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 / 365828
C

HARVARD GARDENS REHABILITATION & CARE CENTER

snfOH
18810 HARVARD AVE, CLEVELAND, OH 44122 · CCN 365828 · chain STELLAR CARE GROUP LLC
Composite
80.2 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
130
Model
v1.2
Reads as: riskier than 80.2% 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.
Score model5ML signals6Components16CHOW radar1Distress radar1Staffing11Penalties7Deficiencies73Licensure0Ownership22Related party3Transactions0Comps12Market rent35

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk96.895.30.300.230822.34in index
financial risk80.167.10.300.230818.48in index
staffing risk71.771.70.250.192313.79in index
chow risk51.950.10.150.11545.99in index
billing conduct0.00.00.300.23080.00in 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

6
KindFindingSignalSubjectFirst seen
connectionOwner fleet risk far above national+27.2 vs natlDMT SPE I LLC7 facilities
connectionOwner fleet risk far above national+23.8 vs natlOBERLANDER DAVID9 facilities
connectionOwner spans multiple chains8 chainsSTERN SAMUEL14 facilities
connectionOwner fleet enforcement cluster43% finedDMT SPE I LLC7 facilities
connectionOwner fleet enforcement cluster40% finedLTC PROVIDER SERVICES LLC5 facilities
connectionOwner fleet enforcement cluster40% finedRCX BILLING SOLUTIONS5 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 conduct0.0Av0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk25.0Bv0.1-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 risk75.1Dv0.6default · in composite
financial risk67.1Dv0.5default · in compositeR18.
p adverse action 12m0.0—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 12m5.0—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 risk95.3Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk71.7Dv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk92.5Fv0.1supersededPre-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 risk72.5Dv0.2supersededPre-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 risk58.3Cv0.3supersededPre-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 risk69.6Dv0.4supersededPre-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 risk95.2Fv0.1supersededPre-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 risk95.2Fv0.2supersededPre-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 risk71.7Dv0.1supersededPre-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 risk71.7Dv0.2supersededPre-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)
5.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
89.4
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
For-profit ownership1.00+0.69
Never sold on record1.00+0.62
Current owner tenure (years)25.00+0.57
Deficiencies, last 12 months25.00+0.44
No PBJ staffing report0.00+0.42
Occupancy0.78-0.23
Ownership changes, last 5 years0.00+0.20
Chain size (log)1.10-0.17
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.

Distress radar — 12-month termination probability

full board →
p(termination, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
0.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Deficiencies, last 12 months25.00-3.21
For-profit ownership1.00-0.69
Chain size (log)1.10+0.56
No PBJ staffing report0.00+0.39
Fine amount, 12m (log)0.00+0.18
Occupancy0.78-0.13
Never sold on record1.00+0.12
Facility size (log beds)4.88-0.11
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

11
2025Q4 HPRDThis facilityOH medianNational medianNational p25–p75
Total nurse2.963.243.282.90–3.77
RN0.220.380.390.25–0.58
Weekend total3.113.113.11—
Weekday total2.903.293.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q492101.22.960.221.051.703.110.0%
2025Q39295.32.960.190.931.842.660.0%
2025Q29188.93.220.150.912.162.870.0%
2025Q19096.93.220.201.141.882.860.0%
2024Q39298.12.870.231.001.642.800.0%
2024Q291100.62.600.140.991.472.490.0%
2024Q19196.82.670.151.081.452.500.0%
2023Q49292.82.810.131.241.442.560.0%
2023Q39288.62.860.240.961.662.7923.8%
2023Q29178.62.580.230.851.512.4013.9%
2022Q19072.22.660.230.701.742.450.0%
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

7
fines by year
$153.3k$76.7k232425
DateTypeFineSource
2025-02-13Fine$23,720CMS provider data
2024-02-20Fine$4,178CMS provider data
2024-02-12Fine$3,798CMS provider data
2024-01-22Fine$9,116CMS provider data
2023-12-26Fine$5,454CMS provider data
2023-09-28Fine$147,883CMS provider data
2023-09-28Payment Denial—CMS provider data
Total fines on record: $194,149

