Composite
91.5 / 100 percentile
Screener / 365355
D
GARDENS OF MAYFIELD VILLAGE
snfOHSFF: SFF Candidate
6757 MAYFIELD RD, MAYFIELD HEIGHTS, OH 44124 · CCN 365355
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
99
Model
v1.2
Reads as: riskier than 91.5% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
Score model5ML signals2Components16CHOW radar1Distress radar1Staffing16Penalties4Deficiencies106Licensure0Ownership11Related party5Transactions1Comps12Market rent36
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 97.1 | 95.7 | 0.30 | 0.2308 | 22.41 | in index |
| financial risk | 96.0 | 86.4 | 0.30 | 0.2308 | 22.15 | in index |
| staffing risk | 76.9 | 76.9 | 0.25 | 0.1923 | 14.79 | in index |
| chow risk | 51.7 | 59.7 | 0.15 | 0.1154 | 5.97 | in index |
| billing conduct | 11.3 | 10.0 | 0.30 | 0.2308 | 2.61 | in index |
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
ML signals — parallel engine
2| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner spans multiple chains | 8 chains | LAHASKY EPHRAM | 23 facilities |
| connection | Owner fleet enforcement cluster | 42% fined | KATZ LARRY | 19 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 | 10.0 | A | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 21.7 | 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 | 97.6 | F | v0.6 | default · in composite | |
| financial risk | 86.4 | F | 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 | 0.0 | — | 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 | 95.7 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 76.9 | D | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 78.9 | D | v0.1 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 58.9 | C | v0.2 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 73.1 | 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 | 84.8 | F | 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 | 95.7 | 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 | 95.7 | 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 | 76.9 | 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 | 76.9 | 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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
7.0
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) | 4.57 | -1.40 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 0.00 | -0.40 | |
| Occupancy | 0.58 | +0.33 | |
| Deficiencies, last 12 months | 3.00 | -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)
0.5%
model v0.1 · computed 2026-07-29
Percentile among SNFs
74.3
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 0.00 | +1.20 | |
| Deficiencies, last 12 months | 3.00 | +0.87 | |
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.58 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Ownership changes, last 5 years | 1.00 | +0.23 | |
| Current owner tenure (years) | 4.57 | -0.23 |
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 | 2.86 | 3.24 | 3.28 | 2.90–3.77 |
| RN | 0.25 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 2.77 | 3.11 | 3.11 | — |
| Weekday total | 2.90 | 3.29 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 57.9 | 2.86 | 0.25 | 0.93 | 1.68 | 2.77 | 0.0% |
| 2025Q3 | 92 | 57.9 | 3.32 | 0.34 | 1.03 | 1.95 | 3.22 | 0.0% |
| 2025Q2 | 91 | 61.7 | 2.98 | 0.33 | 0.85 | 1.79 | 2.85 | 0.0% |
| 2025Q1 | 90 | 61.5 | 2.90 | 0.27 | 0.95 | 1.67 | 2.73 | 0.0% |
| 2024Q4 | 92 | 62.0 | 3.23 | 0.27 | 1.03 | 1.94 | 3.00 | 0.1% |
| 2024Q3 | 92 | 67.0 | 3.17 | 0.30 | 0.84 | 2.02 | 2.92 | 0.0% |
| 2024Q2 | 91 | 64.6 | 2.86 | 0.31 | 0.70 | 1.85 | 2.69 | 0.0% |
| 2024Q1 | 91 | 55.0 | 2.88 | 0.49 | 0.52 | 1.88 | 2.79 | 0.0% |
| 2023Q4 | 92 | 52.9 | 2.93 | 0.42 | 0.78 | 1.73 | 2.88 | 5.3% |
| 2023Q3 | 92 | 57.3 | 3.20 | 0.32 | 1.00 | 1.87 | 3.08 | 15.6% |
| 2023Q2 | 91 | 56.1 | 2.74 | 0.21 | 0.79 | 1.74 | 2.49 | 15.7% |
| 2023Q1 | 90 | 63.3 | 2.95 | 0.21 | 0.77 | 1.97 | 2.82 | 34.5% |
| 2022Q4 | 92 | 57.9 | 2.94 | 0.27 | 0.82 | 1.85 | 2.75 | 36.1% |
| 2022Q3 | 92 | 57.6 | 2.27 | 0.29 | 0.59 | 1.40 | 1.99 | 8.1% |
| 2022Q2 | 91 | 49.9 | 2.62 | 0.35 | 0.65 | 1.62 | 2.30 | 0.0% |
| 2022Q1 | 90 | 55.9 | 3.16 | 0.23 | 0.75 | 2.18 | 2.99 | 10.5% |
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
4fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-05-29 | Fine | $114,763 | CMS provider data |
| 2025-05-29 | Payment Denial | — | CMS provider data |
| 2024-04-04 | Fine | $40,462 | CMS provider data |
| 2024-04-04 | Payment Denial | — | CMS provider data |
Total fines on record: $155,225
