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 22:28 UTC
Screener / 366201
B

MAJESTIC CARE OF WHITEHALL

snfOH
4805 LANGLEY AVENUE, WHITEHALL, OH 43213 · CCN 366201 · chain MAJESTIC MANAGEMENT LLC
Composite
50.9 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
150
Model
v1.2
Reads as: riskier than 50.9% 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.

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
staffing risk82.182.10.250.192315.79in index
regulatory risk57.948.40.300.230813.36in index
billing conduct33.433.10.300.23087.71in index
financial risk31.935.00.300.23087.36in index
chow risk39.039.10.150.11544.50in 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

11
KindFindingSignalSubjectFirst seen
connectionOwner fleet risk far above national+20.7 vs natlMILLER DANIEL14 facilities
connectionOwner spans multiple chains9 chainsMILLER DANIEL12 facilities
connectionOwner spans multiple chains5 chainsMDG REAL ESTATE GLOBAL LIMITED19 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 chainsALEXANDER JAMES23 facilities
connectionOwner spans multiple chains5 chainsREWA ANGELA28 facilities
connectionOwner spans multiple chains5 chainsRUSSELL ROBERT28 facilities
connectionOwner spans multiple chains5 chainsPRUITT PAUL28 facilities
connectionOwner spans multiple chains5 chainsMARX DAVID26 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 conduct33.1Bv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk24.8Av0.1-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 risk53.4Cv0.6default · in composite
financial risk35.0Bv0.5default · in compositeR18.
p adverse action 12m0.0v0.1default · 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 12m0.1v0.1default · 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 risk48.4Cv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk82.1Fv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk77.9Dv0.1supersededPre-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 risk57.9Cv0.2supersededPre-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 risk43.9Bv0.3supersededPre-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 risk40.1Bv0.4supersededPre-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 risk48.4Cv0.1supersededPre-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 risk48.4Cv0.2supersededPre-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 risk82.1Fv0.1supersededPre-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 risk82.1Fv0.2supersededPre-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)7.33-1.14
For-profit ownership1.00+0.69
No PBJ staffing report0.00+0.42
Occupancy0.82-0.36
Ownership changes, last 5 years0.00+0.20
Chain size (log)2.48+0.13
Facility size (log beds)5.02-0.10
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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
10.1
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
For-profit ownership1.00-0.69
No PBJ staffing report0.00+0.39
Occupancy0.82-0.30
Never sold on record0.00-0.28
Chain size (log)2.48-0.24
Deficiencies, last 12 months9.00-0.24
Total nurse staffing (HPRD)2.76+0.19
Current owner tenure (years)7.33-0.18
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 nurse2.763.243.282.90–3.77
RN0.300.380.390.25–0.58
Weekend total2.783.113.11
Weekday total2.753.293.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q492123.02.760.300.881.582.780.0%
2025Q392126.82.760.410.771.582.730.0%
2025Q291124.32.670.350.721.602.690.0%
2025Q190120.12.770.280.841.642.810.0%
2024Q492121.52.820.300.831.682.810.0%
2024Q392132.92.770.340.741.692.750.0%
2024Q291127.72.730.240.901.592.710.0%
2024Q191126.32.710.210.941.552.700.0%
2023Q492126.32.690.270.931.492.650.0%
2023Q392125.92.670.210.971.482.630.0%
2023Q291125.12.660.170.981.512.640.0%
2023Q190132.62.780.200.921.662.730.0%
2022Q492128.82.660.200.971.492.570.0%
2022Q392132.92.610.150.951.502.460.0%
2022Q291132.12.750.140.981.632.561.1%
2022Q190133.42.650.070.951.642.590.0%
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

