Composite
85.6 / 100 percentile
Screener / 365147
D
HIGHLAND OAKS HEALTH CENTER
snfOHSFF: SFF Candidate
4114 NORTH STATE ROUTE 376 NW, MCCONNELSVILLE, OH 43756 · CCN 365147 · chain M MEISELS FAMILY HOLDINGS LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
99
Model
v1.2
Reads as: riskier than 85.6% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
Score model5ML signals5Components16CHOW radar1Distress radar1Staffing16Penalties2Deficiencies105Licensure0Ownership38Related party5Transactions0Comps12Market rent29
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 94.6 | 92.6 | 0.30 | 0.2308 | 21.83 | in index |
| billing conduct | 93.8 | 64.0 | 0.30 | 0.2308 | 21.65 | in index |
| staffing risk | 61.3 | 61.3 | 0.25 | 0.1923 | 11.79 | in index |
| financial risk | 21.7 | 28.2 | 0.30 | 0.2308 | 5.01 | in index |
| chow risk | 29.3 | 28.1 | 0.15 | 0.1154 | 3.38 | in index |
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
ML signals — parallel engine
5| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner spans multiple chains | 14 chains | DAVIS DAVID | 122 facilities |
| connection | Owner spans multiple chains | 14 chains | BARNEY LEIGH | 122 facilities |
| connection | Owner spans multiple chains | 4 chains | PROSKY DANNY | 63 facilities |
| connection | Owner spans multiple chains | 4 chains | MARTIN FRIEDMAN CPA PC | 10 facilities |
| connection | Owner fleet enforcement cluster | 53% fined | MARTIN FRIEDMAN CPA PC | 17 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 | 64.0 | C | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 25.0 | B | 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 | 31.2 | B | v0.6 | default · in composite | |
| financial risk | 28.2 | B | 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 | 3.1 | — | 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 | 92.6 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 61.3 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 53.4 | C | 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 | 33.4 | B | 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 | 34.3 | B | v0.3 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 34.3 | B | v0.4 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 92.6 | 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 | 92.6 | 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 | 61.3 | 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 | 61.3 | 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)
3.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
78.3
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 | 0.89 | -0.55 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Chain size (log) | 2.48 | +0.13 | |
| Contract staffing share | 0.00 | -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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
20.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.89 | -0.59 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Chain size (log) | 2.48 | -0.24 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Never sold on record | 1.00 | +0.12 | |
| Current owner tenure (years) | 25.00 | +0.11 | |
| Contract staffing share | 0.00 | -0.07 |
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 | 3.11 | 3.24 | 3.28 | 2.90–3.77 |
| RN | 0.33 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 3.01 | 3.11 | 3.11 | — |
| Weekday total | 3.15 | 3.29 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 88.0 | 3.11 | 0.33 | 0.42 | 2.35 | 3.01 | 0.0% |
| 2025Q3 | 92 | 91.0 | 3.16 | 0.40 | 0.45 | 2.32 | 3.08 | 0.0% |
| 2025Q2 | 91 | 91.3 | 3.06 | 0.39 | 0.40 | 2.27 | 2.85 | 0.0% |
| 2025Q1 | 90 | 89.5 | 3.16 | 0.47 | 0.27 | 2.42 | 3.00 | 0.0% |
| 2024Q4 | 92 | 87.7 | 3.02 | 0.47 | 0.23 | 2.31 | 2.77 | 0.0% |
| 2024Q3 | 92 | 91.2 | 2.76 | 0.36 | 0.33 | 2.06 | 2.58 | 0.0% |
| 2024Q2 | 91 | 86.2 | 2.83 | 0.34 | 0.33 | 2.16 | 2.53 | 0.1% |
| 2024Q1 | 91 | 83.7 | 2.88 | 0.34 | 0.39 | 2.14 | 2.65 | 0.0% |
| 2023Q4 | 92 | 85.7 | 2.72 | 0.27 | 0.50 | 1.95 | 2.52 | 0.0% |
| 2023Q3 | 92 | 78.7 | 2.57 | 0.18 | 0.58 | 1.81 | 2.53 | 0.0% |
| 2023Q2 | 91 | 77.2 | 2.33 | 0.15 | 0.72 | 1.46 | 2.23 | 0.0% |
| 2023Q1 | 90 | 78.8 | 2.04 | 0.16 | 0.62 | 1.26 | 2.03 | 0.1% |
| 2022Q4 | 92 | 74.8 | 2.26 | 0.16 | 0.70 | 1.40 | 2.20 | 0.0% |
