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 | 99 |
|---|---|
| Average residents/day | 82.2 |
| Ownership type | For profit - Limited Liability company |
| Chain | Pacs Group |
| Reported nurse hours/resident/day | 3.23219 |
| Reported RN hours/resident/day | 0.59409 |
| Nursing staff turnover | 34.7% |
Official inspection findings
The supplied CMS files contain 39 health and 10 fire-safety citation rows for this provider. 0 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 |
|---|---|---|
| 2026-03-10 | E | Resident Rights Deficiencies 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. |
| 2026-03-10 | E | Nutrition and Dietary Deficiencies Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. |
| 2026-03-10 | E | Nutrition and Dietary Deficiencies Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| 2026-03-10 | E | Infection Control Deficiencies Provide and implement an infection prevention and control program. |
| 2026-03-10 | D | Freedom from Abuse, Neglect, and Exploitation Deficiencies Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. |
| 2026-03-10 | D | Resident Assessment and Care Planning Deficiencies Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| 2026-03-10 | D | Quality of Life and Care Deficiencies Provide appropriate treatment and care according to orders, resident’s preferences and goals. |
| 2026-03-10 | D | Quality of Life and Care Deficiencies Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| 2026-03-10 | D | Quality of Life and Care Deficiencies Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2026-03-10 | D | Quality of Life and Care Deficiencies Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. |
Penalties
Provider summary: 0 penalties and $0 in total fines. Individual rows supplied:
| Date | Type | Amount |
|---|---|---|
| No penalty rows were supplied for this provider in this CMS snapshot. | ||
Reported ownership and management
| Name | Type | Role | Association |
|---|---|---|---|
| APT, FREDERICK | Individual | CORPORATE OFFICER | since 12/01/2024 |
| JERGENSEN, JOSHUA | Individual | CORPORATE OFFICER | since 12/01/2024 |
| MITCHELL, JOHN | Individual | CORPORATE OFFICER | since 12/01/2024 |
| PROVIDENCE GROUP NH, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | since 12/01/2024 |
| DIXON, DAVID | Individual | OPERATIONAL/MANAGERIAL CONTROL | since 12/01/2024 |
| 1058 COLUMBUS STREET 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 |
| 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 INC | Organization | ADP OF THE SNF | since 12/01/2024 |
| WELLTOWER OP, LLC | Organization | ADP OF THE SNF | since 12/01/2024 |
| DIXON, DAVID | Individual | ADP OF THE SNF | since 12/01/2024 |
| STILTNER, SEAN | Individual | ADP OF THE SNF | since 12/01/2024 |