327 WEST MAIN STREET, CRESTLINE, OH 44827 · CCN 366002
Composite
18.0 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
30
Model
v1.2
Reads as: riskier than 18.0% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
ML signals — parallel engine
2
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
8 chains
LAHASKY EPHRAM
23 facilities
connection
Owner fleet enforcement cluster
42% fined
KATZ LARRY
19 facilities
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.
Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure.
R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite.
R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite.
Pre-registry model iteration, superseded by a later 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.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
16
2025Q4 HPRD
This facility
OH median
National median
National p25–p75
Total nurse
3.12
3.24
3.28
2.90–3.77
RN
0.67
0.38
0.39
0.25–0.58
Weekend total
2.94
3.11
3.11
—
Weekday total
3.19
3.29
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
23.1
3.12
0.67
0.54
1.92
2.94
0.0%
2025Q3
92
25.0
3.08
0.53
0.59
1.97
3.07
7.6%
2025Q2
91
23.2
3.29
0.57
0.63
2.09
3.30
14.2%
2025Q1
90
23.6
3.25
0.58
0.56
2.11
3.14
15.5%
2024Q4
92
21.6
3.49
0.66
0.68
2.15
3.33
16.3%
2024Q3
92
17.8
4.15
0.77
0.85
2.53
4.12
14.1%
2024Q2
91
20.1
3.53
0.52
0.86
2.15
3.46
7.7%
2024Q1
91
22.4
3.37
0.40
0.85
2.13
3.35
0.6%
2023Q4
92
23.6
3.33
0.41
0.77
2.15
3.26
2.6%
2023Q3
92
24.3
2.96
0.25
0.80
1.92
2.96
10.1%
2023Q2
91
24.5
3.08
0.17
0.89
2.02
3.03
10.2%
2023Q1
90
25.5
2.88
0.30
0.74
1.84
2.88
12.7%
2022Q4
92
22.4
3.03
0.31
0.78
1.94
3.06
12.1%
2022Q3
92
22.4
3.18
0.41
0.74
2.03
3.17
20.6%
2022Q2
91
22.8
3.03
0.32
0.77
1.94
3.02
7.8%
2022Q1
90
21.6
3.06
0.28
0.80
1.99
3.03
1.3%
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.
Penalties
0
No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
30
C × 1D × 22E × 5F × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-06-18
Health
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
E
2025-08-29
2025-06-18
Health
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
2025-08-14
2025-06-18
Health
F0690
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
2025-08-14
2025-06-18
Health
F0693
Ensure 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.
D
2025-08-14
2025-06-18
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-08-14
2025-06-18
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2025-08-14
2025-06-18
Health
F0756
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
E
2025-08-14
2025-06-18
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2025-08-14
2025-06-18
Health
F0760
Ensure that residents are free from significant medication errors.
D
2025-08-14
2025-06-18
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F
2025-08-14
2025-06-18
Health
F0805
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
D
2025-08-14
2025-06-18
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2025-08-14
2025-06-18
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-08-29
2024-05-03
Health · complaint
F0761
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
D
2024-05-17
2024-05-03
Health · complaint
F0803
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
E
2024-05-17
2024-03-14
Health · complaint
F0803
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
F
2024-04-09
2023-06-23
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2023-06-27
2023-06-23
Health · complaint
F0773
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
D
2023-06-27
2022-08-25
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2022-09-30
2022-08-25
Health
F0610
Respond appropriately to all alleged violations.
D
2022-09-30
2022-08-25
Health
F0688
Provide 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.
D
2022-09-30
2022-08-25
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2022-09-30
2022-08-25
Health
F0760
Ensure that residents are free from significant medication errors.
D
2022-09-30
2022-08-25
Health
F0801
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
E
2022-09-30
2022-08-25
Health
F0803
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
E
2022-09-30
2019-08-22
Health
F0577
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
C
2019-09-30
2019-08-22
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2019-09-30
2019-08-22
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2019-09-30
2019-08-22
Health
F0758
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
D
2019-09-30
2019-08-22
Health
F0881
Implement a program that monitors antibiotic use.
