August 2026 facility data
This profile reports CMS ratings, staffing, inspection, enforcement, and ownership records from the stated snapshot. Review dates and source records before making a care decision.
Facility snapshot
| Certified beds | 110 |
|---|---|
| Average residents/day | 84.5 |
| Ownership type | For profit - Corporation |
| Chain | Pacs Group |
| Reported nurse hours/resident/day | 3.0467 |
| Reported RN hours/resident/day | 0.5025 |
| Nursing staff turnover | 38.8% |
Official inspection findings
The supplied CMS files contain 27 health and 16 fire-safety citation rows for this provider. 1 health rows have a G–L scope/severity code. The table shows the 10 most recent health rows of all severity levels. These are official inspection findings; they are not civil or criminal judgments.
| Survey date | Severity | Finding |
|---|---|---|
| 2025-03-20 | G | Quality of Life and Care Deficiencies Provide appropriate treatment and care according to orders, resident’s preferences and goals. |
| 2025-03-20 | F | Nutrition and Dietary Deficiencies 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. |
| 2025-03-20 | F | Nutrition and Dietary Deficiencies Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| 2025-03-20 | E | Nursing and Physician Services Deficiencies Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. |
| 2025-03-20 | E | Nutrition and Dietary Deficiencies Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. |
| 2025-03-20 | D | Resident Rights Deficiencies Reasonably accommodate the needs and preferences of each resident. |
| 2025-03-20 | D | Resident Rights Deficiencies Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. |
| 2025-03-20 | D | Quality of Life and Care Deficiencies Provide care and assistance to perform activities of daily living for any resident who is unable. |
| 2025-03-20 | D | Pharmacy Service Deficiencies Ensure each resident’s drug regimen must be free from unnecessary drugs. |
| 2025-03-20 | D | Nutrition and Dietary Deficiencies Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. |
Penalties
Provider summary: 1 penalties and $43,173 in total fines. Individual rows supplied:
| Date | Type | Amount |
|---|---|---|
| 2025-03-20 | Fine | $43,173 |
Reported ownership and management
| Name | Type | Role | Association |
|---|---|---|---|
| JERGENSEN, JOSHUA | Individual | MANAGING CONTROL - GOVERNING BODY | since 12/01/2024 |
| MITCHELL, JOHN | Individual | MANAGING CONTROL - GOVERNING BODY | since 12/01/2024 |
| APT, FREDERICK | Individual | CORPORATE OFFICER | since 12/01/2024 |
| PROVIDENCE GROUP NH, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | since 12/01/2024 |
| GRIMES, NIKITA | Individual | OPERATIONAL/MANAGERIAL CONTROL | since 12/01/2024 |
| JERGENSEN, JOSHUA | Individual | OPERATIONAL/MANAGERIAL CONTROL | since 12/01/2024 |
| MITCHELL, JOHN | Individual | OPERATIONAL/MANAGERIAL CONTROL | since 12/01/2024 |
| TAGGERT, THOMAS | Individual | OPERATIONAL/MANAGERIAL CONTROL | since 06/25/2025 |
| 1974 NORTH FAIRFIELD ROAD OH OWNER LLC | Organization | ADP OF THE SNF | since 12/01/2024 |
| PROVIDENCE ADMINISTRATIVE CONSULTING SERVICES INC | Organization | ADP OF THE SNF | since 12/01/2024 |
| PROVIDENCE GROUP INC | Organization | ADP OF THE SNF | since 10/21/2025 |
| SNF OH HOLDCO LLC | Organization | ADP OF THE SNF | since 12/01/2024 |
| WELL INTEGRA MASTER JV LLC | Organization | ADP OF THE SNF | since 12/01/2024 |
| WELL PM HOLDCO JV LLC | Organization | ADP OF THE SNF | since 12/01/2024 |
| WELLTOWER OP, LLC | Organization | ADP OF THE SNF | since 12/01/2024 |
| WELLTOWER, INC | Organization | ADP OF THE SNF | since 12/01/2024 |
| GRIMES, NIKITA | Individual | ADP OF THE SNF | since 12/01/2024 |
| KAHLON, GURJEET | Individual | ADP OF THE SNF | since 12/01/2024 |
| TAGGERT, THOMAS | Individual | ADP OF THE SNF | since 06/25/2025 |