Staffing
CMS publishes a 2-star staffing rating for this facility.
RN staffing was 0.55 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceAsk Trust Hub Network
Also known publicly as Covington Skilled Nursing and Rehabilitation
EAST PALESTINE, OH
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS.
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
CMS publishes a 2-star staffing rating for this facility.
RN staffing was 0.55 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on May 1, 2025 cited 4 deficiencies.
View inspection evidenceCMS-published records list 28 ownership or control parties.
View ownership evidenceCMS groups this facility with a chain covering 7 facilities across 1 states or territories.
View chain evidenceOwnership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
SeniorTrustHub found evidence connecting this facility to:
8 currently connected nursing homes share this CMS organization identity with MSTC DEVELOPMENT INC.
These figures summarize currently connected CMS-certified nursing homes. Some facilities have incomplete measures; missing values are omitted, not treated as zero. Ownership structures can change. State operator or licensee evidence may differ from CMS ownership disclosures.
Ownership
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Dec 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across OH.
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Oct 1, 2009
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2009
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 13, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 7, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2018
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2009
Individual · CORPORATE OFFICER
Association date reported to CMS: Apr 1, 2022
Individual · CORPORATE OFFICER
Association date reported to CMS: Jun 1, 2018
Individual · CORPORATE OFFICER
Association date reported to CMS: Oct 1, 2009
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Oct 1, 2009
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 18, 2018
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 1, 2009
Other facilities connected through this exact CMS organization identity: 0 across OH.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Dec 31, 2023
Other facilities connected through this exact CMS organization identity: 0 across OH.
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Oct 1, 2009
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2009
Individual · ADP OF THE SNF
Association date reported to CMS: Mar 13, 2024
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2009
Other facilities connected through this exact CMS organization identity: 0 across OH.
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 7, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Jun 1, 2018
Individual · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2009
Individual · CORPORATE OFFICER
Published ownership percentage: 0%
Association date reported to CMS: Apr 1, 2022
Individual · CORPORATE OFFICER
Association date reported to CMS: Jun 1, 2018
Individual · CORPORATE OFFICER
Published ownership percentage: 100%
Association date reported to CMS: Oct 1, 2009
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Oct 1, 2009
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 18, 2018
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 1, 2009
Other facilities connected through this exact CMS organization identity: 7 across OH.
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across OH.
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Chain context
Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 789 is a grouping identifier, not a legal organization.
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 7 | 2.7 | 1.3 |
| Mon Jun | 7 | 2.6 | 1 |
| Fri May | 7 | 2.6 | 1 |
| Wed Apr | 7 | 2.6 | 1 |
| Sun Mar | 7 | 3 | 1.1 |
| Sun Feb | 7 | 2.9 | 1.1 |
Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.
View official CMS sourceInspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
No health-deficiency rows were deterministically linked to this inspection.
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 21, 2025)
Ensure the activities program is directed by a qualified professional.
CMS scope/severity C: Widespread; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (May 21, 2025)
Provide safe and appropriate respiratory care for a resident when needed.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 21, 2025)
Conduct 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.
CMS scope/severity C: Widespread; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (May 21, 2025)
No health-deficiency rows were deterministically linked to this inspection.
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 1, 2022)
Respond appropriately to all alleged violations.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 1, 2022)
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 1, 2022)
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 1, 2022)
Assist a resident in gaining access to vision and hearing services.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 1, 2022)
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.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 1, 2022)
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 1, 2022)
No health-deficiency rows were deterministically linked to this inspection.
Honor the resident's right to organize and participate in resident/family groups in the facility.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 6, 2019)
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 6, 2019)
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 6, 2019)
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 6, 2019)
Assure that each resident’s assessment is updated at least once every 3 months.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 6, 2019)
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 6, 2019)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 6, 2019)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 6, 2019)
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 6, 2019)
Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 6, 2019)
Provide and implement an infection prevention and control program.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 6, 2019)
Penalties & enforcement
No penalty records were found for this provider in the currently loaded CMS Penalties dataset.
Questions to ask
Facility history
4 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
Total nurse staffing decreased from 3.23 to 3.03 hours per resident day between 2025Q4 and 2026Q1. Staffing declined across those reported periods.
3.23 → 3.03
CMS · Reported in a source release · View related evidence
4 deficiencies were recorded.
CMS · Recorded event date · View related evidence
7 deficiencies were recorded.
CMS · Recorded event date · View related evidence
11 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 2 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 3.002 | 3.087 |
| RN categories | 0.535 | 0.579 |
Contract staff accounted for 17.1% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.013 lower than the prior loaded quarter.
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 3.568 | 0.666 | 0.894 | 2.008 | 8.7% | 91 |
| 2025Q3 | 3.414 | 0.659 | 0.882 | 1.873 | 9.2% | 92 |
| 2025Q4 | 3.232 | 0.56 | 0.822 | 1.849 | 10.6% | 92 |
| 2026Q1 | 3.026 | 0.547 | 0.756 | 1.723 | 17.1% | 90 |
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
Planned evidence layers
These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.
Trust participation
Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.
Source register
No paid placements. Facilities cannot pay to rank higher. We cite. You decide.