1
DateTypeFineSource
2024-06-18Payment DenialCMS provider data
Total fines on record: $0

Deficiencies

88
C × 7D × 62E × 13F × 5G × 1
deficiencies by survey year
37191921232526
SurveyTypeTagDeficiencyScopeCorrected
2026-04-07Health · complaintF0558Reasonably accommodate the needs and preferences of each resident.D2026-05-15
2026-04-07Health · complaintF0584Honor 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.D2026-05-15
2026-04-07Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2026-05-15
2026-04-07Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2026-05-15
2026-04-07Health · complaintF0692Provide enough food/fluids to maintain a resident's health.D2026-05-15
2026-04-07Health · complaintF0695Provide safe and appropriate respiratory care for a resident when needed.D2026-05-15
2026-04-07Health · complaintF0697Provide safe, appropriate pain management for a resident who requires such services.D2026-05-15
2026-04-07Health · complaintF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D2026-05-15
2026-04-07Health · complaintF0880Provide and implement an infection prevention and control program.D2026-05-15
2025-01-02Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-01-30
2024-11-06Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2024-11-15
2024-11-06Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2024-11-15
2024-11-06Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-11-15
2024-11-06Health · complaintF0880Provide and implement an infection prevention and control program.D2024-11-15
2024-11-06Health · complaintF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E2024-11-15
2024-10-02Health · complaintF0584Honor 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.D2024-10-17
2024-10-02Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2024-10-17
2024-10-02Health · complaintF0685Assist a resident in gaining access to vision and hearing services.D2024-10-17
2024-10-02Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-10-17
2024-10-02Health · complaintF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2024-10-17
2024-10-02Health · complaintF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.D2024-10-17
2024-10-02Health · complaintF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.D2024-10-17
2024-10-02Health · complaintF0759Ensure medication error rates are not 5 percent or greater.D2024-10-17
2024-08-14Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-10-17
2024-08-14Health · complaintF0880Provide and implement an infection prevention and control program.F2024-10-02
2024-07-23Health · complaintF0558Reasonably accommodate the needs and preferences of each resident.D2024-10-02
2024-07-23Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2024-10-02
2024-07-23Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-10-17
2024-07-23Health · complaintF0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.D2024-10-02
2024-06-18HealthF0569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.D2024-10-02
2024-06-18HealthF0584Honor 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.E2024-10-17
2024-06-18HealthF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.C2024-10-02
2024-06-18HealthF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.D2024-10-02
2024-06-18HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2024-10-02
2024-06-18HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2024-10-17
2024-06-18Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2024-10-02
2024-06-18HealthF0687Provide appropriate foot care.D2024-10-02
2024-06-18Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-10-17
2024-06-18HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2024-10-02
2024-06-18HealthF0697Provide safe, appropriate pain management for a resident who requires such services.D2024-10-02
2024-06-18HealthF0699Provide care or services that was trauma informed and/or culturally competent.D2024-10-02
2024-06-18HealthF0730Observe each nurse aide's job performance and give regular training.C2024-10-02
2024-06-18HealthF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.D2024-10-17
2024-06-18HealthF0761Ensure 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.E2024-10-02
2024-06-18HealthF0880Provide and implement an infection prevention and control program.F2024-10-02
2024-06-18HealthF0881Implement a program that monitors antibiotic use.D2024-10-02
2024-06-18HealthF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.E2024-10-02
2022-10-13HealthF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.E2022-11-18
2022-10-13HealthF0558Reasonably accommodate the needs and preferences of each resident.F2022-11-18
2022-10-13HealthF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D2022-11-18
2022-10-13HealthF0584Honor 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.D2022-11-18
2022-10-13HealthF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G2022-11-18
2022-10-13HealthF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.E2022-11-18
2022-10-13HealthF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E2022-11-18
2022-10-13HealthF0610Respond appropriately to all alleged violations.E2022-11-18
2022-10-13HealthF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D2022-11-18
2022-10-13HealthF0645PASARR screening for Mental disorders or Intellectual DisabilitiesD2022-11-18
2022-10-13HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2022-11-18
2022-10-13HealthF0679Provide activities to meet all resident's needs.D2022-11-18
2022-10-13HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2022-11-18
2022-10-13HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2022-11-18
2022-10-13HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E2022-11-18
2022-10-13HealthF0692Provide enough food/fluids to maintain a resident's health.D2022-11-18
2022-10-13HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2022-11-18
2022-10-13HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2022-11-18
2022-10-13HealthF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E2022-11-18
2022-10-13HealthF0759Ensure medication error rates are not 5 percent or greater.D2022-11-18
2022-10-13HealthF0761Ensure 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.E2022-11-18
2022-10-13HealthF0850Hire a qualified full-time social worker in a facility with more than 120 beds.F2022-11-18
2022-10-13HealthF0880Provide and implement an infection prevention and control program.D2022-11-18
2019-11-21HealthF0565Honor the resident's right to organize and participate in resident/family groups in the facility.C2019-12-05
2019-11-21HealthF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2019-12-05
2019-11-21HealthF0584Honor 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.C2019-12-05
2019-11-21HealthF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.C2019-12-05
2019-11-21HealthF0625Notify 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.C2019-12-05
2019-11-21HealthF0641Ensure each resident receives an accurate assessment.D2019-12-05
2019-11-21HealthF0645PASARR screening for Mental disorders or Intellectual DisabilitiesD2019-12-05
2019-11-21HealthF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD2019-12-05
2019-11-21HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2019-12-05
2019-11-21HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2019-12-05
2019-11-21HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2019-12-05
2019-11-21HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2019-12-05
2019-11-21HealthF0760Ensure that residents are free from significant medication errors.D2019-12-05
2019-11-21HealthF0803Ensure 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.E2019-12-05
2019-11-21HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2019-12-05
2019-11-21HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2019-12-05
2019-11-21HealthF0850Hire a qualified full-time social worker in a facility with more than 120 beds.C2019-12-05
2019-11-21HealthF0880Provide and implement an infection prevention and control program.E2019-12-05
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

