Composite
99.8 / 100 percentile
Screener / 365370
F
MOMENTOUS HEALTH AT RICHFIELD
snfOHSFF: SFF
4360 BRECKSVILLE RD, RICHFIELD, OH 44286 · CCN 365370
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
72
Model
v1.2
Reads as: riskier than 99.8% 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 model4Components15CHOW radar1Distress radar1Staffing16Penalties2Deficiencies103Licensure0Ownership12Related party5Transactions1Comps12Market rent31
Composite explanation
4| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 96.8 | 95.4 | 0.30 | 0.3000 | 29.04 | in index |
| financial risk | 89.8 | 77.2 | 0.30 | 0.3000 | 26.94 | in index |
| staffing risk | 78.0 | 78.0 | 0.25 | 0.2500 | 19.50 | in index |
| chow risk | 74.6 | 55.5 | 0.15 | 0.1500 | 11.19 | 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.
Component scores and registry models
15| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| chow risk | 55.0 | 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 | 56.0 | C | v0.6 | default · in composite | |
| financial risk | 77.2 | D | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.5 | — | v0.1 | default · in composite | R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite. |
| p chow 12m | 0.1 | — | 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 | 95.4 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 78.0 | D | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 88.2 | F | v0.1 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 68.2 | D | v0.2 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 63.0 | 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 | 78.2 | D | v0.4 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 95.4 | 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 | 95.4 | 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 | 78.0 | D | 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 | 78.0 | D | v0.2 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
CHOW radar — 12-month sale probability
full board →p(CHOW, 12m)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
21.2
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 8.08 | -1.06 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 0.00 | -0.40 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Deficiencies, last 12 months | 0.00 | -0.17 | |
| Occupancy | 0.76 | -0.17 |
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Distress radar — 12-month termination probability
full board →p(termination, 12m)
0.5%
model v0.1 · computed 2026-07-29
Percentile among SNFs
73.7
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 0.00 | +1.43 | |
| Chain size (log) | 0.00 | +1.20 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Current owner tenure (years) | 8.08 | -0.17 | |
| Total nurse staffing (HPRD) | 2.84 | +0.16 |
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 | 2.84 | 3.24 | 3.28 | 2.90–3.77 |
| RN | 0.22 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 2.82 | 3.11 | 3.11 | — |
| Weekday total | 2.85 | 3.29 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 54.4 | 2.84 | 0.22 | 0.75 | 1.87 | 2.82 | 13.6% |
| 2025Q3 | 92 | 47.8 | 2.97 | 0.29 | 0.78 | 1.89 | 2.80 | 10.7% |
| 2025Q2 | 91 | 51.7 | 2.91 | 0.27 | 0.76 | 1.89 | 2.84 | 14.8% |
| 2025Q1 | 90 | 50.8 | 2.63 | 0.24 | 0.71 | 1.67 | 2.52 | 2.3% |
| 2024Q4 | 92 | 45.2 | 2.91 | 0.25 | 0.90 | 1.76 | 2.79 | 14.4% |
| 2024Q3 | 92 | 43.0 | 2.55 | 0.31 | 0.85 | 1.39 | 2.49 | 14.7% |
| 2024Q2 | 91 | 42.4 | 2.95 | 0.29 | 0.89 | 1.76 | 2.90 | 10.4% |
| 2024Q1 | 91 | 40.5 | 2.83 | 0.31 | 0.94 | 1.58 | 2.64 | 5.1% |
| 2023Q4 | 92 | 38.5 | 2.97 | 0.26 | 1.06 | 1.65 | 2.76 | 12.3% |
| 2023Q3 | 92 | 42.7 | 2.66 | 0.34 | 0.85 | 1.48 | 2.44 | 11.0% |
| 2023Q2 | 91 | 41.0 | 2.96 | 0.36 | 0.65 | 1.95 | 2.98 | 1.9% |
| 2023Q1 | 90 | 40.6 | 2.86 | 0.52 | 0.50 | 1.84 | 2.64 | 2.2% |
| 2022Q4 | 92 | 45.3 | 3.00 | 0.54 | 0.64 | 1.82 | 2.93 | 3.1% |
| 2022Q3 | 92 | 45.8 | 2.79 | 0.43 | 0.59 | 1.76 | 2.64 | 1.7% |
| 2022Q2 | 91 | 48.2 | 2.74 | 0.38 | 0.67 | 1.69 | 2.71 | 0.0% |
| 2022Q1 | 90 | 49.6 | 2.53 | 0.29 | 0.70 | 1.54 | 2.46 | 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 |
|---|---|---|---|
| 2025-03-31 | Fine | $158,534 | CMS provider data |
| 2025-03-31 | Payment Denial | — | CMS provider data |
Total fines on record: $158,534
Deficiencies
103C × 1D × 51E × 23F × 25G × 3
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-06-11 | 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 | 2025-06-20 |
| 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. | F | 2025-06-20 |
| 2025-06-11 | Health · complaint | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | E | 2025-06-20 |
