Composite
90.5 / 100 percentile
Screener / 365044
D
ARC AT CINCINNATI
snfOHSFF: SFF Candidate
4001 ROSSLYN DRIVE, CINCINNATI, OH 45209 · CCN 365044 · chain JOSHUA HOFFMAN TR JOSHUA HOFFMAN TTEE
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
130
Model
v1.2
Reads as: riskier than 90.5% 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 signals18Components16CHOW radar1Distress radar1Staffing16Penalties4Deficiencies85Licensure0Ownership28Related party5Transactions1Comps12Market rent35
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 97.4 | 89.4 | 0.30 | 0.2308 | 22.48 | in index |
| regulatory risk | 94.2 | 92.1 | 0.30 | 0.2308 | 21.74 | in index |
| staffing risk | 63.9 | 63.9 | 0.25 | 0.1923 | 12.29 | in index |
| chow risk | 91.8 | 71.7 | 0.15 | 0.1154 | 10.59 | 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.
ML signals — parallel engine
18| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| anomaly | Federal penalty spike | 3.3x prior | this facility | 2026-07-29 |
| connection | Owner fleet risk far above national | +35.0 vs natl | ARCADIA CARE MANAGEMENT LLC | 23 facilities |
| connection | Owner fleet risk far above national | +34.6 vs natl | MCCLURE MICHELLE | 23 facilities |
| connection | Owner fleet risk far above national | +28.7 vs natl | WILHELM NAFTALI | 81 facilities |
| connection | Owner fleet risk far above national | +28.2 vs natl | CURIS SERVICES LLC | 85 facilities |
| connection | Owner fleet risk far above national | +28.1 vs natl | TUROFSKY STEVEN | 87 facilities |
| connection | Owner fleet risk far above national | +27.4 vs natl | SPECTOR JENNIFER | 93 facilities |
| connection | Owner spans multiple chains | 9 chains | TUROFSKY STEVEN | 84 facilities |
| connection | Owner spans multiple chains | 9 chains | SPECTOR JENNIFER | 90 facilities |
| connection | Owner spans multiple chains | 8 chains | CURIS SERVICES LLC | 81 facilities |
| connection | Owner spans multiple chains | 8 chains | WILHELM NAFTALI | 78 facilities |
| connection | Owner spans multiple chains | 6 chains | ALI ASAD | 6 facilities |
| connection | Owner fleet enforcement cluster | 65% fined | MCCLURE MICHELLE | 23 facilities |
| connection | Owner fleet enforcement cluster | 65% fined | ARCADIA CARE MANAGEMENT LLC | 23 facilities |
| connection | Owner fleet enforcement cluster | 54% fined | WILHELM NAFTALI | 81 facilities |
| connection | Owner fleet enforcement cluster | 53% fined | SPECTOR JENNIFER | 93 facilities |
| connection | Owner fleet enforcement cluster | 52% fined | CURIS SERVICES LLC | 85 facilities |
| connection | Owner fleet enforcement cluster | 52% fined | TUROFSKY STEVEN | 87 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 | 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 | 49.7 | C | 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 | 93.6 | F | v0.6 | default · in composite | |
| financial risk | 89.4 | F | 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 | 92.1 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 63.9 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 95.9 | 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 | 75.9 | 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 | 76.5 | 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 | 87.9 | F | v0.4 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 92.0 | F | v0.1 | superseded | Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 92.0 | 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 | 63.9 | C | v0.1 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| staffing risk | 63.9 | C | v0.2 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
CHOW radar — 12-month sale probability
full board →p(CHOW, 12m)
0.0%
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) | 2.11 | -1.64 | |
| Never sold on record | 0.00 | -1.62 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| Deficiencies, last 12 months | 25.00 | +0.44 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| High-severity deficiencies, 12m | 4.00 | +0.20 | |
| Chain size (log) | 1.10 | -0.17 |
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 | 25.00 | -3.21 | |
| For-profit ownership | 1.00 | -0.69 | |
| Fine amount, 12m (log) | 11.71 | -0.68 | |
| 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 | |
| Current owner tenure (years) | 2.11 | -0.27 |
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 | 3.08 | 3.24 | 3.28 | 2.90–3.77 |
| RN | 0.49 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 3.06 | 3.11 | 3.11 | — |
| Weekday total | 3.08 | 3.29 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 91.8 | 3.08 | 0.49 | 0.75 | 1.84 | 3.06 | 0.0% |
| 2025Q3 | 92 | 94.5 | 3.18 | 0.54 | 0.67 | 1.97 | 3.12 | 0.0% |
| 2025Q2 | 91 | 87.8 | 3.16 | 0.51 | 0.75 | 1.89 | 3.07 | 0.0% |
| 2025Q1 | 90 | 92.7 | 3.06 | 0.53 | 0.68 | 1.85 | 3.09 | 0.0% |
