CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)
AS OF 2026-08-04 23:30 UTC
Screener / 365209
C

MAJESTIC CARE OF MIDDLETOWN LLC

snfOH
6898 HAMILTON MIDDLETOWN ROAD, MIDDLETOWN, OH 45044 · CCN 365209 · chain MAJESTIC MANAGEMENT LLC
Composite
73.4 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
200
Model
v1.2
Reads as: riskier than 73.4% 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 signals7Components16CHOW radar1Distress radar1Staffing16Penalties2Deficiencies58Licensure0Ownership27Related party6Transactions1Comps12Market rent36

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk88.385.70.300.230820.38in index
billing conduct82.354.40.300.230818.99in index
staffing risk55.155.10.250.192310.60in index
chow risk37.744.60.150.11544.35in index
financial risk13.822.40.300.23083.18in 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

7
KindFindingSignalSubjectFirst seen
connectionOwner spans multiple chains5 chainsMARX DAVID26 facilities
connectionOwner spans multiple chains5 chainsWOLFE ERIC28 facilities
connectionOwner spans multiple chains5 chainsSHATROV ANZHELIKA28 facilities
connectionOwner spans multiple chains5 chainsCHAMBERLAIN MARGARET28 facilities
connectionOwner spans multiple chains5 chainsREWA ANGELA28 facilities
connectionOwner spans multiple chains5 chainsRUSSELL ROBERT28 facilities
connectionOwner spans multiple chains5 chainsPRUITT PAUL28 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 typeScoreGradeModelStatusRegistry model notes
billing conduct54.4Cv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk21.7Av0.1-posdefault · in compositeChange-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 risk67.6Dv0.6default · in composite
financial risk22.4Av0.5default · in compositeR18.
p adverse action 12m0.1—v0.1default · in compositeR23/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 12m0.1—v0.1default · in compositeR22/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 risk85.7Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk55.1Cv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk60.1Cv0.1supersededPre-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 risk40.1Bv0.2supersededPre-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 risk32.3Bv0.3supersededPre-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 risk28.5Bv0.4supersededPre-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 risk85.7Fv0.1supersededPre-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 risk85.7Fv0.2supersededPre-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 risk55.1Cv0.1supersededPre-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 risk55.1Cv0.2supersededPre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.

CHOW radar — 12-month sale probability

full board →
p(CHOW, 12m)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
22.4
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Never sold on record0.00-1.62
Current owner tenure (years)5.83-1.28
For-profit ownership1.00+0.69
No PBJ staffing report0.00+0.42
Ownership changes, last 5 years0.00+0.20
Occupancy0.64+0.18
Deficiencies, last 12 months0.00-0.17
Facility size (log beds)5.30-0.15
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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
53.5
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Deficiencies, last 12 months0.00+1.43
For-profit ownership1.00-0.69
Occupancy0.64+0.47
No PBJ staffing report0.00+0.39
Never sold on record0.00-0.28
Chain size (log)2.48-0.24
Current owner tenure (years)5.83-0.21
Facility size (log beds)5.30-0.20
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 HPRDThis facilityOH medianNational medianNational p25–p75
Total nurse3.213.243.282.90–3.77
RN0.140.380.390.25–0.58
Weekend total3.113.113.11—
Weekday total3.253.293.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q492127.23.210.141.231.853.110.0%
2025Q392132.93.200.101.371.723.150.0%
2025Q291142.72.860.131.251.482.830.1%
2025Q190133.92.930.151.341.442.960.0%
2024Q492130.83.030.091.321.622.980.0%
2024Q392132.23.230.091.331.813.150.0%
2024Q291139.73.120.101.321.703.090.0%
2024Q191145.62.910.121.201.592.860.0%
2023Q492159.52.810.121.181.512.790.0%
2023Q392169.72.850.131.181.542.680.0%
2023Q291177.62.750.111.081.562.560.0%
2023Q190175.92.760.091.141.532.600.0%
2022Q492156.72.820.101.241.482.580.0%
2022Q392154.92.680.151.051.482.480.0%
2022Q291140.73.080.141.211.722.830.0%
2022Q190142.43.510.171.381.963.387.0%
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.

