272 BENEDICT AVE, NORWALK, OH 44857 · CCN 365668 · chain FISHER TITUS HEALTH
Composite
14.2 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
69
Model
v1.2
Reads as: riskier than 14.2% 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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
16
2025Q4 HPRD
This facility
OH median
National median
National p25–p75
Total nurse
3.49
3.24
3.28
2.90–3.77
RN
0.41
0.38
0.39
0.25–0.58
Weekend total
3.47
3.11
3.11
—
Weekday total
3.49
3.29
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
59.5
3.49
0.41
0.97
2.10
3.47
0.0%
2025Q3
92
60.4
3.50
0.32
0.97
2.22
3.33
0.0%
2025Q2
91
57.8
3.73
0.17
1.12
2.43
3.50
0.0%
2025Q1
90
60.6
3.70
0.27
1.11
2.32
3.63
0.0%
2024Q4
92
65.2
3.44
0.38
0.94
2.12
3.21
0.0%
2024Q3
92
65.2
3.31
0.46
0.81
2.05
3.13
0.0%
2024Q2
91
63.5
3.36
0.48
0.84
2.04
3.21
0.0%
2024Q1
91
59.9
3.64
0.59
0.81
2.24
3.58
0.0%
2023Q4
92
55.7
3.73
0.60
0.87
2.26
3.69
0.0%
2023Q3
92
58.7
3.52
0.70
0.76
2.07
3.55
0.0%
2023Q2
91
56.3
3.48
0.71
0.85
1.92
3.45
0.0%
2023Q1
90
57.4
3.42
0.70
0.86
1.85
3.35
0.0%
2022Q4
92
52.2
3.52
0.80
0.99
1.74
3.45
0.0%
2022Q3
92
47.8
3.58
0.43
1.06
2.08
3.55
0.0%
2022Q2
91
57.0
3.13
0.39
1.12
1.62
3.22
0.0%
2022Q1
90
54.2
2.41
0.35
0.88
1.18
2.52
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
0
No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
23
C × 2D × 15E × 6
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-12-30
Health · complaint
F0729
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
E
2026-02-06
2024-08-15
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2024-09-30
2024-08-15
Health
F0606
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
C
2024-09-30
2024-08-15
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
2024-09-30
2024-08-15
Health
F0732
Post nurse staffing information every day.
C
2024-09-30
2024-08-15
Health
F0740
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
D
2024-09-30
2024-08-15
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
2024-09-30
2024-08-15
Health
F0760
Ensure that residents are free from significant medication errors.
D
2024-09-30
2022-03-21
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
E
2022-05-05
2022-03-21
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
2022-05-05
2022-03-21
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2022-05-05
2022-03-21
Health
F0604
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
D
2022-05-05
2022-03-21
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
2022-05-05
2022-03-21
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
2022-05-05
2022-03-21
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2022-05-05
2022-03-21
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2022-05-05
2022-03-21
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
2022-05-05
2022-03-21
Health
F0880
Provide and implement an infection prevention and control program.
E
2022-05-05
2019-05-30
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
2019-07-12
2019-05-30
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2019-07-12
2019-05-30
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2019-07-12
2019-05-30
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
2019-07-12
2019-05-30
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
2019-07-12
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.
Licensure actions
0
No licensure actions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Ownership
29
Owner
Role
Pct
From
Status
Source
FISHER TITUS HEALTH
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2016-07-01
current
pecos_ownership
BURKEY, BRENT
ADP OF THE SNF
—
2025-11-03
current
pecos_ownership
BURKEY, BRENT
CORPORATE DIRECTOR
—
2018-03-05
current
pecos_ownership
CAMP, DENNIS
CORPORATE DIRECTOR
—
2017-07-01
current
pecos_ownership
CORIELL, MARK
CORPORATE DIRECTOR
—
2017-07-01
current
pecos_ownership
DOUGHTY, DENNIS
CORPORATE DIRECTOR
—
2015-07-01
current
pecos_ownership
