Skilled nursing facility · CMS certification number 366435

GRAND THE

DUBLIN, Ohio · Medicare and Medicaid

Certified beds, as filed in Care Compare: 128

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 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, as submitted, processed by CMS on 27 June 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$19,194,684	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$6,648,465	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$12,546,219	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$13,789,441	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,243,222	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,526	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,239,696	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,239,696 (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
Figure	As filed	Where it comes from
Total facility beds, all components	128	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	37,972	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	3,701	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	4,640	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	25,882	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	34,223	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	112	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	58	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	213	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	383	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	33.04	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	80	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	89.36	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1431623, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 30 July 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$15,362,603	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$4,910,956	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,451,647	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$13,279,961	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$2,828,314	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$296,999	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$2,531,315	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,531,315 (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
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	30,341	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	472	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	32.29	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	57.71	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	64.28	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1390613, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 31 December 2022

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 September 2024.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$13,878,546	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,495,550	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,382,996	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,354,983	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$971,987	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$753,430	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$218,557	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$218,557 (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
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	27,931	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	607	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	29.76	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	81.75	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	46.01	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1395242, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 31 December 2021

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 October 2023.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$14,232,268	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,538,304	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,693,964	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,753,795	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,059,831	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,579,402	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$519,571	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $519,571 (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
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	27,969	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	570	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	34.14	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	72.78	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	49.07	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1367241, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 31 December 2020

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 21 October 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$13,860,973	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$3,615,955	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$10,245,018	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$11,455,425	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,210,407	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,697,958	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$487,551	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $487,551 (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
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	26,973	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	495	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	34.89	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	112.58	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	54.49	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1302957, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 31 December 2019

Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 14 April 2021.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$18,083,539	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$5,804,359	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$12,279,180	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$13,368,253	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,089,073	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$104,944	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$984,129	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$984,129 (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
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	32,774	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	558	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	32.13	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	148.13	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	58.73	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1282185, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 31 December 2018

Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 November 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$17,449,783	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$5,504,757	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,945,026	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$13,369,298	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,424,272	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$96,860	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,327,412	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,327,412 (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
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	32,816	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	607	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	29.67	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	230.26	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	54.06	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1245979, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended 31 December 2017

Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 September 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$16,749,350	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$5,381,350	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$11,368,000	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$12,360,816	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$992,816	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$56,644	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$936,172	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$936,172 (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
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	30,796	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	559	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	33.1	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	278.65	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	55.09	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1212125, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended 31 December 2016

Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 19 October 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$9,329,610	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,529,521	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,800,089	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,293,039	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$2,492,950	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$12,788	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$2,480,162	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,480,162 (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
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,524	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	432	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	32.91	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	86.37	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	40.56	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1177302, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended 31 December 2015

Cost report for 18 November 2015 to 31 December 2015 — a reporting period of 43 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 25 July 2016.

None of these figures is carried on this report.

CMS report record 1137605, read from the public cost report file SNF10FY2016.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 manager	Role	Type	Ownership percentage	Association
OM HOLDCO 4 LLC	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 10/17/2022
OM NOTE HOLDCO 4 LLC	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Organization	NO PERCENTAGE PROVIDED	since 10/17/2022
SNW LLC	5% OR GREATER INDIRECT OWNERSHIP INTEREST	Organization	NO PERCENTAGE PROVIDED	since 10/17/2022
BATDORFF, DANIELLE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/06/2026
CHARLES FRANKLIN LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/17/2022
CHARLES WESTLAND LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/17/2022
CLIFTONLARSONALLEN LLP	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/01/2025
FISHER, RICCI	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/28/2026
FORBRIGHT BANK	ADP OF THE SNF	Organization	NOT APPLICABLE	since 02/16/2026
HEMANT SHAH 2018 IRREVOCABLE TRUST	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/17/2022
KATULA, DOUGLAS	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/28/2026
OBS OF OH LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/28/2026
OM HOLDCO 4 LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/17/2022
OM NOTE HOLDCO 4 LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/17/2022
PAAR 108 LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/17/2022
PINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O AARNA R. PATEL	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/17/2022
PINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O ANSH R. PATEL	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/17/2022
PINAL R. PATEL 2020 IRREVOCABLE FAMILY TRUST UAD 10-6-2020	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/17/2022
RAJAN G PATEL 2020 IRR FAM TR UAD 12-3-2020	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/17/2022
SCHLAUPITZ MADHAVAN	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/01/2025
SNW LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/17/2022
BATDORFF, DANIELLE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2025

