Composite
98.6 / 100 percentile
Screener / 365907
F
FRANCISCAN CARE CTR SYLVANIA
snfOHSFF: SFF Candidate
4111 HOLLAND SYLVANIA RD, TOLEDO, OH 43623 · CCN 365907 · chain COMMONSPIRIT HEALTH
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
96
Model
v1.2
Reads as: riskier than 98.6% 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 signals26Components16CHOW radar1Distress radar1Staffing15Penalties2Deficiencies91Licensure0Ownership61Related party5Transactions0Comps12Market rent35
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 98.1 | 97.1 | 0.30 | 0.2308 | 22.64 | in index |
| financial risk | 80.1 | 67.1 | 0.30 | 0.2308 | 18.48 | in index |
| billing conduct | 79.0 | 52.2 | 0.30 | 0.2308 | 18.23 | in index |
| staffing risk | 71.7 | 71.7 | 0.25 | 0.1923 | 13.79 | in index |
| chow risk | 44.7 | 45.5 | 0.15 | 0.1154 | 5.16 | in index |
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
ML signals — parallel engine
26| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| anomaly | Federal penalty spike | no prior fines | this facility | 2026-07-29 |
| connection | Owner spans multiple chains | 47 chains | FORVIS MAZARS LLP | 251 facilities |
| connection | Owner fleet risk far above national | +38.6 vs natl | ULRICHPINCIOTTI DESIGN GROUP LLC | 8 facilities |
| connection | Owner fleet risk far above national | +37.9 vs natl | LIPSEY PRENTICE | 8 facilities |
| connection | Owner fleet risk far above national | +37.8 vs natl | LUCAS GINA | 8 facilities |
| connection | Owner fleet risk far above national | +37.8 vs natl | HAZARD TED | 8 facilities |
| connection | Owner fleet risk far above national | +37.8 vs natl | HOWARD CASEY | 8 facilities |
| connection | Owner fleet risk far above national | +37.8 vs natl | MBANU TERIKA | 8 facilities |
| connection | Owner fleet risk far above national | +37.8 vs natl | MCFARLAND DIANNE | 8 facilities |
| connection | Owner fleet risk far above national | +37.8 vs natl | MUNROE KYLE | 8 facilities |
| connection | Owner fleet risk far above national | +37.8 vs natl | MURRIEL SHELLY | 8 facilities |
| connection | Owner fleet risk far above national | +37.8 vs natl | NAGEL JENNIFER | 8 facilities |
| connection | Owner fleet risk far above national | +37.8 vs natl | SNODGRASS BARBARA | 8 facilities |
| connection | Owner fleet risk far above national | +37.8 vs natl | WINE MATTHEW | 8 facilities |
| connection | Owner fleet risk far above national | +37.6 vs natl | REHMER HEATHER | 8 facilities |
| connection | Owner fleet risk far above national | +37.4 vs natl | FINN CHRISTINA | 8 facilities |
| connection | Owner fleet risk far above national | +37.4 vs natl | LONGHIN HOWARD JOAN | 8 facilities |
| connection | Owner fleet risk far above national | +37.4 vs natl | CECIL CAITLIN | 8 facilities |
| connection | Owner fleet risk far above national | +36.9 vs natl | IFFLAND ALISA | 8 facilities |
| connection | Owner fleet risk far above national | +36.6 vs natl | CHI LIVING COMMUNITIES | 5 facilities |
| connection | Owner fleet risk far above national | +36.3 vs natl | GRUBBS STACEY | 8 facilities |
| connection | Owner fleet risk far above national | +33.2 vs natl | SYLVANIA FRANCISCAN HEALTH | 9 facilities |
| connection | Owner fleet enforcement cluster | 50% fined | HOWARD CASEY | 8 facilities |
| connection | Owner fleet enforcement cluster | 50% fined | IFFLAND ALISA | 8 facilities |
| connection | Owner fleet enforcement cluster | 50% fined | LIPSEY PRENTICE | 8 facilities |
| connection | Owner fleet enforcement cluster | 50% fined | LONGHIN HOWARD JOAN | 8 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 | 52.2 | C | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 24.7 | A | 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 | 66.4 | D | v0.6 | default · in composite | |
