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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L· |
| Actual harm | G4 | H· | I· |
| Potential harm | D36 | E37 | F38 |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Dec 31, 2025 | Fire safety | Fire Safety Standard | 22 | Potential harm | 2 | Open → |
| Dec 31, 2025 | Health | Health Complaint, Health Standard | 29 | Immediate jeopardy | — | Open → |
| Oct 7, 2024 | Health | Health Complaint, Infection Control | 3 | Potential harm | — | Open → |
| Sep 3, 2024 | Fire safety | Fire Safety Complaint | 1 | Potential harm | — | Open → |
| Jul 18, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| May 1, 2024 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Apr 11, 2024 | Fire safety | Fire Safety Standard | 27 | Immediate jeopardy | — | Open → |
| Apr 11, 2024 | Health | Health Complaint, Health Standard | 16 | Actual harm | — | Open → |
| Apr 21, 2022 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Apr 21, 2022 | Health | Health Standard | 9 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Dec 31, 2025 | Denial of payment for new admissions | — | Jan 27, 2026 · 23 days | 365539|Payment Denial|2026-01-27 |
| Dec 31, 2025 | Civil money penalty (fine) | $214,425 | — | 365539|Fine|143581 |
| Apr 11, 2024 | Civil money penalty (fine) | $16,042 | — | 365539|Fine|78197 |
| Apr 11, 2024 | Civil money penalty (fine) | $4,095 | — | 365539|Fine|78198 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L· |
| Actual harm | G4 | H· | I· |
| Potential harm | D36 | E37 | F38 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Dec 31, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | J · Immediate jeopardy Isolated | Corrected Feb 19, 2026 | Complaint |
| Dec 31, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Feb 18, 2026 | Complaint |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
6 facilities in 1 states. CMS chain ID 805.
Chain average overall rating (CMS): 2.5
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Castle Rock Nursing Member, LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 41% | May 1, 2020 |
| Ilya Mahilnitski | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 15% | Jan 1, 2023 |
| Mikols Gottlieb | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% | May 1, 2020 |
| Yfr Equities LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 8% | May 1, 2020 |
| Meb Irrv Tr | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5% | May 1, 2020 |
| Matis Friedman | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 41% | May 1, 2020 |
| Alyssa Barenbaum | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | May 1, 2020 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Castle Rock Nursing Member, LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 41% | May 1, 2020 |
| Ilya Mahilnitski | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 15% | Jan 1, 2023 |
| Mikols Gottlieb | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% | May 1, 2020 |
| Yfr Equities LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 8% | May 1, 2020 |
| Meb Irrv Tr | Organization |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Eastbrook Healthcare Center 17322 Euclid Ave, Cleveland, OH 44112 CCN 365129 | 109 | Jan 15, 2026 | 741 IJ1 open | $24k | |
| Autumnwood Care Center 670 E Sr 18, Tiffin, OH 44883 CCN 365380 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Gillette Nursing Home 3310 Elm Rd, Warren, OH 44483 CCN 366129 | 0.7 km | 99 | Mar 26, 2026 | 33 | — | |
| Shepherd of the Valley Howland 4100 North River Road, Howland, OH 44484 CCN 366258 | 1.8 km | 65 | Jun 5, 2025 | 18 | — | |
| Washington Square Healthcare Center 202 Washington Street NW, Warren, OH 44483 CCN 365784 | 4.5 km | 83 | Jun 30, 2026 | 822 IJ2 harm2 open | $124k | |
| Community Skilled Healthcare 1320 Mahoning Ave NW, Warren, OH 44483 CCN 365412SFF CandidateAbuse icon | 4.8 km | 99 | Apr 17, 2026 | 872 IJ1 open | $198k | |
| White Oak Manor 1926 Ridge Avenue, Warren, OH 44484 CCN 365748 | 5.2 km | 52 | Jul 16, 2026 | 411 IJ | $17k | |
| Windsor House at Champion 200 East Glendola Avenue, Champion, OH 44483 CCN 366281 | 7.4 km | 100 | Oct 21, 2025 | 262 harm | $27k | |
| Autumn Hills Care Center 2565 Niles Vienna Rd, Niles, OH 44446 CCN 365672 | 8.3 km | 120 | Aug 26, 2026 | 651 harm14 open | — | |
| Otterbein Cortland 303 North Mecca Street, Cortland, OH 44410 CCN 366339 | 8.8 km | 39 | Jan 27, 2026 | 231 open | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 365539 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 365539 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Dec 31, 2025 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Feb 18, 2026 | Complaint |
| Dec 31, 2025 | E-0006 | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Feb 18, 2026 |
| Dec 31, 2025 | E-0007 | Address patient/client population and determine types of services needed. Emergency Preparedness Deficiencies · Emergency preparedness | E · Potential harm Pattern | Corrected Feb 18, 2026 |
| Dec 31, 2025 | E-0020 | Establish policies and procedures including evacuation. Emergency Preparedness Deficiencies · Emergency preparedness | E · Potential harm Pattern | Corrected Feb 18, 2026 |
| Dec 31, 2025 | K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 18, 2026 |
| Dec 31, 2025 | K-0225 | Have stairways and smokeproof enclosures used as exits that meet safety requirements. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 18, 2026 |
| Dec 31, 2025 | K-0271 | Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Plan of correction, not yet verified |
| Dec 31, 2025 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 18, 2026 |