Deficiencies
106B × 1C × 3D × 66E × 15F × 16G × 5
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-08-27 | 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. | D | 2025-08-28 |
| 2025-08-27 | 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. | E | 2025-08-28 |
| 2025-08-27 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-08-28 |
| 2025-07-24 | 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 | 2025-07-25 |
| 2025-07-24 | 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 | 2025-07-25 |
| 2025-05-29 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2025-07-24 |
| 2025-05-29 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-07-24 |
| 2025-05-29 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2025-07-24 |
| 2025-05-29 | Health | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | 2025-07-25 |
| 2025-05-29 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-07-24 |
| 2025-05-29 | Health | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | 2025-07-24 |
| 2025-05-29 | Health · complaint | F0606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | F | 2025-07-24 |
| 2025-05-29 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | F | 2025-07-24 |
| 2025-05-29 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-07-24 |
| 2025-05-29 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-07-24 |
| 2025-05-29 | Health | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | B | 2025-07-24 |
| 2025-05-29 | Health | F0641 | Ensure each resident receives an accurate assessment. | E | 2025-07-24 |
| 2025-05-29 | 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 | 2025-07-24 |
| 2025-05-29 | Health | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2025-07-24 |
| 2025-05-29 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2025-07-24 |
| 2025-05-29 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-07-24 |
| 2025-05-29 | Health · complaint | F0685 | Assist a resident in gaining access to vision and hearing services. | D | 2025-07-24 |
| 2025-05-29 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2025-07-24 |
| 2025-05-29 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2025-07-24 |
| 2025-05-29 | 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 | 2025-07-25 |
| 2025-05-29 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-07-24 |
| 2025-05-29 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-07-24 |
| 2025-05-29 | Health · complaint | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | 2025-07-24 |
| 2025-05-29 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-07-24 |
| 2025-05-29 | 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 | 2025-07-24 |
| 2025-05-29 | Health · complaint | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2025-07-24 |
| 2025-05-29 | Health | F0772 | Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. | D | 2025-07-24 |
| 2025-05-29 | 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. | D | 2025-07-24 |
| 2025-05-29 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-07-24 |
| 2025-05-29 | Health · complaint | F0840 | Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | D | 2025-07-24 |
| 2025-05-29 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-07-24 |
| 2025-05-29 | Health · complaint | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | 2025-07-24 |
| 2025-05-29 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2025-07-24 |
| 2025-05-29 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2025-07-24 |
| 2025-05-29 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2025-07-24 |
| 2025-05-29 | 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 | 2025-07-24 |
| 2025-05-29 | Health · complaint | F0908 | Keep all essential equipment working safely. | F | 2025-07-24 |
| 2025-05-29 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | 2025-07-24 |
| 2024-08-08 | Health · complaint | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | 2024-08-28 |
| 2024-08-08 | Health · complaint | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | 2024-08-28 |
| 2024-08-08 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-08-28 |
| 2024-08-08 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-08-28 |
| 2024-08-08 | Health · complaint | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | 2024-08-28 |
| 2024-08-08 | Health · complaint | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2024-08-28 |
| 2024-08-08 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2024-08-28 |
| 2024-08-08 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2024-08-28 |