| financial risk | 67.1 | D | 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 | 20.7 | — | 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 | 97.1 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 71.7 | D | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 55.0 | 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 | 35.0 | 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 | 65.9 | D | v0.3 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 67.3 | 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 | 97.3 | 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 | 97.3 | 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 | 71.7 | 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 | 71.7 | 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)
20.7%
model v0.1 · computed 2026-07-29
Percentile among SNFs
99.9
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 | |
| Chain size (log) | 4.47 | +0.55 | |
| Deficiencies, last 12 months | 27.00 | +0.48 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Contract staffing share | 0.20 | +0.21 | |
| Ownership changes, last 5 years | 0.00 | +0.20 |
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Distress radar — 12-month termination probability
full board →p(termination, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
0.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 27.00 | -3.58 | |
| Chain size (log) | 4.47 | -1.40 | |
| Fine amount, 12m (log) | 12.73 | -0.75 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Occupancy | 0.69 | +0.23 | |
| Staffing trend, last 4 quarters | -0.37 | -0.20 | |
| Contract staffing share | 0.20 | +0.14 |
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
15| 2025Q4 HPRD | This facility | OH median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.96 | 3.24 | 3.28 | 2.90–3.77 |
| RN | 0.57 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 2.87 | 3.11 | 3.11 | — |
| Weekday total | 2.99 | 3.29 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 66.6 | 2.96 | 0.57 | 0.86 | 1.53 | 2.87 | 19.8% |
| 2025Q3 | 92 | 76.0 | 2.50 | 0.49 | 0.84 | 1.17 | 2.23 | 19.5% |
| 2025Q2 | 91 | 69.6 | 2.99 | 0.54 | 1.05 | 1.40 | 2.86 | 9.6% |
| 2025Q1 | 90 | 76.0 | 3.10 | 0.44 | 1.21 | 1.45 | 3.04 | 0.0% |
| 2024Q4 | 92 | 72.4 | 3.33 | 0.51 | 1.23 | 1.59 | 3.23 | 0.0% |
| 2024Q2 | 91 | 68.8 | 3.07 | 0.58 | 1.16 | 1.33 | 2.67 | 2.5% |
| 2024Q1 | 91 | 71.9 | 2.99 | 0.41 | 1.07 | 1.50 | 2.75 | 20.3% |
| 2023Q4 | 92 | 76.0 | 3.28 | 0.44 | 1.18 | 1.66 | 2.95 | 24.9% |
| 2023Q3 | 92 | 76.0 | 2.57 | 0.37 | 0.85 | 1.36 | 2.47 | 32.1% |
| 2023Q2 | 91 | 66.8 | 2.46 | 0.37 | 0.89 | 1.21 | 2.24 | 2.4% |
| 2023Q1 | 90 | 67.9 | 2.39 | 0.48 | 0.93 | 0.99 | 2.17 | 0.1% |
| 2022Q4 | 92 | 69.9 | 2.43 | 0.30 | 1.02 | 1.11 | 2.12 | 0.2% |
| 2022Q3 | 92 | 67.5 | 1.93 | 0.24 | 0.87 | 0.82 | 1.79 | 4.8% |
| 2022Q2 | 91 | 71.7 | 2.21 | 0.23 | 1.00 | 0.98 | 2.04 | 30.2% |
| 2022Q1 | 90 | 71.1 | 2.72 | 0.23 | 1.00 | 1.50 | 2.51 | 37.7% |
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
2fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-11-13 | Fine | $337,580 | CMS provider data |
| 2023-10-05 | Payment Denial | — | CMS provider data |
Total fines on record: $337,580
Deficiencies
91C × 2D × 64E × 12F × 10G × 2J × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-02-24 | 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 | 2026-03-10 |
| 2026-02-24 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2026-03-10 |
| 2026-02-24 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2026-03-10 |
| 2026-02-24 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2026-03-10 |
| 2026-02-24 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2026-03-10 |
| 2026-02-24 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | 2026-03-10 |
| 2026-02-24 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2026-03-10 |
| 2026-02-24 | Health · complaint | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D | 2026-03-10 |
| 2026-02-24 | Health · complaint | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | 2026-03-10 |
| 2025-12-22 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2026-01-06 |
| 2025-12-22 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | E | 2026-01-06 |
| 2025-11-20 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-12-04 |
| 2025-11-20 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-12-04 |
| 2025-11-20 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2025-12-04 |