HAZEL, SUSAN
CORPORATE DIRECTOR
—
2017-07-01
current
pecos_ownership
HUBER, JEFFERY
CORPORATE DIRECTOR
—
2018-07-01
current
pecos_ownership
HUGHES, JOHN
CORPORATE DIRECTOR
—
2020-05-01
current
pecos_ownership
LENDRUM, JOHN
CORPORATE DIRECTOR
—
2020-05-01
current
pecos_ownership
MATTNER, MATTHEW
CORPORATE OFFICER
—
2024-03-12
current
pecos_ownership
MATTNER, MATTHEW
ADP OF THE SNF
—
2025-11-03
current
pecos_ownership
ROBERTS, JULIE
CORPORATE DIRECTOR
—
2018-07-01
current
pecos_ownership
SILVESTRI, SCOTT
CORPORATE OFFICER
—
2025-11-18
current
pecos_ownership
ZAHLER, JONATHAN
CORPORATE DIRECTOR
—
2017-07-01
current
pecos_ownership
BRENT BURKEY
CORPORATE DIRECTOR
0%
2018-03-05
ended 2026-05-18
pecos_ownership
DENNIS CAMP
CORPORATE DIRECTOR
0%
2017-07-01
ended 2026-05-18
pecos_ownership
JEFFERY HUBER
CORPORATE DIRECTOR
0%
2018-07-01
ended 2026-05-18
pecos_ownership
JOHN HUGHES
CORPORATE DIRECTOR
0%
2020-05-01
ended 2026-05-18
pecos_ownership
JOHN LENDRUM
CORPORATE DIRECTOR
0%
2020-05-01
ended 2026-05-18
pecos_ownership
JONATHAN ZAHLER
CORPORATE DIRECTOR
0%
2017-07-01
ended 2026-05-18
pecos_ownership
JULIE ROBERTS
CORPORATE DIRECTOR
0%
2018-07-01
ended 2026-05-18
pecos_ownership
MARK CORIELL
CORPORATE DIRECTOR
0%
2017-07-01
ended 2026-05-18
pecos_ownership
SCOTT SILVESTRI
CORPORATE OFFICER
0%
2025-11-18
ended 2026-05-18
pecos_ownership
SUSAN HAZEL
CORPORATE DIRECTOR
0%
2017-07-01
ended 2026-05-18
pecos_ownership
BRENT BURKEY
ADP OF THE SNF
—
2025-11-03
ended 2026-05-18
pecos_ownership
DENNIS DOUGHTY
CORPORATE DIRECTOR
—
2015-07-01
ended 2026-05-18
pecos_ownership
MATTHEW MATTNER
ADP OF THE SNF
—
2025-11-03
ended 2026-05-18
pecos_ownership
MATTHEW MATTNER
CORPORATE OFFICER
—
2024-03-12
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.
Related-party costs
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
Transactions
0
No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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
33
Geo
Kind
BR
Amount
As of
Source
county 39077
acs median gross
0
$571
2024-12-31
CENSUS_ACS5
county 39077
fmr
0
$737
2025-10-01
HUD_USER_FMR
county 39077
acs median gross
1
$674
2024-12-31
CENSUS_ACS5
county 39077
fmr
1
$742
2025-10-01
HUD_USER_FMR
county 39077
acs median gross
2
$843
2024-12-31
CENSUS_ACS5
county 39077
fmr
2
$973
2025-10-01
HUD_USER_FMR
county 39077
acs median gross
3
$994
2024-12-31
CENSUS_ACS5
county 39077
fmr
3
$1,212
2025-10-01
HUD_USER_FMR
county 39077
acs median gross
4
$1,150
2024-12-31
CENSUS_ACS5
county 39077
fmr
4
$1,521
2025-10-01
HUD_USER_FMR
county 39077
acs median gross
$848
2024-12-31
CENSUS_ACS5
county 39077
acs recent mover gross
$985
2024-12-31
CENSUS_ACS5
zcta 44857
acs median gross
1
$714
2024-12-31
CENSUS_ACS5
zcta 44857
acs median gross
2
$811
2024-12-31
CENSUS_ACS5
zcta 44857
acs median gross
3
$1,015
2024-12-31
CENSUS_ACS5
zcta 44857
acs median gross
4
$1,020
2024-12-31
CENSUS_ACS5
zcta 44857
acs median gross
$820
2024-12-31
CENSUS_ACS5
zcta 44857
acs recent mover gross
$980
2024-12-31
CENSUS_ACS5
zip 44857
payment standard 110
0
$814
2025-10-01
HUD_USER_SAFMR
zip 44857
payment standard 90
0
$666
2025-10-01
HUD_USER_SAFMR
zip 44857
safmr
0
$740
2025-10-01
HUD_USER_SAFMR
zip 44857
payment standard 110
1
$814
2025-10-01
HUD_USER_SAFMR
zip 44857
payment standard 90
1
$666
2025-10-01
HUD_USER_SAFMR
zip 44857
safmr
1
$740
2025-10-01
HUD_USER_SAFMR
zip 44857
payment standard 110
2
$1,067
2025-10-01
HUD_USER_SAFMR
zip 44857
payment standard 90
2
$873
2025-10-01
HUD_USER_SAFMR
zip 44857
safmr
2
$970
2025-10-01
HUD_USER_SAFMR
zip 44857
payment standard 110
3
$1,331
2025-10-01
HUD_USER_SAFMR
zip 44857
payment standard 90
3
$1,089
2025-10-01
HUD_USER_SAFMR
zip 44857
safmr
3
$1,210
2025-10-01
HUD_USER_SAFMR
zip 44857
payment standard 110
4
$1,672
2025-10-01
HUD_USER_SAFMR
zip 44857
payment standard 90
4
$1,368
2025-10-01
HUD_USER_SAFMR
zip 44857
safmr
4
$1,520
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.