Rae Ann Geneva
A nursing home in Geneva, Ohio 44041
839 W Main Street, Geneva, Ohio 44041. (440) 466-5733.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 1of 5 CMS’s overall rating
- 23 health citations at the latest inspection cycle Ohio average: 10.5
- 3.40 nurse hours per resident per day Ohio average: 3.71
- 0 fines in the last three years
Each figure’s source sits beside it, in its section below.
What these words mean7
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
23 health citations at the latest inspection cycle
The Ohio average is 10.5.
Last standard inspection May 21, 2025.
Most serious in three years: actual harm (G), at a complaint inspection on Jan 20, 2026
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
31 citations in 6 months of the last 36. Last cited Apr 2026. Most serious: actual harm (G). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 31 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 12 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Apr 16, 2026: complaint inspection4 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Provide the required documentation or notification related to the resident’s needs, appeal rights, or bed-hold policies.
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Ensure the resident’s doctor reviews the resident’s care, writes, signs and dates progress notes and orders, at each required visit.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Jan 20, 2026: complaint inspection4 citations
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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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.
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Provide and implement an infection prevention and control program.
May 21, 2025: standard inspection14 citations
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident’s ability to function.
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Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
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Assure that each resident’s assessment is updated at least once every 3 months.
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Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
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Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Provide care or services that was trauma informed and/or culturally competent.
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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.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
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Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
May 21, 2025: standard and complaint inspection1 citation
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Provide safe and appropriate respiratory care for a resident when needed.
Apr 16, 2025: complaint inspection1 citation
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Provide and implement an infection prevention and control program.
Dec 24, 2024: complaint inspection1 citation
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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Dec 18, 2023: standard inspection5 citations
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Honor the resident’s right to manage his or her financial affairs.
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Honor the resident’s right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Provide safe and appropriate respiratory care for a resident when needed.
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Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Dec 18, 2023: standard and complaint inspection1 citation
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Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Mar 1, 1996.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
- 76 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- No fines in the last three years.
- No Medicare payment denials in the last three years.
- 12 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Who does the caring?
3.40 nurse hours per resident per day
The Ohio average is 3.71.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Ohio average |
|---|---|---|
| Nurse hours per resident per day | 3.40 | 3.71 |
| Of which registered nurses | 0.91 | 0.64 |
| At weekends | 2.89 | 3.29 |
| Nursing staff turnover | 64.4% | 49% |
| Registered nurse turnover | 52.9% | 44.4% |
| Administrators who left | 0 | Not given |
Who owns it?
- Ra Assets Holdco LLC owns 100% directly since May 17, 2022.
- Neil Bay Management LLC runs it.
- 6 owners or officers are people: Jonathan Gewirtz (owns 5% or more through other companies, 12.5%); Jonathan Gewirtz (corporate officer); Jonathan Gewirtz (corporate director); Jonathan Gewirtz (runs it (operational or managerial control)); Shreeniwas Lele (additional disclosable party (controls, leases property to, or provides services to the home)); Danielle Herron (additional disclosable party (controls, leases property to, or provides services to the home)).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Ra Assets Holdco LLC | Owns 5% or more directly | 100% | May 17, 2022 |
| Ra Opco LLC | Owns 5% or more through other companies | 52.5% | May 17, 2022 |
| Ra Investment Oh LLC | Owns 5% or more through other companies | 35% | May 17, 2022 |
| Neil Bay Management LLC | Runs it (operational or managerial control) | May 17, 2022 | |
| Neil Bay Management LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Feb 17, 2025 |
How do residents fare?
- CMS rates its quality measures 4 of 5 (Ohio average 4.5).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 1 of 5 |
| Quality measures | 4 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 14.8 miles, this one had the 1st most health citations at the latest inspection cycle (23; the middle value was 7).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Rae Ann Geneva This nursing home | 23 | |
| Geneva Center for Rehabilitation and Nursing | 1.0 | 2 |
| Pine Grove Healthcare Center | 1.2 | 0 |
| Madison Health Care | 3.1 | 12 |
| Cardinal Woods Skilled Nursing & Rehab Ctr | 4.4 | 7 |
| Arcola Creek Health and Rehabilitation | 5.1 | Not given |
| Austinburg Nsg and Rehab Ctr | 5.7 | 7 |
| Saybrook Landing | 7.7 | 3 |
| Carington Park | 10.0 | 1 |
| Country Club Ret Center I I I | 10.5 | 7 |
| Jefferson Healthcare Center | 11.2 | 1 |
| Ashtabula County Nursing Home | 14.8 | 7 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
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Paid listing
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