| 2025-11-20 | 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 | 2025-12-04 |
| 2025-11-13 | Health · complaint | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | 2025-12-04 |
| 2025-11-13 | Health · complaint | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | F | 2025-12-04 |
| 2025-11-13 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-12-04 |
| 2025-11-13 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | E | 2025-12-04 |
| 2025-11-13 | Health · complaint | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2025-12-04 |
| 2025-11-13 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-12-04 |
| 2025-11-13 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2025-12-04 |
| 2025-11-13 | Health · complaint | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | 2025-12-04 |
| 2025-11-13 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | 2025-12-04 |
| 2025-11-13 | Health · complaint | 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 | 2025-12-04 |
| 2025-11-13 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2025-12-04 |
| 2025-11-13 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2025-12-04 |
| 2025-04-03 | Health · complaint | F0624 | Prepare residents for a safe transfer or discharge from the nursing home. | D | 2025-05-14 |
| 2025-04-03 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2025-05-14 |
| 2025-04-03 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-05-14 |
| 2025-04-03 | 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 | 2025-05-14 |
| 2025-04-03 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | 2025-05-14 |
| 2025-04-03 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-05-14 |
| 2025-04-03 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2025-05-14 |
| 2025-04-03 | Health · complaint | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | 2025-05-14 |
| 2025-04-03 | Health · complaint | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | 2025-05-14 |
| 2025-04-03 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-05-14 |
| 2025-01-17 | Health · complaint | F0624 | Prepare residents for a safe transfer or discharge from the nursing home. | D | 2025-01-31 |
| 2024-08-08 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-09-05 |
| 2024-06-13 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-09-05 |
| 2024-06-13 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-09-05 |
| 2024-06-13 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2024-09-05 |
| 2024-06-13 | 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 | 2024-09-05 |
| 2024-06-13 | 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 | 2024-09-05 |
| 2024-06-13 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-09-05 |
| 2024-06-13 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-09-05 |
| 2024-06-13 | Health | F0685 | Assist a resident in gaining access to vision and hearing services. | D | 2024-09-05 |
| 2024-06-13 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-09-05 |
| 2024-06-13 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2024-09-05 |
| 2024-06-13 | 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 | 2024-09-05 |
| 2024-06-13 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2024-09-05 |
| 2024-06-13 | 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 | 2024-09-05 |
| 2024-06-13 | Health | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | 2024-09-05 |
| 2024-06-13 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2024-09-05 |
| 2024-06-13 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | 2024-09-05 |
| 2024-06-13 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-09-05 |
| 2024-06-13 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2024-09-05 |
| 2024-06-13 | 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 | 2024-09-05 |
| 2024-06-13 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2024-09-05 |
| 2024-03-25 | Health · complaint | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2024-04-12 |
| 2024-03-05 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-04-12 |
| 2024-03-05 | 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 | 2024-04-12 |
| 2024-03-05 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | 2024-04-12 |