D
2019-09-30
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
18
Owner
Role
Pct
From
Status
Source
ALESSI, ALLSION
ADP OF THE SNF
—
2026-02-24
current
pecos_ownership
BRAUNSTEIN BEARS 2016 TRUST
INDIRECT OWNERSHIP INTEREST
—
2017-09-18
current
pecos_ownership
BRAUNSTEIN, BARRY
CORPORATE OFFICER
—
2017-09-18
current
pecos_ownership
CRESTLINE NRSG CTR PROPCO LLC
Corporation, partnership or other organization has financial interest in provider
—
2024-01-01
current
hcris_a_8_1
CRESTLINE NRSG CTR PROPCO LLC
Corporation, partnership or other organization has financial interest in provider
—
2023-01-01
current
hcris_a_8_1
EL-NORTHWOOD LLC
INDIRECT OWNERSHIP INTEREST
—
2017-09-18
current
pecos_ownership
FEUER, SAMUEL
INDIRECT OWNERSHIP INTEREST
—
2017-09-18
current
pecos_ownership
KATZ, LARRY
ADP OF THE SNF
—
2017-09-18
current
pecos_ownership
LAHASKY, EPHRAM
ADP OF THE SNF
—
2017-09-18
current
pecos_ownership
LESHKOWITZ, ELI
ADP OF THE SNF
—
2017-09-18
current
pecos_ownership
NORTHWOOD HEALTHCARE MANAGING MEMBER LLC
INDIRECT OWNERSHIP INTEREST
—
2017-09-18
current
pecos_ownership
NORTHWOOD HEALTHCARE MEMBER LLC
ADP OF THE SNF
—
2017-09-18
current
pecos_ownership
NORTHWOOD HEALTHCARE OPERATING HOLDINGS LLC
DIRECT OWNERSHIP INTEREST
—
2017-09-18
current
pecos_ownership
OAKWOOD CONSULTING
ADP OF THE SNF
—
2017-09-18
current
pecos_ownership
PATTERSON, MICHAEL
OPERATIONAL/MANAGERIAL CONTROL
—
2017-09-18
current
pecos_ownership
CRESTLINE NRSG CTR PROPCO
Corporation, partnership or other organization has financial interest in provider
100%
2020-01-01
ended 2020-12-31
hcris_a_8_1
CRESTLINE NRSG CTR PROPCO
Corporation, partnership or other organization has financial interest in provider
—
2022-01-01
ended 2022-12-31
hcris_a_8_1
CRESTLINE NRSG CTR PROPCO
Corporation, partnership or other organization has financial interest in provider
—
2021-01-01
ended 2021-12-31
hcris_a_8_1
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Related-party costs
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$106,638
—
—
—
—
1
propco
2023-12-31
$103,581
—
—
—
—
1
propco
2022-12-31
$237,720
—
—
—
—
2
propco
2021-12-31
$196,104
$3,494
—
—
$33,597
2
propco
2020-12-31
$255,403
$194
—
—
$44,953
2
propco
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
Transactions
0
No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
33
Geo
Kind
BR
Amount
As of
Source
county 39033
acs median gross
0
$704
2024-12-31
CENSUS_ACS5
county 39033
fmr
0
$780
2025-10-01
HUD_USER_FMR
county 39033
acs median gross
1
$636
2024-12-31
CENSUS_ACS5
county 39033
fmr
1
$811
2025-10-01
HUD_USER_FMR
county 39033
acs median gross
2
$790
2024-12-31
CENSUS_ACS5
county 39033
fmr
2
$973
2025-10-01
HUD_USER_FMR
county 39033
acs median gross
3
$943
2024-12-31
CENSUS_ACS5
county 39033
fmr
3
$1,283
2025-10-01
HUD_USER_FMR
county 39033
acs median gross
4
$951
2024-12-31
CENSUS_ACS5
county 39033
fmr
4
$1,288
2025-10-01
HUD_USER_FMR
county 39033
acs median gross
5
$1,362
2024-12-31
CENSUS_ACS5
county 39033
acs median gross
$794
2024-12-31
CENSUS_ACS5
county 39033
acs recent mover gross
$917
2024-12-31
CENSUS_ACS5
zcta 44827
acs median gross
1
$617
2024-12-31
CENSUS_ACS5
zcta 44827
acs median gross
2
$829
2024-12-31
CENSUS_ACS5
zcta 44827
acs median gross
3
$806
2024-12-31
CENSUS_ACS5
zcta 44827
acs median gross
4
$954
2024-12-31
CENSUS_ACS5
zcta 44827
acs median gross
$750
2024-12-31
CENSUS_ACS5
zip 44827
payment standard 110
0
$858
2025-10-01
HUD_USER_SAFMR
zip 44827
payment standard 90
0
$702
2025-10-01
HUD_USER_SAFMR
zip 44827
safmr
0
$780
2025-10-01
HUD_USER_SAFMR
zip 44827
payment standard 110
1
$891
2025-10-01
HUD_USER_SAFMR
zip 44827
payment standard 90
1
$729
2025-10-01
HUD_USER_SAFMR
zip 44827
safmr
1
$810
2025-10-01
HUD_USER_SAFMR
zip 44827
payment standard 110
2
$1,078
2025-10-01
HUD_USER_SAFMR
zip 44827
payment standard 90
2
$882
2025-10-01
HUD_USER_SAFMR
zip 44827
safmr
2
$980
2025-10-01
HUD_USER_SAFMR
zip 44827
payment standard 110
3
$1,430
2025-10-01
HUD_USER_SAFMR
zip 44827
payment standard 90
3
$1,170
2025-10-01
HUD_USER_SAFMR
zip 44827
safmr
3
$1,300
2025-10-01
HUD_USER_SAFMR
zip 44827
payment standard 110
4
$1,452
2025-10-01
HUD_USER_SAFMR
zip 44827
payment standard 90
4
$1,188
2025-10-01
HUD_USER_SAFMR
zip 44827
safmr
4
$1,320
2025-10-01
HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.