Composite
45.1 / 100 percentile
Screener / 366448
B
STELLAR CARE CENTER
snfOHSFF: SFF Candidate
47045 MOORE RIDGE ROAD, WOODSFIELD, OH 43793 · CCN 366448 · chain LIONSTONE ALS OPCO HOLDINGS LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
41
Model
v1.2
Reads as: riskier than 45.1% 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 model5Components16CHOW radar1Distress radar1Staffing16Penalties4Deficiencies97Licensure0Ownership20Related party5Transactions1Comps12Market rent33
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 98.1 | 97.1 | 0.30 | 0.2308 | 22.64 | in index |
| financial risk | 43.4 | 41.6 | 0.30 | 0.2308 | 10.02 | in index |
| chow risk | 72.3 | 49.7 | 0.15 | 0.1154 | 8.34 | in index |
| staffing risk | 29.4 | 29.5 | 0.25 | 0.1923 | 5.65 | in index |
| billing conduct | 0.0 | 0.0 | 0.30 | 0.2308 | 0.00 | in 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.
Component scores and registry models
16| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 0.0 | A | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 56.0 | C | v0.1-pos | default · in composite | 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. |
| chow risk | 43.3 | B | v0.6 | default · in composite | |
| financial risk | 41.6 | B | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.0 | — | v0.1 | default · in composite | 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. |
| p chow 12m | 0.2 | — | v0.1 | default · in 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. |
| regulatory risk | 97.1 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 29.5 | B | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 90.5 | F | v0.1 | superseded | 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. |
| financial risk | 70.5 | D | v0.2 | superseded | 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. |
| financial risk | 42.2 | B | v0.3 | superseded | 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. |
| financial risk | 47.1 | C | v0.4 | superseded | 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. |
| regulatory risk | 97.3 | F | v0.1 | superseded | 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. |
| regulatory risk | 97.3 | F | v0.2 | superseded | 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. |
| staffing risk | 29.5 | B | v0.1 | superseded | 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. |
| staffing risk | 29.5 | B | v0.2 | superseded | 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.
CHOW radar — 12-month sale probability
full board →p(CHOW, 12m)
0.2%
model v0.1 · computed 2026-07-29
Percentile among SNFs
35.0
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 6.53 | -1.21 | |
| Deficiencies, last 12 months | 36.00 | +0.70 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Occupancy | 0.82 | -0.37 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Total nurse staffing (HPRD) | 3.66 | -0.12 |
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
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 36.00 | -5.25 | |
| For-profit ownership | 1.00 | -0.69 | |
| Fine amount, 12m (log) | 10.87 | -0.62 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Occupancy | 0.82 | -0.32 | |
| Never sold on record | 0.00 | -0.28 | |
| Chain size (log) | 1.61 | +0.26 | |
| Staffing trend, last 4 quarters | 0.51 | +0.21 |
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 | 3.66 | 3.24 | 3.28 | 2.90–3.77 |
| RN | 0.38 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 3.54 | 3.11 | 3.11 | — |
| Weekday total | 3.70 | 3.29 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 33.8 | 3.66 | 0.38 | 1.00 | 2.28 | 3.54 | 13.3% |
| 2025Q3 | 92 | 33.3 | 3.16 | 0.43 | 0.86 | 1.87 | 3.02 | 14.6% |
| 2025Q2 | 91 | 32.2 | 3.37 | 0.54 | 0.93 | 1.90 | 3.36 | 13.1% |
| 2025Q1 | 90 | 34.3 | 3.29 | 0.32 | 0.96 | 2.01 | 3.33 | 16.1% |
| 2024Q4 | 92 | 33.4 | 3.15 | 0.53 | 0.96 | 1.65 | 3.03 | 17.4% |
| 2024Q3 | 92 | 32.5 | 3.38 | 0.59 | 0.90 | 1.88 | 3.17 | 17.4% |
| 2024Q2 | 91 | 35.2 | 3.20 | 0.27 | 1.18 | 1.75 | 3.13 | 15.7% |
| 2024Q1 | 91 | 36.2 | 3.41 | 0.31 | 1.03 | 2.06 | 3.41 | 10.5% |
| 2023Q4 | 92 | 34.3 | 3.55 | 0.25 | 1.22 | 2.08 | 3.52 | 8.6% |
| 2023Q3 | 92 | 33.5 | 3.37 | 0.38 | 1.15 | 1.84 | 3.30 | 10.5% |
| 2023Q2 | 91 | 32.4 | 4.00 | 0.48 | 1.10 | 2.42 | 3.89 | 5.3% |
| 2023Q1 | 90 | 33.4 | 3.88 | 0.58 | 0.96 | 2.34 | 3.84 | 0.0% |
| 2022Q4 | 92 | 30.7 | 4.11 | 0.64 | 1.01 | 2.45 | 3.96 | 2.5% |
| 2022Q3 | 92 | 33.7 | 3.75 | 0.74 | 0.78 | 2.23 | 3.63 | 0.0% |
| 2022Q2 | 91 | 29.3 | 4.07 | 0.60 | 0.99 | 2.47 | 3.88 | 0.0% |
| 2022Q1 | 90 | 37.5 | 3.16 | 0.48 | 0.93 | 1.75 | 3.14 | 0.0% |
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.
