Velarion Records

Skilled nursing facility · CMS certification number 366448

STELLAR CARE CENTER

WOODSFIELD, Ohio · Medicare and Medicaid

Certified beds, as filed in Care Compare: 41

Download this facility’s record (CSV)

A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.

CMS lists this facility as a Special Focus Facility candidate (Care Compare Special Focus Status: SFF Candidate)

In Care Compare’s provider information: Penalties: 4 · Fines: 2 · Fines, total amount: $209,524.00 · Payment denials: 2. The most recent penalty on file: September 22, 2025, Fine, $34,034. Every penalty on file ↓

For this facility: the citable document with full history — $295 · an email when this record changes — $99/month

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 January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 29, 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$4,084,512CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$231,537CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,852,975CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,691,091CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$161,884CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$3,613CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$165,497CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $165,497 (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 components41CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components15,006CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days434CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days7,617CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days4,465CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components12,516CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges14CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges31CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges37CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components82CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days31CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days245.71CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days152.63CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1437804, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended December 31, 2023

Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 27, 2025.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$2,808,656CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$31,633CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,777,023CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,177,226CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$400,203CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$537,927CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$137,724CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $137,724 (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 components41CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components12,240CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components78CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days47.93CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days249.5CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days156.92CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1404312, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended December 31, 2022

Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 18, 2024.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$2,672,605CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$40,684CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,631,921CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,955,414CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$323,493CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$650,005CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$326,512CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $326,512 (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 components49CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components11,342CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components107CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days47.67CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days247.2CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days106CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1372222, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended December 31, 2021

Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 28, 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$2,269,592CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$2,269,592CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,582,423CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$312,831CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,053,810CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$740,979CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $740,979 (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 components49CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components9,784CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components81CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days27.09CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days216.09CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days120.79CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1328276, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended December 31, 2020

Cost report for January 16, 2020 to December 31, 2020 — a reporting period of 350 days, on form CMS-2540-10, settled, processed by CMS on July 15, 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$1,994,244CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$1,994,244CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,460,091CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$465,847CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$736,907CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$271,060CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $271,060 (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 components49CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components9,156CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components146CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.35CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days102.04CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days62.71CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1288138, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2018, ended December 31, 2018

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

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$2,234,752CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$265,841CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$1,968,911CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,435,084CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,466,173CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income−$1,466,173CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,466,173 (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 components49CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components8,658CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components181CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days24.18CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days131.85CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days47.83CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1239157, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended December 31, 2017

Cost report for February 10, 2017 to December 31, 2017 — a reporting period of 324 days, on form CMS-2540-10, settled, processed by CMS on July 19, 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$1,545,284CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$186,359CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$1,358,925CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,559,262CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,200,337CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$6,191CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,194,146CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,194,146 (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 components49CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components5,235CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components65CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days30.24CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days490CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days80.54CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1200059, read from the public cost report file SNF10FY2017.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 September 1, 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
LIONSTONE ALS OPCO HOLDINGS LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 07/01/2022
KAZARNOVSKY, SOLOMON5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividual50%since 07/01/2022
STEIN, ABBA5% OR GREATER INDIRECT OWNERSHIP INTERESTIndividual50%since 07/01/2022
CUSNER, ADAMADP OF THE SNFIndividualNOT APPLICABLEsince 01/27/2025
DEGYANSKY, JEFFREYADP OF THE SNFIndividualNOT APPLICABLEsince 06/30/2022
GOLDISH, ELIEZERADP OF THE SNFIndividualNOT APPLICABLEsince 10/09/2023
KAZARNOVSKY, SOLOMONADP OF THE SNFIndividualNOT APPLICABLEsince 06/30/2022
STEIN, ABBAADP OF THE SNFIndividualNOT APPLICABLEsince 06/30/2022
CUSNER, ADAMCORPORATE OFFICERIndividualNOT APPLICABLEsince 01/27/2025
DEGYANSKY, JEFFREYCORPORATE OFFICERIndividualNOT APPLICABLEsince 01/01/2020
GOLDISH, ELIEZERCORPORATE OFFICERIndividualNOT APPLICABLEsince 10/09/2023
CUSNER, ADAMOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/27/2025
DEGYANSKY, JEFFREYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/30/2022
GOLDISH, ELIEZEROPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 10/09/2023
KAZARNOVSKY, SOLOMONOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/30/2022
STEIN, ABBAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/30/2022

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of MONROE COUNTY OPERATING LLC (enrollment ID O20200325000305).

CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
LIONSTONE ALS OPCO HOLDINGS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1007/1/2022
Private equity company: No
Real estate investment trust: No
Holding company: Yes
ABBA STEINIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST507/1/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
SOLOMON KAZARNOVSKYIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST507/1/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ABBA STEINIndividualADP OF THE SNFNot stated in the filing6/30/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ADAM CUSNERIndividualADP OF THE SNFNot stated in the filing1/27/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ELIEZER GOLDISHIndividualADP OF THE SNFNot stated in the filing10/9/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JEFFREY DEGYANSKYIndividualADP OF THE SNFNot stated in the filing6/30/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
SOLOMON KAZARNOVSKYIndividualADP OF THE SNFNot stated in the filing6/30/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
No owner named in the filingIndividualADP OF THE SNFNot stated in the filing7/1/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
No owner named in the filingIndividualADP OF THE SNFNot stated in the filing2/10/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ADAM CUSNERIndividualCORPORATE OFFICERNot stated in the filing1/27/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ELIEZER GOLDISHIndividualCORPORATE OFFICERNot stated in the filing10/9/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JEFFREY DEGYANSKYIndividualCORPORATE OFFICERNot stated in the filing1/1/2020
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ABBA STEINIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing6/30/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ADAM CUSNERIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing1/27/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ELIEZER GOLDISHIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing10/9/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JEFFREY DEGYANSKYIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing6/30/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
SOLOMON KAZARNOVSKYIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing6/30/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
1January 28, 2026January 28, 2026467
2November 7, 2024November 7, 2024295
3June 1, 2023June 1, 2023286

From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.

