Composite
71.6 / 100 percentile
Screener / 365950
C
SAPPHIRE REHABILITATION AND CARE CENTER
snfOHSFF: SFF Candidate
1605 NORTHWEST PROFESSIONAL PLAZA, COLUMBUS, OH 43220 · CCN 365950 · chain STELLAR CARE GROUP LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
113
Model
v1.2
Reads as: riskier than 71.6% 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 model5ML signals7Components16CHOW radar1Distress radar1Staffing16Penalties5Deficiencies85Licensure0Ownership13Related party5Transactions1Comps12Market rent34
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 98.7 | 97.9 | 0.30 | 0.2308 | 22.78 | in index |
| financial risk | 82.6 | 69.3 | 0.30 | 0.2308 | 19.06 | in index |
| billing conduct | 35.5 | 34.0 | 0.30 | 0.2308 | 8.19 | in index |
| staffing risk | 21.9 | 22.0 | 0.25 | 0.1923 | 4.21 | in index |
| chow risk | 20.6 | 28.0 | 0.15 | 0.1154 | 2.38 | 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
7| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| anomaly | Federal penalty spike | 8.3x prior | this facility | 2026-07-29 |
| connection | Owner fleet risk far above national | +27.2 vs natl | DMT SPE I LLC | 7 facilities |
| connection | Owner fleet risk far above national | +23.8 vs natl | OBERLANDER DAVID | 9 facilities |
| connection | Owner spans multiple chains | 4 chains | MATHUR DEEPA | 4 facilities |
| connection | Owner fleet enforcement cluster | 43% fined | DMT SPE I LLC | 7 facilities |
| connection | Owner fleet enforcement cluster | 40% fined | LTC PROVIDER SERVICES LLC | 5 facilities |
| connection | Owner fleet enforcement cluster | 40% fined | RCX BILLING SOLUTIONS | 5 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 | 34.0 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 22.3 | A | v0.1-pos | default · in composite | Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure. |
| chow risk | 33.8 | B | v0.6 | default · in composite | |
| financial risk | 69.3 | D | 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 | 0.0 | — | v0.1 | default · in composite | R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite. |
| regulatory risk | 97.9 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 22.0 | A | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 72.8 | D | v0.1 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 52.8 | 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 | 71.2 | D | 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 | 68.2 | 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 | 97.9 | 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 | 97.9 | 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 | 22.0 | A | 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 | 22.0 | A | v0.2 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
CHOW radar — 12-month sale probability
full board →p(CHOW, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
15.3
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Current owner tenure (years) | 1.57 | -1.69 | |
| Never sold on record | 0.00 | -1.62 | |
| Deficiencies, last 12 months | 45.00 | +0.92 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.90 | -0.57 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Contract staffing share | 0.21 | +0.22 |
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 | 45.00 | -6.92 | |
| Fine amount, 12m (log) | 12.52 | -0.74 | |
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.90 | -0.62 | |
| Chain size (log) | 1.10 | +0.56 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| High-severity deficiencies, 12m | 4.00 | -0.28 |
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 | 3.86 | 3.24 | 3.28 | 2.90–3.77 |
| RN | 0.30 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 3.64 | 3.11 | 3.11 | — |
| Weekday total | 3.95 | 3.29 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 101.2 | 3.86 | 0.30 | 1.25 | 2.32 | 3.64 | 20.7% |
| 2025Q3 | 92 | 100.4 | 3.65 | 0.27 | 1.36 | 2.02 | 3.43 | 27.3% |
| 2025Q2 | 91 | 100.2 | 3.49 | 0.19 | 1.12 | 2.18 | 3.41 | 20.3% |
| 2025Q1 | 90 | 99.3 | 3.81 | 0.37 | 1.06 | 2.37 | 3.69 | 16.7% |
| 2024Q4 | 92 | 96.2 | 3.46 | 0.42 | 0.92 | 2.11 | 3.37 | 14.7% |
| 2024Q3 | 92 | 96.7 | 3.35 | 0.38 | 0.89 | 2.08 | 3.29 | 13.2% |
| 2024Q2 | 91 | 94.9 | 3.50 | 0.47 | 0.91 | 2.12 | 3.30 | 18.0% |
| 2024Q1 | 91 | 100.7 | 2.44 | 0.36 | 0.70 | 1.38 | 0.66 | 29.4% |
| 2023Q4 | 92 | 94.7 | 3.40 | 0.50 | 0.97 | 1.92 | 3.12 | 7.0% |
| 2023Q3 | 92 | 92.8 | 3.34 | 0.45 | 0.84 | 2.05 | 3.33 | 9.9% |
| 2023Q2 | 91 | 90.8 | 3.83 | 0.36 | 1.17 | 2.30 | 3.59 | 37.5% |
| 2023Q1 | 90 | 87.1 | 3.71 | 0.32 | 1.26 | 2.13 | 3.45 | 46.2% |
| 2022Q4 | 92 | 86.1 | 3.19 | 0.25 | 1.19 | 1.75 | 2.91 | 29.3% |
| 2022Q3 | 92 | 83.8 | 3.34 | 0.22 | 1.23 | 1.90 | 2.95 | 15.8% |
| 2022Q2 | 91 | 86.5 | 3.10 | 0.17 | 1.15 | 1.78 | 2.84 | 26.2% |
| 2022Q1 | 90 | 72.9 | 3.10 | 0.18 | 1.19 | 1.73 | 2.79 | 30.2% |
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
5fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-09-11 | Fine | $272,940 | CMS provider data |
| 2025-09-11 | Payment Denial | — | CMS provider data |
| 2025-05-12 | Fine | $64,333 | CMS provider data |
| 2025-05-12 | Payment Denial | — | CMS provider data |
| 2023-06-27 | Fine | $34,788 | CMS provider data |
Total fines on record: $372,061
Deficiencies
85C × 2D × 55E × 9F × 11G × 3J × 5
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-19 | Health · complaint | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | 2026-04-02 |
