Velarion Records

Skilled nursing facility · CMS certification number 396144

EXTON POST ACUTE

EXTON, Pennsylvania · Medicare

Certified beds, as filed in Care Compare: 120

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.

In Care Compare’s provider information: Penalties: 7 · Fines: 7 · Fines, total amount: $125,161.00 · Payment denials: 0. The most recent penalty on file: February 18, 2026, Fine, $38,562. 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 June 4, 2026.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$23,350,883CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$5,339,046CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$18,011,837CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$58,554,685CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$40,542,848CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$7,496CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$40,535,352CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$40,535,352 (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 components120CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components43,920CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days13,965CMS-2540-10 worksheet S300001 line 800 column 400
Other-payer patient days15,114CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components29,079CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges553CMS-2540-10 worksheet S300001 line 800 column 900
Other-payer discharges791CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components1,344CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days25.25CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days21.64CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1450218, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended December 31, 2023

Cost report for February 1, 2023 to December 31, 2023 — a reporting period of 333 days, on form CMS-2540-10, settled, processed by CMS on July 19, 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$26,897,264CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$7,133,374CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$19,763,890CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$22,547,972CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$2,784,082CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$10,989CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$2,773,093CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,773,093 (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 components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components33,678CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components1,776CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days21.27CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days18.96CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1389336, 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 October 28, 2024.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$31,466,587CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$12,121,963CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$19,344,624CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$22,732,767CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$3,388,143CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$75,584CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$3,312,559CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$3,312,766 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components36,822CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components2,330CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days18.86CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days15.8CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1398197, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended December 31, 2021

Cost report for May 1, 2021 to December 31, 2021 — a reporting period of 244 days, not a full year, on form CMS-2540-10, settled, processed by CMS on September 16, 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$22,816,609CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$8,968,543CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$13,848,066CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$17,230,205CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$3,382,139CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$803CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$3,381,336CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$3,381,336 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components23,003CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components1,486CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days16.82CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days15.48CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1331441, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended December 31, 2020

Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on October 26, 2022.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$30,828,999CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$9,828,314CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$21,000,685CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$27,152,769CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$6,152,084CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$5,536CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$6,146,548CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$6,146,548 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components35,638CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components1,857CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days21.61CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days19.19CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1335658, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended December 31, 2019

Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 24, 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$29,159,145CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$11,928,094CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$17,231,051CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$19,974,806CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$2,743,755CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$22,851CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$2,720,904CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$2,720,904 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components31,049CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components1,775CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days19.39CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days17.49CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1258806, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended December 31, 2018

Cost report for August 16, 2018 to December 31, 2018 — a reporting period of 137 days, not a full year, on form CMS-2540-10, settled, processed by CMS on August 16, 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$4,528,313CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,873,016CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,655,297CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,232,903CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,577,606CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$5,560CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,572,046CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,572,046 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components120CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components4,492CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components256CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days17.97CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days17.55CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1241136, read from the public cost report file SNF10FY2018.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
EXTON OPERATOR LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 01/01/2025
QUINTO NEXGEN LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganization79%since 01/01/2025
MANUFACTURERS & TRADERS TRUST COMPANY5% OR GREATER MORTGAGE INTERESTOrganizationNOT APPLICABLEsince 01/01/2025
MANUFACTURERS & TRADERS TRUST COMPANY5% OR GREATER SECURITY INTERESTOrganizationNOT APPLICABLEsince 01/01/2025
COX-MALESCIO, GIGIADP OF THE SNFIndividualNOT APPLICABLEsince 02/24/2025
FRY, BEVERLYADP OF THE SNFIndividualNOT APPLICABLEsince 01/15/2025
HARMAN, DINAADP OF THE SNFIndividualNOT APPLICABLEsince 01/14/2025
MARQUIS LIMITED LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 03/28/2025
MOORE, CAMERONADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2025
POSEN, MINDEEADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2025
RELIANT PRO REHAB LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 01/15/2025
VIROJA, YOGESHADP OF THE SNFIndividualNOT APPLICABLEsince 01/01/2025
COX-MALESCIO, GIGICORPORATE DIRECTORIndividualNOT APPLICABLEsince 02/24/2025
POSEN, MINDEECORPORATE OFFICERIndividualNOT APPLICABLEsince 01/01/2025
ROKEACH, FRAIDEINDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 01/01/2025
FLAGLER, OSHERINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 03/27/2025
KAHANOW, AVIVAINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 03/27/2025
LEVOVITZ, TZVIINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 03/27/2025
ROKOWSKY, YITZCHOKINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 03/27/2025
COX-MALESCIO, GIGIMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 02/24/2025
FRY, BEVERLYMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 01/01/2025
HARMAN, DINAMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 01/01/2025
VIROJA, YOGESHMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 01/01/2025
COX-MALESCIO, GIGIOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 02/24/2025
MARQUIS LIMITED LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 01/01/2025
MOORE, CAMERONOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/01/2025
RELIANT PRO REHAB LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 01/15/2025