Deficiencies cited

103 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
June 25, 2026HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EYesPast Non-Compliance
May 15, 2026HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DYesDeficient, Provider has date of correctionJune 3, 2026
May 15, 2026HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.GYesDeficient, Provider has date of correctionJune 3, 2026
May 15, 2026HealthF 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 correctionJune 3, 2026
May 15, 2026HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.DYesDeficient, Provider has date of correctionJune 3, 2026
May 15, 2026HealthF 0732Nursing and Physician Services DeficienciesPost nurse staffing information every day.CYesDeficient, Provider has date of correctionJune 3, 2026
May 15, 2026HealthF 0757Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.DYesDeficient, Provider has date of correctionJune 3, 2026
May 15, 2026HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.DYesDeficient, Provider has date of correctionJune 3, 2026
May 15, 2026HealthF 0836Administration DeficienciesEnsure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.FYesDeficient, Provider has date of correctionJune 3, 2026
May 15, 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 correctionJune 3, 2026
January 28, 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.DNoDeficient, Provider has date of correctionMarch 16, 2026
January 28, 2026HealthF 0582Resident Rights DeficienciesGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DNoDeficient, Provider has date of correctionMarch 16, 2026
January 28, 2026HealthF 0605Freedom from Abuse, Neglect, and Exploitation DeficienciesPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DNoDeficient, Provider has date of correctionMarch 16, 2026
January 28, 2026HealthF 0628Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DNoDeficient, Provider has date of correctionMarch 16, 2026
January 28, 2026HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correctionMarch 16, 2026
January 28, 2026HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correctionMarch 16, 2026
January 28, 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.DNoDeficient, Provider has date of correctionMarch 16, 2026
January 28, 2026HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.DNoDeficient, Provider has date of correctionMarch 16, 2026
January 28, 2026HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DNoDeficient, Provider has date of correctionMarch 16, 2026
January 28, 2026HealthF 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.DYesDeficient, Provider has date of correctionMarch 16, 2026
January 28, 2026HealthF 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 correctionMarch 16, 2026
January 28, 2026HealthF 0773Administration DeficienciesProvide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.DNoDeficient, Provider has date of correctionMarch 16, 2026
January 28, 2026HealthF 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 correctionMarch 16, 2026
January 28, 2026HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correctionMarch 16, 2026
January 28, 2026HealthF 0881Infection Control DeficienciesImplement a program that monitors antibiotic use.DNoDeficient, Provider has date of correctionMarch 16, 2026
January 28, 2026HealthF 0887Infection Control DeficienciesEducate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.ENoDeficient, Provider has date of correctionMarch 16, 2026
September 30, 2025HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.FYesDeficient, Provider has date of correctionOctober 20, 2025
September 30, 2025HealthF 0628Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DYesDeficient, Provider has date of correctionOctober 20, 2025
September 30, 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 correctionOctober 20, 2025
September 30, 2025HealthF 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 correctionOctober 20, 2025
September 30, 2025HealthF 0679Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.FYesDeficient, Provider has date of correctionOctober 20, 2025
September 30, 2025HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.EYesDeficient, Provider has date of correctionOctober 20, 2025
September 30, 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 correctionOctober 20, 2025
September 30, 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.JYesDeficient, Provider has date of correctionOctober 20, 2025
September 30, 2025HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DYesDeficient, Provider has date of correctionOctober 20, 2025
September 30, 2025HealthF 0697Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.DYesDeficient, Provider has date of correctionOctober 20, 2025
September 30, 2025HealthF 0725Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FYesDeficient, Provider has date of correctionOctober 20, 2025
September 30, 2025HealthF 0744Quality of Life and Care DeficienciesProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.FYesDeficient, Provider has date of correctionOctober 20, 2025
September 30, 2025HealthF 0745Quality of Life and Care DeficienciesProvide medically-related social services to help each resident achieve the highest possible quality of life.DYesDeficient, Provider has date of correctionOctober 20, 2025
September 30, 2025HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DYesDeficient, Provider has date of correctionOctober 20, 2025
September 30, 2025HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.DYesDeficient, Provider has date of correctionOctober 20, 2025
September 30, 2025HealthF 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 correctionOctober 20, 2025
September 30, 2025HealthF 0835Administration DeficienciesAdminister the facility in a manner that enables it to use its resources effectively and efficiently.FYesDeficient, Provider has date of correctionOctober 20, 2025
September 30, 2025HealthF 0838Administration DeficienciesConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.FYesDeficient, Provider has date of correctionOctober 20, 2025
September 30, 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.DYesDeficient, Provider has date of correctionOctober 20, 2025
September 30, 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correctionOctober 20, 2025
April 21, 2025HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DYesDeficient, Provider has date of correctionMay 9, 2025
April 21, 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 correctionMay 9, 2025
April 21, 2025HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DYesDeficient, Provider has date of correctionMay 9, 2025
April 21, 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 correctionMay 9, 2025
April 21, 2025HealthF 0691Quality of Life and Care DeficienciesProvide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.DYesDeficient, Provider has date of correctionMay 9, 2025
April 21, 2025HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.DYesDeficient, Provider has date of correctionMay 9, 2025
April 21, 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.FYesDeficient, Provider has date of correctionMay 9, 2025
December 10, 2024HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DYesDeficient, Provider has date of correctionJanuary 23, 2025
November 7, 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 correctionJanuary 23, 2025
November 7, 2024HealthF 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.ENoDeficient, Provider has date of correctionJanuary 23, 2025
November 7, 2024HealthF 0645Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesDNoDeficient, Provider has date of correctionJanuary 23, 2025