| 2026-01-28 | Health · complaint | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2026-02-03 |
| 2025-12-11 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2026-01-01 |
| 2025-12-11 | Health · complaint | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D | 2026-01-01 |
| 2025-12-11 | Health · complaint | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | 2026-01-01 |
| 2025-12-11 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2026-01-01 |
| 2025-12-11 | Health · complaint | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2026-01-01 |
| 2025-12-11 | Health · complaint | 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 | 2026-01-01 |
| 2025-12-11 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | 2026-01-01 |
| 2025-12-11 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2026-01-01 |
| 2025-12-11 | Health · complaint | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | F | 2026-01-01 |
| 2025-12-11 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2026-01-01 |
| 2025-11-14 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2026-01-01 |
| 2025-09-22 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2026-01-01 |
| 2025-09-22 | Health | F0570 | Assure the security of all personal funds of residents deposited with the facility. | E | 2026-01-01 |
| 2025-09-22 | Health | F0583 | Keep residents' personal and medical records private and confidential. | D | 2026-01-01 |
| 2025-09-22 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-01-01 |
| 2025-09-22 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2026-01-01 |
| 2025-09-22 | Health · complaint | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | J | 2026-01-01 |
| 2025-09-22 | Health · complaint | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | C | 2026-01-01 |
| 2025-09-22 | Health | F0641 | Ensure each resident receives an accurate assessment. | E | 2026-01-01 |
| 2025-09-22 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2026-01-01 |
| 2025-09-22 | Health | F0646 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D | 2026-01-01 |
| 2025-09-22 | 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 | 2026-01-01 |
| 2025-09-22 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2026-01-01 |
| 2025-09-22 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2026-01-01 |
| 2025-09-22 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2026-01-01 |
| 2025-09-22 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2026-01-01 |
| 2025-09-22 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2026-01-01 |
| 2025-09-22 | 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 | 2026-01-01 |
| 2025-09-22 | Health | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | 2026-01-01 |
| 2025-09-22 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2026-01-01 |
| 2025-09-22 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2026-01-01 |
| 2025-09-22 | Health | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | G | 2026-01-01 |
| 2025-09-22 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2026-01-01 |
| 2025-09-22 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2026-01-01 |
| 2025-09-22 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2026-01-01 |
| 2025-09-22 | 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 | 2026-01-01 |
| 2025-09-22 | Health | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | 2026-01-01 |
| 2025-09-22 | Health | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | 2026-01-01 |
| 2025-09-22 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2026-01-01 |
| 2025-09-22 | Health | F0814 | Dispose of garbage and refuse properly. | F | 2026-01-01 |
| 2025-09-22 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2026-01-01 |
| 2025-09-22 | Health | F0881 | Implement a program that monitors antibiotic use. | D | 2026-01-01 |
| 2025-09-22 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2026-01-01 |
| 2025-06-23 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2025-06-24 |
| 2025-05-12 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | 2025-06-23 |
| 2025-03-04 | Health · complaint | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | 2025-03-21 |
| 2025-03-04 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-03-21 |
| 2025-03-04 | Health · complaint | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | 2025-03-21 |
| 2025-03-04 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-03-21 |
| 2024-08-05 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-08-16 |
| 2024-05-30 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-06-14 |
| 2024-05-30 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-05-22 |
| 2024-05-30 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-06-14 |
| 2024-02-01 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-02-22 |
| 2024-02-01 | Health · complaint | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | 2024-02-22 |
| 2024-02-01 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-02-22 |
| 2024-02-01 | Health · complaint | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2024-02-22 |
| 2024-02-01 | Health · complaint | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | F | 2024-02-22 |
| 2024-02-01 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-02-22 |
| 2024-02-01 | 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 | 2024-02-22 |
| 2023-06-27 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2023-07-11 |
| 2023-06-27 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | 2023-07-11 |
