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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D20 | E5 | F7 |
| Minimal | A· | B· | C1 |
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 | |
|---|---|---|---|---|---|---|
| Apr 16, 2026 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Jan 20, 2026 | Health | Health Complaint | 4 | Actual harm | — | Open → |
| May 21, 2025 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| May 21, 2025 | Health | Health Complaint, Health Standard | 15 | Potential harm | — | Open → |
| Apr 16, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 24, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 31, 2024 | Health | Infection Control | 0 | No citations | — | Open → |
| Dec 18, 2023 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Dec 18, 2023 | Health | Health Complaint, Health Standard | 6 | Potential harm | — | Open → |
| Jan 7, 2022 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Jan 7, 2022 | Health | Health Standard | 0 | No citations | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D20 | E5 | F7 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Apr 16, 2026 | 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 Apr 16, 2026 | Complaint |
| Apr 16, 2026 | F-0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 16, 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.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Ra Assets Holdco LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | May 17, 2022 |
| Ra Opco LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 53% | May 17, 2022 |
| Ra Investment Oh LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 35% | May 17, 2022 |
| Jonathan Gewirtz | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 13% | May 17, 2022 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Ra Assets Holdco LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | May 17, 2022 |
| Ra Opco LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 53% | May 17, 2022 |
| Ra Investment Oh LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 35% | May 17, 2022 |
| Jonathan Gewirtz | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 13% | May 17, 2022 |
| Neil Bay Management LLC |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Geneva Center for Rehabilitation and Nursing 1140 South Broadway, Geneva, OH 44041 CCN 366326 | 1.7 km | 80 | Apr 16, 2026 | 411 harm | — | |
| Pine Grove Healthcare Center 840 Sherman Street, Geneva, OH 44041 CCN 366366 | 1.9 km | 67 | Apr 2, 2026 | 6 | — | |
| Madison Health Care 7600 S Ridge Rd, Madison, OH 44057 CCN 365306 | 4.9 km | 125 | Jun 25, 2026 | 601 IJ | $110k | |
| Cardinal Woods Skilled Nursing & Rehab Ctr 6831 Chapel Road, Madison, OH 44057 CCN 365658Abuse icon | 7.1 km | 120 | Jul 16, 2026 | 727 harm | $144k | |
| Arcola Creek Health and Rehabilitation 443 River St, Madison, OH 44057 CCN 725011 | 8.2 km | 61 | Not rated | Jul 14, 2026 | No citations in window | — |
| Austinburg Nsg and Rehab Ctr 2026 State Route 45, Austinburg, OH 44010 CCN 366088 | 9.2 km | 99 | Jan 30, 2025 | 321 open | — | |
| Saybrook Landing 2300 Center Road, Ashtabula, OH 44004 CCN 366382 | 12.4 km | 95 | Jul 25, 2024 | 16 | — | |
| Carington Park 2217 West Ave, Ashtabula, OH 44004 CCN 365286 | 16.1 km | 175 | Aug 6, 2026 | 81 harm | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 366047 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 366047 | 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
| Apr 16, 2026 | F-0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Apr 16, 2026 | Complaint |
| Apr 16, 2026 | 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 Apr 16, 2026 | Complaint |
| Jan 20, 2026 | 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 Jan 21, 2026 | Complaint |
| Jan 20, 2026 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 21, 2026 | Complaint |
| Jan 20, 2026 | F-0726 | 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. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Jan 21, 2026 | Complaint |
| Jan 20, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jan 21, 2026 | Complaint |
| May 21, 2025 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 30, 2025 |
| May 21, 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 May 30, 2025 |
| May 21, 2025 | F-0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 30, 2025 |
| May 21, 2025 | F-0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 30, 2025 |
| May 21, 2025 | F-0638 | Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 30, 2025 |
| May 21, 2025 | F-0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 30, 2025 |
| May 21, 2025 | 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 30, 2025 |
| May 21, 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 May 30, 2025 |
| May 21, 2025 | 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 30, 2025 |
| May 21, 2025 | 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 | D · Potential harm Isolated | Corrected May 30, 2025 |
| May 21, 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 May 30, 2025 | Complaint |
| May 21, 2025 | F-0699 | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 30, 2025 |
| May 21, 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 May 30, 2025 |
| May 21, 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 May 30, 2025 |
| May 21, 2025 | F-0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected May 30, 2025 |
| May 21, 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 May 30, 2025 |
| Apr 16, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Apr 17, 2025 | Complaint |
| Dec 24, 2024 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Dec 26, 2024 | Complaint |
| Dec 18, 2023 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 19, 2023 |
| Dec 18, 2023 | F-0567 | Honor the resident's right to manage his or her financial affairs. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 19, 2023 |
| Dec 18, 2023 | 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 | D · Potential harm Isolated | Corrected Dec 19, 2023 |
| Dec 18, 2023 | 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 Dec 19, 2023 |
| Dec 18, 2023 | 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 Dec 19, 2023 |
| Dec 18, 2023 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Dec 19, 2023 | Complaint |
| Dec 18, 2023 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | C · Minimal Widespread | Corrected Dec 19, 2023 |
| Jan 7, 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 Jan 14, 2022 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.45 (case-mix index 1.94).
| Organization |
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| May 17, 2022 |
| Jonathan Gewirtz | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 17, 2022 |
| Jonathan Gewirtz | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 17, 2022 |
| Jonathan Gewirtz | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | May 17, 2022 |
| Neil Bay Management LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 17, 2025 |
| Danielle Herron | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 17, 2022 |
| Shreeniwas Lele | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 17, 2022 |