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of EXTON OPERATOR LLC (enrollment ID O20250414003353).

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
EXTON OPERATOR LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1001/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: Yes
NFR 2020 IRRV TROrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST21.81/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
QUINTO NEXGEN LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST78.61/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
RSBRMK HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST21.81/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
SK NEXGEN TROrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST14.21/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
TRYKO NEXGEN HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST56.81/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
UAK 2020 IRRV TROrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST201/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
UKR NEXGEN LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST201/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
YK NEXGEN TROrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST14.21/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
YR NEXGEN TROrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST28.41/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
MANUFACTURERS & TRADERS TRUST COMPANYOrganization5% OR GREATER MORTGAGE INTEREST751/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
MANUFACTURERS & TRADERS TRUST COMPANYOrganization5% OR GREATER SECURITY INTEREST751/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
BEVERLY FRYIndividualADP OF THE SNFNot stated in the filing1/15/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
CAMERON GRANT MOOREIndividualADP OF THE SNFNot stated in the filing1/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
DINA HARMANIndividualADP OF THE SNFNot stated in the filing1/14/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
GIGI COX-MALESCIOIndividualADP OF THE SNFNot stated in the filing2/24/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MARQUIS LIMITED LLCOrganizationADP OF THE SNFNot stated in the filing3/28/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
MINDEE POSENIndividualADP OF THE SNFNot stated in the filing1/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
RELIANT PRO REHAB LLCOrganizationADP OF THE SNFNot stated in the filing1/15/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
YOGESH V VIROJAIndividualADP OF THE SNFNot stated in the filing1/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
No owner named in the filingOrganizationADP OF THE SNFNot stated in the filing1/15/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
No owner named in the filingOrganizationADP OF THE SNFNot stated in the filing1/20/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
No owner named in the filingOrganizationADP OF THE SNFNot stated in the filing1/20/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
No owner named in the filingOrganizationADP OF THE SNFNot stated in the filing1/15/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
No owner named in the filingOrganizationADP OF THE SNFNot stated in the filing1/14/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
No owner named in the filingOrganizationADP OF THE SNFNot stated in the filing1/14/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
No owner named in the filingOrganizationADP OF THE SNFNot stated in the filing1/14/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
No owner named in the filingOrganizationADP OF THE SNFNot stated in the filing1/15/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
GIGI COX-MALESCIOIndividualCORPORATE DIRECTORNot stated in the filing2/24/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MINDEE POSENIndividualCORPORATE OFFICERNot stated in the filing1/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
FRAIDE ROKEACHIndividualINDIRECT OWNERSHIP INTEREST0.021/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
No owner named in the filingOrganizationINDIRECT OWNERSHIP INTEREST1.41/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
BEVERLY FRYIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing1/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
DINA HARMANIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing1/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
GIGI COX-MALESCIOIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing2/24/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
YOGESH V VIROJAIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing1/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
CAMERON GRANT MOOREIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing1/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
GIGI COX-MALESCIOIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing2/24/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MARQUIS LIMITED LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing1/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
RELIANT PRO REHAB LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing1/15/2025
Private equity company: No
Real estate investment trust: No
Holding company: No

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
1April 9, 2026June 25, 2025136
2June 25, 2025January 16, 202525
3January 16, 2025March 15, 2024205

