Velarion Records

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Skilled nursing facility · CMS certification number 366419

Twinsburg Post Acute

TWINSBURG, Ohio · Medicare and Medicaid

Certified beds, as filed in Care Compare: 114

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for 1 January 2024 to 30 November 2024 — a reporting period of 334 days, on form CMS-2540-10, as submitted, processed by CMS on 29 June 2026.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$11,117,475CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,857,102CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,260,373CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,769,528CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,509,155CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$22,819CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,486,336CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,486,336 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components114CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components38,190CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days1,533CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days6,800CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days18,059CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components26,392CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges48CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges27CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges145CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components220CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days31.94CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days251.85CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days119.96CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1450658, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

Cost report for 1 May 2023 to 31 December 2023 — a reporting period of 244 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 23 January 2025.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$8,480,313CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,386,515CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,093,798CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,467,275CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,373,477CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$186,112CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,187,365CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,187,365 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components114CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components17,883CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components148CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days23.35CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days247.29CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days120.83CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1402608, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 31 May 2022

Cost report for 1 June 2021 to 31 May 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 18 April 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$12,297,521CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,133,094CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,164,427CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$13,540,382CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$4,375,955CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$466,198CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$3,909,757CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$3,928,705 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components32,223CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components607CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days21.03CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days113.24CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days53.09CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1345694, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2021, ended 31 May 2021

Cost report for 1 June 2020 to 31 May 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 13 January 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$11,582,480CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,030,716CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,551,764CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,216,070CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$2,664,306CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$740,645CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,923,661CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,946,242 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components31,916CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components435CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days26.78CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days147.94CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days73.37CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1308538, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2020, ended 31 May 2020

Cost report for 1 June 2019 to 31 May 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 24 September 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$13,292,752CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,728,681CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,564,071CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$12,166,442CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$2,602,371CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$340,580CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$2,261,791CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,287,731 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components34,696CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components595CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days24.13CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days104.62CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days58.31CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1301026, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2019, ended 31 May 2019

Cost report for 1 June 2018 to 31 May 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 March 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$17,004,585CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$5,375,958CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$11,628,627CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$12,649,328CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,020,701CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$12,331CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,008,370CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,034,300 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components38,366CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components906CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days26.62CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days85.49CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days42.35CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1252842, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2018, ended 31 May 2018

Cost report for 1 June 2017 to 31 May 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 January 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$15,283,640CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$4,979,800CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,303,840CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$13,239,758CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$2,935,918CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$11,599CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$2,924,319CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,957,211 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components33,770CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components779CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days31.71CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days68.14CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days43.35CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1217764, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2017, ended 31 May 2017

Cost report for 1 June 2016 to 31 May 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 December 2017.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$17,052,833CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$6,222,551CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,830,282CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$12,836,963CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$2,006,681CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$10,098CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,996,583CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,016,051 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components31,223CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components795CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days31.99CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days75.33CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days39.27CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1180165, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2016, ended 31 May 2016

Cost report for 1 June 2015 to 31 May 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 9 February 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$12,105,238CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$4,452,098CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,653,140CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,385,480CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$2,732,340CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$14,543CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$2,717,797CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,736,401 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components21,670CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components566CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days30.32CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days82CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days38.29CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1152612, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2015, ended 31 May 2015

Cost report for 26 August 2014 to 31 May 2015 — a reporting period of 278 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 21 April 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$5,948,883CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,288,764CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,660,119CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,894,929CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$2,234,810CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$4,530CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$2,230,280CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,234,931 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components8,803CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components214CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days35.23CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days45.1CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days41.14CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1122485, read from the public cost report file SNF10FY2014.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
GROPPI, RACHELADP OF THE SNFIndividualNOT APPLICABLEsince 12/01/2024
JONES, RICHARDADP OF THE SNFIndividualNOT APPLICABLEsince 12/01/2024
PROVIDENCE ADMINISTRATIVE CONSULTING SERVICES INCADP OF THE SNFOrganizationNOT APPLICABLEsince 12/01/2024
PROVIDENCE GROUP INCADP OF THE SNFOrganizationNOT APPLICABLEsince 03/30/2026
SNF OH HOLDCO LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 12/01/2024
WELL INTEGRA MASTER JV LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 12/01/2024
WELL PM HOLDCO JV LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 12/01/2024
WELLTOWER INCADP OF THE SNFOrganizationNOT APPLICABLEsince 12/01/2024
WELLTOWER OP, LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 12/01/2024
APT, FREDERICKCORPORATE OFFICERIndividualNOT APPLICABLEsince 12/01/2024
JERGENSEN, JOSHUACORPORATE OFFICERIndividualNOT APPLICABLEsince 12/01/2024
MITCHELL, JOHNCORPORATE OFFICERIndividualNOT APPLICABLEsince 12/01/2024
HANCOCK, MARKINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 12/01/2024
MURRAY, JASONINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 12/01/2024
PACS GROUP, INC.INDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 12/01/2024
PACS HOLDINGS, LLCINDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 12/01/2024
GROPPI, RACHELOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 12/01/2024
PROVIDENCE GROUP NH, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 12/01/2024

