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 | 60 |
|---|---|
| Average residents/day | 38.2 |
| Ownership type | For profit - Corporation |
| Chain | The Pavilion Group |
| Reported nurse hours/resident/day | 3.35232 |
| Reported RN hours/resident/day | 0.54388 |
| Nursing staff turnover | 60.4% |
Official inspection findings
The supplied CMS files contain 17 health and 34 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 |
|---|---|---|
| 2025-06-18 | F | Administration Deficiencies Have the Quality Assessment and Assurance group have the required members and meet at least quarterly |
| 2025-06-18 | F | Infection Control Deficiencies Provide and implement an infection prevention and control program. |
| 2025-06-18 | E | Resident Assessment and Care Planning Deficiencies Ensure each resident receives an accurate assessment. |
| 2025-06-18 | D | Resident Rights Deficiencies Reasonably accommodate the needs and preferences of each resident. |
| 2025-06-18 | D | Resident Rights Deficiencies Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. |
| 2025-06-18 | D | Resident Rights Deficiencies Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. |
| 2025-06-18 | D | Resident Assessment and Care Planning Deficiencies Assess the resident when there is a significant change in condition |
| 2025-06-18 | 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. |
| 2025-06-18 | D | Pharmacy Service Deficiencies Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. |
| 2024-07-31 | D | Freedom from Abuse, Neglect, and Exploitation Deficiencies Protect each resident from the wrongful use of the resident's belongings or money. |
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 |
|---|---|---|---|
| CANAL GROUP HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 12/16/2024 |
| ACM ASHEM HOLDINGS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 12/16/2024 |
| EVANS, TYLER | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 02/06/2025 |
| SCHONFELD, SIMCHA | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 02/06/2025 |
| MOERMAN, RAFAEL | Individual | MANAGING CONTROL - GOVERNING BODY | since 12/16/2024 |
| CANAL GROUP HOLDINGS LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | since 12/16/2024 |
| KODRIN, MATTHEW | Individual | OPERATIONAL/MANAGERIAL CONTROL | since 12/16/2024 |
| MOERMAN, RAFAEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | since 12/16/2024 |
| LOEB, CHAVI | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | since 07/14/2025 |
| BANKWELL | Organization | ADP OF THE SNF | since 02/06/2025 |
| HIGH MILL HOLDINGS LLC | Organization | ADP OF THE SNF | since 12/16/2024 |
| NPNH1 LLC | Organization | ADP OF THE SNF | since 12/16/2024 |
| QUALITY HEALTHCARE RESOURCES | Organization | ADP OF THE SNF | since 02/06/2025 |
| THE PAVILION MANAGMENT COMPANY LLC | Organization | ADP OF THE SNF | since 02/06/2025 |
| BIROS, KENNETH | Individual | ADP OF THE SNF | since 12/16/2024 |
| GUDLA, JYOTHI | Individual | ADP OF THE SNF | since 12/16/2024 |
| HIRSCH, SHAYE | Individual | ADP OF THE SNF | since 02/06/2025 |
| KODRIN, MATTHEW | Individual | ADP OF THE SNF | since 12/16/2024 |
| SCHONFELD, SIMCHA | Individual | ADP OF THE SNF | since 02/06/2025 |