| 2024Q4 | 92 | 86.0 | 3.18 | 0.43 | 0.78 | 1.97 | 3.11 | 0.0% |
| 2024Q3 | 92 | 80.8 | 4.36 | 0.42 | 1.09 | 2.85 | 4.22 | 0.0% |
| 2024Q2 | 91 | 84.8 | 4.09 | 0.47 | 1.06 | 2.54 | 3.82 | 0.0% |
| 2024Q1 | 91 | 83.4 | 3.35 | 0.34 | 0.81 | 2.20 | 3.26 | 0.0% |
| 2023Q4 | 92 | 85.4 | 4.08 | 0.36 | 1.02 | 2.69 | 4.00 | 0.0% |
| 2023Q3 | 92 | 89.3 | 4.08 | 0.29 | 1.21 | 2.58 | 3.88 | 0.0% |
| 2023Q2 | 91 | 90.8 | 4.09 | 0.31 | 1.23 | 2.56 | 3.86 | 0.0% |
| 2023Q1 | 90 | 95.3 | 3.29 | 0.22 | 0.84 | 2.22 | 3.14 | 0.0% |
| 2022Q4 | 92 | 94.6 | 3.22 | 0.25 | 0.75 | 2.22 | 3.03 | 0.0% |
| 2022Q3 | 92 | 93.0 | 2.55 | 0.16 | 0.74 | 1.65 | 2.46 | 14.6% |
| 2022Q2 | 91 | 86.6 | 3.25 | 0.23 | 0.84 | 2.18 | 3.07 | 10.8% |
| 2022Q1 | 90 | 87.3 | 3.35 | 0.27 | 0.80 | 2.28 | 3.37 | 7.2% |
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
4fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-12-23 | Fine | $122,070 | CMS provider data |
| 2025-04-03 | Fine | $70,659 | CMS provider data |
| 2025-04-03 | Payment Denial | — | CMS provider data |
| 2024-10-31 | Fine | $40,961 | CMS provider data |
Total fines on record: $233,690
Deficiencies
85D × 58E × 13F × 7G × 7
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-02-10 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2026-03-03 |
| 2026-02-10 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2026-03-03 |
| 2025-12-23 | 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 | 2026-02-10 |
| 2025-12-23 | Health · complaint | F0583 | Keep residents' personal and medical records private and confidential. | F | 2026-02-10 |
| 2025-12-23 | 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 | 2026-03-03 |
| 2025-12-23 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2026-02-10 |
| 2025-12-23 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2026-03-03 |
| 2025-12-23 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2026-02-10 |
| 2025-12-23 | 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 | 2026-02-10 |
| 2025-12-23 | Health | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | E | 2026-02-10 |
| 2025-12-23 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2026-03-03 |
| 2025-12-23 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | 2026-02-10 |
| 2025-12-23 | Health · complaint | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2026-02-10 |
| 2025-12-23 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2026-02-10 |
| 2025-12-23 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2026-02-10 |
| 2025-12-23 | 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. | E | 2026-02-10 |
| 2025-12-23 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2026-02-10 |
| 2025-12-23 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2026-02-10 |
| 2025-12-23 | Health | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | 2026-02-10 |
| 2025-12-23 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2026-02-10 |
| 2025-12-23 | Health | F0908 | Keep all essential equipment working safely. | F | 2026-02-10 |
| 2025-12-23 | Health · complaint | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | F | 2026-02-10 |
| 2025-11-03 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-11-26 |
| 2025-08-25 | Health · complaint | F0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | 2025-09-12 |
| 2025-08-25 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-09-12 |
| 2025-04-03 | Health · complaint | F0583 | Keep residents' personal and medical records private and confidential. | D | 2025-05-08 |
| 2025-04-03 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2025-05-08 |
| 2025-04-03 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-05-08 |
| 2025-04-03 | Health · complaint | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2025-05-08 |
| 2025-04-03 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-05-08 |
| 2025-01-22 | Health · complaint | F0624 | Prepare residents for a safe transfer or discharge from the nursing home. | D | 2025-02-05 |
| 2024-12-09 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2025-01-02 |
| 2024-12-09 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-01-02 |
| 2024-12-09 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-01-02 |
| 2024-12-09 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2025-01-02 |
| 2024-12-09 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-01-02 |
| 2024-12-09 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2025-01-02 |
| 2024-12-09 | Health · complaint | F0908 | Keep all essential equipment working safely. | F | 2025-01-02 |
| 2024-12-09 | 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 | 2025-01-02 |
| 2024-04-16 | Health · complaint | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2024-04-11 |
| 2024-04-16 | 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 | 2024-05-03 |
| 2023-11-20 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-11-10 |
