01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-01-15 | 17 | 2026-01-15 | 8 |
| Cycle 2 | 2024-11-27 | 19 | 2024-11-27 | 4 |
| Cycle 3 | 2022-05-10 | 27 | 2022-05-10 | 7 |
CMS CCN 3657172026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
The Convalarium Of Dublin
6430 Post Rd · Dublin, OH 43016 · Franklin County
Certified beds90CMS provider file
Recent citation rows82current CMS citation release
Penalty rows5current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
82 rows in the current release
3 rows carry G–L scope/severity codes; 0 carry J–L. 12 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-06-22 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2026-07-06 · complaint2026-06-03 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Past Non-Compliance · 2026-05-13 · complaint2026-06-03 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2026-06-26 · complaint2026-06-03 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2026-06-26 · complaint2026-01-15 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2026-02-27 · complaint2026-01-15 · HEALTHF0605Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Correction field: Deficient, Provider has date of correction · 2026-02-272026-01-15 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2026-02-272026-01-15 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2026-02-272026-01-15 · HEALTHF0680Severity F · widespread; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure the activities program is directed by a qualified professional.
Correction field: Deficient, Provider has date of correction · 2026-02-272026-01-15 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2026-02-27 · complaint2026-01-15 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2026-02-27 · complaint2026-01-15 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2026-02-27 · complaint2026-01-15 · HEALTHF0778Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Help the resident make transportation arrangements to and from radiology services.
Correction field: Deficient, Provider has date of correction · 2026-02-27 · complaint2026-01-15 · HEALTHF0791Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
Correction field: Deficient, Provider has date of correction · 2026-02-27 · complaint2026-01-15 · HEALTHF0810Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Correction field: Deficient, Provider has date of correction · 2026-02-272026-01-15 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2026-02-27 · complaint2026-01-15 · HEALTHF0908Severity F · widespread; potential for more than minimal harm
Environmental Deficiencies
Keep all essential equipment working safely.
Correction field: Deficient, Provider has date of correction · 2026-02-272026-01-15 · FIREK0271Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Have exits that are accessible at all times.
Correction field: Deficient, Provider has date of correction · 2026-02-272026-01-15 · FIREK0321Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2026-02-272026-01-15 · FIREK0351Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install an approved automatic sprinkler system.
Correction field: Deficient, Provider has date of correction · 2026-02-272026-01-15 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2026-02-272026-01-15 · FIREK0363Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2026-02-272026-01-15 · FIREK0915Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper power supply for life support equipment.
Correction field: Deficient, Provider has date of correction · 2026-02-272026-01-15 · FIREK0920Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2026-02-2703 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2024-03-25 | Fine | $45,429 | 0 |
| 2024-02-20 | Fine | $4,558 | 0 |
| 2024-02-12 | Fine | $4,178 | 0 |
| 2024-01-22 | Fine | $10,256 | 0 |
| 2023-12-26 | Fine | $6,480 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- LIONSTONE HZ OPCO HOLDINGS LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 01/01/2023
- KAZARNOVSKY, SOLOMONIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST50% · since 01/01/2023
- STEIN, ABBAIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST50% · since 01/01/2023
- CUSNER, ADAMIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/27/2025
- DEGYANSKY, JEFFREYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2020
- GOLDISH, ELIEZERIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/09/2023
- KAZARNOVSKY, SOLOMONIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2023
- STEIN, ABBAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2023
- CUSNER, ADAMIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/27/2025
- DEGYANSKY, JEFFREYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2023
- GOLDISH, ELIEZERIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/09/2023
- KAZARNOVSKY, SOLOMONIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2023
- STEIN, ABBAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2023
- CUSNER, ADAMIndividual · ADP OF THE SNFNOT APPLICABLE · since 01/27/2025
- DEGYANSKY, JEFFREYIndividual · ADP OF THE SNFNOT APPLICABLE · since 01/01/2023
- GOLDISH, ELIEZERIndividual · ADP OF THE SNFNOT APPLICABLE · since 10/09/2023
- KAZARNOVSKY, SOLOMONIndividual · ADP OF THE SNFNOT APPLICABLE · since 01/01/2023
- STEIN, ABBAIndividual · ADP OF THE SNFNOT APPLICABLE · since 01/01/2023
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.98per resident day
RN hours1.21per resident day
Weekend nurse hours3.54per resident day
Staff turnover46.4%CMS reported field
06 / LOCAL RECORDS
Open the Dublin ledger →