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

Deficiencies cited

35 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
April 9, 2026HealthF 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 14, 2026
April 9, 2026HealthF 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.DYesDeficient, Provider has date of correctionMay 14, 2026
April 9, 2026HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DYesDeficient, Provider has date of correctionMay 14, 2026
April 9, 2026HealthF 0694Quality of Life and Care DeficienciesProvide for the safe, appropriate administration of IV fluids for a resident when needed.DYesDeficient, Provider has date of correctionMay 14, 2026
April 9, 2026HealthF 0698Quality of Life and Care DeficienciesProvide safe, appropriate dialysis care/services for a resident who requires such services.DYesDeficient, Provider has date of correctionMay 14, 2026
April 9, 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.DYesDeficient, Provider has date of correctionMay 14, 2026
April 9, 2026HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FYesDeficient, Provider has date of correctionMay 14, 2026
April 9, 2026HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correctionMay 14, 2026
February 18, 2026HealthF 0678Quality of Life and Care DeficienciesProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.JYesDeficient, Provider has date of correctionMarch 11, 2026
February 18, 2026HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DYesDeficient, Provider has date of correctionMarch 11, 2026
February 18, 2026HealthF 0770Administration DeficienciesProvide timely, quality laboratory services/tests to meet the needs of residents.DYesDeficient, Provider has date of correctionMarch 11, 2026
February 18, 2026HealthF 0835Administration DeficienciesAdminister the facility in a manner that enables it to use its resources effectively and efficiently.DYesDeficient, Provider has date of correctionMarch 11, 2026
December 15, 2025HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DYesDeficient, Provider has date of correctionJanuary 6, 2026
June 25, 2025HealthF 0606Freedom from Abuse, Neglect, and Exploitation DeficienciesNot hire anyone with a finding of abuse, neglect, exploitation, or theft.DNoDeficient, Provider has date of correctionJuly 15, 2025
April 15, 2025HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.GYesPast Non-ComplianceApril 14, 2025
January 16, 2025HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DNoDeficient, Provider has date of correctionFebruary 18, 2025
January 16, 2025HealthF 0610Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.DNoDeficient, Provider has date of correctionFebruary 18, 2025
January 16, 2025HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.GNoDeficient, Provider has date of correctionFebruary 18, 2025
January 16, 2025HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DNoDeficient, Provider has date of correctionFebruary 18, 2025
January 16, 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GNoDeficient, Provider has date of correctionFebruary 18, 2025
January 16, 2025HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.DNoDeficient, Provider has date of correctionFebruary 18, 2025
January 16, 2025HealthF 0730Nursing and Physician Services DeficienciesObserve each nurse aide's job performance and give regular training.DNoDeficient, Provider has date of correctionFebruary 18, 2025
January 16, 2025HealthF 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 correctionFebruary 18, 2025
January 16, 2025HealthF 0761Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DNoDeficient, Provider has date of correctionFebruary 18, 2025
January 16, 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correctionFebruary 18, 2025
August 22, 2024HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.GYesDeficient, Provider has date of correctionOctober 7, 2024
August 22, 2024HealthF 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 7, 2024
June 10, 2024HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.DYesDeficient, Provider has date of correctionJune 28, 2024
June 10, 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DYesDeficient, Provider has date of correctionJune 28, 2024
April 25, 2024HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.EYesDeficient, Provider has date of correctionMay 4, 2024
April 25, 2024HealthF 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 correctionMay 4, 2024
March 15, 2024HealthF 0770Administration DeficienciesProvide timely, quality laboratory services/tests to meet the needs of residents.DYesDeficient, Provider has date of correctionApril 16, 2024
January 27, 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DYesDeficient, Provider has date of correctionFebruary 27, 2024
December 19, 2023HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GYesDeficient, Provider has date of correctionJanuary 23, 2024
November 1, 2023HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DYesDeficient, Provider has date of correctionDecember 19, 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
February 18, 2026Fine$38,562137648
April 15, 2025Fine$10,358135855
January 16, 2025Fine$43,173135806
August 22, 2024Fine$8,82414055
January 27, 2024Fine$8,40113818
January 27, 2024Fine$8,40013819
November 1, 2023Fine$7,44313871

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

Care Compare provider information

FieldAs filed
Provider TypeMedicare
Ownership TypeFor profit - Limited Liability company
Legal Business NameEXTON OPERATOR LLC
Date First Approved to Provide Medicare and Medicaid Services2018-08-16
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishChester
Telephone Number6104238600
Chain NameMARQUIS HEALTH SERVICES
Chain ID336
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilBoth
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds120
Average Number of Residents per Day101.9
Overall Rating3
Health Inspection Rating2
QM Rating5
Short-Stay QM Rating5
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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