EXTENDICARE HEALTH FACILITY HOLDINGS INC: Skilled Nursing Ownership Information
Average 5-Star Rating for EXTENDICARE HEALTH FACILITY HOLDINGS INC: [1.00 out of a 5 Stars involving one nursing home]
Data date: May 01, 2016
The information shown here is based on data records that are not current. Our latest records for EXTENDICARE HEALTH FACILITY HOLDINGS INC is from May 01, 2016 and our latest database records are as of March 01, 2024. It is not clear why EXTENDICARE HEALTH FACILITY HOLDINGS INC is no longer in the database. This ownership information is likely not valid. We are showing this to provide historical infomation only.
Summary Information about EXTENDICARE HEALTH FACILITY HOLDINGS INC
EXTENDICARE HEALTH FACILITY HOLDINGS INC is associated with 1 skilled nursing facility in the NursingHomeDatabase skilled nursing home owner and operators database.
The average overall rating for skilled nursing homes associated with EXTENDICARE HEALTH FACILITY HOLDINGS INC is 1.00 stars; there were are total of 0 deficiencies associated with these nursing homes and a total of $0.
EXTENDICARE HEALTH FACILITY HOLDINGS INC owns or operates skilled nursing facilities in 1 state: Ohio. The address is 555 ANTHONY WAYNE TRAIL, WATERVILLE, OH 43566.
No skilled nursing homes owned or operated by EXTENDICARE HEALTH FACILITY HOLDINGS INC have been identified by CMS as being involved with possible abuse on date of this data. There may be other homes that the owner is not associated with that are no longer associated with the owner or manager.
Below is a table showing how the overall 5-star ratings for nursing homes currently associated with EXTENDICARE HEALTH FACILITY HOLDINGS INC are distributed.
Number of Stars | Count |
---|---|
5: | 0 |
4: | 0 |
3: | 0 |
2: | 0 |
1: | 1 |
About the NursingHomeDatabase Skilled Nursing Owners Database
Our database of information about owners, managers, and directors of skilled nursing homes is based primarily on data provided by the Centers for Medicare & Medicaid ("CMS"). CMS updates this information eleven times a year, typically at the end of each calendar month except for December. We pull the data as soon as it is available, run through a series of data checks and calculations and make the new data available right away.
The ownership data is typically just over 155,000 records covering over 45,000 individuals and companies that either own or are managing skilled nursing homes. The number of nursing homes in the NursingHomeDatabase skilled nursing home database is just over 15,000 which suggests that most homes will have more than one owner or operator and that many individuals and companies are involved with more than one nursing home. There are nine unique roles that are reported on:
- 5% OR GREATER DIRECT OWNERSHIP INTEREST
- 5% OR GREATER INDIRECT OWNERSHIP INTEREST
- 5% OR GREATER MORTGAGE INTEREST
- 5% OR GREATER SECURITY INTEREST
- DIRECTOR
- MANAGING EMPLOYEE
- OFFICER
- OPERATIONAL/MANAGERIAL CONTROL
- PARTNERSHIP INTEREST
The data is based upon records submitted to CMS by the individual nursing homes. There is often a lag time between the reporting of a change and its appearance in our database.
CMS recently announced that they will be releasing more information on the owners of nursing homes (See new release.)
Nursing Homes Affiliated with EXTENDICARE HEALTH FACILITY HOLDINGS INC
Table below shows each skilled nursing home that EXTENDICARE HEALTH FACILITY HOLDINGS INC is associated with, the nursing home's overall 5-star quality rating and provides a link to a comparison on the home to its local competition.
The Centers for Medicare and Medicaid uses nine categories to indicate how owners and managers are affiliated with skilled nursing facilities: 5% Or Greater Direct Ownership Interest, 5% Or Greater Indirect Ownership Interest, 5% Or Greater Mortgage Interest, 5% Or Greater Security Interest, Director, Managing Employee, Officer, Operational/managerial Control, and Partnership Interest. These categories are shown in the table below.
NursingHomeDatabase offers data exports as Excel spreadsheets or APIs for companies or individuals that need ownership information for more than one facility. Prices vary; use the Data Request page to inquire.