| 2022Q3 | 92 | 74.3 | 2.08 | 0.17 | 0.76 | 1.15 | 2.00 | 0.0% |
| 2022Q2 | 91 | 72.9 | 1.92 | 0.19 | 0.73 | 0.99 | 1.76 | 0.0% |
| 2022Q1 | 90 | 67.9 | 2.17 | 0.20 | 0.78 | 1.19 | 2.04 | 0.0% |
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
2| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-01-27 | Fine | $54,151 | CMS provider data |
| 2025-01-27 | Payment Denial | — | CMS provider data |
Total fines on record: $54,151
Deficiencies
105C × 3D × 74E × 12F × 9G × 6J × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-21 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2026-05-15 |
| 2026-04-21 | Health · complaint | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2026-05-15 |
| 2026-04-21 | 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 | 2026-05-15 |
| 2026-04-21 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2026-05-15 |
| 2026-04-21 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2026-05-15 |
| 2025-12-18 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-01-14 |
| 2025-12-18 | Health · complaint | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2026-01-14 |
| 2025-12-18 | Health · complaint | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | 2026-01-14 |
| 2025-01-27 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-03-20 |
| 2025-01-27 | Health | F0551 | Give the resident's representative the ability to exercise the resident's rights. | D | 2025-03-20 |
| 2025-01-27 | Health | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | 2025-03-20 |
| 2025-01-27 | Health | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | 2025-03-20 |
| 2025-01-27 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2025-03-20 |
| 2025-01-27 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2025-03-20 |
| 2025-01-27 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-03-20 |
| 2025-01-27 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2025-03-20 |
| 2025-01-27 | 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 | 2025-03-20 |
| 2025-01-27 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2025-03-20 |
| 2025-01-27 | Health | F0637 | Assess the resident when there is a significant change in condition | D | 2025-03-20 |
| 2025-01-27 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2025-03-20 |
| 2025-01-27 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2025-03-20 |
| 2025-01-27 | Health | F0646 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D | 2025-03-20 |
| 2025-01-27 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2025-03-20 |
| 2025-01-27 | 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 | 2025-03-20 |
| 2025-01-27 | Health | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | 2025-03-20 |
| 2025-01-27 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-03-20 |
| 2025-01-27 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2025-03-20 |
| 2025-01-27 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2025-03-20 |
| 2025-01-27 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2025-03-21 |
| 2025-01-27 | Health | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2025-03-20 |
| 2025-01-27 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-03-21 |
| 2025-01-27 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-03-20 |
| 2025-01-27 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2025-03-21 |
| 2025-01-27 | Health | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2025-03-20 |
| 2025-01-27 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | F | 2025-03-20 |
| 2025-01-27 | Health | F0742 | Provide 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. | D | 2025-03-20 |
| 2025-01-27 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2025-03-20 |
| 2025-01-27 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2025-03-20 |
| 2025-01-27 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2025-03-20 |
| 2025-01-27 | 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 | 2025-03-20 |
| 2025-01-27 | Health | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | 2025-03-20 |
| 2025-01-27 | Health | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | 2025-03-20 |
| 2025-01-27 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2025-03-20 |
| 2025-01-27 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-03-20 |