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of TWINSBURG SNF HEALTHCARE LLC (enrollment ID O20250613002359).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
PROVIDENCE GROUP NH, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST10012/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
PROVIDENCE ADMINISTRATIVE CONSULTING SERVICES INCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
PROVIDENCE GROUP INCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/30/2026
Private equity company: No
Real estate investment trust: No
Holding company: Yes
RACHEL M GROPPIIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
RICHARD W JONESIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SNF OH HOLDCO LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: Yes
WELL INTEGRA MASTER JV LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: Yes
WELL PM HOLDCO JV LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: Yes
WELLTOWER INCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
WELLTOWER OP, LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: Yes
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.OrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: Yes
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.OrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
FREDERICK G APTIndividualCORPORATE OFFICERCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOHN T MITCHELLIndividualCORPORATE OFFICERCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JOSHUA O JERGENSENIndividualCORPORATE OFFICERCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JASON H MURRAYIndividualINDIRECT OWNERSHIP INTEREST35.212/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
MARK D HANCOCKIndividualINDIRECT OWNERSHIP INTEREST35.212/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
PACS GROUP, INC.OrganizationINDIRECT OWNERSHIP INTEREST10012/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: Yes
PACS HOLDINGS, LLCOrganizationINDIRECT OWNERSHIP INTEREST10012/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: Yes
PROVIDENCE GROUP NH, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
RACHEL M GROPPIIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.12/1/2024
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
121 March 202421 March 2024304
27 April 20227 April 2022223
34 April 20194 April 2019212

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.

