Composite
99.5 / 100 percentile
Screener / 365364
F
Trotwood Health & Rehab LLC
snfOHSFF: SFF Candidate
4911 COVENANT HOUSE DRIVE, DAYTON, OH 45426 · CCN 365364 · chain HILLSTONE HEALTHCARE INC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
67
Model
v1.2
Reads as: riskier than 99.5% 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 model4ML signals2Components15CHOW radar1Distress radar1Staffing16Penalties3Deficiencies87Licensure0Ownership9Related party4Transactions0Comps12Market rent35
Composite explanation
4| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 93.3 | 91.0 | 0.30 | 0.3000 | 27.99 | in index |
| staffing risk | 94.0 | 94.0 | 0.25 | 0.2500 | 23.50 | in index |
| financial risk | 75.2 | 63.0 | 0.30 | 0.3000 | 22.56 | in index |
| chow risk | 54.4 | 33.7 | 0.15 | 0.1500 | 8.16 | in index |
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
ML signals — parallel engine
2| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| anomaly | Quarter-over-quarter staffing cliff | −33% QoQ | this facility | 2026-07-29 |
| anomaly | Staffing collapse vs state peers | 2.8σ below | this facility | 2026-07-29 |
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
15| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| chow risk | 45.0 | 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 | 22.3 | A | v0.6 | default · in composite | |
| financial risk | 63.0 | C | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.1 | — | 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 | 10.5 | — | 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 | 91.0 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 94.0 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 79.2 | 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 | 59.2 | 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 | 63.2 | C | v0.3 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 64.0 | C | 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 | 91.0 | 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 | 91.0 | 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 | 94.0 | 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 | 94.0 | 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)
10.5%
model v0.1 · computed 2026-07-29
Percentile among SNFs
98.0
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 | |
| Occupancy | 0.54 | +0.46 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Chain size (log) | 2.56 | +0.14 | |
| Total nurse staffing (HPRD) | 2.38 | +0.13 |
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Distress radar — 12-month termination probability
full board →p(termination, 12m)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
52.1
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Occupancy | 0.54 | +0.88 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Total nurse staffing (HPRD) | 2.38 | +0.35 | |
| Chain size (log) | 2.56 | -0.29 | |
| Staffing trend, last 4 quarters | -0.51 | -0.27 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Deficiencies, last 12 months | 7.00 | +0.13 |
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 | 2.38 | 3.24 | 3.28 | 2.90–3.77 |
| RN | 0.12 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 2.23 | 3.11 | 3.11 | — |
| Weekday total | 2.43 | 3.29 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 36.2 | 2.38 | 0.12 | 0.83 | 1.42 | 2.23 | 0.0% |
| 2025Q3 | 92 | 42.0 | 1.79 | 0.17 | 0.73 | 0.89 | 1.76 | 12.7% |
| 2025Q2 | 91 | 46.2 | 2.65 | 0.39 | 0.41 | 1.84 | 2.53 | 0.0% |
| 2025Q1 | 90 | 47.7 | 2.78 | 0.27 | 0.64 | 1.87 | 2.66 | 5.2% |
| 2024Q4 | 92 | 50.3 | 2.89 | 0.17 | 0.78 | 1.93 | 2.79 | 4.1% |
| 2024Q3 | 92 | 50.4 | 3.24 | 0.33 | 0.70 | 2.21 | 3.18 | 2.2% |
| 2024Q2 | 91 | 53.9 | 3.22 | 0.29 | 0.78 | 2.15 | 3.13 | 3.4% |
| 2024Q1 | 91 | 46.8 | 2.94 | 0.12 | 0.97 | 1.86 | 2.88 | 3.0% |
| 2023Q4 | 92 | 48.8 | 2.90 | 0.15 | 0.89 | 1.86 | 2.82 | 6.9% |
| 2023Q3 | 92 | 51.2 | 2.87 | 0.16 | 0.87 | 1.84 | 2.91 | 3.2% |
| 2023Q2 | 91 | 53.1 | 3.08 | 0.26 | 0.80 | 2.02 | 2.96 | 22.6% |
| 2023Q1 | 90 | 51.7 | 2.89 | 0.31 | 0.79 | 1.79 | 2.86 | 36.8% |
| 2022Q4 | 92 | 49.5 | 3.27 | 0.49 | 0.53 | 2.25 | 3.23 | 43.6% |
| 2022Q3 | 92 | 53.4 | 2.79 | 0.20 | 0.73 | 1.86 | 2.74 | 14.1% |
| 2022Q2 | 91 | 57.9 | 2.65 | 0.17 | 0.68 | 1.79 | 2.66 | 17.1% |
| 2022Q1 | 90 | 57.8 | 2.34 | 0.30 | 0.43 | 1.62 | 2.29 | 27.1% |
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
3fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-04-11 | Payment Denial | — | CMS provider data |
| 2023-09-25 | Fine | $76,996 | CMS provider data |
| 2023-09-25 | Payment Denial | — | CMS provider data |
Total fines on record: $76,996
Deficiencies
87D × 55E × 20F × 8G × 3J × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-30 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2026-05-01 |
| 2025-12-22 | Health · complaint | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | 2026-01-30 |
| 2025-12-22 | Health · complaint | F0680 | Ensure the activities program is directed by a qualified professional. | E | 2026-01-30 |
| 2025-12-22 | Health · complaint | F0908 | Keep all essential equipment working safely. | E | 2026-01-30 |
| 2025-12-22 | 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 | 2026-01-30 |
| 2025-08-22 | 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. | F | 2025-09-27 |
| 2025-08-22 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-09-27 |
| 2025-06-11 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-06-27 |
| 2025-06-11 | 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 | 2025-06-27 |
| 2025-06-11 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2025-06-27 |
| 2025-06-11 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-06-27 |
| 2025-06-04 | 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. | E | 2025-06-27 |
| 2025-03-26 | Health · complaint | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2025-04-10 |
| 2025-03-26 | 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 | 2025-04-10 |
| 2025-03-26 | 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 | 2025-04-10 |
| 2025-02-27 | 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 | 2025-03-10 |