| 2025-01-27 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2025-03-21 |
| 2025-01-27 | Health | F0881 | Implement a program that monitors antibiotic use. | D | 2025-03-20 |
| 2025-01-27 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2025-03-20 |
| 2025-01-27 | Health | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | 2025-03-20 |
| 2025-01-27 | Health | F0908 | Keep all essential equipment working safely. | F | 2025-03-20 |
| 2025-01-27 | Health | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | 2025-03-20 |
| 2024-11-20 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-12-04 |
| 2024-11-20 | Health · complaint | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2024-12-04 |
| 2024-11-20 | Health · complaint | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2024-12-04 |
| 2024-11-20 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-12-04 |
| 2024-09-24 | 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 | 2024-09-25 |
| 2024-09-06 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-09-25 |
| 2024-09-06 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2024-09-25 |
| 2024-08-06 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-09-25 |
| 2024-08-06 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | F | 2024-09-25 |
| 2024-08-06 | Health · complaint | F0908 | Keep all essential equipment working safely. | F | 2024-09-25 |
| 2024-08-06 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | 2024-09-25 |
| 2024-04-10 | Health · complaint | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | 2024-04-24 |
| 2023-12-18 | Health | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | D | 2024-01-12 |
| 2023-12-18 | 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 | 2024-01-12 |
| 2023-12-18 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-01-12 |
| 2023-12-18 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-01-12 |
| 2023-12-18 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | C | 2024-01-12 |
| 2023-12-18 | 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. | C | 2024-01-12 |
| 2023-12-18 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | 2024-01-12 |
| 2023-12-18 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2024-01-12 |
| 2023-12-18 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2024-01-12 |
| 2023-12-18 | 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. | E | 2024-01-12 |
| 2023-12-18 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2024-01-12 |
| 2023-12-18 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2024-01-12 |
| 2023-12-18 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-01-12 |
| 2023-12-18 | Health | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2024-01-12 |
| 2023-12-18 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-01-12 |
| 2023-12-18 | Health | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2024-01-12 |
| 2023-12-18 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-01-12 |
| 2023-12-18 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2024-01-12 |
| 2023-12-18 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2024-01-12 |
| 2023-12-18 | Health | F0732 | Post nurse staffing information every day. | C | 2024-01-12 |
| 2023-12-18 | Health | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | G | 2024-01-12 |
| 2023-12-18 | Health | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | 2024-01-12 |
| 2023-12-18 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-01-12 |
| 2023-12-18 | 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 | 2024-01-12 |
| 2023-12-18 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2024-01-12 |
| 2023-12-18 | 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 | 2024-01-12 |
| 2023-12-18 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2024-01-12 |
| 2023-12-18 | 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. | F | 2024-01-12 |
| 2023-12-18 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2024-01-12 |
| 2023-12-18 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-01-12 |
| 2023-12-18 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-01-12 |
| 2023-12-18 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2024-01-12 |
| 2022-04-19 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2022-05-18 |
| 2022-04-19 | Health | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | E | 2022-05-18 |
