Composite
50.7 / 100 percentile
Screener / 366139
B
MAPLE HILLS SKILLED NURSING & REHABILITATION
snfOH
31054 STATE ROUTE 93 NORTH, MCARTHUR, OH 45651 · CCN 366139 · chain LIONSTONE ALS OPCO HOLDINGS LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
42
Model
v1.2
Reads as: riskier than 50.7% 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 model4Components15CHOW radar1Distress radar1Staffing16Penalties0Deficiencies46Licensure0Ownership17Related party5Transactions0Comps12Market rent29
Composite explanation
4| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| staffing risk | 80.8 | 80.8 | 0.25 | 0.2500 | 20.20 | in index |
| regulatory risk | 47.8 | 36.8 | 0.30 | 0.3000 | 14.34 | in index |
| financial risk | 29.8 | 33.7 | 0.30 | 0.3000 | 8.94 | in index |
| chow risk | 34.3 | 40.5 | 0.15 | 0.1500 | 5.15 | 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
15| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| chow risk | 23.2 | 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 | 57.7 | C | v0.6 | default · in composite | |
| financial risk | 33.7 | 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 | 3.7 | — | 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 | 36.8 | B | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 80.8 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 92.5 | 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 | 72.5 | 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 | 35.5 | 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 | 39.7 | 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 | 36.7 | B | 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 | 36.7 | B | 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 | 80.8 | F | 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 | 80.8 | F | 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)
3.7%
model v0.1 · computed 2026-07-29
Percentile among SNFs
82.5
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 1.00 | +0.69 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Occupancy | 0.82 | -0.35 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Deficiencies, last 12 months | 2.00 | -0.12 | |
| Facility size (log beds) | 3.76 | +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)
0.2%
model v0.1 · computed 2026-07-29
Percentile among SNFs
61.0
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 | 2.00 | +1.06 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Occupancy | 0.82 | -0.30 | |
| Chain size (log) | 1.61 | +0.26 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Total nurse staffing (HPRD) | 2.79 | +0.18 | |
| Facility size (log beds) | 3.76 | +0.12 |
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 | 2.79 | 3.24 | 3.28 | 2.90–3.77 |
| RN | 0.76 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 2.76 | 3.11 | 3.11 | — |
| Weekday total | 2.80 | 3.29 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 34.4 | 2.79 | 0.76 | 0.43 | 1.60 | 2.76 | 6.7% |
| 2025Q3 | 92 | 30.0 | 3.00 | 0.82 | 0.56 | 1.63 | 2.99 | 14.3% |
| 2025Q2 | 91 | 31.8 | 3.03 | 0.79 | 0.44 | 1.80 | 3.04 | 23.3% |
| 2025Q1 | 90 | 33.0 | 2.85 | 0.67 | 0.63 | 1.55 | 2.90 | 13.5% |
| 2024Q4 | 92 | 31.9 | 2.94 | 0.58 | 0.76 | 1.61 | 2.90 | 6.6% |
| 2024Q3 | 92 | 29.5 | 2.94 | 0.66 | 0.62 | 1.66 | 2.88 | 11.2% |
| 2024Q2 | 91 | 29.6 | 2.74 | 0.55 | 0.68 | 1.51 | 2.76 | 3.9% |
| 2024Q1 | 91 | 31.8 | 2.63 | 0.50 | 0.63 | 1.50 | 2.48 | 0.0% |
| 2023Q4 | 92 | 30.5 | 2.88 | 0.49 | 0.71 | 1.69 | 2.92 | 1.8% |
| 2023Q3 | 92 | 32.3 | 2.66 | 0.47 | 0.72 | 1.46 | 2.54 | 0.0% |
| 2023Q2 | 91 | 31.3 | 2.89 | 0.55 | 0.71 | 1.63 | 2.77 | 8.0% |
| 2023Q1 | 90 | 33.6 | 2.86 | 0.45 | 0.75 | 1.66 | 2.84 | 23.4% |
| 2022Q4 | 92 | 32.4 | 3.31 | 0.50 | 0.75 | 2.06 | 3.47 | 24.9% |
| 2022Q3 | 92 | 34.8 | 3.15 | 0.56 | 0.63 | 1.96 | 3.15 | 4.0% |
| 2022Q2 | 91 | 36.9 | 2.97 | 0.69 | 0.41 | 1.86 | 2.85 | 0.0% |
| 2022Q1 | 90 | 38.6 | 2.97 | 0.73 | 0.50 | 1.74 | 2.86 | 2.2% |
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
0No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
46C × 1D × 29E × 8F × 7G × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-12-18 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-11-17 |
| 2025-12-18 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-12-31 |
| 2025-06-26 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-08-08 |
| 2025-06-26 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2025-08-08 |
| 2025-06-26 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2025-08-08 |
| 2025-06-26 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-08-08 |
| 2025-06-26 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2025-08-08 |
| 2025-06-26 | Health · complaint | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2025-08-08 |
| 2025-06-26 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2025-08-08 |
| 2025-06-26 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-08-08 |
| 2025-04-17 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2025-04-25 |
| 2025-04-02 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | 2025-04-25 |
| 2025-04-02 | Health · complaint | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | 2025-04-25 |
| 2025-04-02 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-04-25 |
| 2025-04-02 | 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 | 2025-04-25 |
| 2025-02-19 | Health · complaint | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | 2025-04-25 |
| 2025-02-19 | Health · complaint | F0908 | Keep all essential equipment working safely. | C | 2025-04-02 |
| 2025-02-19 | 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 | 2025-04-25 |
| 2023-11-08 | 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. | D | 2024-01-10 |
| 2023-11-08 | 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 | 2024-01-10 |
| 2023-11-08 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | 2024-01-10 |
| 2023-11-08 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-01-10 |
| 2023-11-08 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-01-10 |
| 2023-11-08 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-01-10 |
| 2023-11-08 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-01-10 |
| 2023-11-08 | 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 | 2024-01-10 |