| 2024-03-05 | Health · complaint | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2024-04-12 |
| 2023-12-11 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2023-12-27 |
| 2023-12-11 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-12-27 |
| 2023-12-11 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-12-27 |
| 2023-12-11 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2023-12-27 |
| 2023-12-11 | Health · complaint | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2023-12-27 |
| 2023-11-02 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2023-12-27 |
| 2023-10-05 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-12-27 |
| 2023-10-05 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2023-12-27 |
| 2023-07-27 | Health · complaint | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | 2023-08-25 |
| 2023-07-27 | Health · complaint | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | C | 2023-08-25 |
| 2023-07-27 | Health · complaint | 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. | C | 2023-08-25 |
| 2022-06-16 | Health | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | 2022-07-29 |
| 2022-06-16 | Health | F0685 | Assist a resident in gaining access to vision and hearing services. | D | 2022-07-29 |
| 2022-06-16 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2022-07-29 |
| 2022-06-16 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2022-07-29 |
| 2022-06-16 | Health | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | 2022-07-29 |
| 2022-06-16 | Health | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | 2022-07-29 |
| 2019-07-25 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2019-08-16 |
| 2019-07-25 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2019-08-16 |
| 2019-07-25 | 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 | 2019-08-16 |
| 2019-07-25 | Health | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | 2019-08-16 |
| 2019-07-25 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2019-08-16 |
| 2019-07-25 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2019-08-16 |
| 2019-07-25 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | F | 2019-08-16 |
| 2019-07-25 | 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 | 2019-08-16 |
| 2019-07-25 | Health | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | 2019-08-16 |
| 2019-07-25 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2019-08-16 |
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
61| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| CHI LIVING COMMUNITIES | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2000-11-01 | current | pecos_ownership |
| COMMONSPIRIT HEALTH | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2014-11-01 | current | pecos_ownership |
| BOEHME, LAURIE | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-08-02 | current | pecos_ownership |
| CECIL, CAITLIN | ADP OF THE SNF | — | 2012-06-18 | current | pecos_ownership |
| CONCEPT REHAB, INC. | ADP OF THE SNF | — | 2015-01-05 | current | pecos_ownership |
| FINN, CHRISTINA | CORPORATE DIRECTOR | — | 2017-07-01 | current | pecos_ownership |
| FORVIS MAZARS LLP | ADP OF THE SNF | — | 2019-08-16 | current | pecos_ownership |
| GRUBBS, STACEY | CORPORATE DIRECTOR | — | 2012-03-26 | current | pecos_ownership |
| HACKETT, DIONNE | ADP OF THE SNF | — | 2025-10-31 | current | pecos_ownership |
| HACKETT, DIONNE | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-05-12 | current | pecos_ownership |
| HAZARD, TED | CORPORATE DIRECTOR | — | 2017-11-08 | current | pecos_ownership |
| HOWARD, CASEY | ADP OF THE SNF | — | 2022-05-01 | current | pecos_ownership |
| HUFDHI, RAIED | ADP OF THE SNF | — | 2025-08-25 | current | pecos_ownership |
| I C P INC | ADP OF THE SNF | — | 2024-02-01 | current | pecos_ownership |
| IFFLAND, ALISA | CORPORATE OFFICER | — | 2017-01-06 | current | pecos_ownership |
| IFFLAND, ALISA | ADP OF THE SNF | — | 2011-06-13 | current | pecos_ownership |
| LIPSEY, PRENTICE | CORPORATE OFFICER | — | 2021-11-01 | current | pecos_ownership |
| LONGHIN-HOWARD, JOAN | ADP OF THE SNF | — | 2007-04-16 | current | pecos_ownership |