| 2024-07-02 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-08-08 |
| 2024-07-02 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-08-28 |
| 2024-07-02 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | G | 2024-08-08 |
| 2024-07-02 | Health · complaint | 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. | C | 2024-08-08 |
| 2024-07-02 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-08-28 |
| 2024-07-02 | 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 | 2024-08-08 |
| 2024-06-05 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2024-08-28 |
| 2024-06-05 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2024-08-28 |
| 2024-05-09 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-08-08 |
| 2024-05-09 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-08-28 |
| 2024-05-09 | 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 | 2024-08-08 |
| 2024-04-04 | Health · complaint | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | 2024-08-08 |
| 2024-04-04 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-08-08 |
| 2024-04-04 | Health · complaint | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | 2024-08-08 |
| 2024-04-04 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2024-08-28 |
| 2024-04-04 | 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 | 2024-08-28 |
| 2024-04-04 | Health · complaint | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | 2024-08-08 |
| 2024-04-04 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-08-28 |
| 2024-04-04 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-08-28 |
| 2024-03-07 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-03-20 |
| 2024-03-07 | 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. | E | 2024-03-20 |
| 2024-03-07 | Health · complaint | F0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | D | 2024-03-20 |
| 2024-03-07 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-03-20 |
| 2024-03-07 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2024-03-20 |
| 2024-03-07 | Health · complaint | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2024-03-20 |
| 2023-11-06 | 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. | E | 2023-11-20 |
| 2023-11-06 | Health · complaint | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | 2023-11-20 |
| 2023-11-06 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-11-20 |
| 2023-03-30 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2023-04-28 |
| 2023-03-30 | 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 | 2023-04-28 |
| 2023-03-30 | 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 | 2023-04-28 |
| 2023-03-30 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-04-28 |
| 2023-03-30 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-04-28 |
| 2023-03-30 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-04-28 |
| 2023-03-30 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-04-28 |
| 2023-03-30 | 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 | 2023-04-28 |
| 2023-03-30 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2023-04-28 |
| 2023-03-30 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2023-04-28 |
| 2023-03-30 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | 2023-04-28 |
| 2023-03-30 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-04-28 |
| 2023-03-30 | Health | F0814 | Dispose of garbage and refuse properly. | F | 2023-04-28 |
| 2023-03-30 | Health | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | 2023-04-28 |
| 2023-03-30 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2023-04-28 |
| 2023-03-30 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2023-04-28 |
| 2023-03-30 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2023-04-28 |
| 2023-03-30 | Health | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | C | 2023-04-28 |
| 2023-03-30 | 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 | 2023-04-28 |
| 2019-11-06 | Health | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | 2020-01-13 |
| 2019-11-06 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2020-01-13 |
| 2019-11-06 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2020-01-13 |
| 2019-11-06 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2020-01-13 |
| 2019-11-06 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2020-01-13 |
| 2019-11-06 | 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 | 2020-01-13 |
| 2019-11-06 | 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. | E | 2020-01-13 |