Deficiencies

73
C × 1D × 40E × 11F × 18G × 3
deficiencies by survey year
251323242526
SurveyTypeTagDeficiencyScopeCorrected
2026-04-22Health · complaintF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2026-05-01
2026-04-22Health · complaintF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.D2026-05-01
2026-04-22Health · complaintF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.F2026-05-01
2026-04-15Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2026-05-01
2026-04-15Health · complaintF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.G2026-05-01
2026-03-03Health · complaintF0558Reasonably accommodate the needs and preferences of each resident.D2026-05-01
2026-03-03HealthF0569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.E2026-05-01
2026-03-03HealthF0583Keep residents' personal and medical records private and confidential.F2026-05-01
2026-03-03Health · 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.E2026-05-01
2026-03-03HealthF0637Assess the resident when there is a significant change in conditionD2026-05-01
2026-03-03HealthF0641Ensure each resident receives an accurate assessment.E2026-05-01
2026-03-03HealthF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D2026-05-01
2026-03-03HealthF0693Ensure 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.D2026-05-01
2026-03-03HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2026-05-01
2026-03-03Health · complaintF0697Provide safe, appropriate pain management for a resident who requires such services.D2026-05-01
2026-03-03HealthF0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.D2026-05-01
2026-03-03Health · complaintF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.F2026-05-01
2026-03-03HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.F2026-05-01
2026-03-03HealthF0790Provide routine and 24-hour emergency dental care for each resident.D2026-05-01
2026-03-03Health · complaintF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.F2026-05-01
2026-03-03HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2026-05-01
2026-03-03HealthF0814Dispose of garbage and refuse properly.F2026-05-01
2026-03-03HealthF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.C2026-05-01
2026-03-03HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2026-05-01
2026-03-03HealthF0880Provide and implement an infection prevention and control program.D2026-05-01
2025-04-10Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2025-05-02
2025-04-10Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2025-05-02
2025-04-10Health · complaintF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D2025-05-02
2025-04-10Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-05-02
2025-04-10Health · complaintF0610Respond appropriately to all alleged violations.D2025-05-02
2025-04-10Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2025-05-02
2025-04-10Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G2025-05-02
2025-02-13Health · complaintF0565Honor the resident's right to organize and participate in resident/family groups in the facility.E2025-04-10
2025-02-13HealthF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D2025-04-10
2025-02-13HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2025-04-10
2025-02-13HealthF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.D2025-04-10
2025-02-13HealthF0692Provide enough food/fluids to maintain a resident's health.D2025-04-10
2025-02-13HealthF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D2025-04-10
2025-02-13HealthF0761Ensure 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.F2025-04-10
2025-02-13HealthF0880Provide and implement an infection prevention and control program.F2025-04-10
2025-02-13Health · complaintF0919Make sure that a working call system is available in each resident's bathroom and bathing area.D2025-04-10
2025-01-08Health · 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.E2025-01-21
2025-01-08Health · complaintF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2025-01-21
2025-01-08Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2025-01-21
2024-10-29Health · complaintF0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.D2024-11-08
2024-02-22Health · 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.E2024-03-08
2024-02-22Health · complaintF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E2024-02-07
2024-02-22Health · complaintF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D2024-03-08
2024-02-22Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2024-03-08
2024-01-18Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-01-19
2023-09-28HealthF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2023-11-29
2023-09-28HealthF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2023-11-29
2023-09-28HealthF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D2023-11-29
2023-09-28HealthF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2023-11-29
2023-09-28HealthF0610Respond appropriately to all alleged violations.D2023-11-29
2023-09-28HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2023-11-29
2023-09-28HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E2023-11-29
2023-09-28Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2023-11-29
2023-09-28Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G2023-11-29
2023-09-28Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2023-11-29
2023-09-28Health · complaintF0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.D2023-11-29
2023-09-28HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2023-12-06
2023-09-28HealthF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.D2023-11-29
2023-09-28HealthF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.D2023-11-29
2023-09-28HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.F2023-12-06
2023-09-28HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2023-11-29
2023-09-28Health · complaintF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.F2023-11-29
2023-09-28HealthF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.F2023-11-29
2023-09-28Health · complaintF0880Provide and implement an infection prevention and control program.F2023-11-29
2023-09-28Health · complaintF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.E2023-11-29
2023-09-28Health · complaintF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.F2023-11-29
2023-09-28Health · complaintF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.D2023-11-29
2023-09-28HealthF0926Have policies on smoking.F2023-11-29
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

