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 | 70.9 |
| Ownership type | For profit - Limited Liability company |
| Chain | Pacs Group |
| Reported nurse hours/resident/day | 3.16732 |
| Reported RN hours/resident/day | 0.48892 |
| Nursing staff turnover | 67.1% |
Official inspection findings
The supplied CMS files contain 9 health and 14 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 |
|---|---|---|
| 2025-05-08 | D | Resident Assessment and Care Planning Deficiencies Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. |
| 2025-05-08 | D | Pharmacy Service Deficiencies Ensure medication error rates are not 5 percent or greater. |
| 2025-05-08 | D | Pharmacy Service Deficiencies Ensure that residents are free from significant medication errors. |
| 2023-11-15 | 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. |
| 2022-12-15 | E | Environmental Deficiencies Keep all essential equipment working safely. |
| 2022-12-15 | B | Nutrition and Dietary Deficiencies Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| 2019-09-26 | D | Resident Rights Deficiencies Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. |
| 2019-09-26 | 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. |
| 2019-09-26 | D | Pharmacy Service Deficiencies 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. |
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 |
|---|---|---|---|
| JERGENSEN, JOSHUA | Individual | MANAGING CONTROL - GOVERNING BODY | since 12/01/2024 |
| MITCHELL, JOHN | Individual | MANAGING CONTROL - GOVERNING BODY | since 12/01/2024 |
| PROVIDENCE GROUP NH, LLC | Organization | 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 |
| WRIGHT, ADAM | Individual | OPERATIONAL/MANAGERIAL CONTROL | since 12/01/2024 |
| 1141 NORTHVIEW DRIVE 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 |
| GUNDERMAN, DAVID | Individual | ADP OF THE SNF | since 12/01/2024 |
| WRIGHT, ADAM | Individual | ADP OF THE SNF | since 12/01/2024 |