SNF
MCCREA MANOR NSNG AND REHAB CTR LLC
CCN: 365634 · ALLIANCE, OH 44601 · Stark County
Overview
- Address
- 2040 MCCREA STREET, ALLIANCE, OH 44601
- Phone
- 3308239005
- Certified beds
- 84
- Avg daily residents
- 64 (76% of beds filled)
- Ownership
- For-profit corporation
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1984-08-31
- Setting
- Urban
2 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.16 | 3.95 | 3.09 | ≥ 3.48 | Below floor |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.40 | 0.69 | 0.39 | ≥ 0.55 | Below floor |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.66 | 0.88 | 0.64 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.10 | 2.38 | 2.05 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.06 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.08 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
2.86
hrs / resident / day
RN (weekend)
0.20
hrs / resident / day
Total nurse (adjusted, weekend)
2.79
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
66.2%
annual
RN turnover
83.3%
annual
Administrators departed
1
last 12 months
Resident acuity
Nursing Case-Mix Index
1.40
higher acuity than avg
Case-Mix Index Ratio
1.02
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2024-08-28 | 18 | 8 | 11 | 112 | 1 | 112 |
| Cycle 2/3 (prior) | 2022-07-14 | 8 | 5 | 3 | 52 | 1 | 52 |
Total weighted health score
97.0
lower is better
Deficiencies (34)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
34 D/E/F Actual harm — potential for minor
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2025-12-18 | 2026-01-26 |
| 0551 | Give the resident's representative the ability to exercise the resident's rights. | D | 2025-04-15 | 2025-05-12 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-04-15 | 2025-05-12 |
| 0759 | Ensure medication error rates are not 5 percent or greater. | D | 2025-04-15 | 2025-05-12 |
| 0761 | 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. | E | 2025-04-15 | 2025-05-12 |
| 0803 | 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. | E | 2025-04-15 | 2025-05-12 |
| 0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | 2025-04-15 | 2025-05-12 |
| 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-04-15 | 2025-05-12 |
| 0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2025-04-15 | 2025-05-12 |
| 0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | 2025-03-04 | 2025-03-24 |
| 0679 | Provide activities to meet all resident's needs. | E | 2024-08-28 | 2024-09-26 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2024-08-28 | 2024-09-26 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2024-08-28 | 2024-09-26 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-08-28 | 2024-09-26 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-08-28 | 2024-09-26 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2024-08-28 | 2024-09-26 |
| 0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2024-08-28 | 2024-09-26 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-08-28 | 2024-09-26 |
| 0778 | Help the resident make transportation arrangements to and from radiology services. | D | 2024-01-09 | 2024-01-15 |
| 0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | 2023-12-21 | 2024-01-15 |
| 0908 | Keep all essential equipment working safely. | D | 2023-08-07 | 2023-08-10 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2022-07-14 | 2022-08-01 |
| 0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2022-07-14 | 2022-08-01 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2022-07-14 | 2022-08-01 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2022-07-14 | 2022-08-01 |
| 0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | 2022-07-14 | 2022-08-01 |
| 0602 | Protect each resident from the wrongful use of the resident's belongings or money. | E | 2019-06-27 | 2019-07-31 |
| 0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | 2019-06-27 | 2019-07-31 |
| 0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2019-06-27 | 2019-07-31 |
| 0727 | 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 | 2019-06-27 | 2019-07-31 |
| 0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2019-06-27 | 2019-07-31 |
| 0758 | 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 | 2019-06-27 | 2019-07-31 |
| 0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2019-06-27 | 2019-07-31 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2019-06-27 | 2019-07-31 |
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 7.9% Medicaid 23.0% Other 69.1%
Operating performance
Operating Margin
-5.2%
Total Margin
4.7%
Occupancy Rate
55.1%
Cost per Resident Day
$33
Revenue & costs
Net Patient Revenue
$5.8M
Total Costs
$655K
Net Income
$296K
Balance sheet
Total Assets
$1.0M
Total Liabilities
$958K
Fund Balance
$88K
Current Ratio
1.25
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: LIONSTONE CARE
- Chain ID
611- Facilities in chain
- 22
- Legal business name
- MCCREA OPERATING COMPANY LLC
Chain-average star ratings (for peer context)
Overall
2.6
Health
2.2
Staffing
1.6
QM
4.6
Owner / manager organizations (1)
| Organization | Role | Association |
|---|---|---|
| LIONSTONE HZ OPCO HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 01/01/2023 |
Owner / manager individuals (10)
| Name | Role | Association |
|---|---|---|
| KAZARNOVSKY, SOLOMON | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 01/01/2023 |
| STEIN, ABBA | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 01/01/2023 |
| CUSNER, ADAM | OPERATIONAL/MANAGERIAL CONTROL | since 01/27/2025 |
| DEGYANSKY, JEFFREY | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2023 |
| GOLDISH, ELIEZER | OPERATIONAL/MANAGERIAL CONTROL | since 10/09/2023 |
| KAZARNOVSKY, SOLOMON | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2023 |
| STEIN, ABBA | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2023 |
| CUSNER, ADAM | CORPORATE OFFICER | since 01/27/2025 |
| DEGYANSKY, JEFFREY | CORPORATE OFFICER | since 01/01/2020 |
| GOLDISH, ELIEZER | CORPORATE OFFICER | since 10/09/2023 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $33 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 1.25 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 23.0% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 7.9% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $295,566 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $5,757,406 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 55.1% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -5.2% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $1,045,848 | metrics.total_assets |
| Cost Report | Total Costs ($) | $654,728 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $88,063 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $957,785 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 4.7% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.64436 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.04844 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.39290 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.08569 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 2.78950 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 63.9 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.87710 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.38376 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.69135 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.95220 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.48345 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 2.2 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 2.6 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 4.6 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 1.6 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 611 | Chain ID |
| Provider Information | Chain Name | LIONSTONE CARE | Chain Name |
| Provider Information | City/Town | ALLIANCE | City/Town |
| Provider Information | CMS Certification Number (CCN) | 365634 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Stark | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1984-08-31 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 2 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 40.9144 | Latitude |
| Provider Information | Legal Business Name | MCCREA OPERATING COMPANY LLC | Legal Business Name |
| Provider Information | Location | 2040 MCCREA STREET,ALLIANCE,OH,44601 | Location |
| Provider Information | Long-Stay QM Rating | 5 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -81.138 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 1 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 84 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 22 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.40009 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.01629 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 2 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Corporation | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 2040 MCCREA STREET | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | MCCREA MANOR NSNG AND REHAB CTR LLC | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 770 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 5 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 112 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 11 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 8 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2024-08-28 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 112 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 18 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 5 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2022-07-14 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 52 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 3 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 52 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 8 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.19774 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 83.3 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.06178 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.65959 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.09686 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.07685 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.40219 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.15864 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 4 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 1 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | OH | State |
| Provider Information | Telephone Number | 3308239005 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 2.85545 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 66.2 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 97.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 44601 | ZIP Code |