Penalties

2
DateTypeFineSource
2024-02-14Fine$108,164CMS provider data
2024-02-14Payment Denial—CMS provider data
Total fines on record: $108,164

Deficiencies

58
D × 42E × 11F × 3G × 1J × 1
deficiencies by survey year
211119212325
SurveyTypeTagDeficiencyScopeCorrected
2025-06-05HealthF0584Honor 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.D2025-08-05
2025-06-05HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2025-08-05
2025-06-05HealthF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D2025-08-05
2025-06-05HealthF0761Ensure 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.D2025-08-05
2025-06-05HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2025-08-05
2025-06-05Health · complaintF0880Provide and implement an infection prevention and control program.F2025-08-05
2025-02-04Health · complaintF0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.D2025-03-12
2025-01-17Health · complaintF0558Reasonably accommodate the needs and preferences of each resident.E2025-03-12
2025-01-06Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2025-03-12
2025-01-06Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2025-03-12
2025-01-06Health · complaintF0760Ensure that residents are free from significant medication errors.D2025-03-12
2025-01-06Health · complaintF0880Provide and implement an infection prevention and control program.D2025-03-12
2024-05-29Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2024-06-19
2024-05-29Health · complaintF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.E2024-06-19
2024-05-29Health · complaintF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.D2024-06-19
2024-04-29Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2024-06-19
2024-04-29Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2024-06-19
2024-04-29Health · complaintF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.J2024-06-19
2024-03-18Health · complaintF0645PASARR screening for Mental disorders or Intellectual DisabilitiesD2024-06-19
2024-03-18Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E2024-06-19
2024-03-18Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2024-06-19
2024-03-18Health · complaintF0692Provide enough food/fluids to maintain a resident's health.E2024-06-19
2024-03-18Health · complaintF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.E2024-06-19
2024-03-18Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2024-06-19
2024-03-18Health · complaintF0880Provide and implement an infection prevention and control program.D2024-06-19
2024-03-18Health · complaintF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.D2024-06-19
2024-02-14Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2024-06-19
2024-02-14Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2024-06-19
2024-02-14Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-06-19
2024-02-14Health · complaintF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2024-06-19
2023-11-16Health · complaintF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.E2023-12-11
2023-11-16Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2023-12-11
2023-11-16Health · complaintF0837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.E2023-12-11
2023-11-16Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2023-12-11
2023-08-24Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2023-09-13
2023-08-24Health · complaintF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2023-09-13
2023-03-29HealthF0567Honor the resident's right to manage his or her financial affairs.D2023-05-10
2023-03-29HealthF0569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.D2023-05-10
2023-03-29HealthF0584Honor 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.E2023-05-10
2023-03-29HealthF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2023-05-10
2023-03-29HealthF0610Respond appropriately to all alleged violations.D2023-05-10
2023-03-29HealthF0645PASARR screening for Mental disorders or Intellectual DisabilitiesD2023-05-10
2023-03-29HealthF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.D2023-05-10
2023-03-29HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2023-05-10
2023-03-29HealthF0679Provide activities to meet all resident's needs.D2023-05-10
2023-03-29HealthF0687Provide appropriate foot care.D2023-05-10
2023-03-29HealthF0692Provide enough food/fluids to maintain a resident's health.D2023-05-10
2023-03-29HealthF0791Provide or obtain dental services for each resident.D2023-05-10
2023-03-29HealthF0803Ensure 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.E2023-05-10
2023-03-29HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2023-06-01
2023-03-29HealthF0825Provide or get specialized rehabilitative services as required for a resident.D2023-05-10
2019-07-11HealthF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D2019-08-13
2019-07-11HealthF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D2019-08-13
2019-07-11HealthF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2019-08-13
2019-07-11HealthF0610Respond appropriately to all alleged violations.D2019-08-13
2019-07-11HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2019-08-13
2019-07-11HealthF0685Assist a resident in gaining access to vision and hearing services.D2019-08-13
2019-07-11HealthF0761Ensure 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.E2019-08-13
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