Skilled Nursing Facility | Description |
---|---|
ASTORIA PLACE OF WATERVILLE Role: 5% or greater indirect ownership interest |
No. of Beds: 85 WATERVILLE, OH |
Skilled nursing homes with the red icon () are homes where CMS had indicated that abuse has actually occurred or is likely to have occurred.
Other Skilled Nursing Facilities Previously Associated with EXTENDICARE HEALTH FACILITY HOLDINGS INC
Table below shows each skilled nursing home that EXTENDICARE HEALTH FACILITY HOLDINGS INC was previously associated with, the nursing home's overall 5-star quality rating and provides a link to a comparison on the home to its local competition.
Skilled Nursing Facility | Description |
---|---|
New Castle Health and Rehabilitation Center Most Recent Record: 09/01/2015 Role: 5% or greater indirect ownership interest |
No. of Beds: 120 NEW CASTLE, DE Ranking: #65 out of 87 (Ranking List) |
Silver Ridge Care Most Recent Record: 07/01/2015 Role: 5% or greater direct ownership interest |
No. of Beds: 100 COEUR D'ALENE, ID Ranking: #8 out of 11 (Ranking List) |
Ivy Court Most Recent Record: 06/01/2015 Role: 5% or greater direct ownership interest |
No. of Beds: 80 COEUR D'ALENE, ID Ranking: #5 out of 11 (Ranking List) |
Cumberland Nursing and Rehabilitation Center Most Recent Record: 07/01/2014 Role: 5% or more ownership interest |
No. of Beds: 93 SOMERSET, KY Ranking: #7 out of 9 (Ranking List) |
Salyersville Nursing and Rehabilitation Center Most Recent Record: 07/01/2014 Role: 5% or more ownership interest |
No. of Beds: 142 SALYERSVILLE, KY Ranking: #8 out of 8 (Ranking List) |
Madison Health and Rehabilitation Center Most Recent Record: 07/01/2014 Role: 5% or more ownership interest |
No. of Beds: 92 RICHMOND, KY Ranking: #27 out of 28 (Ranking List) |
Irvine Nursing and Rehabilitation Center Most Recent Record: 07/01/2014 Role: 5% or more ownership interest |
No. of Beds: 86 IRVINE, KY Ranking: #5 out of 15 (Ranking List) |
Stanton Nursing and Rehabilitation Center Most Recent Record: 07/01/2014 Role: 5% or more ownership interest |
No. of Beds: 81 STANTON, KY Ranking: #5 out of 12 (Ranking List) |
The Villas at The Park Most Recent Record: 06/01/2015 Role: 5% or greater direct ownership interest |
No. of Beds: 52 SAINT LOUIS PARK, MN Ranking: #61 out of 109 (Ranking List) |
The Villas at New Brighton Most Recent Record: 06/01/2015 Role: 5% or greater direct ownership interest |
No. of Beds: 99 NEW BRIGHTON, MN Ranking: #95 out of 113 (Ranking List) |
The Villas at Brookview Most Recent Record: 05/01/2014 Role: 5% or more ownership interest |
No. of Beds: 104 GOLDEN VALLEY, MN Ranking: #14 out of 111 (Ranking List) |
The Villas at The Cedars Most Recent Record: 06/01/2015 Role: 5% or greater direct ownership interest |
No. of Beds: 107 SAINT LOUIS PARK, MN Ranking: #72 out of 111 (Ranking List) |
The Villas at Roseville Most Recent Record: 06/01/2015 Role: 5% or greater direct ownership interest |
No. of Beds: 63 ROSEVILLE, MN Ranking: #37 out of 112 (Ranking List) |
The Villas at St Paul Most Recent Record: 06/01/2015 Role: 5% or greater direct ownership interest |
No. of Beds: 107 SAINT PAUL, MN Ranking: #70 out of 111 (Ranking List) |
The Villas at Robbinsdale Most Recent Record: 06/01/2015 Role: 5% or greater direct ownership interest |
No. of Beds: 75 ROBBINSDALE, MN Ranking: #99 out of 112 (Ranking List) |
