payment standard 90 | 1 | $1,071 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43110 | safmr | 1 | $1,190 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43110 | payment standard 110 | 2 | $1,573 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43110 | payment standard 90 | 2 | $1,287 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43110 | safmr | 2 | $1,430 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43110 | payment standard 110 | 3 | $1,881 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43110 | payment standard 90 | 3 | $1,539 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43110 | safmr | 3 | $1,710 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43110 | payment standard 110 | 4 | $2,123 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43110 | payment standard 90 | 4 | $1,737 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43110 | safmr | 4 | $1,930 | 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.