22
OwnerRolePctFromStatusSource
HGRCC HOLDINGS LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2024-04-19currentpecos_ownership
DMT SPE I LLC5% OR GREATER MORTGAGE INTEREST—2024-04-19currentpecos_ownership
EIDILSZ-STERN, SUSANCORPORATE OFFICER—2023-03-01currentpecos_ownership
GULICH, NICHOLASOPERATIONAL/MANAGERIAL CONTROL—2024-12-31currentpecos_ownership
KING, RICHARDDIRECT OWNERSHIP INTEREST—2024-12-31currentpecos_ownership
LTC PROVIDER SERVICES LLCDIRECT OWNERSHIP INTEREST—2023-03-01currentpecos_ownership
OBERLANDER, DAVIDMANAGING CONTROL - GOVERNING BODY—2024-12-31currentpecos_ownership
OBERLANDER, DAVIDCORPORATE OFFICER—2023-03-01currentpecos_ownership
RCX BILLING SOLUTIONSOPERATIONAL/MANAGERIAL CONTROL—2023-03-01currentpecos_ownership
STELLAR CARE GROUP LLCDIRECT OWNERSHIP INTEREST—2023-03-01currentpecos_ownership
STERN, SAMUELCORPORATE OFFICER—2023-03-01currentpecos_ownership
WENGER, YEHUDATRUSTEE OF THE SNF—2024-04-19currentpecos_ownership
WENGER, YEHUDAOPERATIONAL/MANAGERIAL CONTROL—2023-03-01currentpecos_ownership
WP OPERATING LLC5% OR GREATER MORTGAGE INTEREST—2024-09-19currentpecos_ownership
DAVID OBERLANDERCORPORATE OFFICER75%2023-03-01ended 2026-05-18pecos_ownership
DAVID OBERLANDERMANAGING CONTROL - GOVERNING BODY—2024-12-31ended 2026-05-18pecos_ownership
NICHOLAS GULICHOPERATIONAL/MANAGERIAL CONTROL—2024-12-31ended 2026-05-18pecos_ownership
RICHARD KINGDIRECT OWNERSHIP INTEREST—2024-12-31ended 2026-05-18pecos_ownership
SAMUEL STERNCORPORATE OFFICER—2023-03-01ended 2026-05-18pecos_ownership
SUSAN EIDILSZ-STERNCORPORATE OFFICER—2023-03-01ended 2026-05-18pecos_ownership
YEHUDA WENGERDIRECT OWNERSHIP INTEREST—2023-03-01ended 2026-05-18pecos_ownership
YEHUDA WENGERTRUSTEE OF THE SNF—2024-04-19ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

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.

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

35
GeoKindBRAmountAs ofSource
county 39035acs median gross0$7922024-12-31CENSUS_ACS5
county 39035fmr0$9332025-10-01HUD_USER_FMR
county 39035acs median gross1$8592024-12-31CENSUS_ACS5
county 39035fmr1$1,0582025-10-01HUD_USER_FMR
county 39035acs median gross2$1,1062024-12-31CENSUS_ACS5
county 39035fmr2$1,2792025-10-01HUD_USER_FMR
county 39035acs median gross3$1,2902024-12-31CENSUS_ACS5
county 39035fmr3$1,6462025-10-01HUD_USER_FMR
county 39035acs median gross4$1,4422024-12-31CENSUS_ACS5
county 39035fmr4$1,7602025-10-01HUD_USER_FMR
county 39035acs median gross5$1,5482024-12-31CENSUS_ACS5
county 39035acs median gross$1,0602024-12-31CENSUS_ACS5
county 39035acs recent mover gross$1,2182024-12-31CENSUS_ACS5
zcta 44122acs median gross0$1,1622024-12-31CENSUS_ACS5
zcta 44122acs median gross1$1,5022024-12-31CENSUS_ACS5
zcta 44122acs median gross2$1,6502024-12-31CENSUS_ACS5
zcta 44122acs median gross3$1,5732024-12-31CENSUS_ACS5
zcta 44122acs median gross4$2,6142024-12-31CENSUS_ACS5
zcta 44122acs median gross$1,6022024-12-31CENSUS_ACS5
zcta 44122acs recent mover gross$1,8432024-12-31CENSUS_ACS5
zip 44122payment standard 1100$1,4742025-10-01HUD_USER_SAFMR
zip 44122payment standard 900$1,2062025-10-01HUD_USER_SAFMR
zip 44122safmr0$1,3402025-10-01HUD_USER_SAFMR
zip 44122payment standard 1101$1,6722025-10-01HUD_USER_SAFMR
zip 44122payment standard 901$1,3682025-10-01HUD_USER_SAFMR
zip 44122safmr1$1,5202025-10-01HUD_USER_SAFMR
zip 44122payment standard 1102$2,0242025-10-01HUD_USER_SAFMR
zip 44122payment standard 902$1,6562025-10-01HUD_USER_SAFMR
zip 44122safmr2$1,8402025-10-01HUD_USER_SAFMR
zip 44122payment standard 1103$2,6072025-10-01HUD_USER_SAFMR
zip 44122payment standard 903$2,1332025-10-01HUD_USER_SAFMR
zip 44122safmr3$2,3702025-10-01HUD_USER_SAFMR
zip 44122payment standard 1104$2,7832025-10-01HUD_USER_SAFMR
zip 44122payment standard 904$2,2772025-10-01HUD_USER_SAFMR
zip 44122safmr4$2,5302025-10-01HUD_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 · HARVARD GARDENS REHABILITATION & CARE CENTER (365828) · 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