November 7, 2024HealthF 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 correctionJanuary 23, 2025
November 7, 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 correctionJanuary 23, 2025
November 7, 2024HealthF 0679Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.DNoDeficient, Provider has date of correctionJanuary 23, 2025
November 7, 2024HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DNoDeficient, Provider has date of correctionJanuary 23, 2025
November 7, 2024HealthF 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 correctionJanuary 23, 2025
November 7, 2024HealthF 0697Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.DNoDeficient, Provider has date of correctionJanuary 23, 2025
November 7, 2024HealthF 0758Pharmacy Service DeficienciesImplement 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.DNoDeficient, Provider has date of correctionJanuary 23, 2025
November 7, 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 correctionJanuary 23, 2025
September 11, 2024HealthF 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.EYesDeficient, Provider has date of correctionOctober 3, 2024
September 11, 2024HealthF 0660Resident Assessment and Care Planning DeficienciesPlan the resident's discharge to meet the resident's goals and needs.DYesDeficient, Provider has date of correctionOctober 3, 2024
September 11, 2024HealthF 0661Resident Assessment and Care Planning DeficienciesEnsure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DYesDeficient, Provider has date of correctionOctober 3, 2024
September 11, 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DYesDeficient, Provider has date of correctionOctober 3, 2024
September 11, 2024HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DYesDeficient, Provider has date of correctionOctober 3, 2024
September 11, 2024HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.DYesDeficient, Provider has date of correctionOctober 3, 2024
September 11, 2024HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DYesDeficient, Provider has date of correctionOctober 3, 2024
September 11, 2024HealthF 0725Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FYesDeficient, Provider has date of correctionOctober 3, 2024
September 11, 2024HealthF 0759Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.DYesDeficient, Provider has date of correctionOctober 3, 2024
September 11, 2024HealthF 0770Administration DeficienciesProvide timely, quality laboratory services/tests to meet the needs of residents.DYesDeficient, Provider has date of correctionOctober 3, 2024
July 29, 2024HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DYesDeficient, Provider has date of correctionSeptember 11, 2024
July 29, 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.JYesDeficient, Provider has date of correctionOctober 3, 2024
July 29, 2024HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DYesDeficient, Provider has date of correctionOctober 3, 2024
July 29, 2024HealthF 0691Quality of Life and Care DeficienciesProvide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.DYesDeficient, Provider has date of correctionSeptember 11, 2024
July 29, 2024HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.DYesDeficient, Provider has date of correctionOctober 3, 2024
July 29, 2024HealthF 0725Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FYesDeficient, Provider has date of correctionOctober 3, 2024
July 29, 2024HealthF 0727Nursing and Physician Services DeficienciesHave 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.FYesDeficient, Provider has date of correctionSeptember 11, 2024
July 29, 2024HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.DYesDeficient, Provider has date of correctionSeptember 11, 2024
July 29, 2024HealthF 0837Administration DeficienciesEstablish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.FYesDeficient, Provider has date of correctionSeptember 11, 2024
July 29, 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.FYesDeficient, Provider has date of correctionOctober 3, 2024
July 29, 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.FYesDeficient, Provider has date of correctionOctober 3, 2024
July 29, 2024HealthF 0881Infection Control DeficienciesImplement a program that monitors antibiotic use.FYesDeficient, Provider has date of correctionOctober 3, 2024
July 29, 2024HealthF 0882Infection Control DeficienciesDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FYesDeficient, Provider has date of correctionSeptember 11, 2024
July 29, 2024HealthF 0947Nursing and Physician Services DeficienciesEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.FYesDeficient, Provider has date of correctionSeptember 11, 2024
June 1, 2023HealthF 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 correctionJune 23, 2023
June 1, 2023HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DNoDeficient, Provider has date of correctionJune 23, 2023
June 1, 2023HealthF 0604Freedom from Abuse, Neglect, and Exploitation DeficienciesEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.DNoDeficient, Provider has date of correctionSeptember 15, 2023
June 1, 2023HealthF 0637Resident Assessment and Care Planning DeficienciesAssess the resident when there is a significant change in conditionDNoDeficient, Provider has date of correctionJune 23, 2023
June 1, 2023HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correctionJune 23, 2023
June 1, 2023HealthF 0645Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesDNoDeficient, Provider has date of correctionJune 23, 2023
June 1, 2023HealthF 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 correctionSeptember 15, 2023
June 1, 2023HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correctionJune 23, 2023
June 1, 2023HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DNoDeficient, Provider has date of correctionSeptember 15, 2023
June 1, 2023HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.DNoDeficient, Provider has date of correctionSeptember 15, 2023
June 1, 2023HealthF 0758Pharmacy Service DeficienciesImplement 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.DNoDeficient, Provider has date of correctionSeptember 15, 2023
June 1, 2023HealthF 0770Administration DeficienciesProvide timely, quality laboratory services/tests to meet the needs of residents.DNoDeficient, Provider has date of correctionJune 23, 2023
June 1, 2023HealthF 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 correctionJune 23, 2023
June 1, 2023HealthF 0882Infection Control DeficienciesDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FNoDeficient, Provider has date of correctionJune 23, 2023

From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
September 22, 2025Fine$34,034138987
November 7, 2024Payment DenialFebruary 7, 20254
July 29, 2024Fine$175,49078220
July 29, 2024Payment DenialAugust 23, 202441

From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Limited Liability company
Legal Business NameMONROE COUNTY OPERATING LLC
Date First Approved to Provide Medicare and Medicaid Services2017-02-10
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanN
County/ParishMonroe
Telephone Number7404720144
Chain NameLIONSTONE CARE
Chain ID611
Special Focus StatusSFF Candidate
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds41
Average Number of Residents per Day34.7
Overall Rating1
Health Inspection Rating1
QM Rating4
Long-Stay QM Rating5
Short-Stay QM Rating3
Processing Date2026-09-01

From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.

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