| 2025-02-27 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-03-10 |
| 2025-02-27 | Health · complaint | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2025-03-10 |
| 2025-01-22 | 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 | 2025-02-07 |
| 2024-12-03 | Health · complaint | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | 2024-12-20 |
| 2024-12-03 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-12-20 |
| 2024-07-23 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-09-03 |
| 2024-07-23 | 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 | 2024-09-03 |
| 2024-07-23 | 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 | 2024-09-03 |
| 2024-07-23 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-09-03 |
| 2024-07-23 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2024-09-03 |
| 2024-07-23 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-09-03 |
| 2024-07-23 | 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 | 2024-09-03 |
| 2024-07-23 | Health | F0685 | Assist a resident in gaining access to vision and hearing services. | D | 2024-09-03 |
| 2024-07-23 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2024-09-03 |
| 2024-07-23 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-09-03 |
| 2024-07-23 | Health | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | 2024-09-03 |
| 2024-07-23 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-09-03 |
| 2024-07-23 | Health · complaint | F0776 | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | D | 2024-09-03 |
| 2024-07-23 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2024-09-03 |
| 2024-07-23 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-09-03 |
| 2024-07-23 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-09-03 |
| 2024-07-23 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2024-09-03 |
| 2024-07-23 | Health · complaint | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2024-09-03 |
| 2024-07-23 | Health · complaint | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2024-09-03 |
| 2024-06-06 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-06-21 |
| 2024-06-06 | 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 | 2024-09-03 |
| 2024-06-06 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-09-03 |
| 2024-06-06 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-09-03 |
| 2024-06-06 | Health · complaint | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2024-06-21 |
| 2024-06-06 | Health · complaint | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | 2024-06-21 |
| 2024-06-06 | Health · complaint | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2024-09-03 |
| 2024-05-13 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-09-03 |
| 2024-05-13 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-09-03 |
| 2024-05-13 | Health · complaint | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2024-09-03 |
| 2024-04-11 | 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 | 2024-09-03 |
| 2024-04-11 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-09-03 |
| 2024-01-09 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2024-01-26 |
| 2023-10-25 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2023-11-13 |
| 2023-10-25 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | F | 2023-11-13 |
| 2023-09-25 | Health · complaint | F0679 | Provide activities to meet all resident's needs. | E | 2023-11-13 |
| 2023-09-25 | Health · complaint | F0680 | Ensure the activities program is directed by a qualified professional. | E | 2023-11-13 |
| 2023-09-25 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | G | 2023-11-13 |
| 2023-09-25 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2023-11-13 |
| 2023-08-04 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2023-08-26 |
| 2023-06-14 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-06-29 |
| 2023-06-14 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2023-06-29 |
| 2022-11-07 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2023-01-23 |
| 2022-11-07 | 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 | 2023-01-23 |
| 2022-11-07 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-01-23 |
| 2022-11-07 | 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 | 2023-01-23 |
| 2022-11-07 | Health | F0637 | Assess the resident when there is a significant change in condition | D | 2023-01-23 |
| 2022-11-07 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2023-01-23 |
| 2022-11-07 | 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. | E | 2023-01-23 |
| 2022-11-07 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2023-01-23 |
| 2022-11-07 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2023-01-23 |
| 2022-11-07 | Health | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | 2023-01-23 |
| 2022-11-07 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2023-01-23 |
| 2022-11-07 | Health | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | 2023-01-23 |
| 2022-11-07 | Health | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | 2023-01-23 |
| 2022-11-07 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2023-01-23 |
| 2019-12-18 | 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 | 2020-01-10 |
| 2019-12-18 | 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 | 2020-01-10 |
| 2019-12-18 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2020-01-10 |
| 2019-12-18 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2020-01-10 |
| 2019-12-18 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2020-01-10 |
| 2019-12-18 | Health | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2020-01-10 |
| 2019-12-18 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2020-01-10 |
| 2019-12-18 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2020-01-10 |
| 2019-12-18 | 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 | 2020-01-10 |
| 2019-12-18 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2020-01-10 |
| 2019-12-18 | Health | F0914 | Provide bedrooms that don't allow residents to see each other when privacy is needed. | D | 2020-01-10 |
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.