The Villas at Richfield Most Recent Record: 06/01/2015 Role: 5% or greater direct ownership interest |
No. of Beds: 105 RICHFIELD, MN Ranking: #59 out of 110 (Ranking List) |
London Health and Rehab Center Most Recent Record: 08/01/2015 Role: 5% or greater indirect ownership interest |
No. of Beds: 78 LONDON, OH Ranking: #15 out of 58 (Ranking List) |
Arbors at Gallipolis Most Recent Record: 09/01/2015 Role: 5% or greater indirect ownership interest |
No. of Beds: 99 GALLIPOLIS, OH Ranking: #8 out of 15 (Ranking List) |
Arbors at Delaware Most Recent Record: 08/01/2015 Role: 5% or greater indirect ownership interest |
No. of Beds: 99 DELAWARE, OH Ranking: #44 out of 69 (Ranking List) |
Arbors West Most Recent Record: 08/01/2015 Role: 5% or greater indirect ownership interest |
No. of Beds: 96 WEST JEFFERSON, OH Ranking: #31 out of 76 (Ranking List) |
Arbors at Pomeroy Most Recent Record: 07/01/2015 Role: 5% or greater indirect ownership interest |
No. of Beds: 91 POMEROY, OH Ranking: #16 out of 18 (Ranking List) |
Arbors at Carroll Most Recent Record: 08/01/2015 Role: 5% or greater indirect ownership interest |
No. of Beds: 99 CARROLL, OH Ranking: #49 out of 76 (Ranking List) |
Arbors at Woodsfield Most Recent Record: 08/01/2015 Role: 5% or greater indirect ownership interest |
No. of Beds: 95 WOODSFIELD, OH Ranking: #18 out of 25 (Ranking List) |
Arbors at Oregon Most Recent Record: 08/01/2015 Role: 5% or greater indirect ownership interest |
No. of Beds: 87 OREGON, OH Ranking: #40 out of 62 (Ranking List) |
Arbors at Springfield Most Recent Record: 08/01/2015 Role: 5% or greater direct ownership interest |
No. of Beds: 46 SPRINGFIELD, OH Ranking: #46 out of 73 (Ranking List) |
Arbors at Minerva Most Recent Record: 09/01/2015 Role: 5% or greater indirect ownership interest |
No. of Beds: 95 MINERVA, OH Ranking: #45 out of 75 (Ranking List) |
Arbors at Milford Most Recent Record: 08/01/2015 Role: 5% or greater indirect ownership interest |
No. of Beds: 92 MILFORD, OH Ranking: #133 out of 143 (Ranking List) |
Arbors at Marietta Most Recent Record: 09/01/2015 Role: 5% or greater indirect ownership interest |
No. of Beds: 136 MARIETTA, OH Ranking: #19 out of 21 (Ranking List) |
Arbors at Fairlawn The Most Recent Record: 08/01/2015 Role: 5% or greater indirect ownership interest |
No. of Beds: 88 FAIRLAWN, OH Ranking: #154 out of 175 (Ranking List) |
Arbors at Streetsboro Most Recent Record: 08/01/2015 Role: 5% or greater indirect ownership interest |
No. of Beds: 99 STREETSBORO, OH Ranking: #86 out of 149 (Ranking List) |
Arbors at Stow Most Recent Record: 08/01/2015 Role: 5% or greater indirect ownership interest |
No. of Beds: 145 STOW, OH Ranking: #160 out of 173 (Ranking List) |
Astoria Place of Clyde, LLC Most Recent Record: 07/01/2015 Role: 5% or greater direct ownership interest |
No. of Beds: 74 CLYDE, OH Ranking: #23 out of 34 (Ranking List) |
Majestic Care of Columbus LLC Most Recent Record: 06/01/2015 Role: 5% or greater indirect ownership interest |
No. of Beds: 120 COLUMBUS, OH Ranking: #82 out of 86 (Ranking List) |
Arbors at Mifflin Most Recent Record: 10/01/2015 Role: 5% or greater indirect ownership interest |
No. of Beds: 99 MANSFIELD, OH Ranking: #17 out of 25 (Ranking List) |
ARBORS EAST SUBACUTE AND REHAB CTR Most Recent Record: 08/01/2015 Role: 5% or greater direct ownership interest |
