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 | 41 |
|---|---|
| Average residents/day | 34.7 |
| Ownership type | For profit - Limited Liability company |
| Chain | Lionstone Care |
| Reported nurse hours/resident/day | 4.17348 |
| Reported RN hours/resident/day | 1.00313 |
| Nursing staff turnover | 62.5% |
Official inspection findings
The supplied CMS files contain 103 health and 18 fire-safety citation rows for this provider. 3 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 |
|---|---|---|
| 2026-06-25 | E | Pharmacy Service Deficiencies Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| 2026-05-15 | G | Quality of Life and Care Deficiencies Provide appropriate treatment and care according to orders, resident’s preferences and goals. |
| 2026-05-15 | F | Administration Deficiencies Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. |
| 2026-05-15 | D | Resident Assessment and Care Planning Deficiencies Ensure services provided by the nursing facility meet professional standards of quality. |
| 2026-05-15 | 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. |
| 2026-05-15 | D | Quality of Life and Care Deficiencies Provide enough food/fluids to maintain a resident's health. |
| 2026-05-15 | D | Pharmacy Service Deficiencies Ensure each resident’s drug regimen must be free from unnecessary drugs. |
| 2026-05-15 | D | Pharmacy Service Deficiencies Ensure that residents are free from significant medication errors. |
| 2026-05-15 | 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. |
| 2026-05-15 | C | Nursing and Physician Services Deficiencies Post nurse staffing information every day. |
Penalties
Provider summary: 4 penalties and $227,850 in total fines. Individual rows supplied:
| Date | Type | Amount |
|---|---|---|
| 2025-09-22 | Fine | $52,360 |
| 2024-11-07 | Payment Denial | $0 |
| 2024-07-29 | Fine | $175,490 |
| 2024-07-29 | Payment Denial | $0 |
Reported ownership and management
| Name | Type | Role | Association |
|---|---|---|---|
| LIONSTONE ALS OPCO HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 07/01/2022 |
| KAZARNOVSKY, SOLOMON | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 07/01/2022 |
| STEIN, ABBA | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 07/01/2022 |
| CUSNER, ADAM | Individual | CORPORATE OFFICER | since 01/27/2025 |
| DEGYANSKY, JEFFREY | Individual | CORPORATE OFFICER | since 01/01/2020 |
| GOLDISH, ELIEZER | Individual | CORPORATE OFFICER | since 10/09/2023 |
| CUSNER, ADAM | Individual | OPERATIONAL/MANAGERIAL CONTROL | since 01/27/2025 |
| DEGYANSKY, JEFFREY | Individual | OPERATIONAL/MANAGERIAL CONTROL | since 06/30/2022 |
| GOLDISH, ELIEZER | Individual | OPERATIONAL/MANAGERIAL CONTROL | since 10/09/2023 |
| KAZARNOVSKY, SOLOMON | Individual | OPERATIONAL/MANAGERIAL CONTROL | since 06/30/2022 |
| STEIN, ABBA | Individual | OPERATIONAL/MANAGERIAL CONTROL | since 06/30/2022 |
| CUSNER, ADAM | Individual | ADP OF THE SNF | since 01/27/2025 |
| DEGYANSKY, JEFFREY | Individual | ADP OF THE SNF | since 06/30/2022 |
| GOLDISH, ELIEZER | Individual | ADP OF THE SNF | since 10/09/2023 |
| KAZARNOVSKY, SOLOMON | Individual | ADP OF THE SNF | since 06/30/2022 |
| STEIN, ABBA | Individual | ADP OF THE SNF | since 06/30/2022 |