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 | 100 |
|---|---|
| Average residents/day | 88 |
| Ownership type | For profit - Limited Liability company |
| Chain | Pacs Group |
| Reported nurse hours/resident/day | 2.92278 |
| Reported RN hours/resident/day | 0.60515 |
| Nursing staff turnover | 48.1% |
Official inspection findings
The supplied CMS files contain 34 health and 5 fire-safety citation rows for this provider. 2 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 |
|---|---|---|
| 2025-09-25 | 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. |
| 2025-09-25 | D | Quality of Life and Care Deficiencies Provide care and assistance to perform activities of daily living for any resident who is unable. |
| 2025-09-25 | D | Quality of Life and Care Deficiencies Provide care or services that was trauma informed and/or culturally competent. |
| 2024-09-17 | D | Resident Rights Deficiencies Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. |
| 2024-06-27 | E | Infection Control Deficiencies Provide and implement an infection prevention and control program. |
| 2024-06-27 | 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. |
| 2024-06-27 | D | Resident Assessment and Care Planning Deficiencies Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. |
| 2023-12-04 | D | Resident Assessment and Care Planning Deficiencies Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. |
| 2023-12-04 | D | Resident Assessment and Care Planning Deficiencies Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. |
| 2023-12-04 | D | Resident Assessment and Care Planning Deficiencies Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. |
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 |
| KELLEY, THOMAS | Individual | OPERATIONAL/MANAGERIAL CONTROL | since 12/01/2024 |
| MITCHELL, JOHN | Individual | OPERATIONAL/MANAGERIAL CONTROL | 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 |
| KELLEY, THOMAS | Individual | ADP OF THE SNF | since 12/01/2024 |
| STILTNER, SEAN | Individual | ADP OF THE SNF | since 12/01/2024 |