| 2025-06-11 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-06-20 |
| 2025-06-11 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | 2025-06-20 |
| 2025-03-31 | Health | F0567 | Honor the resident's right to manage his or her financial affairs. | D | 2025-06-11 |
| 2025-03-31 | Health | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | 2025-06-11 |
| 2025-03-31 | Health | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D | 2025-06-11 |
| 2025-03-31 | 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. | E | 2025-06-20 |
| 2025-03-31 | 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 | 2025-06-20 |
| 2025-03-31 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-06-11 |
| 2025-03-31 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-06-11 |
| 2025-03-31 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-06-11 |
| 2025-03-31 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2025-06-11 |
| 2025-03-31 | Health | F0641 | Ensure each resident receives an accurate assessment. | E | 2025-06-11 |
| 2025-03-31 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2025-06-11 |
| 2025-03-31 | 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 | 2025-06-20 |
| 2025-03-31 | 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 | 2025-06-11 |
| 2025-03-31 | Health · complaint | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2025-06-11 |
| 2025-03-31 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2025-06-11 |
| 2025-03-31 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2025-06-11 |
| 2025-03-31 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2025-06-11 |
| 2025-03-31 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2025-06-11 |
| 2025-03-31 | 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 | 2025-06-11 |
| 2025-03-31 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2025-06-11 |
| 2025-03-31 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | F | 2025-06-11 |
| 2025-03-31 | Health · complaint | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2025-06-11 |
| 2025-03-31 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-06-11 |
| 2025-03-31 | 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 | 2025-06-11 |
| 2025-03-31 | 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 | 2025-06-11 |
| 2025-03-31 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2025-06-11 |
| 2025-03-31 | Health · complaint | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | F | 2025-06-11 |
| 2025-03-31 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | 2025-06-20 |
| 2025-03-31 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-06-11 |
| 2025-03-31 | Health | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | 2025-06-20 |
| 2025-03-31 | Health | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | 2025-06-11 |
| 2025-03-31 | Health | F0841 | Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | F | 2025-06-11 |
| 2025-03-31 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2025-06-11 |
| 2025-03-31 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2025-06-11 |
| 2025-03-31 | Health | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | 2025-06-11 |
| 2025-03-31 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | F | 2025-06-11 |
| 2025-03-31 | Health · complaint | F0881 | Implement a program that monitors antibiotic use. | E | 2025-06-11 |
| 2025-03-31 | Health | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | 2025-06-11 |
| 2025-03-31 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | F | 2025-06-11 |
| 2025-03-31 | 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. | F | 2025-06-11 |
| 2025-03-31 | 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 | 2025-06-11 |
| 2024-08-30 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-09-17 |
| 2024-07-08 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-08-16 |
| 2024-07-08 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-08-16 |
| 2024-07-08 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-08-16 |
| 2024-07-08 | 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 | 2024-08-16 |
| 2024-07-08 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-08-16 |
| 2024-07-08 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2024-08-16 |
| 2024-07-08 | 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 | 2024-08-16 |
| 2024-05-28 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-06-12 |
| 2024-05-28 | Health · complaint | F0814 | Dispose of garbage and refuse properly. | F | 2024-06-12 |
| 2024-02-27 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2024-04-09 |
| 2024-02-27 | Health · complaint | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | 2024-04-09 |