| 2022-06-06 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2022-07-26 |
| 2022-06-06 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2022-07-26 |
| 2022-06-06 | 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 | 2022-07-26 |
| 2022-06-06 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2022-07-26 |
| 2022-06-06 | Health | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | 2022-07-26 |
| 2022-06-06 | Health | F0637 | Assess the resident when there is a significant change in condition | D | 2022-07-26 |
| 2022-06-06 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2022-07-26 |
| 2022-06-06 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2022-07-26 |
| 2022-06-06 | 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 | 2022-07-26 |
| 2022-06-06 | 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 | 2022-07-26 |
| 2022-06-06 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2022-07-26 |
| 2022-06-06 | Health | 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. | D | 2022-07-26 |
| 2022-06-06 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2022-07-26 |
| 2022-06-06 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2022-07-26 |
| 2022-06-06 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2022-07-26 |
| 2022-06-06 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2022-07-26 |
| 2022-06-06 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2022-07-26 |
| 2022-06-06 | 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 | 2022-07-26 |
| 2022-06-06 | Health | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | 2022-07-26 |
| 2022-06-06 | Health | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | 2022-07-26 |
| 2022-06-06 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2022-07-26 |
| 2022-06-06 | Health | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | 2022-07-26 |
| 2022-06-06 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2022-07-26 |
| 2022-06-06 | Health | F0908 | Keep all essential equipment working safely. | D | 2022-07-26 |
| 2019-09-16 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2019-10-24 |
| 2019-09-16 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2019-10-24 |
| 2019-09-16 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2019-10-24 |
| 2019-09-16 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2019-10-24 |
| 2019-09-16 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | 2019-10-24 |
| 2019-09-16 | Health | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E | 2019-10-24 |
| 2019-09-16 | Health | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | 2019-10-24 |
| 2019-09-16 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2019-10-24 |
| 2019-09-16 | 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 | 2019-10-24 |
| 2019-09-16 | 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 | 2019-10-24 |
| 2019-09-16 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2019-10-24 |
| 2019-09-16 | 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. | D | 2019-10-24 |
| 2019-09-16 | Health | F0685 | Assist a resident in gaining access to vision and hearing services. | D | 2019-10-24 |
| 2019-09-16 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2019-10-24 |
| 2019-09-16 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2019-10-24 |
| 2019-09-16 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2019-10-24 |
| 2019-09-16 | 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 | 2019-10-24 |
| 2019-09-16 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2019-10-24 |
| 2019-09-16 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2019-10-24 |
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
28| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| GRUMAN, AARON | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 51% | 2024-06-18 | current | pecos_ownership |
| YG FH HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 51% | 2024-06-18 | current | pecos_ownership |
| ALI, ASAD | ADP OF THE SNF | — | 2024-06-18 | current | pecos_ownership |
| ARCADIA CARE MANAGEMENT LLC | ADP OF THE SNF | — | 2024-07-01 | current | pecos_ownership |
| COYLE, DAWN | ADP OF THE SNF | — | 2024-06-18 | current | pecos_ownership |
| CURIS SERVICES LLC | ADP OF THE SNF | — | 2024-07-01 | current | pecos_ownership |
| CURIS SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-06-18 | current | pecos_ownership |
| FRANCIS, SHERRI | ADP OF THE SNF | — | 2024-07-01 | current | pecos_ownership |
| MCCLURE, MICHELLE | ADP OF THE SNF | — | 2024-06-18 | current | pecos_ownership |
| MCCLURE, MICHELLE | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-07-01 | current | pecos_ownership |
| SPECTOR, JENNIFER | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-06-18 | current | pecos_ownership |
| TUROFSKY, STEVEN | ADP OF THE SNF | — | 2024-06-18 | current | pecos_ownership |