| 2019-11-06 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2020-01-13 |
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
11| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| HOCH, MICHAEL | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2022-10-03 | current | pecos_ownership |
| MAYFIELD OPCO MEMBER LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-10-03 | current | pecos_ownership |
| 6757 MAYFIELD PROPCO LLC | Corporation, partnership or other organization has financial interest in provider | — | 2023-01-01 | current | hcris_a_8_1 |
| 6757 MAYFIELD PROPCO LLC | Corporation, partnership or other organization has financial interest in provider | — | 2024-01-01 | current | hcris_a_8_1 |
| DEUTSCH, PAUL | W-2 MANAGING EMPLOYEE | — | 2021-12-31 | current | pecos_ownership |
| KATZ, LARRY | CORPORATE DIRECTOR | — | 2021-12-31 | current | pecos_ownership |
| LAHASKY, EPHRAM | CORPORATE DIRECTOR | — | 2021-12-31 | current | pecos_ownership |
| MICHAEL HOCH | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2022-10-03 | ended 2026-05-18 | pecos_ownership |
| PAUL DEUTSCH | W-2 MANAGING EMPLOYEE | 100% | 2021-12-31 | ended 2026-05-18 | pecos_ownership |
| EPHRAM LAHASKY | CORPORATE DIRECTOR | 50% | 2021-12-31 | ended 2026-05-18 | pecos_ownership |
| LARRY KATZ | CORPORATE DIRECTOR | 50% | 2021-12-31 | 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 |
|---|---|---|---|---|
| 2021-12-31 | — | BUCKEYE FOREST AT MAYFIELD HEIGHTS LLC | MAYFIELD HEIGHTS HEALTHCARE 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
36| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 39035 | acs median gross | 0 | $792 | 2024-12-31 | CENSUS_ACS5 |
| county 39035 | fmr | 0 | $933 | 2025-10-01 | HUD_USER_FMR |
| county 39035 | acs median gross | 1 | $859 | 2024-12-31 | CENSUS_ACS5 |
| county 39035 | fmr | 1 | $1,058 | 2025-10-01 | HUD_USER_FMR |
| county 39035 | acs median gross | 2 | $1,106 | 2024-12-31 | CENSUS_ACS5 |
| county 39035 | fmr | 2 | $1,279 | 2025-10-01 | HUD_USER_FMR |
| county 39035 | acs median gross | 3 | $1,290 | 2024-12-31 | CENSUS_ACS5 |
| county 39035 | fmr | 3 | $1,646 | 2025-10-01 | HUD_USER_FMR |
| county 39035 | acs median gross | 4 | $1,442 | 2024-12-31 | CENSUS_ACS5 |
| county 39035 | fmr | 4 | $1,760 | 2025-10-01 | HUD_USER_FMR |
| county 39035 | acs median gross | 5 | $1,548 | 2024-12-31 | CENSUS_ACS5 |
| county 39035 | acs median gross | $1,060 | 2024-12-31 | CENSUS_ACS5 | |
| county 39035 | acs recent mover gross | $1,218 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 44124 | acs median gross | 0 | $624 | 2024-12-31 | CENSUS_ACS5 |
| zcta 44124 | acs median gross | 1 | $1,008 | 2024-12-31 | CENSUS_ACS5 |
| zcta 44124 | acs median gross | 2 | $1,227 | 2024-12-31 | CENSUS_ACS5 |
| zcta 44124 | acs median gross | 3 | $1,647 | 2024-12-31 | CENSUS_ACS5 |
| zcta 44124 | acs median gross | 4 | $1,200 | 2024-12-31 | CENSUS_ACS5 |
| zcta 44124 | acs median gross | 5 | $2,150 | 2024-12-31 | CENSUS_ACS5 |
| zcta 44124 | acs median gross | $1,157 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 44124 | acs recent mover gross | $1,206 | 2024-12-31 | CENSUS_ACS5 | |
| zip 44124 | payment standard 110 | 0 | $1,188 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44124 | payment standard 90 | 0 | $972 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44124 | safmr | 0 | $1,080 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44124 | payment standard 110 | 1 | $1,342 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44124 | payment standard 90 | 1 | $1,098 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44124 | safmr | 1 | $1,220 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44124 | payment standard 110 | 2 | $1,628 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44124 | payment standard 90 | 2 | $1,332 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44124 | safmr | 2 | $1,480 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44124 | payment standard 110 | 3 | $2,090 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44124 | payment standard 90 | 3 | $1,710 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44124 | safmr | 3 | $1,900 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44124 | payment standard 110 | 4 | $2,244 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44124 | payment standard 90 | 4 | $1,836 | 2025-10-01 | HUD_USER_SAFMR |
| zip 44124 | safmr | 4 | $2,040 | 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.