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of THE GRAND HEALTH AND REHABILITATION CENTER LLC (enrollment ID O20150507001661).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
OM HOLDCO 4 LLC	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	10/17/2022	Private equity company: No Real estate investment trust: No Holding company: Yes
CHARLES FRANKLIN LLC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	33.3	10/17/2022	Private equity company: No Real estate investment trust: No Holding company: No
CHARLES WESTLAND LLC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	33.3	10/17/2022	Private equity company: No Real estate investment trust: No Holding company: No
HEMANT SHAH 2018 IRREVOCABLE TRUST	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	32.97	10/17/2022	Private equity company: No Real estate investment trust: No Holding company: No
OM NOTE HOLDCO 4 LLC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100	10/17/2022	Private equity company: No Real estate investment trust: No Holding company: Yes
PAAR 108 LLC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	33.4	10/17/2022	Private equity company: No Real estate investment trust: No Holding company: No
PINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O AARNA R. PATEL	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	8.35	10/17/2022	Private equity company: No Real estate investment trust: No Holding company: No
PINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O ANSH R. PATEL	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	8.35	10/17/2022	Private equity company: No Real estate investment trust: No Holding company: No
PINAL R. PATEL 2020 IRREVOCABLE FAMILY TRUST UAD 10-6-2020	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	8.35	10/17/2022	Private equity company: No Real estate investment trust: No Holding company: No
RAJAN G PATEL 2020 IRR FAM TR UAD 12-3-2020	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	8.35	10/17/2022	Private equity company: No Real estate investment trust: No Holding company: No
SNW LLC	Organization	5% OR GREATER INDIRECT OWNERSHIP INTEREST	33.3	10/17/2022	Private equity company: No Real estate investment trust: No Holding company: Yes
CHARLES FRANKLIN LLC	Organization	ADP OF THE SNF	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.	10/17/2022	Private equity company: No Real estate investment trust: No Holding company: No
CHARLES WESTLAND LLC	Organization	ADP OF THE SNF	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.	10/17/2022	Private equity company: No Real estate investment trust: No Holding company: No
CLIFTONLARSONALLEN LLP	Organization	ADP OF THE SNF	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.	1/1/2025	Private equity company: No Real estate investment trust: No Holding company: No
DANIELLE BATDORFF	Individual	ADP OF THE SNF	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.	5/6/2026	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.
DOUGLAS ALAN KATULA	Individual	ADP OF THE SNF	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.	1/28/2026	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.
FORBRIGHT BANK	Organization	ADP OF THE SNF	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.	2/16/2026	Private equity company: No Real estate investment trust: No Holding company: No
HEMANT SHAH 2018 IRREVOCABLE TRUST	Organization	ADP OF THE SNF	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.	10/17/2022	Private equity company: No Real estate investment trust: No Holding company: No
OBS OF OH LLC	Organization	ADP OF THE SNF	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.	1/28/2026	Private equity company: No Real estate investment trust: No Holding company: No
OM HOLDCO 4 LLC	Organization	ADP OF THE SNF	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.	10/17/2022	Private equity company: No Real estate investment trust: No Holding company: Yes
OM NOTE HOLDCO 4 LLC	Organization	ADP OF THE SNF	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.	10/17/2022	Private equity company: No Real estate investment trust: No Holding company: Yes
PAAR 108 LLC	Organization	ADP OF THE SNF	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.	10/17/2022	Private equity company: No Real estate investment trust: No Holding company: No
PINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O AARNA R. PATEL	Organization	ADP OF THE SNF	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.	10/17/2022	Private equity company: No Real estate investment trust: No Holding company: No
PINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O ANSH R. PATEL	Organization	ADP OF THE SNF	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.	10/17/2022	Private equity company: No Real estate investment trust: No Holding company: No
PINAL R. PATEL 2020 IRREVOCABLE FAMILY TRUST UAD 10-6-2020	Organization	ADP OF THE SNF	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.	10/17/2022	Private equity company: No Real estate investment trust: No Holding company: No
RAJAN G PATEL 2020 IRR FAM TR UAD 12-3-2020	Organization	ADP OF THE SNF	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.	10/17/2022	Private equity company: No Real estate investment trust: No Holding company: No
RICCI FISHER	Individual	ADP OF THE SNF	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.	1/28/2026	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.
SCHLAUPITZ MADHAVAN	Organization	ADP OF THE SNF	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.	1/1/2025	Private equity company: No Real estate investment trust: No Holding company: No
SNW LLC	Organization	ADP OF THE SNF	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.	10/17/2022	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.	Individual	ADP OF THE SNF	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.	3/31/2025	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.
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.	Individual	INDIRECT OWNERSHIP INTEREST	0.33	10/17/2022	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.
DANIELLE BATDORFF	Individual	OPERATIONAL/MANAGERIAL CONTROL	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.	1/1/2025	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