Licensure actions
0No licensure actions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Ownership
9| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| BERGSTEN, PAUL | CORPORATE OFFICER | — | 2017-01-01 | current | pecos_ownership |
| DAPORE, MATTHEW | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-01-01 | current | pecos_ownership |
| HANDLER, AARON | CORPORATE DIRECTOR | — | 2014-11-14 | current | pecos_ownership |
| HOFFMAN, JILL | W-2 MANAGING EMPLOYEE | — | 2015-02-01 | current | pecos_ownership |
| HILLSTONE HEALTHCARE INC. | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2017-09-01 | ended 2026-05-18 | pecos_ownership |
| PAUL BERGSTEN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 60% | 2017-01-01 | ended 2026-05-18 | pecos_ownership |
| MATTHEW DAPORE | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 40% | 2017-01-01 | ended 2026-05-18 | pecos_ownership |
| AARON HANDLER | CORPORATE DIRECTOR | — | 2014-11-14 | ended 2026-05-18 | pecos_ownership |
| JILL HOFFMAN | W-2 MANAGING EMPLOYEE | — | 2015-02-01 | ended 2026-05-18 | pecos_ownership |
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Transactions
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
35| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 39113 | acs median gross | 0 | $728 | 2024-12-31 | CENSUS_ACS5 |
| county 39113 | fmr | 0 | $928 | 2025-10-01 | HUD_USER_FMR |
| county 39113 | acs median gross | 1 | $816 | 2024-12-31 | CENSUS_ACS5 |
| county 39113 | fmr | 1 | $1,009 | 2025-10-01 | HUD_USER_FMR |
| county 39113 | acs median gross | 2 | $1,011 | 2024-12-31 | CENSUS_ACS5 |
| county 39113 | fmr | 2 | $1,273 | 2025-10-01 | HUD_USER_FMR |
| county 39113 | acs median gross | 3 | $1,199 | 2024-12-31 | CENSUS_ACS5 |
| county 39113 | fmr | 3 | $1,651 | 2025-10-01 | HUD_USER_FMR |
| county 39113 | acs median gross | 4 | $1,282 | 2024-12-31 | CENSUS_ACS5 |
| county 39113 | fmr | 4 | $1,817 | 2025-10-01 | HUD_USER_FMR |
| county 39113 | acs median gross | 5 | $1,470 | 2024-12-31 | CENSUS_ACS5 |
| county 39113 | acs median gross | $1,026 | 2024-12-31 | CENSUS_ACS5 | |
| county 39113 | acs recent mover gross | $1,198 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 45426 | acs median gross | 0 | $706 | 2024-12-31 | CENSUS_ACS5 |
| zcta 45426 | acs median gross | 1 | $913 | 2024-12-31 | CENSUS_ACS5 |
| zcta 45426 | acs median gross | 2 | $967 | 2024-12-31 | CENSUS_ACS5 |
| zcta 45426 | acs median gross | 3 | $1,258 | 2024-12-31 | CENSUS_ACS5 |
| zcta 45426 | acs median gross | 4 | $1,199 | 2024-12-31 | CENSUS_ACS5 |
| zcta 45426 | acs median gross | $1,000 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 45426 | acs recent mover gross | $992 | 2024-12-31 | CENSUS_ACS5 | |
| zip 45426 | payment standard 110 | 0 | $946 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45426 | payment standard 90 | 0 | $774 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45426 | safmr | 0 | $860 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45426 | payment standard 110 | 1 | $1,034 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45426 | payment standard 90 | 1 | $846 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45426 | safmr | 1 | $940 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45426 | payment standard 110 | 2 | $1,298 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45426 | payment standard 90 | 2 | $1,062 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45426 | safmr | 2 | $1,180 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45426 | payment standard 110 | 3 | $1,683 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45426 | payment standard 90 | 3 | $1,377 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45426 | safmr | 3 | $1,530 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45426 | payment standard 110 | 4 | $1,848 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45426 | payment standard 90 | 4 | $1,512 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45426 | safmr | 4 | $1,680 | 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.