| 2023-06-27 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2023-07-11 |
| 2023-06-27 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | C | 2023-07-11 |
| 2023-06-27 | Health | F0760 | Ensure that residents are free from significant medication errors. | J | 2023-07-11 |
| 2023-06-27 | Health | F0791 | Provide or obtain dental services for each resident. | J | 2023-07-11 |
| 2023-06-27 | 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. | D | 2023-07-11 |
| 2023-06-27 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | 2023-07-11 |
| 2023-06-27 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | 2023-07-11 |
| 2023-06-27 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2023-07-11 |
| 2020-02-27 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2020-03-27 |
| 2020-02-27 | 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 | 2020-03-27 |
| 2020-02-27 | 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 | 2020-03-27 |
| 2020-02-27 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2020-03-27 |
| 2020-02-27 | 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 | 2020-03-27 |
| 2020-02-27 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2020-03-27 |
| 2020-02-27 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2020-03-27 |
| 2020-02-27 | 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 | 2020-03-27 |
| 2020-02-27 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2020-03-27 |
| 2020-02-27 | 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 | 2020-03-27 |
| 2020-02-27 | 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 | 2020-03-27 |
| 2020-02-27 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2020-03-27 |
| 2020-02-27 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2020-03-27 |
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
13| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| SAPPHIRE HOLDCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2024-12-31 | current | pecos_ownership |
| OBERLANDER, DAVID | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 75% | 2024-12-31 | current | pecos_ownership |
| WENGER, YEHUDA | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25% | 2024-12-31 | current | pecos_ownership |
| DMT SPE I LLC | 5% OR GREATER MORTGAGE INTEREST | — | 2024-12-31 | current | pecos_ownership |
| LTC PROVIDER SERVICES LLC | ADP OF THE SNF | — | 2024-12-31 | current | pecos_ownership |
| MATHUR, DEEPA | ADP OF THE SNF | — | 2024-12-31 | current | pecos_ownership |
| MILLS, ZACHARY | ADP OF THE SNF | — | 2024-12-31 | current | pecos_ownership |
| RCX BILLING SOLUTIONS | ADP OF THE SNF | — | 2024-12-31 | current | pecos_ownership |
| STELLAR CARE GROUP LLC | ADP OF THE SNF | — | 2024-12-31 | current | pecos_ownership |
| DAVID OBERLANDER | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 75% | 2024-12-31 | ended 2026-05-18 | pecos_ownership |
| YEHUDA WENGER | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25% | 2024-12-31 | ended 2026-05-18 | pecos_ownership |
| DEEPA MATHUR | ADP OF THE SNF | — | 2024-12-31 | ended 2026-05-18 | pecos_ownership |
| ZACHARY MILLS | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-31 | 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 |
|---|---|---|---|---|
| 2024-12-31 | — | SAPPHIRE OPCO LLC | ARLINGTON COURT HEALTH AND REHABILITATION CENTER LLC | chow |
Comparable trades — OH snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2024-12-31 | SAPPHIRE REHABILITATION AND CARE CENTERthis facility | — | — | — | 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
34| 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 43220 | acs median gross | 0 | $1,254 | 2024-12-31 | CENSUS_ACS5 |
| zcta 43220 | acs median gross | 1 | $1,165 | 2024-12-31 | CENSUS_ACS5 |
| zcta 43220 | acs median gross | 2 | $1,335 | 2024-12-31 | CENSUS_ACS5 |
| zcta 43220 | acs median gross | 3 | $1,407 | 2024-12-31 | CENSUS_ACS5 |
| zcta 43220 | acs median gross | $1,269 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 43220 | acs recent mover gross | $1,500 | 2024-12-31 | CENSUS_ACS5 | |
| zip 43220 | payment standard 110 | 0 | $1,265 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43220 | payment standard 90 | 0 | $1,035 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43220 | safmr | 0 | $1,150 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43220 | payment standard 110 | 1 | $1,364 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43220 | payment standard 90 | 1 | $1,116 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43220 | safmr | 1 | $1,240 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43220 | payment standard 110 | 2 | $1,628 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43220 | payment standard 90 | 2 | $1,332 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43220 | safmr | 2 | $1,480 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43220 | payment standard 110 | 3 | $1,947 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43220 | payment standard 90 | 3 | $1,593 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43220 | safmr | 3 | $1,770 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43220 | payment standard 110 | 4 | $2,189 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43220 | payment standard 90 | 4 | $1,791 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43220 | safmr | 4 | $1,990 | 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.