Penalties
4fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-09-22 | Fine | $52,360 | CMS provider data |
| 2024-11-07 | Payment Denial | — | CMS provider data |
| 2024-07-29 | Fine | $175,490 | CMS provider data |
| 2024-07-29 | Payment Denial | — | CMS provider data |
Total fines on record: $227,850
Deficiencies
97D × 68E × 6F × 21J × 2
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-01-28 | Health | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | 2026-03-16 |
| 2026-01-28 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2026-03-16 |
| 2026-01-28 | Health | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | 2026-03-16 |
| 2026-01-28 | Health | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2026-03-16 |
| 2026-01-28 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2026-03-16 |
| 2026-01-28 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-03-16 |
| 2026-01-28 | 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 | 2026-03-16 |
| 2026-01-28 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2026-03-16 |
| 2026-01-28 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2026-03-16 |
| 2026-01-28 | Health · complaint | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | 2026-03-16 |
| 2026-01-28 | 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. | D | 2026-03-16 |
| 2026-01-28 | Health | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | 2026-03-16 |
| 2026-01-28 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2026-03-16 |
| 2026-01-28 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2026-03-16 |
| 2026-01-28 | Health | F0881 | Implement a program that monitors antibiotic use. | D | 2026-03-16 |
| 2026-01-28 | Health | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | 2026-03-16 |
| 2025-09-30 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | F | 2025-10-20 |
| 2025-09-30 | Health · complaint | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2025-10-20 |
| 2025-09-30 | Health · complaint | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2025-10-20 |
| 2025-09-30 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-10-20 |
| 2025-09-30 | Health · complaint | F0679 | Provide activities to meet all resident's needs. | F | 2025-10-20 |
| 2025-09-30 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2025-10-20 |
| 2025-09-30 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2025-10-20 |
| 2025-09-30 | Health · complaint | 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. | J | 2025-10-20 |
| 2025-09-30 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-10-20 |
| 2025-09-30 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2025-10-20 |
| 2025-09-30 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | 2025-10-20 |
| 2025-09-30 | Health · complaint | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | F | 2025-10-20 |
| 2025-09-30 | Health · complaint | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | 2025-10-20 |
| 2025-09-30 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-10-20 |
| 2025-09-30 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | 2025-10-20 |
| 2025-09-30 | Health · complaint | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | 2025-10-20 |
| 2025-09-30 | Health · complaint | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | 2025-10-20 |
| 2025-09-30 | Health · complaint | F0838 | Conduct 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. | F | 2025-10-20 |
| 2025-09-30 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-10-20 |
| 2025-09-30 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-10-20 |
| 2025-04-21 | Health · complaint | F0641 | Ensure each resident receives an accurate assessment. | D | 2025-05-09 |
| 2025-04-21 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2025-05-09 |
| 2025-04-21 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-05-09 |
| 2025-04-21 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2025-05-09 |
| 2025-04-21 | Health · complaint | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | 2025-05-09 |
| 2025-04-21 | Health · complaint | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2025-05-09 |
| 2025-04-21 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | F | 2025-05-09 |
| 2024-12-10 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-01-23 |
| 2024-11-07 | Health | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | 2025-01-23 |
| 2024-11-07 | Health | F0584 | Honor 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. | E | 2025-01-23 |
| 2024-11-07 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2025-01-23 |
| 2024-11-07 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2025-01-23 |
| 2024-11-07 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-01-23 |
| 2024-11-07 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2025-01-23 |
| 2024-11-07 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-01-23 |
| 2024-11-07 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-01-23 |
| 2024-11-07 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2025-01-23 |
| 2024-11-07 | 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 | 2025-01-23 |