| LUCAS, GINA | ADP OF THE SNF | — | 2024-06-28 | current | pecos_ownership |
| MBANU, TERIKA | MANAGING CONTROL - GOVERNING BODY | — | 2024-01-05 | current | pecos_ownership |
| MCFARLAND, DIANNE | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-12-18 | current | pecos_ownership |
| MCKINNEY, MARISSA | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-10-20 | current | pecos_ownership |
| MELFI, MITCH | MANAGING CONTROL - GOVERNING BODY | — | 2016-05-23 | current | pecos_ownership |
| MUNROE, KYLE | CORPORATE DIRECTOR | — | 2015-09-08 | current | pecos_ownership |
| MURRIEL, SHELLY | CORPORATE DIRECTOR | — | 2024-09-09 | current | pecos_ownership |
| NAGEL, JENNIFER | CORPORATE DIRECTOR | — | 2015-11-12 | current | pecos_ownership |
| REHMER, HEATHER | ADP OF THE SNF | — | 2024-06-05 | current | pecos_ownership |
| REHMER, HEATHER | CORPORATE OFFICER | — | 2024-06-25 | current | pecos_ownership |
| SNODGRASS, BARBARA | ADP OF THE SNF | — | 2016-08-15 | current | pecos_ownership |
| STEVENSON, CASSIE | ADP OF THE SNF | — | 2015-07-08 | current | pecos_ownership |
| SYLVANIA FRANCISCAN HEALTH | ADP OF THE SNF | — | 2014-11-01 | current | pecos_ownership |
| TYLER, SHAWN | OPERATIONAL/MANAGERIAL CONTROL | — | — | current | pecos_ownership |
| ULRICHPINCIOTTI DESIGN GROUP, LLC | ADP OF THE SNF | — | 2011-07-01 | current | pecos_ownership |
| WINE, MATTHEW | CORPORATE DIRECTOR | — | 2018-10-01 | current | pecos_ownership |
| ALISA IFFLAND | CORPORATE OFFICER | — | 2017-01-06 | ended 2026-05-18 | pecos_ownership |
| ALISA IFFLAND | OPERATIONAL/MANAGERIAL CONTROL | — | 2011-06-13 | ended 2026-05-18 | pecos_ownership |
| BARBARA SNODGRASS | ADP OF THE SNF | — | 2016-08-15 | ended 2026-05-18 | pecos_ownership |
| CAITLIN CECIL | CORPORATE DIRECTOR | — | 2012-06-18 | ended 2026-05-18 | pecos_ownership |
| CASEY HOWARD | ADP OF THE SNF | — | 2022-05-01 | ended 2026-05-18 | pecos_ownership |
| CASSIE STEVENSON | ADP OF THE SNF | — | 2015-07-08 | ended 2026-05-18 | pecos_ownership |
| CHRISTINA FINN | CORPORATE DIRECTOR | — | 2017-07-01 | ended 2026-05-18 | pecos_ownership |
| DIANNE MCFARLAND | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-12-18 | ended 2026-05-18 | pecos_ownership |
| DIONNE HACKETT | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-05-12 | ended 2026-05-18 | pecos_ownership |
| DIONNE HACKETT | ADP OF THE SNF | — | 2025-10-31 | ended 2026-05-18 | pecos_ownership |
| GINA LUCAS | ADP OF THE SNF | — | 2024-06-28 | ended 2026-05-18 | pecos_ownership |
| HEATHER REHMER | ADP OF THE SNF | — | 2024-06-05 | ended 2026-05-18 | pecos_ownership |
| HEATHER REHMER | CORPORATE OFFICER | — | 2024-06-25 | ended 2026-05-18 | pecos_ownership |
| JENNIFER NAGEL | CORPORATE DIRECTOR | — | 2015-11-12 | ended 2026-05-18 | pecos_ownership |
| JOAN LONGHIN-HOWARD | ADP OF THE SNF | — | 2007-04-16 | ended 2026-05-18 | pecos_ownership |
| KYLE MUNROE | ADP OF THE SNF | — | 2015-09-08 | ended 2026-05-18 | pecos_ownership |
| LAURIE BOEHME | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-08-02 | ended 2026-05-18 | pecos_ownership |
| MARISSA MCKINNEY | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-10-20 | ended 2026-05-18 | pecos_ownership |
| MATTHEW WINE | ADP OF THE SNF | — | 2018-10-01 | ended 2026-05-18 | pecos_ownership |
| MITCH MELFI | MANAGING CONTROL - GOVERNING BODY | — | 2016-05-23 | ended 2026-05-18 | pecos_ownership |
| PRENTICE LIPSEY | MANAGING CONTROL - GOVERNING BODY | — | 2021-11-01 | ended 2026-05-18 | pecos_ownership |
| RAIED HUFDHI | ADP OF THE SNF | — | 2025-08-25 | ended 2026-05-18 | pecos_ownership |
| SHAWN TYLER | OPERATIONAL/MANAGERIAL CONTROL | — | — | ended 2026-05-18 | pecos_ownership |
| SHELLY MURRIEL | ADP OF THE SNF | — | 2024-09-09 | ended 2026-05-18 | pecos_ownership |
| STACEY GRUBBS | CORPORATE DIRECTOR | — | 2012-03-26 | ended 2026-05-18 | pecos_ownership |
| TED HAZARD | CORPORATE DIRECTOR | — | 2017-11-08 | ended 2026-05-18 | pecos_ownership |
| TERIKA MBANU | MANAGING CONTROL - GOVERNING BODY | — | 2024-01-05 | ended 2026-05-18 | pecos_ownership |
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Transactions