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

27
OwnerRolePctFromStatusSource
RB SNF OPERATIONS HOLDINGS LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2020-10-01currentpecos_ownership
REALTY MIDDLETOWNCorporation, partnership or other organization has financial interest in provider100%2023-01-01currenthcris_a_8_1
REALTY MIDDLETOWNCorporation, partnership or other organization has financial interest in provider100%2024-01-01currenthcris_a_8_1
6898 HAMILTON MIDDLETOWN ROAD SNF REALTY LLCOPERATIONAL/MANAGERIAL CONTROL—2020-10-01currentpecos_ownership
CHAMBERLAIN, MARGARETADP OF THE SNF—2023-09-11currentpecos_ownership
MAJESTIC MANAGEMENT LLCADP OF THE SNF—2025-07-11currentpecos_ownership
MAJESTIC MANAGEMENT LLCOPERATIONAL/MANAGERIAL CONTROL—2020-10-01currentpecos_ownership
MARX, DAVIDOPERATIONAL/MANAGERIAL CONTROL—2020-10-01currentpecos_ownership
PRUITT, PAULMANAGING CONTROL - GOVERNING BODY—2023-05-01currentpecos_ownership
RB SNF REAL ESTATE HOLDINGS LLCADP OF THE SNF—2020-10-01currentpecos_ownership
REWA, ANGELAADP OF THE SNF—2023-10-23currentpecos_ownership
RUSSELL, ROBERTADP OF THE SNF—2024-04-08currentpecos_ownership
SHATROV, ANZHELIKAADP OF THE SNF—2024-12-02currentpecos_ownership
WOLFE, ERICOPERATIONAL/MANAGERIAL CONTROL—2023-09-11currentpecos_ownership
WYLIE, AMYADP OF THE SNF—2025-01-01currentpecos_ownership
DAVID MARX5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2020-08-25ended 2026-05-18pecos_ownership
REALTY MIDDLETOWNCorporation, partnership or other organization has financial interest in provider100%2021-01-01ended 2021-12-31hcris_a_8_1
REALTY MIDDLETOWNCorporation, partnership or other organization has financial interest in provider100%2022-01-01ended 2022-12-31hcris_a_8_1
AMY WYLIEOPERATIONAL/MANAGERIAL CONTROL—2025-01-01ended 2026-05-18pecos_ownership
ANGELA REWAADP OF THE SNF—2023-10-23ended 2026-05-18pecos_ownership
ANZHELIKA SHATROVADP OF THE SNF—2024-12-02ended 2026-05-18pecos_ownership
DAVID MARXADP OF THE SNF—2020-10-01ended 2026-05-18pecos_ownership
ERIC WOLFEOPERATIONAL/MANAGERIAL CONTROL—2023-09-11ended 2026-05-18pecos_ownership
MARGARET CHAMBERLAINOPERATIONAL/MANAGERIAL CONTROL—2023-09-11ended 2026-05-18pecos_ownership
PAUL PRUITTADP OF THE SNF—2023-05-01ended 2026-05-18pecos_ownership
REALTY MIDDLETOWNCorporation, partnership or other organization has financial interest in provider—2020-09-30ended 2020-12-31hcris_a_8_1
ROBERT RUSSELLOPERATIONAL/MANAGERIAL CONTROL—2024-04-08ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

1
Close datePriceBuyerSellerEvidence
2020-09-30—MAJESTIC CARE OF MIDDLETOWN LLCGARDEN MANOR EXTENDED CARE CENTER, INC.chow