No. of Beds: 99 COLUMBUS, OH |
Arbors at Sylvania Most Recent Record: 08/01/2015 Role: 5% or greater indirect ownership interest |
No. of Beds: 77 TOLEDO, OH Ranking: #14 out of 64 (Ranking List) |
Dunbar Health and Rehab Center Most Recent Record: 05/01/2015 Role: 5% or greater indirect ownership interest |
No. of Beds: 68 DAYTON, OH Ranking: #33 out of 97 (Ranking List) |
CARE CENTER EAST HEALTH & SPECIALTY CARE CENTER Most Recent Record: 06/01/2015 Role: 5% or greater direct ownership interest |
No. of Beds: 93 PORTLAND, OR |
Meadow Park Care Most Recent Record: 04/01/2015 Role: 5% or greater direct ownership interest |
No. of Beds: 92 SAINT HELENS, OR Ranking: #36 out of 37 (Ranking List) |
Valley Manor Rehabilitation and Healthcare Center Most Recent Record: 09/01/2015 Role: 5% or greater indirect ownership interest |
No. of Beds: 180 COOPERSBURG, PA Ranking: #85 out of 91 (Ranking List) |
Abington Crest Healthcareandrehabilitation Center Most Recent Record: 08/01/2015 Role: 5% or greater direct ownership interest |
No. of Beds: 80 ERIE, PA Ranking: #18 out of 20 (Ranking List) |
Belair Healthcare and Rehabilitation Center Most Recent Record: 02/01/2015 Role: 5% or more ownership interest |
No. of Beds: 103 LOWER BURRELL, PA Ranking: #75 out of 90 (Ranking List) |
Spruce Manor Nursing and Rehabilitation Center Most Recent Record: 03/01/2015 Role: 5% or greater indirect ownership interest |
No. of Beds: 184 WEST READING, PA Ranking: #20 out of 76 (Ranking List) |
Statesman Health and Rehabilitation Center Most Recent Record: 08/01/2015 Role: 5% or greater indirect ownership interest |
No. of Beds: 101 LEVITTOWN, PA Ranking: #41 out of 203 (Ranking List) |
Beaver Valley Healthcare and Rehabilitation Center Most Recent Record: 08/01/2015 Role: 5% or greater indirect ownership interest |
No. of Beds: 120 BEAVER FALLS, PA Ranking: #57 out of 75 (Ranking List) |
Broad Mountain Health and Rehabilitation Center Most Recent Record: 08/01/2015 Role: 5% or greater indirect ownership interest |
No. of Beds: 117 FRACKVILLE, PA Ranking: #23 out of 31 (Ranking List) |
Mountain Laurel Healthcare and Rehabilitation Ctr Most Recent Record: 02/01/2015 Role: 5% or more ownership interest |
No. of Beds: 240 CLEARFIELD, PA Ranking: #8 out of 9 (Ranking List) |
Slate Belt Health and Rehabilitation Center Most Recent Record: 08/01/2015 Role: 5% or greater indirect ownership interest |
No. of Beds: 119 BANGOR, PA Ranking: #13 out of 50 (Ranking List) |
Tremont Health and Rehabilitation Center Most Recent Record: 09/01/2015 Role: 5% or greater indirect ownership interest |
No. of Beds: 180 TREMONT, PA Ranking: #15 out of 44 (Ranking List) |
Dresher Hill Health and Rehabilitation Center Most Recent Record: 02/01/2015 Role: 5% or more ownership interest |
No. of Beds: 118 FORT WASHINGTON, PA Ranking: #66 out of 224 (Ranking List) |
Langhorne Gardens Health and Rehabilitation Center Most Recent Record: 08/01/2015 Role: 5% or greater indirect ownership interest |
No. of Beds: 119 LANGHORNE, PA Ranking: #92 out of 209 (Ranking List) |
Mountain City Nursing and Rehabilitation Center Most Recent Record: 02/01/2015 Role: 5% or more ownership interest |
No. of Beds: 297 HAZLETON, PA Ranking: #26 out of 43 (Ranking List) |