1 July 2026: ROBERT SHARON no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ROBERT SHARON no longer appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ROBERT SHARON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: EAST WEST BANK no longer appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: EAST WEST BANK no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: RAJAN PATEL no longer appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: RAJAN PATEL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DOUGLAS ALAN KATULA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: OPTUM MANAGEMENT SOLUTIONS. INC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: OPTUM MANAGEMENT SOLUTIONS. INC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHARLES A. DUNN AGREEMENT OF TRUST 3.14.2001 no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHARLES A. DUNN AGREEMENT OF TRUST 3.14.2001 no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: PINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O AARNA R. PATEL no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: PINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O AARNA R. PATEL no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHARLES WESTLAND LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHARLES WESTLAND LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: OBS OF OH LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: FORBRIGHT BANK appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: RICCI FISHER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: PINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O AARNA R. PATEL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: PINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O AARNA R. PATEL appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 January 2026: HEMANT H SHAH no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: HEMANT H SHAH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: VRABLE HEALTHCARE INC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: CHARLES A. DUNN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: CHARLES A. DUNN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: CHARLES A. DUNN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: RAJAN PATEL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: RAJAN PATEL no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: KIMBERLY A FULLERTON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: JAMES MERRILL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: ROBERT SHARON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: ROBERT SHARON appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: ROBERT SHARON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: PINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O ANSH R. PATEL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: OM NOTE HOLDCO 4 LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: PINAL R. PATEL 2020 IRREVOCABLE FAMILY TRUST UAD 10-6-2020 appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: SCHLAUPITZ MADHAVAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: EAST WEST BANK appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: EAST WEST BANK appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: RAJAN G. PATEL 2020 IRREVOCABLE FAMILY TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: RAJAN PATEL appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: A listing under INDIRECT OWNERSHIP INTEREST appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: HEMANT SHAH 2018 IRREVOCABLE TRUST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: CHARLES FRANKLIN LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: DANIELLE BATDORFF appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: DANIELLE BATDORFF appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: PAAR 108 LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: OM HOLDCO 4 LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: OM HOLDCO 4 LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: DOUGLAS ALAN KATULA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: DOUGLAS ALAN KATULA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: SNW LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: OPTUM MANAGEMENT SOLUTIONS. INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: OPTUM MANAGEMENT SOLUTIONS. INC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: CLIFTONLARSONALLEN LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: CHARLES A. DUNN AGREEMENT OF TRUST 3.14.2001 appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: CHARLES A. DUNN AGREEMENT OF TRUST 3.14.2001 appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: PINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O AARNA R. PATEL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 March 2024: ALLAN VRABLE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
1 March 2024: ALLAN VRABLE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
1 March 2024: ALLAN VRABLE no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
1 March 2024: VRABLE HEALTHCARE INC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
1 March 2024: JAMES R MUCKLE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
1 March 2024: PINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O ANSH R. PATEL appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
1 March 2024: OM NOTE HOLDCO 4 LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
1 March 2024: HEMANT H SHAH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
1 March 2024: HEMANT H SHAH appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
1 March 2024: PINAL R. PATEL 2020 IRREVOCABLE FAMILY TRUST UAD 10-6-2020 appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
1 March 2024: CHARLES A. DUNN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
1 March 2024: CHARLES A. DUNN appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
1 March 2024: CHARLES A. DUNN appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
1 March 2024: RAJAN G. PATEL 2020 IRREVOCABLE FAMILY TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
1 March 2024: RAJAN G PATEL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
1 March 2024: RAJAN G PATEL appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
1 March 2024: RAJAN G PATEL appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
1 March 2024: HEMANT SHAH 2018 IRREVOCABLE TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
1 March 2024: CHARLES FRANKLIN LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
1 March 2024: PAAR 108 LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
1 March 2024: SNW LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
1 March 2024: PINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O AARNA R. PATEL appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
31 October 2022: JOLYNDA TIMMERMAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: VRABLE HEALTHCARE INC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
31 October 2022: KIMBERLY A FULLERTON appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv

Recent changes on this record

1 July 2026: ROBERT SHARON no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ROBERT SHARON no longer appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: ROBERT SHARON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: EAST WEST BANK no longer appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: EAST WEST BANK no longer appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: RAJAN PATEL no longer appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: RAJAN PATEL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: DOUGLAS ALAN KATULA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: OPTUM MANAGEMENT SOLUTIONS. INC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: OPTUM MANAGEMENT SOLUTIONS. INC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHARLES A. DUNN AGREEMENT OF TRUST 3.14.2001 no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHARLES A. DUNN AGREEMENT OF TRUST 3.14.2001 no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: PINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O AARNA R. PATEL no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: PINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O AARNA R. PATEL no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHARLES WESTLAND LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: CHARLES WESTLAND LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: OBS OF OH LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: FORBRIGHT BANK appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: RICCI FISHER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: PINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O AARNA R. PATEL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: PINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O AARNA R. PATEL appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 January 2026: HEMANT H SHAH no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: HEMANT H SHAH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: VRABLE HEALTHCARE INC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: CHARLES A. DUNN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: CHARLES A. DUNN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: CHARLES A. DUNN no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: RAJAN PATEL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: RAJAN PATEL no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: KIMBERLY A FULLERTON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: JAMES MERRILL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: ROBERT SHARON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: ROBERT SHARON appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: ROBERT SHARON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: PINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O ANSH R. PATEL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: OM NOTE HOLDCO 4 LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: PINAL R. PATEL 2020 IRREVOCABLE FAMILY TRUST UAD 10-6-2020 appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: SCHLAUPITZ MADHAVAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: EAST WEST BANK appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
1 January 2026: EAST WEST BANK appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	17 March 2026	17 March 2026	15	6
2	11 July 2024	11 July 2024	18	6
3	9 January 2023	9 January 2023	33	7