| 2024-02-27 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-04-09 |
| 2024-02-27 | 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. | E | 2024-04-09 |
| 2024-02-27 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-04-09 |
| 2024-02-27 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-04-09 |
| 2024-02-27 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-04-09 |
| 2024-02-27 | Health · complaint | F0679 | Provide activities to meet all resident's needs. | E | 2024-04-09 |
| 2024-02-27 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-04-09 |
| 2024-02-27 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2024-04-09 |
| 2024-02-27 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-04-09 |
| 2024-02-27 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2024-04-09 |
| 2024-02-27 | 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 | 2024-04-09 |
| 2024-02-27 | Health · complaint | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | 2024-04-09 |
| 2024-02-27 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-02-27 |
| 2024-02-27 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2024-04-09 |
| 2023-09-26 | 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 | 2023-10-12 |
| 2023-09-26 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-10-12 |
| 2023-09-26 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2023-10-12 |
| 2023-09-26 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-10-12 |
| 2023-09-26 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2023-10-12 |
| 2023-09-26 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2023-10-12 |
| 2023-08-03 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-08-21 |
| 2022-11-22 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2022-12-28 |
| 2022-11-22 | Health | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | 2022-12-28 |
| 2022-11-22 | Health | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | C | 2022-12-28 |
| 2022-11-22 | 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 | 2022-12-28 |
| 2022-11-22 | 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 | 2022-12-28 |
| 2022-11-22 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2022-12-28 |
| 2022-11-22 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2022-12-28 |
| 2022-11-22 | 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 | 2022-12-28 |
| 2022-11-22 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2022-12-28 |
| 2022-11-22 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2022-12-28 |
| 2022-11-22 | 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 | 2022-12-28 |
| 2022-11-22 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2022-12-28 |
| 2022-11-22 | Health | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | 2022-12-28 |
| 2022-11-22 | Health | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | F | 2022-12-28 |
| 2022-11-22 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | 2022-12-28 |
| 2022-11-22 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | 2022-12-28 |
| 2022-11-22 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2022-12-28 |
| 2020-01-23 | 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 | 2020-02-24 |
| 2020-01-23 | 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. | E | 2020-02-24 |
| 2020-01-23 | Health | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | 2020-02-24 |
| 2020-01-23 | Health | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | F | 2020-02-24 |
| 2020-01-23 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2020-02-24 |
| 2020-01-23 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2020-02-24 |
| 2020-01-23 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2020-02-24 |
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.
Licensure actions
0No licensure actions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Ownership
12| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| RICHFIELD REHAB LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2023-06-30 | current | pecos_ownership |
| STEIN, MARK | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2023-06-30 | current | pecos_ownership |
| TENENBAUM, MICHAEL | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2023-06-30 | current | pecos_ownership |
| BONYO, BENSON | ADP OF THE SNF | — | 2025-06-09 | current | pecos_ownership |
| O'HARA, LUCINDA | ADP OF THE SNF | — | 2025-01-27 | current | pecos_ownership |
| BLUE STREAM REALTY LLC | Corporation, partnership or other organization has financial interest in provider | 100% | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| BLUE STREAM REALTY LLC | Corporation, partnership or other organization has financial interest in provider | 100% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| MARK STEIN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2023-06-30 | ended 2026-05-18 | pecos_ownership |
