CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)
AS OF 2026-08-05 08:03 UTC
Screener / 365284
F

Crestwood Care Center

snfOH
225 W MAIN STREET, SHELBY, OH 44875 · CCN 365284 · chain RRW LLC
Composite
96.4 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
130
Model
v1.2
Reads as: riskier than 96.4% 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.

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk96.294.70.300.230822.20in index
financial risk79.466.40.300.230818.32in index
billing conduct73.149.20.300.230816.87in index
staffing risk65.165.10.250.192312.52in index
chow risk29.228.10.150.11543.37in 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

1
KindFindingSignalSubjectFirst seen
connectionOwner spans multiple chains5 chainsODENTHAL RICHARD85 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 typeScoreGradeModelStatusRegistry model notes
billing conduct49.2Cv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk25.0Bv0.1-posdefault · in compositeChange-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 risk31.2Bv0.6default · in composite
financial risk66.4Dv0.5default · in compositeR18.
p adverse action 12m0.1v0.1default · in compositeR23/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 12m6.5v0.1default · in compositeR22/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 risk94.7Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk65.1Dv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk62.8Cv0.1supersededPre-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 risk42.8Bv0.2supersededPre-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 risk64.1Cv0.3supersededPre-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 risk67.1Dv0.4supersededPre-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 risk94.6Fv0.1supersededPre-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 risk94.6Fv0.2supersededPre-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 risk65.1Dv0.1supersededPre-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 risk65.1Dv0.2supersededPre-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)
6.5%
model v0.1 · computed 2026-07-29
Percentile among SNFs
93.5
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
For-profit ownership1.00+0.69
Never sold on record1.00+0.62
Chain size (log)4.67+0.59
Current owner tenure (years)25.00+0.57
No PBJ staffing report0.00+0.42
Ownership changes, last 5 years0.00+0.20
Deficiencies, last 12 months0.00-0.17
Contract staffing share0.00-0.10
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
38.3
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Chain size (log)4.67-1.52
Deficiencies, last 12 months0.00+1.43
For-profit ownership1.00-0.69
No PBJ staffing report0.00+0.39
Fine amount, 12m (log)0.00+0.18
Occupancy0.71+0.16
Never sold on record1.00+0.12
Facility size (log beds)4.88-0.11
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 HPRDThis facilityOH medianNational medianNational p25–p75
Total nurse3.063.243.282.90–3.77
RN0.340.380.390.25–0.58
Weekend total3.023.113.11
Weekday total3.083.293.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49292.53.060.340.642.083.020.0%
2025Q39289.72.980.320.701.972.900.0%
2025Q29184.63.050.180.872.002.980.0%
2025Q19088.63.040.130.921.992.940.0%
2024Q49286.83.060.130.842.093.000.0%
2024Q39289.43.080.160.971.942.930.0%
2024Q29198.42.870.170.781.922.660.0%
2024Q191100.72.810.140.881.792.700.0%
2023Q49293.32.850.180.871.802.710.0%
2023Q39292.32.820.160.831.832.746.9%
2023Q29190.13.040.170.981.892.9715.4%
2023Q19095.53.130.130.982.023.0823.1%
2022Q492103.12.730.120.941.672.6115.6%
2022Q39296.82.860.170.971.712.7816.1%
2022Q29191.32.980.180.931.872.8536.8%
2022Q19092.32.780.190.941.652.6939.0%
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.

Penalties

3
DateTypeFineSource
2024-09-25Fine$39,130CMS provider data
2024-01-08Fine$193,074CMS provider data
2024-01-08Payment DenialCMS provider data
Total fines on record: $232,204

