CCN 366286 · Muskingum County, Ohio
Continuing Healthcare at Cedar Hill
1136 Adair Avenue, Zanesville, OH 43701
Continuing Healthcare at Cedar Hill is a 90-bed for-profit nursing home in Zanesville, Ohio, first certified for Medicare or Medicaid in 2004. CMS rates it 2 out of 5 stars overall in its September 2026 data, and it averaged 76.8 residents a day, about 85% of its certified beds. HUD's healthcare database shows an FHA-insured Section 232 loan for a project matching this facility, most recently $5.4 million in March 2011 (223(f) refinance or purchase), and none of them appears in HUD's active-loan file.
Facility facts
- Certified beds
- 90
- Average residents per day
- 76.8 (85.3% of beds)
- Ownership type
- For profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Continuing Healthcare Cedar Hills LLC
- Certified since
- Feb 19, 2004
- Chain or affiliated group
- Certus Healthcare (14 facilities, chain average 1.6 stars)
- Location
- Rural
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Ohio median | US median |
|---|---|---|---|
| Overall rating | 2 of 5 | State spread: 118 at 1, 216 at 2, 180 at 3, 190 at 4, 209 at 5 | |
| Health inspections | 2 of 5 | ||
| Quality measures | 4 of 5 | ||
| Staffing | 2 of 5 | ||
| Total nurse hours per resident per day | 3.23 | 3.57 | 3.68 |
| RN hours per resident per day | 0.58 | 0.59 | 0.58 |
| Weekend nurse hours per resident per day | 2.72 | ||
| Nursing staff turnover | 38.3% | 48.5% | 44.9% |
| Occupancy (residents / beds) | 85.3% | 87.2% | 85.7% |
| Fines reported by CMS | 2 totaling $30,227 | ||
| Health deficiencies, latest standard survey | 17 (Jul 1, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Continuing Healthcare at Cedar Hill meets that part today: 2 stars overall, 2 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Chm Oh West Opco Holdco LLCOrganization | Direct Ownership Interest | 100% | 12/28/2021 |
| Ohio Care Skld LLCOrganization | Indirect Ownership Interest | 50% | 12/28/2021 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Dec 28, 2018 | Continuing Healthcare Cedar Hills LLC | Zandex Health Care Corporation |
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Mar 3, 2011 | 223(f) refinance or purchaseHUD project name: Cedar Hill, 149 beds. Lender at endorsement: Lancaster Pollard Mtge Co | $5,363,000 | Ended Dec 28, 2018Prepayment | 04322050 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.