Deficiencies cited

73 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
10 February 2026HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GYesDeficient, Provider has date of correction3 March 2026
10 February 2026HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DYesDeficient, Provider has date of correction3 March 2026
10 February 2026HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.DYesDeficient, Provider has date of correction3 March 2026
10 February 2026HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.DYesDeficient, Provider has date of correction3 March 2026
10 February 2026HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DYesDeficient, Provider has date of correction3 March 2026
5 January 2026HealthF 0578Resident Rights DeficienciesHonor 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.DYesDeficient, Provider has date of correction10 February 2026
5 January 2026HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DYesDeficient, Provider has date of correction3 March 2026
5 January 2026HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DYesDeficient, Provider has date of correction3 March 2026
5 January 2026HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.GYesDeficient, Provider has date of correction10 February 2026
5 January 2026HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correction3 March 2026
14 August 2025HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DYesDeficient, Provider has date of correction5 September 2025
14 August 2025HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.GYesDeficient, Provider has date of correction5 September 2025
14 August 2025HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DYesDeficient, Provider has date of correction5 September 2025
14 August 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EYesDeficient, Provider has date of correction5 September 2025
14 August 2025HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.GYesDeficient, Provider has date of correction5 September 2025
14 August 2025HealthF 0756Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DYesDeficient, Provider has date of correction5 September 2025
14 August 2025HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.EYesDeficient, Provider has date of correction5 September 2025
14 August 2025HealthF 0770Administration DeficienciesProvide timely, quality laboratory services/tests to meet the needs of residents.DYesDeficient, Provider has date of correction5 September 2025
14 August 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correction5 September 2025
25 June 2025HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.GYesDeficient, Provider has date of correction5 September 2025
25 June 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EYesDeficient, Provider has date of correction5 September 2025
30 January 2025HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DYesDeficient, Provider has date of correction21 February 2025
30 January 2025HealthF 0655Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDYesDeficient, Provider has date of correction21 February 2025
30 January 2025HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DYesDeficient, Provider has date of correction21 February 2025
30 January 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesDeficient, Provider has date of correction21 February 2025
30 January 2025HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.DYesDeficient, Provider has date of correction21 February 2025
30 January 2025HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.EYesDeficient, Provider has date of correction21 February 2025
30 January 2025HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EYesDeficient, Provider has date of correction21 February 2025
30 January 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correction21 February 2025
13 November 2024HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DYesDeficient, Provider has date of correction14 November 2024
13 November 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesDeficient, Provider has date of correction14 November 2024
26 September 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DYesDeficient, Provider has date of correction30 September 2024
26 September 2024HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DYesDeficient, Provider has date of correction30 September 2024
16 July 2024HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DYesDeficient, Provider has date of correction17 July 2024
16 July 2024HealthF 0697Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.DYesDeficient, Provider has date of correction17 July 2024
16 July 2024HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DYesDeficient, Provider has date of correction17 July 2024
10 June 2024HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.GYesDeficient, Provider has date of correction16 July 2024
16 May 2024HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.DYesDeficient, Provider has date of correction16 July 2024
16 May 2024HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DYesDeficient, Provider has date of correction17 July 2024
16 May 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correction16 July 2024
21 March 2024HealthF 0578Resident Rights DeficienciesHonor 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.DNoDeficient, Provider has date of correction5 April 2024
21 March 2024HealthF 0582Resident Rights DeficienciesGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DNoDeficient, Provider has date of correction5 April 2024
21 March 2024HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DNoDeficient, Provider has date of correction5 April 2024
21 March 2024HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DNoDeficient, Provider has date of correction5 April 2024
21 March 2024HealthF 0726Nursing and Physician Services DeficienciesEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.ENoDeficient, Provider has date of correction5 April 2024
21 March 2024HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.ENoDeficient, Provider has date of correction5 April 2024
21 March 2024HealthF 0761Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.ENoDeficient, Provider has date of correction5 April 2024
21 March 2024HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.DNoDeficient, Provider has date of correction5 April 2024
21 March 2024HealthF 0805Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DNoDeficient, Provider has date of correction5 April 2024
21 March 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correction5 April 2024
21 March 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correction5 April 2024
21 February 2024HealthF 0803Nutrition and Dietary DeficienciesEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.FYesDeficient, Provider has date of correction21 February 2024
21 February 2024HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.FYesDeficient, Provider has date of correction21 February 2024
21 February 2024HealthF 0805Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DYesDeficient, Provider has date of correction21 February 2024
31 January 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesDeficient, Provider has date of correction21 February 2024
18 December 2023HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.GYesPast Non-Compliance4 November 2023
7 November 2023HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.FYesDeficient, Provider has date of correction21 November 2023
7 April 2022HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correction4 May 2022
7 April 2022HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correction4 May 2022
7 April 2022HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correction4 May 2022
7 April 2022HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.ENoDeficient, Provider has date of correction4 May 2022
7 April 2022HealthF 0756Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DNoDeficient, Provider has date of correction4 May 2022
7 April 2022HealthF 0803Nutrition and Dietary DeficienciesEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.FNoDeficient, Provider has date of correction4 May 2022
7 April 2022HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.FNoDeficient, Provider has date of correction4 May 2022
7 April 2022HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correction4 May 2022
4 April 2019HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.ENoDeficient, Provider has date of correction8 May 2019
4 April 2019HealthF 0584Resident Rights DeficienciesHonor 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.DNoDeficient, Provider has date of correction8 May 2019
4 April 2019HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DNoDeficient, Provider has date of correction8 May 2019
4 April 2019HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.ENoDeficient, Provider has date of correction8 May 2019
4 April 2019HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DNoDeficient, Provider has date of correction8 May 2019
4 April 2019HealthF 0761Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DNoDeficient, Provider has date of correction8 May 2019
4 April 2019HealthF 0803Nutrition and Dietary DeficienciesEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.ENoDeficient, Provider has date of correction8 May 2019
4 April 2019HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correction8 May 2019

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
5 January 2026Fine$132,650141666
5 January 2026Payment Denial27 January 202635
25 June 2025Fine$70,756135995
16 May 2024Payment Denial9 July 20248

From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Corporation
Legal Business NameTWINSBURG SNF HEALTHCARE LLC
Date First Approved to Provide Medicare and Medicaid Services2014-08-26
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishSummit
Telephone Number3304869402
Chain NamePACS GROUP
Chain ID690
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds114
Average Number of Residents per Day58.5
Overall Rating1
Health Inspection Rating1
QM Rating3
Long-Stay QM Rating5
Short-Stay QM Rating1
Processing Date2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

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