Deficiencies

62
C × 2D × 39E × 7F × 10G × 1K × 2L × 1
deficiencies by survey year
251319212325
SurveyTypeTagDeficiencyScopeCorrected
2025-03-25Health · complaintF0620Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.D2025-04-04
2025-03-25Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-04-04
2025-03-25Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2025-04-04
2025-03-25Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2025-04-04
2025-02-27HealthF0584Honor 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.D2025-04-04
2025-02-27HealthF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD2025-04-04
2025-02-27HealthF0679Provide activities to meet all resident's needs.D2025-04-04
2025-02-27Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-04-04
2025-02-27Health · complaintF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2025-04-04
2025-02-27HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2025-04-04
2025-02-27HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2025-04-04
2025-02-27HealthF0730Observe each nurse aide's job performance and give regular training.C2025-04-04
2025-02-27Health · complaintF0759Ensure medication error rates are not 5 percent or greater.D2025-04-04
2025-02-27Health · complaintF0760Ensure that residents are free from significant medication errors.D2025-04-04
2025-02-27HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2025-04-04
2025-02-27HealthF0880Provide and implement an infection prevention and control program.D2025-04-04
2024-12-16Health · complaintF0578Honor 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.D2024-12-27
2024-12-16Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-12-27
2024-09-25Health · complaintF0552Ensure that residents are fully informed and understand their health status, care and treatments.D2024-10-21
2024-09-25Health · complaintF0697Provide safe, appropriate pain management for a resident who requires such services.G2024-10-21
2024-09-25Health · complaintF0727Have 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.F2024-10-21
2024-09-25Health · complaintF0742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.D2024-10-21
2024-05-22Health · complaintF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.E2024-06-04
2024-05-22Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2024-06-04
2024-05-22Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-06-04
2024-05-22Health · complaintF0727Have 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.F2024-06-04
2024-05-22Health · complaintF0770Provide timely, quality laboratory services/tests to meet the needs of residents.D2024-06-04
2024-05-22Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E2024-06-04
2024-04-11Health · complaintF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.D2024-05-22
2024-04-11Health · complaintF0732Post nurse staffing information every day.C2024-06-04
2024-04-11Health · complaintF0760Ensure that residents are free from significant medication errors.K2024-06-04
2024-04-11Health · complaintF0761Ensure 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.D2024-06-04
2024-04-11Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E2024-06-04
2024-03-04Health · complaintF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.F2024-06-04
2024-03-04Health · complaintF0624Prepare residents for a safe transfer or discharge from the nursing home.D2024-05-22
2024-03-04Health · complaintF0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.E2024-06-04
2024-03-04Health · complaintF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.F2024-05-22
2024-03-04Health · complaintF0942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.F2024-05-22
2024-03-04Health · complaintF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.F2024-05-22
2024-01-08Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.K2024-06-04
2024-01-08Health · complaintF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.L2024-06-04
2023-11-01Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2023-11-20
2023-11-01Health · complaintF0809Ensure 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.F2023-11-20
2023-10-18Health · complaintF0584Honor 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.D2023-11-20
2023-10-18Health · complaintF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2023-11-20
2022-09-30HealthF0583Keep residents' personal and medical records private and confidential.D2023-02-13
2022-09-30HealthF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D2023-02-13
2022-09-30HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2023-02-13
2022-09-30HealthF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D2023-02-13
2022-09-30HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2023-02-13
2022-09-30HealthF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2023-02-13
2022-09-30HealthF0758Implement 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.D2023-02-13
2022-09-30HealthF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.D2023-02-13
2022-09-30HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.F2023-02-13
2022-09-30HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2023-02-13
2022-09-30HealthF0881Implement a program that monitors antibiotic use.D2023-02-13
2019-10-03HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E2019-11-20
2019-10-03HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2019-11-20
2019-10-03HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2019-11-20
2019-10-03HealthF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D2019-11-20
2019-10-03HealthF0761Ensure 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.E2019-11-20
2019-10-03HealthF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D2019-11-20
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

0
No 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

29
OwnerRolePctFromStatusSource
THIRD OPTION OP CO., LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2020-05-01currentpecos_ownership
C R STOLTZ II LLCADP OF THE SNF2003-11-01currentpecos_ownership
C.R. STOLTZ IRREVOCABLE TRUSTADP OF THE SNF2003-11-01currentpecos_ownership
GROVES, DONNAOPERATIONAL/MANAGERIAL CONTROL2023-04-14currentpecos_ownership
I. ROSEDALE IRREVOCABLE TRUSTADP OF THE SNF2003-11-01currentpecos_ownership
MIDLAND (OHIO) MANAGEMENT, CO., LLCADP OF THE SNF2025-04-25currentpecos_ownership
MIDLAND (OHIO) MANAGEMENT, CO., LLCOPERATIONAL/MANAGERIAL CONTROL2003-11-01currentpecos_ownership
ODENTHAL, RICHARDINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF2025-04-08currentpecos_ownership
OPTION HOLDINGS III, LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST2020-05-01currentpecos_ownership
R.S. WILHEIM IRREVOCABLE TRUSTADP OF THE SNF2003-11-01currentpecos_ownership
ROMEO, DOMINICOPERATIONAL/MANAGERIAL CONTROL2023-04-01currentpecos_ownership
RONALD S WILHEIM 2012 SPOUSAL TRUSTADP OF THE SNF2003-11-01currentpecos_ownership
ROSEDALE FAMILY INVESTMENT COMPANY, INCADP OF THE SNF2003-11-01currentpecos_ownership
RRW, LLCADP OF THE SNF2003-11-01currentpecos_ownership
S.L. ROSEDALE IRREVOCABLE TRUSTADP OF THE SNF2003-11-01currentpecos_ownership
STOLTZ, CHARLESCORPORATE OFFICER2012-01-01currentpecos_ownership
THE STEPHEN L. ROSEDALE 2012 SPOUSAL TRUSTADP OF THE SNF2003-11-01currentpecos_ownership
WAYNE, MATTHEWCORPORATE OFFICER2012-01-01currentpecos_ownership
WILFONG, MELISSAADP OF THE SNF2024-07-08currentpecos_ownership
WILHEIM FAMILY INVESTMENT COMPANY, INC.ADP OF THE SNF2003-11-01currentpecos_ownership
WILHEIM, RONALDCORPORATE OFFICER2012-01-01currentpecos_ownership
YOUNG, AARONADP OF THE SNF2024-07-01currentpecos_ownership
AARON YOUNGADP OF THE SNF2024-07-01ended 2026-05-18pecos_ownership
CHARLES STOLTZCORPORATE OFFICER2012-01-01ended 2026-05-18pecos_ownership
DOMINIC ROMEOOPERATIONAL/MANAGERIAL CONTROL2023-04-01ended 2026-05-18pecos_ownership
DONNA GROVESOPERATIONAL/MANAGERIAL CONTROL2023-04-14ended 2026-05-18pecos_ownership
MATTHEW WAYNECORPORATE OFFICER2012-01-01ended 2026-05-18pecos_ownership
MELISSA WILFONGADP OF THE SNF2024-07-08ended 2026-05-18pecos_ownership
RONALD WILHEIMCORPORATE OFFICER2012-01-01ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