31
OwnerRolePctFromStatusSource
4805 LANGLEY SNF REALTY LLCCorporation, partnership or other organization has financial interest in provider100%2023-01-01currenthcris_a_8_1
4805 LANGLEY SNF REALTY LLCCorporation, partnership or other organization has financial interest in provider100%2024-01-01currenthcris_a_8_1
MARX, DAVID5% OR GREATER DIRECT OWNERSHIP INTEREST100%2019-01-01currentpecos_ownership
4805 LANGLEY SNF REALTY LLCADP OF THE SNF2019-03-29currentpecos_ownership
ALEXANDER, JAMESOPERATIONAL/MANAGERIAL CONTROL2023-05-01currentpecos_ownership
BOYD, RONDELADP OF THE SNF2024-12-02currentpecos_ownership
CHAMBERLAIN, MARGARETCORPORATE OFFICER2023-09-11currentpecos_ownership
MAJESTIC MANAGEMENT LLCADP OF THE SNF2025-04-01currentpecos_ownership
MAJESTIC MANAGEMENT LLCOPERATIONAL/MANAGERIAL CONTROL2019-03-29currentpecos_ownership
MARX, DAVIDADP OF THE SNF2019-03-29currentpecos_ownership
MDG REAL ESTATE GLOBAL LIMITEDADP OF THE SNF2019-03-29currentpecos_ownership
MILLER, DANIELOPERATIONAL/MANAGERIAL CONTROL2025-01-01currentpecos_ownership
PRUITT, PAULADP OF THE SNF2023-05-01currentpecos_ownership
REWA, ANGELAADP OF THE SNF2023-10-23currentpecos_ownership
RUSSELL, ROBERTADP OF THE SNF2024-04-08currentpecos_ownership
SHATROV, ANZHELIKAADP OF THE SNF2024-12-02currentpecos_ownership
WOLFE, ERICOPERATIONAL/MANAGERIAL CONTROL2023-09-11currentpecos_ownership
4805 LANGLEY SNF REALTY LLCCorporation, partnership or other organization has financial interest in provider100%2022-01-01ended 2022-12-31hcris_a_8_1
4805 LANGLEY SNF REALTY LLCCorporation, partnership or other organization has financial interest in provider100%2021-01-01ended 2021-12-31hcris_a_8_1
DAVID MARX5% OR GREATER DIRECT OWNERSHIP INTEREST100%2019-01-01ended 2026-05-18pecos_ownership
MARGARET CHAMBERLAINCORPORATE OFFICER10%2023-09-11ended 2026-05-18pecos_ownership
4805 LANGLEY SNF REALTY LLCCorporation, partnership or other organization has financial interest in provider2020-01-01ended 2020-12-31hcris_a_8_1
ANGELA REWAADP OF THE SNF2023-10-23ended 2026-05-18pecos_ownership
ANZHELIKA SHATROVOPERATIONAL/MANAGERIAL CONTROL2024-12-02ended 2026-05-18pecos_ownership
DANIEL MILLEROPERATIONAL/MANAGERIAL CONTROL2025-01-01ended 2026-05-18pecos_ownership
DAVID MARXADP OF THE SNF2019-03-29ended 2026-05-18pecos_ownership
ERIC WOLFEOPERATIONAL/MANAGERIAL CONTROL2023-09-11ended 2026-05-18pecos_ownership
JAMES ALEXANDERADP OF THE SNF2023-05-01ended 2026-05-18pecos_ownership
PAUL PRUITTOPERATIONAL/MANAGERIAL CONTROL2023-05-01ended 2026-05-18pecos_ownership
ROBERT RUSSELLOPERATIONAL/MANAGERIAL CONTROL2024-04-08ended 2026-05-18pecos_ownership
RONDEL BOYDADP OF THE SNF2024-12-02ended 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
2019-04-01MAJESTIC CARE OF WHITEHALL LLCSHG WHITEHALL HOLDINGS, LLCchow