| 2024-11-07 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-01-23 |
| 2024-09-11 | Health · complaint | F0584 | Honor 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. | E | 2024-10-03 |
| 2024-09-11 | Health · complaint | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | 2024-10-03 |
| 2024-09-11 | Health · complaint | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | 2024-10-03 |
| 2024-09-11 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-10-03 |
| 2024-09-11 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-10-03 |
| 2024-09-11 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-10-03 |
| 2024-09-11 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-10-03 |
| 2024-09-11 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | 2024-10-03 |
| 2024-09-11 | Health · complaint | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2024-10-03 |
| 2024-09-11 | Health · complaint | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | 2024-10-03 |
| 2024-07-29 | Health · complaint | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-09-11 |
| 2024-07-29 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | 2024-10-03 |
| 2024-07-29 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-10-03 |
| 2024-07-29 | Health · complaint | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | 2024-09-11 |
| 2024-07-29 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-10-03 |
| 2024-07-29 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | 2024-10-03 |
| 2024-07-29 | Health · complaint | F0727 | Have 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. | F | 2024-09-11 |
| 2024-07-29 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2024-09-11 |
| 2024-07-29 | Health · complaint | F0837 | Establish 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. | F | 2024-09-11 |
| 2024-07-29 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | F | 2024-10-03 |
| 2024-07-29 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | F | 2024-10-03 |
| 2024-07-29 | Health · complaint | F0881 | Implement a program that monitors antibiotic use. | F | 2024-10-03 |
| 2024-07-29 | Health · complaint | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | 2024-09-11 |
| 2024-07-29 | Health · complaint | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | 2024-09-11 |
| 2023-07-25 | Health · complaint | 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 | 2023-09-15 |
| 2023-07-25 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2023-09-15 |
| 2023-07-25 | Health · complaint | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | 2023-09-13 |
| 2023-07-25 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-09-13 |
| 2023-06-01 | Health | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | 2023-06-23 |
| 2023-06-01 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2023-06-23 |
| 2023-06-01 | Health | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2023-09-15 |
| 2023-06-01 | Health | F0637 | Assess the resident when there is a significant change in condition | D | 2023-06-23 |
| 2023-06-01 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2023-06-23 |
| 2023-06-01 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2023-06-23 |
| 2023-06-01 | 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 | 2023-09-15 |
| 2023-06-01 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-06-23 |
| 2023-06-01 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-09-15 |
| 2023-06-01 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2023-09-15 |
| 2023-06-01 | 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 | 2023-09-15 |
| 2023-06-01 | Health | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | 2023-06-23 |
| 2023-06-01 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-06-23 |
| 2023-06-01 | Health | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | 2023-06-23 |
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
0No 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
20| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| LIONSTONE ALS OPCO HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-07-01 | current | pecos_ownership |
| STELLAR PROPCO LLC | Corporation, partnership or other organization has financial interest in provider | 100% | 2024-01-01 | current | hcris_a_8_1 |
| STELLAR PROPCO LLC | Corporation, partnership or other organization has financial interest in provider | 100% | 2023-01-01 | current | hcris_a_8_1 |
| KAZARNOVSKY, SOLOMON | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2022-07-01 | current | pecos_ownership |
| STEIN, ABBA | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2022-07-01 | current | pecos_ownership |
| CUSNER, ADAM | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-27 | current | pecos_ownership |
| DEGYANSKY, JEFFREY | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-06-30 | current | pecos_ownership |
| DEGYANSKY, JEFFREY | CORPORATE OFFICER | — | 2020-01-01 | current | pecos_ownership |
| GOLDISH, ELIEZER | CORPORATE OFFICER | — | 2023-10-09 | current | pecos_ownership |
| KAZARNOVSKY, SOLOMON | ADP OF THE SNF | — | 2022-06-30 | current | pecos_ownership |