| 2022-04-19 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2022-05-18 |
| 2022-04-19 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2022-05-18 |
| 2022-04-19 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2022-05-18 |
| 2022-04-19 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2022-05-18 |
| 2022-04-19 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2022-05-18 |
| 2022-04-19 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2022-05-18 |
| 2022-04-19 | 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. | E | 2022-05-18 |
| 2022-04-19 | 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 | 2022-05-18 |
| 2022-04-19 | Health | F0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | D | 2022-05-18 |
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
38| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| 4114 HIGHWAY 376 OPCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-10-03 | current | pecos_ownership |
| HIGHWAY 376 PROPCO | Corporation, partnership or other organization has financial interest in provider | 100% | 2024-01-01 | current | hcris_a_8_1 |
| HIGHWAY 376 PROPCO | Corporation, partnership or other organization has financial interest in provider | 100% | 2023-01-01 | current | hcris_a_8_1 |
| BARNEY, LEIGH | CORPORATE OFFICER | — | 2019-11-01 | current | pecos_ownership |
| BRYANT, WILLIAM | CORPORATE OFFICER | — | 2016-01-05 | current | pecos_ownership |
| BUFFORD, RANDALL | CORPORATE OFFICER | — | 2019-11-01 | current | pecos_ownership |
| CONNER, GREGORY | CORPORATE OFFICER | — | 2021-06-03 | current | pecos_ownership |
| DAVIS, DAVID | CORPORATE OFFICER | — | 2017-08-21 | current | pecos_ownership |
| DUNDR, MICHAEL | ADP OF THE SNF | — | 2022-10-03 | current | pecos_ownership |
| FARKAS, JENNIFER | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-02-01 | current | pecos_ownership |
| GOINS, TIFFANY | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-01-24 | current | pecos_ownership |
| HIGHWAY 376 PROPCO LLC | ADP OF THE SNF | — | 2022-10-03 | current | pecos_ownership |
| JF MCCONNELSVILLE LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-02-01 | current | pecos_ownership |
| JF MCCONNELSVILLE LLC | 5% OR GREATER MORTGAGE INTEREST | — | 2023-10-16 | current | pecos_ownership |
| LIBERTY OH HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2022-10-03 | current | pecos_ownership |
| LIBERTY OH MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-10-03 | current | pecos_ownership |
| LIEBERMAN, AHRON | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2022-10-03 | current | pecos_ownership |
| LIEBERMAN, AHRON | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-10-02 | current | pecos_ownership |
| M MEISELS FAMILY HOLDINGS LLC | 5% OR GREATER MORTGAGE INTEREST | — | 2022-10-03 | current | pecos_ownership |
| MARTIN FRIEDMAN CPA PC | INDIRECT OWNERSHIP INTEREST | — | 2022-10-03 | current | pecos_ownership |
| MILLER, DUSTIN | ADP OF THE SNF | — | 2022-10-03 | current | pecos_ownership |
| PROSKY, DANNY | CORPORATE OFFICER | — | 2015-12-01 | current | pecos_ownership |
| STREIFF, MATHIEU | CORPORATE OFFICER | — | 2015-12-01 | current | pecos_ownership |
| HIGHWAY 376 PROPCO | Corporation, partnership or other organization has financial interest in provider | 100% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| TIFFANY GOINS | OPERATIONAL/MANAGERIAL CONTROL | 100% | 2022-01-24 | ended 2026-05-18 | pecos_ownership |
| JENNIFER FARKAS | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 55% | 2024-02-01 | ended 2026-05-18 | pecos_ownership |
| AHRON LIEBERMAN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 30% | 2022-10-03 | ended 2026-05-18 | pecos_ownership |
| MORRIS MEISELS | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 15% | 2022-10-03 | ended 2026-05-18 | pecos_ownership |
| DANNY PROSKY | CORPORATE OFFICER | 14% | 2015-12-01 | ended 2026-05-18 | pecos_ownership |
| DAVID DAVIS | CORPORATE OFFICER | 14% | 2017-08-21 | ended 2026-05-18 | pecos_ownership |
| GREGORY CONNER | CORPORATE OFFICER | 14% | 2021-06-03 | ended 2026-05-18 | pecos_ownership |
| LEIGH BARNEY | CORPORATE OFFICER | 14% | 2019-11-01 | ended 2026-05-18 | pecos_ownership |