| MICHAEL TENENBAUM | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2023-06-30 | ended 2026-05-18 | pecos_ownership |
| BENSON BONYO | ADP OF THE SNF | — | 2025-06-09 | ended 2026-05-18 | pecos_ownership |
| BLUE STREAM REALTY LLC | Corporation, partnership or other organization has financial interest in provider | — | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| LUCINDA O'HARA | ADP OF THE SNF | — | 2025-01-27 | ended 2026-05-18 | pecos_ownership |
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Transactions
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2018-06-30 | — | BLUE STREAM REHAB AND NURSING LLC | BRECKSVILLE LEASING CO LLC | chow |
Comparable trades — OH snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2024-12-31 | SAPPHIRE REHABILITATION AND CARE CENTER | — | — | — | 113 | SAPPHIRE OPCO LLC |
| 2024-12-31 | MAJESTIC CARE OF POINT PLACE | — | — | — | 82 | POINT PLACE OH HEALTH & REHAB OPCO LLC |
| 2024-12-31 | MAJESTIC CARE OF NEW LEXINGTON | — | — | — | 82 | NEW LEXINGTON OH HEALTH & REHAB OPCO LLC |
| 2024-12-31 | Atrium Nursing and Rehabilitation | — | — | — | 99 | ATRIUM OPCO LLC |
| 2024-12-31 | Inniswood Health and Rehabilitation | — | — | — | 99 | FHS INNISWOOD, INC. |
| 2024-12-31 | COMMUNITY SKILLED HEALTHCARE | — | — | — | 110 | CS OPCO LLC |
| 2024-12-31 | MAJESTIC CARE OF PERRYSBURG | — | — | — | 75 | PERRYSBURG OH HEALTH & REHAB OPCO LLC |
| 2024-12-31 | GRAFTON OAKS NURSING CENTER | — | — | — | 99 | GO OPCO LLC |
| 2024-12-31 | MAJESTIC CARE OF KENT | — | — | — | 74 | KENT OH HEALTH & REHAB OPCO LLC |
| 2024-12-30 | Chardon Woods | — | — | — | 161 | CHARDON WOODS OF JOURNEY LLC |
| 2024-12-16 | The Pavilion at Canal Fulton for Nursing and Rehab | — | — | — | 60 | PAVILION AT CANAL FULTON LLC |
| 2024-12-02 | BENNINGTON GLEN NURSING & REHABILITATION CENTER | — | — | — | 79 | FHS BENNINGTON INC |
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
31| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 39153 | acs median gross | 0 | $844 | 2024-12-31 | CENSUS_ACS5 |
| county 39153 | fmr | 0 | $904 | 2025-10-01 | HUD_USER_FMR |
| county 39153 | acs median gross | 1 | $781 | 2024-12-31 | CENSUS_ACS5 |
| county 39153 | fmr | 1 | $985 | 2025-10-01 | HUD_USER_FMR |
| county 39153 | acs median gross | 2 | $1,080 | 2024-12-31 | CENSUS_ACS5 |
| county 39153 | fmr | 2 | $1,268 | 2025-10-01 | HUD_USER_FMR |
| county 39153 | acs median gross | 3 | $1,116 | 2024-12-31 | CENSUS_ACS5 |
| county 39153 | fmr | 3 | $1,547 | 2025-10-01 | HUD_USER_FMR |
| county 39153 | acs median gross | 4 | $1,245 | 2024-12-31 | CENSUS_ACS5 |
| county 39153 | fmr | 4 | $1,681 | 2025-10-01 | HUD_USER_FMR |
| county 39153 | acs median gross | 5 | $1,119 | 2024-12-31 | CENSUS_ACS5 |
| county 39153 | acs median gross | $1,026 | 2024-12-31 | CENSUS_ACS5 | |
| county 39153 | acs recent mover gross | $1,130 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 44286 | acs median gross | 2 | $1,315 | 2024-12-31 | CENSUS_ACS5 |
| zcta 44286 | acs median gross | 3 | $1,112 | 2024-12-31 | CENSUS_ACS5 |
| zcta 44286 | acs median gross | $1,250 | 2024-12-31 | CENSUS_ACS5 | |
| zip 44286 | payment standard 110 | 0 | $1,155 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44286 | payment standard 90 | 0 | $945 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44286 | safmr | 0 | $1,050 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44286 | payment standard 110 | 1 | $1,254 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44286 | payment standard 90 | 1 | $1,026 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44286 | safmr | 1 | $1,140 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44286 | payment standard 110 | 2 | $1,617 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44286 | payment standard 90 | 2 | $1,323 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44286 | safmr | 2 | $1,470 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44286 | payment standard 110 | 3 | $1,969 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44286 | payment standard 90 | 3 | $1,611 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44286 | safmr | 3 | $1,790 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44286 | payment standard 110 | 4 | $2,145 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44286 | payment standard 90 | 4 | $1,755 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44286 | safmr | 4 | $1,950 | 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.