0
No 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
CloseFacilityPrice$/bedCap rateBedsBuyer
2024-12-31SAPPHIRE REHABILITATION AND CARE CENTER113SAPPHIRE OPCO LLC
2024-12-31MAJESTIC CARE OF POINT PLACE82POINT PLACE OH HEALTH & REHAB OPCO LLC
2024-12-31MAJESTIC CARE OF NEW LEXINGTON82NEW LEXINGTON OH HEALTH & REHAB OPCO LLC
2024-12-31Atrium Nursing and Rehabilitation99ATRIUM OPCO LLC
2024-12-31Inniswood Health and Rehabilitation99FHS INNISWOOD, INC.
2024-12-31COMMUNITY SKILLED HEALTHCARE110CS OPCO LLC
2024-12-31MAJESTIC CARE OF PERRYSBURG75PERRYSBURG OH HEALTH & REHAB OPCO LLC
2024-12-31GRAFTON OAKS NURSING CENTER99GO OPCO LLC
2024-12-31MAJESTIC CARE OF KENT74KENT OH HEALTH & REHAB OPCO LLC
2024-12-30Chardon Woods161CHARDON WOODS OF JOURNEY LLC
2024-12-16The Pavilion at Canal Fulton for Nursing and Rehab60PAVILION AT CANAL FULTON LLC
2024-12-02BENNINGTON GLEN NURSING & REHABILITATION CENTER79FHS 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
GeoKindBRAmountAs ofSource
county 39139acs median gross0$6042024-12-31CENSUS_ACS5
county 39139fmr0$6712025-10-01HUD_USER_FMR
county 39139acs median gross1$6052024-12-31CENSUS_ACS5
county 39139fmr1$7732025-10-01HUD_USER_FMR
county 39139acs median gross2$8172024-12-31CENSUS_ACS5
county 39139fmr2$9732025-10-01HUD_USER_FMR
county 39139acs median gross3$9852024-12-31CENSUS_ACS5
county 39139fmr3$1,3152025-10-01HUD_USER_FMR
county 39139acs median gross4$1,1212024-12-31CENSUS_ACS5
county 39139fmr4$1,5302025-10-01HUD_USER_FMR
county 39139acs median gross5$1,0472024-12-31CENSUS_ACS5
county 39139acs median gross$8242024-12-31CENSUS_ACS5
county 39139acs recent mover gross$9682024-12-31CENSUS_ACS5
zcta 44875acs median gross0$4592024-12-31CENSUS_ACS5
zcta 44875acs median gross1$4812024-12-31CENSUS_ACS5
zcta 44875acs median gross2$7932024-12-31CENSUS_ACS5
zcta 44875acs median gross3$9462024-12-31CENSUS_ACS5
zcta 44875acs median gross4$1,0662024-12-31CENSUS_ACS5
zcta 44875acs median gross$7792024-12-31CENSUS_ACS5
zcta 44875acs recent mover gross$9092024-12-31CENSUS_ACS5
zip 44875payment standard 1100$7372025-10-01HUD_USER_SAFMR
zip 44875payment standard 900$6032025-10-01HUD_USER_SAFMR
zip 44875safmr0$6702025-10-01HUD_USER_SAFMR
zip 44875payment standard 1101$8472025-10-01HUD_USER_SAFMR
zip 44875payment standard 901$6932025-10-01HUD_USER_SAFMR
zip 44875safmr1$7702025-10-01HUD_USER_SAFMR
zip 44875payment standard 1102$1,0672025-10-01HUD_USER_SAFMR
zip 44875payment standard 902$8732025-10-01HUD_USER_SAFMR
zip 44875safmr2$9702025-10-01HUD_USER_SAFMR
zip 44875payment standard 1103$1,4412025-10-01HUD_USER_SAFMR
zip 44875payment standard 903$1,1792025-10-01HUD_USER_SAFMR
zip 44875safmr3$1,3102025-10-01HUD_USER_SAFMR
zip 44875payment standard 1104$1,6832025-10-01HUD_USER_SAFMR
zip 44875payment standard 904$1,3772025-10-01HUD_USER_SAFMR
zip 44875safmr4$1,5302025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.