| MATHIEU STREIFF | CORPORATE OFFICER | 14% | 2015-12-01 | ended 2026-05-18 | pecos_ownership |
| RANDALL BUFFORD | CORPORATE OFFICER | 14% | 2019-11-01 | ended 2026-05-18 | pecos_ownership |
| WILLIAM BRYANT | CORPORATE OFFICER | 14% | 2016-01-05 | ended 2026-05-18 | pecos_ownership |
| AHRON LIEBERMAN | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-10-02 | ended 2026-05-18 | pecos_ownership |
| DUSTIN MILLER | ADP OF THE SNF | — | 2022-10-03 | ended 2026-05-18 | pecos_ownership |
| MICHAEL DUNDR | ADP OF THE SNF | — | 2022-10-03 | ended 2026-05-18 | pecos_ownership |
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Transactions
0No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Comparable trades — OH snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2024-12-31 | SAPPHIRE REHABILITATION AND CARE CENTER | — | — | — | 113 | SAPPHIRE OPCO LLC |
| 2024-12-31 | MAJESTIC CARE OF POINT PLACE | — | — | — | 82 | POINT PLACE OH HEALTH & REHAB OPCO LLC |
| 2024-12-31 | MAJESTIC CARE OF NEW LEXINGTON | — | — | — | 82 | NEW LEXINGTON OH HEALTH & REHAB OPCO LLC |
| 2024-12-31 | Atrium Nursing and Rehabilitation | — | — | — | 99 | ATRIUM OPCO LLC |
| 2024-12-31 | Inniswood Health and Rehabilitation | — | — | — | 99 | FHS INNISWOOD, INC. |
| 2024-12-31 | COMMUNITY SKILLED HEALTHCARE | — | — | — | 110 | CS OPCO LLC |
| 2024-12-31 | MAJESTIC CARE OF PERRYSBURG | — | — | — | 75 | PERRYSBURG OH HEALTH & REHAB OPCO LLC |
| 2024-12-31 | GRAFTON OAKS NURSING CENTER | — | — | — | 99 | GO OPCO LLC |
| 2024-12-31 | MAJESTIC CARE OF KENT | — | — | — | 74 | KENT OH HEALTH & REHAB OPCO LLC |
| 2024-12-30 | Chardon Woods | — | — | — | 161 | CHARDON WOODS OF JOURNEY LLC |
| 2024-12-16 | The Pavilion at Canal Fulton for Nursing and Rehab | — | — | — | 60 | PAVILION AT CANAL FULTON LLC |
| 2024-12-02 | BENNINGTON GLEN NURSING & REHABILITATION CENTER | — | — | — | 79 | FHS BENNINGTON INC |
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
29| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 39115 | fmr | 0 | $736 | 2025-10-01 | HUD_USER_FMR |
| county 39115 | acs median gross | 1 | $652 | 2024-12-31 | CENSUS_ACS5 |
| county 39115 | fmr | 1 | $875 | 2025-10-01 | HUD_USER_FMR |
| county 39115 | acs median gross | 2 | $747 | 2024-12-31 | CENSUS_ACS5 |
| county 39115 | fmr | 2 | $973 | 2025-10-01 | HUD_USER_FMR |
| county 39115 | acs median gross | 3 | $757 | 2024-12-31 | CENSUS_ACS5 |
| county 39115 | fmr | 3 | $1,193 | 2025-10-01 | HUD_USER_FMR |
| county 39115 | fmr | 4 | $1,462 | 2025-10-01 | HUD_USER_FMR |
| county 39115 | acs median gross | $742 | 2024-12-31 | CENSUS_ACS5 | |
| county 39115 | acs recent mover gross | $1,086 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 43756 | acs median gross | 1 | $696 | 2024-12-31 | CENSUS_ACS5 |
| zcta 43756 | acs median gross | 2 | $791 | 2024-12-31 | CENSUS_ACS5 |
| zcta 43756 | acs median gross | 3 | $751 | 2024-12-31 | CENSUS_ACS5 |
| zcta 43756 | acs median gross | $766 | 2024-12-31 | CENSUS_ACS5 | |
| zip 43756 | payment standard 110 | 0 | $814 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43756 | payment standard 90 | 0 | $666 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43756 | safmr | 0 | $740 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43756 | payment standard 110 | 1 | $968 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43756 | payment standard 90 | 1 | $792 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43756 | safmr | 1 | $880 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43756 | payment standard 110 | 2 | $1,078 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43756 | payment standard 90 | 2 | $882 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43756 | safmr | 2 | $980 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43756 | payment standard 110 | 3 | $1,320 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43756 | payment standard 90 | 3 | $1,080 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43756 | safmr | 3 | $1,200 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43756 | payment standard 110 | 4 | $1,617 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43756 | payment standard 90 | 4 | $1,323 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43756 | safmr | 4 | $1,470 | 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.