| 2023-11-08 | 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 | 2024-01-10 |
| 2023-11-08 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-01-10 |
| 2023-07-07 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-07-24 |
| 2023-07-07 | Health · complaint | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | 2023-07-24 |
| 2021-12-21 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2022-03-01 |
| 2021-12-21 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2022-03-01 |
| 2021-12-21 | Health | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | 2022-03-01 |
| 2021-12-21 | 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 | 2022-03-01 |
| 2021-12-21 | 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 | 2022-03-01 |
| 2021-12-21 | Health | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2022-03-01 |
| 2021-12-21 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2022-03-01 |
| 2021-12-21 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2022-03-01 |
| 2021-12-21 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2022-03-01 |
| 2021-12-21 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2022-03-01 |
| 2021-12-21 | 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 | 2022-03-01 |
| 2021-12-21 | Health | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | G | 2022-03-01 |
| 2021-12-21 | Health | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | 2022-03-01 |
| 2021-12-21 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2022-03-01 |
| 2021-12-21 | 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 | 2022-03-01 |
| 2021-12-21 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2022-03-01 |
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
17| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| LIONSTONE ALS OPCO HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-07-01 | current | pecos_ownership |
| MAPLE HILLS PROPCO LLC | Corporation, partnership or other organization has financial interest in provider | 100% | 2023-01-01 | current | hcris_a_8_1 |
| MAPLE HILLS PROPCO LLC | Corporation, partnership or other organization has financial interest in provider | 100% | 2024-01-01 | current | hcris_a_8_1 |
| KAZARNOVSKY, SOLOMON | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2022-07-01 | current | pecos_ownership |
| STEIN, ABBA | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2022-07-01 | current | pecos_ownership |
| CUSNER, ADAM | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-27 | current | pecos_ownership |
| DEGYANSKY, JEFFREY | CORPORATE OFFICER | — | 2020-01-01 | current | pecos_ownership |
| DEGYANSKY, JEFFREY | ADP OF THE SNF | — | 2022-06-30 | current | pecos_ownership |
| GOLDISH, ELIEZER | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-10-09 | current | pecos_ownership |
| MAPLE HILLS PROPCO | Corporation, partnership or other organization has financial interest in provider | 100% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| MCARTHUR REAL ESTATE HOLDINGS | Corporation, partnership or other organization has financial interest in provider | 100% | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| ABBA STEIN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2022-07-01 | ended 2026-05-18 | pecos_ownership |
| SOLOMON KAZARNOVSKY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2022-07-01 | ended 2026-05-18 | pecos_ownership |
| ADAM CUSNER | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-27 | ended 2026-05-18 | pecos_ownership |
| ELIEZER GOLDISH | ADP OF THE SNF | — | 2023-10-09 | ended 2026-05-18 | pecos_ownership |
| JEFFREY DEGYANSKY | CORPORATE OFFICER | — | 2020-01-01 | ended 2026-05-18 | pecos_ownership |
| JEFFREY DEGYANSKY | ADP OF THE SNF | — | 2022-06-30 | 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
0No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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
29| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 39163 | fmr | 0 | $736 | 2025-10-01 | HUD_USER_FMR |
| county 39163 | acs median gross | 1 | $266 | 2024-12-31 | CENSUS_ACS5 |
| county 39163 | fmr | 1 | $792 | 2025-10-01 | HUD_USER_FMR |
| county 39163 | acs median gross | 2 | $754 | 2024-12-31 | CENSUS_ACS5 |
| county 39163 | fmr | 2 | $973 | 2025-10-01 | HUD_USER_FMR |
| county 39163 | acs median gross | 3 | $768 | 2024-12-31 | CENSUS_ACS5 |
| county 39163 | fmr | 3 | $1,167 | 2025-10-01 | HUD_USER_FMR |
| county 39163 | fmr | 4 | $1,372 | 2025-10-01 | HUD_USER_FMR |
| county 39163 | acs median gross | $728 | 2024-12-31 | CENSUS_ACS5 | |
| county 39163 | acs recent mover gross | $813 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 45651 | acs median gross | 1 | $297 | 2024-12-31 | CENSUS_ACS5 |
| zcta 45651 | acs median gross | 2 | $744 | 2024-12-31 | CENSUS_ACS5 |
| zcta 45651 | acs median gross | 3 | $757 | 2024-12-31 | CENSUS_ACS5 |
| zcta 45651 | acs median gross | $675 | 2024-12-31 | CENSUS_ACS5 | |
| zip 45651 | payment standard 110 | 0 | $825 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45651 | payment standard 90 | 0 | $675 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45651 | safmr | 0 | $750 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45651 | payment standard 110 | 1 | $891 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45651 | payment standard 90 | 1 | $729 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45651 | safmr | 1 | $810 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45651 | payment standard 110 | 2 | $1,089 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45651 | payment standard 90 | 2 | $891 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45651 | safmr | 2 | $990 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45651 | payment standard 110 | 3 | $1,309 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45651 | payment standard 90 | 3 | $1,071 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45651 | safmr | 3 | $1,190 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45651 | payment standard 110 | 4 | $1,540 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45651 | payment standard 90 | 4 | $1,260 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45651 | safmr | 4 | $1,400 | 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.