Oak Hill Healthcare and Rehabilitation Center Most Recent Record: 03/01/2015 Role: 5% or greater direct ownership interest |
No. of Beds: 48 GREENSBURG, PA Ranking: #40 out of 59 (Ranking List) |
Elkins Crest Health and Rehabilitation Center Most Recent Record: 08/01/2015 Role: 5% or greater indirect ownership interest |
No. of Beds: 150 ELKINS PARK, PA Ranking: #98 out of 232 (Ranking List) |
Stonebridge Health and Rehabilitation Center Most Recent Record: 10/01/2015 Role: 5% or greater direct ownership interest |
No. of Beds: 60 DUNCANNON, PA Ranking: #8 out of 34 (Ranking List) |
Suburban Woods Health and Reha Most Recent Record: 02/01/2015 Role: 5% or more ownership interest |
No. of Beds: 119 NORRISTOWN, PA Ranking: #129 out of 218 (Ranking List) |
Spokane Falls Care Most Recent Record: 06/01/2015 Role: 5% or greater direct ownership interest |
No. of Beds: 100 SPOKANE, WA Ranking: #14 out of 19 (Ranking List) |
Aurora Valley Care Most Recent Record: 06/01/2015 Role: 5% or greater direct ownership interest |
No. of Beds: 124 SPOKANE, WA Ranking: #23 out of 24 (Ranking List) |
Bridgeview Care Most Recent Record: 06/01/2015 Role: 5% or greater indirect ownership interest |
No. of Beds: 125 BREMERTON, WA Ranking: #65 out of 69 (Ranking List) |
Sequim Health and Rehabilitation Most Recent Record: 07/01/2015 Role: 5% or greater indirect ownership interest |
No. of Beds: 100 SEQUIM, WA Ranking: #5 out of 6 (Ranking List) |
Olympic View Care Most Recent Record: 06/01/2015 Role: 5% or greater indirect ownership interest |
No. of Beds: 101 PORT ANGELES, WA Ranking: #2 out of 3 (Ranking List) |
North Auburn Rehab and Health Center Most Recent Record: 06/01/2015 Role: 5% or greater direct ownership interest |
No. of Beds: 125 AUBURN, WA Ranking: #68 out of 68 (Ranking List) |
Fir Lane Health and Rehab Ctr Most Recent Record: 06/01/2015 Role: 5% or greater indirect ownership interest |
No. of Beds: 135 SHELTON, WA Ranking: #16 out of 18 (Ranking List) |
Edmonds Care Most Recent Record: 06/01/2015 Role: 5% or greater direct ownership interest |
No. of Beds: 128 EDMONDS, WA Ranking: #49 out of 58 (Ranking List) |
Emerald Bay Care Most Recent Record: 07/01/2015 Role: 5% or greater indirect ownership interest |
No. of Beds: 98 BREMERTON, WA Ranking: #43 out of 70 (Ranking List) |
Olympia Transitional Care and Rehabilitation Most Recent Record: 05/01/2015 Role: 5% or greater direct ownership interest |
No. of Beds: 135 OLYMPIA, WA Ranking: #7 out of 32 (Ranking List) |
Prestige Post-Acute and Rehab Ctr - Kittitas Valley Most Recent Record: 10/01/2014 Role: 5% or more ownership interest |
No. of Beds: 74 ELLENSBURG, WA Ranking: #2 out of 2 (Ranking List) |
Vancouver Specialty and Rehab Care Most Recent Record: 07/01/2015 Role: 5% or greater direct ownership interest |
No. of Beds: 104 VANCOUVER, WA Ranking: #59 out of 66 (Ranking List) |
Puget Sound Healthcare Center Most Recent Record: 06/01/2015 Role: 5% or greater direct ownership interest |
No. of Beds: 108 OLYMPIA, WA Ranking: #2 out of 25 (Ranking List) |
Bainbridge Island Health and Rehab Center Most Recent Record: 05/01/2015 Role: 5% or greater direct ownership interest |
No. of Beds: 58 BAINBRIDGE ISLAND, WA Ranking: #14 out of 71 (Ranking List) |
Riverside Nursing and Rehab Ctr Most Recent Record: 06/01/2015 Role: 5% or greater direct ownership interest |