Comparable trades — OH snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2024-12-31SAPPHIRE REHABILITATION AND CARE CENTER113SAPPHIRE OPCO LLC
2024-12-31MAJESTIC CARE OF POINT PLACE82POINT PLACE OH HEALTH & REHAB OPCO LLC
2024-12-31MAJESTIC CARE OF NEW LEXINGTON82NEW LEXINGTON OH HEALTH & REHAB OPCO LLC
2024-12-31Atrium Nursing and Rehabilitation99ATRIUM OPCO LLC
2024-12-31Inniswood Health and Rehabilitation99FHS INNISWOOD, INC.
2024-12-31COMMUNITY SKILLED HEALTHCARE110CS OPCO LLC
2024-12-31MAJESTIC CARE OF PERRYSBURG75PERRYSBURG OH HEALTH & REHAB OPCO LLC
2024-12-31GRAFTON OAKS NURSING CENTER99GO OPCO LLC
2024-12-31MAJESTIC CARE OF KENT74KENT OH HEALTH & REHAB OPCO LLC
2024-12-30Chardon Woods161CHARDON WOODS OF JOURNEY LLC
2024-12-16The Pavilion at Canal Fulton for Nursing and Rehab60PAVILION AT CANAL FULTON LLC
2024-12-02BENNINGTON GLEN NURSING & REHABILITATION CENTER79FHS 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
GeoKindBRAmountAs ofSource
county 39049acs median gross0$1,1122024-12-31CENSUS_ACS5
county 39049fmr0$1,1112025-10-01HUD_USER_FMR
county 39049acs median gross1$1,1192024-12-31CENSUS_ACS5
county 39049fmr1$1,1942025-10-01HUD_USER_FMR
county 39049acs median gross2$1,3392024-12-31CENSUS_ACS5
county 39049fmr2$1,4302025-10-01HUD_USER_FMR
county 39049acs median gross3$1,4692024-12-31CENSUS_ACS5
county 39049fmr3$1,7152025-10-01HUD_USER_FMR
county 39049acs median gross4$1,7112024-12-31CENSUS_ACS5
county 39049fmr4$1,9272025-10-01HUD_USER_FMR
county 39049acs median gross5$1,6172024-12-31CENSUS_ACS5
county 39049acs median gross$1,3022024-12-31CENSUS_ACS5
county 39049acs recent mover gross$1,4442024-12-31CENSUS_ACS5
zcta 43213acs median gross0$9232024-12-31CENSUS_ACS5
zcta 43213acs median gross1$9012024-12-31CENSUS_ACS5
zcta 43213acs median gross2$1,1472024-12-31CENSUS_ACS5
zcta 43213acs median gross3$1,2842024-12-31CENSUS_ACS5
zcta 43213acs median gross4$1,5512024-12-31CENSUS_ACS5
zcta 43213acs median gross$1,1512024-12-31CENSUS_ACS5
zcta 43213acs recent mover gross$1,1882024-12-31CENSUS_ACS5
zip 43213payment standard 1100$1,1002025-10-01HUD_USER_SAFMR
zip 43213payment standard 900$9002025-10-01HUD_USER_SAFMR
zip 43213safmr0$1,0002025-10-01HUD_USER_SAFMR
zip 43213payment standard 1101$1,1882025-10-01HUD_USER_SAFMR
zip 43213payment standard 901$9722025-10-01HUD_USER_SAFMR
zip 43213safmr1$1,0802025-10-01HUD_USER_SAFMR
zip 43213payment standard 1102$1,4192025-10-01HUD_USER_SAFMR
zip 43213payment standard 902$1,1612025-10-01HUD_USER_SAFMR
zip 43213safmr2$1,2902025-10-01HUD_USER_SAFMR
zip 43213payment standard 1103$1,7052025-10-01HUD_USER_SAFMR
zip 43213payment standard 903$1,3952025-10-01HUD_USER_SAFMR
zip 43213safmr3$1,5502025-10-01HUD_USER_SAFMR
zip 43213payment standard 1104$1,9142025-10-01HUD_USER_SAFMR
zip 43213payment standard 904$1,5662025-10-01HUD_USER_SAFMR
zip 43213safmr4$1,7402025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.