| STEIN, ABBA | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-06-30 | current | pecos_ownership |
| STELLAR PROPCO | Corporation, partnership or other organization has financial interest in provider | 100% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| ABBA STEIN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2022-07-01 | ended 2026-05-18 | pecos_ownership |
| SOLOMON KAZARNOVSKY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2022-07-01 | ended 2026-05-18 | pecos_ownership |
| ABBA STEIN | ADP OF THE SNF | — | 2022-06-30 | ended 2026-05-18 | pecos_ownership |
| ADAM CUSNER | CORPORATE OFFICER | — | 2025-01-27 | ended 2026-05-18 | pecos_ownership |
| ELIEZER GOLDISH | ADP OF THE SNF | — | 2023-10-09 | ended 2026-05-18 | pecos_ownership |
| JEFFREY DEGYANSKY | CORPORATE OFFICER | — | 2020-01-01 | ended 2026-05-18 | pecos_ownership |
| JEFFREY DEGYANSKY | ADP OF THE SNF | — | 2022-06-30 | ended 2026-05-18 | pecos_ownership |
| SOLOMON KAZARNOVSKY | ADP OF THE SNF | — | 2022-06-30 | ended 2026-05-18 | pecos_ownership |
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Transactions
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2020-01-16 | — | MONROE COUNTY OPERATING LLC | MONROE COUNTY AUDITOR | chow |
Comparable trades — OH snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2024-12-31 | SAPPHIRE REHABILITATION AND CARE CENTER | — | — | — | 113 | SAPPHIRE OPCO LLC |
| 2024-12-31 | MAJESTIC CARE OF POINT PLACE | — | — | — | 82 | POINT PLACE OH HEALTH & REHAB OPCO LLC |
| 2024-12-31 | MAJESTIC CARE OF NEW LEXINGTON | — | — | — | 82 | NEW LEXINGTON OH HEALTH & REHAB OPCO LLC |
| 2024-12-31 | Atrium Nursing and Rehabilitation | — | — | — | 99 | ATRIUM OPCO LLC |
| 2024-12-31 | Inniswood Health and Rehabilitation | — | — | — | 99 | FHS INNISWOOD, INC. |
| 2024-12-31 | COMMUNITY SKILLED HEALTHCARE | — | — | — | 110 | CS OPCO LLC |
| 2024-12-31 | MAJESTIC CARE OF PERRYSBURG | — | — | — | 75 | PERRYSBURG OH HEALTH & REHAB OPCO LLC |
| 2024-12-31 | GRAFTON OAKS NURSING CENTER | — | — | — | 99 | GO OPCO LLC |
| 2024-12-31 | MAJESTIC CARE OF KENT | — | — | — | 74 | KENT OH HEALTH & REHAB OPCO LLC |
| 2024-12-30 | Chardon Woods | — | — | — | 161 | CHARDON WOODS OF JOURNEY LLC |
| 2024-12-16 | The Pavilion at Canal Fulton for Nursing and Rehab | — | — | — | 60 | PAVILION AT CANAL FULTON LLC |
| 2024-12-02 | BENNINGTON GLEN NURSING & REHABILITATION CENTER | — | — | — | 79 | FHS 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
33| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 39111 | fmr | 0 | $736 | 2025-10-01 | HUD_USER_FMR |
| county 39111 | acs median gross | 1 | $479 | 2024-12-31 | CENSUS_ACS5 |
| county 39111 | fmr | 1 | $742 | 2025-10-01 | HUD_USER_FMR |
| county 39111 | acs median gross | 2 | $803 | 2024-12-31 | CENSUS_ACS5 |
| county 39111 | fmr | 2 | $973 | 2025-10-01 | HUD_USER_FMR |
| county 39111 | acs median gross | 3 | $678 | 2024-12-31 | CENSUS_ACS5 |
| county 39111 | fmr | 3 | $1,283 | 2025-10-01 | HUD_USER_FMR |
| county 39111 | acs median gross | 4 | $888 | 2024-12-31 | CENSUS_ACS5 |
| county 39111 | fmr | 4 | $1,288 | 2025-10-01 | HUD_USER_FMR |
| county 39111 | acs median gross | 5 | $1,125 | 2024-12-31 | CENSUS_ACS5 |
| county 39111 | acs median gross | $672 | 2024-12-31 | CENSUS_ACS5 | |
| county 39111 | acs recent mover gross | $608 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 43793 | acs median gross | 1 | $484 | 2024-12-31 | CENSUS_ACS5 |
| zcta 43793 | acs median gross | 2 | $860 | 2024-12-31 | CENSUS_ACS5 |
| zcta 43793 | acs median gross | 3 | $767 | 2024-12-31 | CENSUS_ACS5 |
| zcta 43793 | acs median gross | 4 | $917 | 2024-12-31 | CENSUS_ACS5 |
| zcta 43793 | acs median gross | $707 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 43793 | acs recent mover gross | $636 | 2024-12-31 | CENSUS_ACS5 | |
| zip 43793 | payment standard 110 | 0 | $814 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43793 | payment standard 90 | 0 | $666 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43793 | safmr | 0 | $740 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43793 | payment standard 110 | 1 | $814 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43793 | payment standard 90 | 1 | $666 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43793 | safmr | 1 | $740 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43793 | payment standard 110 | 2 | $1,067 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43793 | payment standard 90 | 2 | $873 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43793 | safmr | 2 | $970 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43793 | payment standard 110 | 3 | $1,408 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43793 | payment standard 90 | 3 | $1,152 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43793 | safmr | 3 | $1,280 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43793 | payment standard 110 | 4 | $1,419 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43793 | payment standard 90 | 4 | $1,161 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43793 | safmr | 4 | $1,290 | 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.