| WILHELM, NAFTALI | ADP OF THE SNF | — | 2024-06-18 | current | pecos_ownership |
| WILHELM, NAFTALI | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-07-01 | current | pecos_ownership |
| AARON GRUMAN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 51% | 2024-06-18 | ended 2026-05-18 | pecos_ownership |
| DOVID SEITLER | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 38% | 2024-07-01 | ended 2026-05-18 | pecos_ownership |
| APERION CARE EXEC HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 6% | 2024-07-01 | ended 2026-05-18 | pecos_ownership |
| JOSHUA HOFFMAN TR JOSHUA HOFFMAN TTEE | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5% | 2024-06-18 | ended 2026-05-18 | pecos_ownership |
| JENNIFER SPECTOR | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 0% | 2024-06-18 | ended 2026-05-18 | pecos_ownership |
| NAFTALI WILHELM | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 0% | 2024-07-01 | ended 2026-05-18 | pecos_ownership |
| STEVEN TUROFSKY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 0% | 2024-07-01 | ended 2026-05-18 | pecos_ownership |
| ASAD ALI | ADP OF THE SNF | — | 2024-06-18 | ended 2026-05-18 | pecos_ownership |
| DAWN COYLE | ADP OF THE SNF | — | 2024-06-18 | ended 2026-05-18 | pecos_ownership |
| MICHELLE MCCLURE | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-07-01 | ended 2026-05-18 | pecos_ownership |
| MICHELLE MCCLURE | ADP OF THE SNF | — | 2024-06-18 | ended 2026-05-18 | pecos_ownership |
| NAFTALI WILHELM | ADP OF THE SNF | — | 2024-06-18 | ended 2026-05-18 | pecos_ownership |
| SHERRI FRANCIS | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-07-01 | ended 2026-05-18 | pecos_ownership |
| STEVEN TUROFSKY | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-06-18 | 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 |
|---|---|---|---|---|
| 2024-06-18 | — | ARC AT CINCINNATI LLC | CINCINNATI SENIOR CARE, 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
35| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 39061 | acs median gross | 0 | $888 | 2024-12-31 | CENSUS_ACS5 |
| county 39061 | fmr | 0 | $958 | 2025-10-01 | HUD_USER_FMR |
| county 39061 | acs median gross | 1 | $885 | 2024-12-31 | CENSUS_ACS5 |
| county 39061 | fmr | 1 | $1,051 | 2025-10-01 | HUD_USER_FMR |
| county 39061 | acs median gross | 2 | $1,136 | 2024-12-31 | CENSUS_ACS5 |
| county 39061 | fmr | 2 | $1,353 | 2025-10-01 | HUD_USER_FMR |
| county 39061 | acs median gross | 3 | $1,432 | 2024-12-31 | CENSUS_ACS5 |
| county 39061 | fmr | 3 | $1,785 | 2025-10-01 | HUD_USER_FMR |
| county 39061 | acs median gross | 4 | $1,645 | 2024-12-31 | CENSUS_ACS5 |
| county 39061 | fmr | 4 | $1,976 | 2025-10-01 | HUD_USER_FMR |
| county 39061 | acs median gross | 5 | $1,941 | 2024-12-31 | CENSUS_ACS5 |
| county 39061 | acs median gross | $1,075 | 2024-12-31 | CENSUS_ACS5 | |
| county 39061 | acs recent mover gross | $1,331 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 45209 | acs median gross | 0 | $911 | 2024-12-31 | CENSUS_ACS5 |
| zcta 45209 | acs median gross | 1 | $1,142 | 2024-12-31 | CENSUS_ACS5 |
| zcta 45209 | acs median gross | 2 | $1,518 | 2024-12-31 | CENSUS_ACS5 |
| zcta 45209 | acs median gross | 3 | $2,024 | 2024-12-31 | CENSUS_ACS5 |
| zcta 45209 | acs median gross | 4 | $2,799 | 2024-12-31 | CENSUS_ACS5 |
| zcta 45209 | acs median gross | $1,309 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 45209 | acs recent mover gross | $1,620 | 2024-12-31 | CENSUS_ACS5 | |
| zip 45209 | payment standard 110 | 0 | $1,375 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45209 | payment standard 90 | 0 | $1,125 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45209 | safmr | 0 | $1,250 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45209 | payment standard 110 | 1 | $1,518 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45209 | payment standard 90 | 1 | $1,242 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45209 | safmr | 1 | $1,380 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45209 | payment standard 110 | 2 | $1,947 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45209 | payment standard 90 | 2 | $1,593 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45209 | safmr | 2 | $1,770 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45209 | payment standard 110 | 3 | $2,574 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45209 | payment standard 90 | 3 | $2,106 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45209 | safmr | 3 | $2,340 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45209 | payment standard 110 | 4 | $2,849 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45209 | payment standard 90 | 4 | $2,331 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45209 | safmr | 4 | $2,590 | 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.