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

Deficiencies cited

66 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
17 March 2026	Health	F 0558	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	D	No	Deficient, Provider has date of correction	8 April 2026
17 March 2026	Health	F 0561	Resident Rights Deficiencies	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.	D	No	Deficient, Provider has date of correction	8 April 2026
17 March 2026	Health	F 0583	Resident Rights Deficiencies	Keep residents' personal and medical records private and confidential.	D	No	Deficient, Provider has date of correction	8 April 2026
17 March 2026	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D	No	Deficient, Provider has date of correction	8 April 2026
17 March 2026	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	No	Deficient, Provider has date of correction	8 April 2026
17 March 2026	Health	F 0687	Quality of Life and Care Deficiencies	Provide appropriate foot care.	D	No	Deficient, Provider has date of correction	8 April 2026
17 March 2026	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	No	Deficient, Provider has date of correction	8 April 2026
17 March 2026	Health	F 0692	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	D	No	Deficient, Provider has date of correction	8 April 2026
17 March 2026	Health	F 0761	Pharmacy Service Deficiencies	Ensure 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.	F	No	Deficient, Provider has date of correction	8 April 2026
17 March 2026	Health	F 0803	Nutrition and Dietary Deficiencies	Ensure 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.	D	No	Deficient, Provider has date of correction	8 April 2026
17 March 2026	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	8 April 2026
17 March 2026	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	8 April 2026
17 March 2026	Health	F 0881	Infection Control Deficiencies	Implement a program that monitors antibiotic use.	D	No	Deficient, Provider has date of correction	8 April 2026
2 December 2025	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	Yes	Deficient, Provider has date of correction	2 January 2026
2 December 2025	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	D	Yes	Deficient, Provider has date of correction	2 January 2026
3 March 2025	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	Yes	Deficient, Provider has date of correction	7 March 2025
3 March 2025	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D	Yes	Deficient, Provider has date of correction	7 March 2025
3 March 2025	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	D	Yes	Deficient, Provider has date of correction	7 March 2025
11 July 2024	Health	F 0582	Resident Rights Deficiencies	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.	D	No	Deficient, Provider has date of correction	29 July 2024
11 July 2024	Health	F 0584	Resident Rights Deficiencies	Honor 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.	E	Yes	Deficient, Provider has date of correction	29 July 2024
11 July 2024	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	No	Deficient, Provider has date of correction	29 July 2024
11 July 2024	Health	F 0623	Resident Rights Deficiencies	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	B	No	Deficient, Provider has plan of correction	25 July 2024
11 July 2024	Health	F 0656	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.	D	No	Deficient, Provider has date of correction	29 July 2024
11 July 2024	Health	F 0687	Quality of Life and Care Deficiencies	Provide appropriate foot care.	D	No	Deficient, Provider has date of correction	29 July 2024
11 July 2024	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	No	Deficient, Provider has date of correction	29 July 2024
11 July 2024	Health	F 0692	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	D	No	Deficient, Provider has date of correction	29 July 2024
11 July 2024	Health	F 0697	Quality of Life and Care Deficiencies	Provide safe, appropriate pain management for a resident who requires such services.	D	No	Deficient, Provider has date of correction	29 July 2024
11 July 2024	Health	F 0725	Nursing and Physician Services Deficiencies	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.	F	Yes	Deficient, Provider has date of correction	29 July 2024
11 July 2024	Health	F 0727	Nursing and Physician Services Deficiencies	Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.	F	No	Deficient, Provider has date of correction	29 July 2024
11 July 2024	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D	No	Deficient, Provider has date of correction	29 July 2024
11 July 2024	Health	F 0761	Pharmacy Service Deficiencies	Ensure 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.	D	No	Deficient, Provider has date of correction	29 July 2024
11 July 2024	Health	F 0849	Administration Deficiencies	Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.	D	No	Deficient, Provider has date of correction	29 July 2024
11 July 2024	Health	F 0881	Infection Control Deficiencies	Implement a program that monitors antibiotic use.	D	No	Deficient, Provider has date of correction	29 July 2024
2 September 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F	Yes	Deficient, Provider has date of correction	14 September 2023
2 September 2023	Health	F 0921	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	F	Yes	Deficient, Provider has date of correction	14 September 2023
9 January 2023	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	No	Deficient, Provider has date of correction	7 February 2023
9 January 2023	Health	F 0567	Resident Rights Deficiencies	Honor the resident's right to manage his or her financial affairs.	E	No	Deficient, Provider has date of correction	7 February 2023
9 January 2023	Health	F 0580	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D	No	Deficient, Provider has date of correction	7 February 2023
