CCN 366372 · Lorain County, Ohio
Keystone Pointe Health and Rehabilitation
383 Opportunity Way, Lagrange, OH 44050
Keystone Pointe Health and Rehabilitation is a 121-bed for-profit nursing home in Lagrange, Ohio, first certified for Medicare or Medicaid in 2008. CMS rates it 5 out of 5 stars overall in its September 2026 data, and it averaged 111.1 residents a day, about 92% of its certified beds. It has an active FHA-insured Section 232 loan: $9.9 million originally, at 2.93%, with $8.8 million outstanding as of September 30, 2026 and maturity in June 2055.
Facility facts
- Certified beds
- 121
- Average residents per day
- 111.1 (91.8% of beds)
- Ownership type
- For profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Lagrange Nursing & Rehabilitation Center, Inc.
- Certified since
- Dec 24, 2008
- Chain or affiliated group
- Foundations Health Solutions (64 facilities, chain average 4.2 stars)
- Location
- Urban
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 | 5 of 5 | State spread: 118 at 1, 216 at 2, 180 at 3, 190 at 4, 209 at 5 | |
| Health inspections | 5 of 5 | ||
| Quality measures | 4 of 5 | ||
| Staffing | 2 of 5 | ||
| Total nurse hours per resident per day | 3.59 | 3.57 | 3.68 |
| RN hours per resident per day | 0.44 | 0.59 | 0.58 |
| Weekend nurse hours per resident per day | 3.14 | ||
| Nursing staff turnover | 34.3% | 48.5% | 44.9% |
| Occupancy (residents / beds) | 91.8% | 87.2% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 0 (Apr 18, 2024) | ||
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). Keystone Pointe Health and Rehabilitation meets that part today: 5 stars overall, 5 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 |
|---|---|---|---|
| Foundations Health Solutions, LLCOrganization | Operational / Managerial Control | n/a | 01/01/2019 |
| Colleran, BrianIndividual | Operational / Managerial Control | n/a | 01/01/2019 |
| Hope, ChristopherIndividual | Operational / Managerial Control | n/a | 06/01/2018 |
| Krystowski, JohnIndividual | Operational / Managerial Control | n/a | 06/01/2018 |
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
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 |
|---|---|---|---|---|
| May 26, 2020 | 223(a)(7) refinance of a 223(f) loanHUD project name: Keystone Pointe Nursing and Rehabilitation, 121 beds. Lender at endorsement: Lument Real Estate Capital, LLC | $9,902,700 | Active: 2.93%, $8,789,293 balanceMatures Jun 1, 2055. Servicer: Lument Real Estate Capital | 04222333 |
| Aug 21, 2013 | 223(f) refinance or purchaseHUD project name: Keystone Pointe Health & Rehab, 121 beds. Lender at endorsement: Lancaster Pollard Mtge Co | $10,130,600 | Ended May 26, 2020Prepayment | 04222198 |
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.