0No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Comparable trades — OH snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2024-12-31 | SAPPHIRE REHABILITATION AND CARE CENTER | — | — | — | 113 | SAPPHIRE OPCO LLC |
| 2024-12-31 | MAJESTIC CARE OF POINT PLACE | — | — | — | 82 | POINT PLACE OH HEALTH & REHAB OPCO LLC |
| 2024-12-31 | MAJESTIC CARE OF NEW LEXINGTON | — | — | — | 82 | NEW LEXINGTON OH HEALTH & REHAB OPCO LLC |
| 2024-12-31 | Atrium Nursing and Rehabilitation | — | — | — | 99 | ATRIUM OPCO LLC |
| 2024-12-31 | Inniswood Health and Rehabilitation | — | — | — | 99 | FHS INNISWOOD, INC. |
| 2024-12-31 | COMMUNITY SKILLED HEALTHCARE | — | — | — | 110 | CS OPCO LLC |
| 2024-12-31 | MAJESTIC CARE OF PERRYSBURG | — | — | — | 75 | PERRYSBURG OH HEALTH & REHAB OPCO LLC |
| 2024-12-31 | GRAFTON OAKS NURSING CENTER | — | — | — | 99 | GO OPCO LLC |
| 2024-12-31 | MAJESTIC CARE OF KENT | — | — | — | 74 | KENT OH HEALTH & REHAB OPCO LLC |
| 2024-12-30 | Chardon Woods | — | — | — | 161 | CHARDON WOODS OF JOURNEY LLC |
| 2024-12-16 | The Pavilion at Canal Fulton for Nursing and Rehab | — | — | — | 60 | PAVILION AT CANAL FULTON LLC |
| 2024-12-02 | BENNINGTON GLEN NURSING & REHABILITATION CENTER | — | — | — | 79 | FHS BENNINGTON INC |
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
35| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 39095 | acs median gross | 0 | $675 | 2024-12-31 | CENSUS_ACS5 |
| county 39095 | fmr | 0 | $769 | 2025-10-01 | HUD_USER_FMR |
| county 39095 | acs median gross | 1 | $703 | 2024-12-31 | CENSUS_ACS5 |
| county 39095 | fmr | 1 | $820 | 2025-10-01 | HUD_USER_FMR |
| county 39095 | acs median gross | 2 | $973 | 2024-12-31 | CENSUS_ACS5 |
| county 39095 | fmr | 2 | $1,076 | 2025-10-01 | HUD_USER_FMR |
| county 39095 | acs median gross | 3 | $1,140 | 2024-12-31 | CENSUS_ACS5 |
| county 39095 | fmr | 3 | $1,380 | 2025-10-01 | HUD_USER_FMR |
| county 39095 | acs median gross | 4 | $1,181 | 2024-12-31 | CENSUS_ACS5 |
| county 39095 | fmr | 4 | $1,454 | 2025-10-01 | HUD_USER_FMR |
| county 39095 | acs median gross | 5 | $1,297 | 2024-12-31 | CENSUS_ACS5 |
| county 39095 | acs median gross | $934 | 2024-12-31 | CENSUS_ACS5 | |
| county 39095 | acs recent mover gross | $982 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 43623 | acs median gross | 0 | $929 | 2024-12-31 | CENSUS_ACS5 |
| zcta 43623 | acs median gross | 1 | $866 | 2024-12-31 | CENSUS_ACS5 |
| zcta 43623 | acs median gross | 2 | $1,004 | 2024-12-31 | CENSUS_ACS5 |
| zcta 43623 | acs median gross | 3 | $1,249 | 2024-12-31 | CENSUS_ACS5 |
| zcta 43623 | acs median gross | 4 | $986 | 2024-12-31 | CENSUS_ACS5 |
| zcta 43623 | acs median gross | $976 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 43623 | acs recent mover gross | $1,079 | 2024-12-31 | CENSUS_ACS5 | |
| zip 43623 | payment standard 110 | 0 | $836 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43623 | payment standard 90 | 0 | $684 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43623 | safmr | 0 | $760 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43623 | payment standard 110 | 1 | $891 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43623 | payment standard 90 | 1 | $729 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43623 | safmr | 1 | $810 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43623 | payment standard 110 | 2 | $1,166 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43623 | payment standard 90 | 2 | $954 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43623 | safmr | 2 | $1,060 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43623 | payment standard 110 | 3 | $1,496 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43623 | payment standard 90 | 3 | $1,224 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43623 | safmr | 3 | $1,360 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43623 | payment standard 110 | 4 | $1,573 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43623 | payment standard 90 | 4 | $1,287 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43623 | safmr | 4 | $1,430 | 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.