9 January 2023	Health	F 0644	Resident Assessment and Care Planning Deficiencies	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.	D	No	Deficient, Provider has date of correction	7 February 2023
9 January 2023	Health	F 0655	Resident Assessment and Care Planning Deficiencies	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	D	No	Deficient, Provider has date of correction	7 February 2023
9 January 2023	Health	F 0656	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.	D	No	Deficient, Provider has date of correction	7 February 2023
9 January 2023	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D	No	Deficient, Provider has date of correction	7 February 2023
9 January 2023	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	E	No	Deficient, Provider has date of correction	7 February 2023
9 January 2023	Health	F 0679	Quality of Life and Care Deficiencies	Provide activities to meet all resident's needs.	E	No	Deficient, Provider has date of correction	7 February 2023
9 January 2023	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	E	No	Deficient, Provider has date of correction	7 February 2023
9 January 2023	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D	No	Deficient, Provider has date of correction	7 February 2023
9 January 2023	Health	F 0688	Quality of Life and Care Deficiencies	Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.	D	No	Deficient, Provider has date of correction	7 February 2023
9 January 2023	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	G	No	Deficient, Provider has date of correction	7 February 2023
9 January 2023	Health	F 0690	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D	No	Deficient, Provider has date of correction	7 February 2023
9 January 2023	Health	F 0692	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	E	No	Deficient, Provider has date of correction	7 February 2023
9 January 2023	Health	F 0697	Quality of Life and Care Deficiencies	Provide safe, appropriate pain management for a resident who requires such services.	G	No	Deficient, Provider has date of correction	7 February 2023
9 January 2023	Health	F 0698	Quality of Life and Care Deficiencies	Provide safe, appropriate dialysis care/services for a resident who requires such services.	D	No	Deficient, Provider has date of correction	7 February 2023
9 January 2023	Health	F 0725	Nursing and Physician Services Deficiencies	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.	F	No	Deficient, Provider has date of correction	7 February 2023
9 January 2023	Health	F 0730	Nursing and Physician Services Deficiencies	Observe each nurse aide's job performance and give regular training.	F	No	Deficient, Provider has date of correction	7 February 2023
9 January 2023	Health	F 0757	Pharmacy Service Deficiencies	Ensure each resident’s drug regimen must be free from unnecessary drugs.	E	No	Deficient, Provider has date of correction	7 February 2023
9 January 2023	Health	F 0758	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.	D	No	Deficient, Provider has date of correction	7 February 2023
9 January 2023	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	D	No	Deficient, Provider has date of correction	7 February 2023
9 January 2023	Health	F 0773	Administration Deficiencies	Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.	D	No	Deficient, Provider has date of correction	7 February 2023
9 January 2023	Health	F 0803	Nutrition and Dietary Deficiencies	Ensure 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.	F	No	Deficient, Provider has date of correction	7 February 2023
9 January 2023	Health	F 0809	Nutrition and Dietary Deficiencies	Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.	E	No	Deficient, Provider has date of correction	7 February 2023
9 January 2023	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	7 February 2023
9 January 2023	Health	F 0842	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.	D	No	Deficient, Provider has date of correction	7 February 2023
9 January 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F	No	Deficient, Provider has date of correction	7 February 2023
9 January 2023	Health	F 0908	Environmental Deficiencies	Keep all essential equipment working safely.	F	No	Deficient, Provider has date of correction	7 February 2023
9 January 2023	Health	F 0921	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	E	No	Deficient, Provider has date of correction	7 February 2023
9 January 2023	Health	F 0925	Environmental Deficiencies	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.	D	No	Deficient, Provider has date of correction	7 February 2023

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

Penalties

Not yet extracted for this facility.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Limited Liability company
Legal Business Name	THE GRAND HEALTH AND REHABILITATION CENTER LLC
Date First Approved to Provide Medicare and Medicaid Services	2015-11-18
Provider Resides in Hospital	N
Continuing Care Retirement Community	Y
Urban	Y
County/Parish	Franklin
Telephone Number	6148898585
Chain Name	OPTALIS HEALTH & REHABILITATION
Chain ID	601
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Resident
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	128
Average Number of Residents per Day	119.9
Overall Rating	3
Health Inspection Rating	2
QM Rating	5
Long-Stay QM Rating	5
Short-Stay QM Rating	5
Processing Date	2026-08-01

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

Get an email when this record changes

One email a day naming what moved on GRAND THE: the field, the value before, the value after, and the date of the file that first showed it.

The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.

On 1 July 2026: ROBERT SHARON no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for GRAND THE

This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Ohio at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.

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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 366435.