| Dec 31, 2025 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 18, 2026 |
| Dec 31, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 18, 2026 |
| Dec 31, 2025 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 18, 2026 |
| Dec 31, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 18, 2026 |
| Dec 31, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 18, 2026 |
| Dec 31, 2025 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 18, 2026 |
| Dec 31, 2025 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 18, 2026 |
| Dec 31, 2025 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 18, 2026 |
| Dec 31, 2025 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 18, 2026 |
| Dec 31, 2025 | K-0700 | Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 18, 2026 |
| Dec 31, 2025 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 18, 2026 |
| Dec 31, 2025 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 18, 2026 |
| Dec 31, 2025 | K-0915 | Have proper power supply for life support equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Plan of correction, not yet verified |
| Dec 31, 2025 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 18, 2026 |
| Dec 31, 2025 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 18, 2026 |
| Dec 31, 2025 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 19, 2026 |
| Dec 31, 2025 | F-0578 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 18, 2026 |
| Dec 31, 2025 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 18, 2026 |
| Dec 31, 2025 | F-0584 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Feb 18, 2026 | Complaint |
| Dec 31, 2025 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 18, 2026 |
| Dec 31, 2025 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 18, 2026 | Complaint |
| Dec 31, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 18, 2026 | Complaint |
| Dec 31, 2025 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 18, 2026 |
| Dec 31, 2025 | F-0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 18, 2026 | Complaint |
| Dec 31, 2025 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 18, 2026 | Complaint |
| Dec 31, 2025 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 18, 2026 | Complaint |
| Dec 31, 2025 | F-0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Feb 18, 2026 |
| Dec 31, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Feb 19, 2026 | Complaint |
| Dec 31, 2025 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Feb 19, 2026 | Complaint |
| Dec 31, 2025 | F-0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Feb 18, 2026 | Complaint |
| Dec 31, 2025 | F-0791 | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 18, 2026 |
| Dec 31, 2025 | F-0803 | 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. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Feb 18, 2026 |
| Dec 31, 2025 | F-0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Feb 18, 2026 |
| Dec 31, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Feb 18, 2026 | Complaint |
| Dec 31, 2025 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Feb 18, 2026 |
| Dec 31, 2025 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 18, 2026 | Complaint |
| Dec 31, 2025 | F-0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Feb 18, 2026 | Complaint |
| Dec 31, 2025 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Feb 18, 2026 |
| Dec 31, 2025 | F-0887 | 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. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Feb 18, 2026 |
| Dec 31, 2025 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 18, 2026 | Complaint |
| Dec 31, 2025 | F-0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. Resident Rights Deficiencies · Resident rights & abuse/neglect | F · Potential harm Widespread | Corrected Feb 18, 2026 |
| Oct 7, 2024 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 11, 2024 | Complaint |
| Oct 7, 2024 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Oct 11, 2024 | Complaint |
| Oct 7, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Oct 11, 2024 | ComplaintInfection control |
| Sep 3, 2024 | K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 11, 2024 | Complaint |
| Jul 18, 2024 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 25, 2024 | Complaint |
| Jul 18, 2024 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 25, 2024 | Complaint |
| Jul 18, 2024 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jul 25, 2024 | Complaint |
| May 1, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected May 9, 2024 | Complaint |
| Apr 11, 2024 | K-0915 | Have proper power supply for life support equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | J · Immediate jeopardy Isolated | Corrected May 9, 2024 |
| Apr 11, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected May 9, 2024 | Complaint |
| Apr 11, 2024 | E-0015 | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 9, 2024 |
| Apr 11, 2024 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 9, 2024 |
| Apr 11, 2024 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 9, 2024 |
| Apr 11, 2024 | K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 9, 2024 |
| Apr 11, 2024 | K-0271 | Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 9, 2024 |
| Apr 11, 2024 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 9, 2024 |
| Apr 11, 2024 | K-0300 | Meet other general requirements that are deficient. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 9, 2024 |
| Apr 11, 2024 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 9, 2024 |
| Apr 11, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 9, 2024 |
| Apr 11, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 9, 2024 |