Comparable trades — OH snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2024-12-31SAPPHIRE REHABILITATION AND CARE CENTER———113SAPPHIRE OPCO LLC
2024-12-31MAJESTIC CARE OF POINT PLACE———82POINT PLACE OH HEALTH & REHAB OPCO LLC
2024-12-31MAJESTIC CARE OF NEW LEXINGTON———82NEW LEXINGTON OH HEALTH & REHAB OPCO LLC
2024-12-31Atrium Nursing and Rehabilitation———99ATRIUM OPCO LLC
2024-12-31Inniswood Health and Rehabilitation———99FHS INNISWOOD, INC.
2024-12-31COMMUNITY SKILLED HEALTHCARE———110CS OPCO LLC
2024-12-31MAJESTIC CARE OF PERRYSBURG———75PERRYSBURG OH HEALTH & REHAB OPCO LLC
2024-12-31GRAFTON OAKS NURSING CENTER———99GO OPCO LLC
2024-12-31MAJESTIC CARE OF KENT———74KENT OH HEALTH & REHAB OPCO LLC
2024-12-30Chardon Woods———161CHARDON WOODS OF JOURNEY LLC
2024-12-16The Pavilion at Canal Fulton for Nursing and Rehab———60PAVILION AT CANAL FULTON LLC
2024-12-02BENNINGTON GLEN NURSING & REHABILITATION CENTER———79FHS 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
GeoKindBRAmountAs ofSource
county 39017acs median gross0$9032024-12-31CENSUS_ACS5
county 39017fmr0$9582025-10-01HUD_USER_FMR
county 39017acs median gross1$9672024-12-31CENSUS_ACS5
county 39017fmr1$1,0512025-10-01HUD_USER_FMR
county 39017acs median gross2$1,1172024-12-31CENSUS_ACS5
county 39017fmr2$1,3532025-10-01HUD_USER_FMR
county 39017acs median gross3$1,2902024-12-31CENSUS_ACS5
county 39017fmr3$1,7852025-10-01HUD_USER_FMR
county 39017acs median gross4$1,5722024-12-31CENSUS_ACS5
county 39017fmr4$1,9762025-10-01HUD_USER_FMR
county 39017acs median gross5$1,7082024-12-31CENSUS_ACS5
county 39017acs median gross$1,1352024-12-31CENSUS_ACS5
county 39017acs recent mover gross$1,2962024-12-31CENSUS_ACS5
zcta 45044acs median gross0$8082024-12-31CENSUS_ACS5
zcta 45044acs median gross1$8602024-12-31CENSUS_ACS5
zcta 45044acs median gross2$1,0382024-12-31CENSUS_ACS5
zcta 45044acs median gross3$1,2002024-12-31CENSUS_ACS5
zcta 45044acs median gross4$1,4982024-12-31CENSUS_ACS5
zcta 45044acs median gross5$1,5272024-12-31CENSUS_ACS5
zcta 45044acs median gross$1,0762024-12-31CENSUS_ACS5
zcta 45044acs recent mover gross$1,2492024-12-31CENSUS_ACS5
zip 45044payment standard 1100$9572025-10-01HUD_USER_SAFMR
zip 45044payment standard 900$7832025-10-01HUD_USER_SAFMR
zip 45044safmr0$8702025-10-01HUD_USER_SAFMR
zip 45044payment standard 1101$1,0562025-10-01HUD_USER_SAFMR
zip 45044payment standard 901$8642025-10-01HUD_USER_SAFMR
zip 45044safmr1$9602025-10-01HUD_USER_SAFMR
zip 45044payment standard 1102$1,3532025-10-01HUD_USER_SAFMR
zip 45044payment standard 902$1,1072025-10-01HUD_USER_SAFMR
zip 45044safmr2$1,2302025-10-01HUD_USER_SAFMR
zip 45044payment standard 1103$1,7822025-10-01HUD_USER_SAFMR
zip 45044payment standard 903$1,4582025-10-01HUD_USER_SAFMR
zip 45044safmr3$1,6202025-10-01HUD_USER_SAFMR
zip 45044payment standard 1104$1,9802025-10-01HUD_USER_SAFMR
zip 45044payment standard 904$1,6202025-10-01HUD_USER_SAFMR
zip 45044safmr4$1,8002025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.
CII Terminal tearsheet · MAJESTIC CARE OF MIDDLETOWN LLC (365209) · generated 2026-08-04 · every number derives from public records (CMS Care Compare, PBJ, POS, penalty and survey files, state licensure registers) · scores are published model outputs with holdout metrics disclosed at cii-terminal.vercel.app/transparency