| Apr 11, 2024 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 9, 2024 |
| Apr 11, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 9, 2024 |
| Apr 11, 2024 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 9, 2024 |
| Apr 11, 2024 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 9, 2024 |
| Apr 11, 2024 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 9, 2024 |
| Apr 11, 2024 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 9, 2024 |
| Apr 11, 2024 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 9, 2024 |
| Apr 11, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 9, 2024 |
| Apr 11, 2024 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 9, 2024 |
| Apr 11, 2024 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 9, 2024 |
| Apr 11, 2024 | K-0781 | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 9, 2024 |
| Apr 11, 2024 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 9, 2024 |
| Apr 11, 2024 | K-0916 | Have a battery powered remote alarm panel in a location accessible by operating personnel. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 9, 2024 |
| Apr 11, 2024 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 9, 2024 |
| Apr 11, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 9, 2024 |
| Apr 11, 2024 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 9, 2024 |
| Apr 11, 2024 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 9, 2024 |
| Apr 11, 2024 | F-0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected May 9, 2024 |
| Apr 11, 2024 | F-0567 | Honor the resident's right to manage his or her financial affairs. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected May 9, 2024 |
| Apr 11, 2024 | F-0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 9, 2024 |
| Apr 11, 2024 | F-0584 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected May 9, 2024 |
| Apr 11, 2024 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 9, 2024 |
| Apr 11, 2024 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 9, 2024 |
| Apr 11, 2024 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 9, 2024 | Complaint |
| Apr 11, 2024 | F-0685 | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 9, 2024 |
| Apr 11, 2024 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 9, 2024 |
| Apr 11, 2024 | F-0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 9, 2024 |
| Apr 11, 2024 | F-0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected May 9, 2024 |
| Apr 11, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected May 9, 2024 |
| Apr 11, 2024 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected May 9, 2024 |
| Apr 11, 2024 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 9, 2024 |
| Apr 21, 2022 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 18, 2022 |
| Apr 21, 2022 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 18, 2022 |
| Apr 21, 2022 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 18, 2022 |
| Apr 21, 2022 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 18, 2022 |
| Apr 21, 2022 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 18, 2022 |
| Apr 21, 2022 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 18, 2022 |
| Apr 21, 2022 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 18, 2022 |
| Apr 21, 2022 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 18, 2022 |
| Apr 21, 2022 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 18, 2022 |
| Apr 21, 2022 | F-0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 18, 2022 |
| Apr 21, 2022 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 18, 2022 |
| Apr 21, 2022 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 18, 2022 |
| Apr 21, 2022 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected May 18, 2022 |
| Apr 21, 2022 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 18, 2022 |
| Apr 21, 2022 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 18, 2022 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.30 (case-mix index 1.95).
| Direct owner |
| 5% OR GREATER DIRECT OWNERSHIP INTEREST |
| 5% |
| May 1, 2020 |
| Matis Friedman | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 41% | May 1, 2020 |
| Alyssa Barenbaum | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | May 1, 2020 |
| Rachelle Friedman | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Apr 25, 2025 |
| Matis Friedman | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2020 |
| Sharon George | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2023 |
| Ilya Mahilnitski | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2023 |
| Bruce Mcnabb | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2023 |
| Castle Rock Nursing Member, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2020 |
| Meb Irrv Tr | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2020 |
| Philipson Family Limited Liability Company, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2020 |
| Yfr Equities LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| Matis Friedman | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2020 |
| Sharon George | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| Mikols Gottlieb | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| Ilya Mahilnitski | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| Bruce Mcnabb | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2023 |
| 93 |
| Jul 29, 2026 |
783 harm |
| $28k |
| Newark Nursing & Rehab 75 Mcmillen Drive, Newark, OH 43055 CCN 365425 | 145 | Jul 20, 2026 | 882 harm | $39k |
| Bethesda Care Center 600 N Brush St, Fremont, OH 43420 CCN 365510 | 89 | Apr 2, 2026 | 671 IJ5 open | $65k |
| Hudson Springs Nursing and Rehab 5000 Sowul Boulevard, Stow, OH 44224 CCN 366434 | 80 | May 29, 2026 | 391 harm | — |