No. of Beds: 91 CENTRALIA, WA Ranking: #8 out of 10 (Ranking List) |
Fairmont Healthcare and Rehabilitation Center Most Recent Record: 08/01/2015 Role: 5% or greater indirect ownership interest |
No. of Beds: 120 FAIRMONT, WV Ranking: #18 out of 20 (Ranking List) |
Crossroads Care Center of Fond Du Lac Most Recent Record: 07/01/2015 Role: 5% or greater direct ownership interest |
No. of Beds: 50 FOND DU LAC, WI Ranking: #21 out of 24 (Ranking List) |
Beloit Health and Rehabilitation Center Most Recent Record: 08/01/2015 Role: 5% or greater indirect ownership interest |
No. of Beds: 110 BELOIT, WI Ranking: #28 out of 34 (Ranking List) |
Crossroads Care Center of Kenosha Most Recent Record: 07/01/2015 Role: 5% or greater direct ownership interest |
No. of Beds: 110 KENOSHA, WI Ranking: #21 out of 38 (Ranking List) |
Crossroads Care Center of Weyauwega Most Recent Record: 05/01/2015 Role: 5% or greater direct ownership interest |
No. of Beds: 84 WEYAUWEGA, WI Ranking: #17 out of 17 (Ranking List) |
Delavan Health Services Most Recent Record: 07/01/2015 Role: 5% or greater direct ownership interest |
No. of Beds: 50 DELAVAN, WI Ranking: #16 out of 39 (Ranking List) |
CROSSROADS CARE CENTER OF CRYSTAL RIVER Most Recent Record: 05/01/2015 Role: 5% or greater direct ownership interest |
No. of Beds: 74 WAUPACA, WI |
Wausau Manor Health Services Most Recent Record: 07/01/2015 Role: 5% or greater indirect ownership interest |
No. of Beds: 68 WAUSAU, WI Ranking: #5 out of 9 (Ranking List) |
Willowcrest Health Services Most Recent Record: 06/01/2015 Role: 5% or greater direct ownership interest |
No. of Beds: 135 SOUTH MILWAUKEE, WI Ranking: #10 out of 59 (Ranking List) |
Mercy Health Services Most Recent Record: 07/01/2015 Role: 5% or greater direct ownership interest |
No. of Beds: 60 MILWAUKEE, WI Ranking: #44 out of 57 (Ranking List) |
Menomonee Falls Health Services Most Recent Record: 07/01/2015 Role: 5% or greater direct ownership interest |
No. of Beds: 100 MENOMONEE FALLS, WI Ranking: #28 out of 59 (Ranking List) |
Oakwood Health Services Most Recent Record: 07/01/2015 Role: 5% or greater direct ownership interest |
No. of Beds: 80 ALTOONA, WI Ranking: #17 out of 17 (Ranking List) |
River's Bend Health Services Most Recent Record: 06/01/2015 Role: 5% or greater direct ownership interest |
No. of Beds: 100 MANITOWOC, WI Ranking: #9 out of 16 (Ranking List) |
Sunrise Health Services Most Recent Record: 07/01/2015 Role: 5% or greater indirect ownership interest |
No. of Beds: 85 MILWAUKEE, WI Ranking: #31 out of 57 (Ranking List) |
Hammond Health Services Most Recent Record: 08/01/2015 Role: 5% or greater direct ownership interest |
No. of Beds: 50 HAMMOND, WI Ranking: #1 out of 21 (Ranking List) |
Sheboygan Progressive Health Services Most Recent Record: 07/01/2015 Role: 5% or greater direct ownership interest |
No. of Beds: 100 SHEBOYGAN, WI Ranking: #15 out of 17 (Ranking List) |
Cedarburg Health Services Most Recent Record: 07/01/2015 Role: 5% or greater direct ownership interest |
No. of Beds: 78 CEDARBURG, WI Ranking: #18 out of 47 (Ranking List) |
Heritage Health Services Most Recent Record: 07/01/2015 Role: 5% or greater direct ownership interest |
No. of Beds: 74 PORT WASHINGTON, WI Ranking: #15 out of 32 (Ranking List) |
Meadow View Health Services Most Recent Record: 07/01/2015 Role: 5% or greater direct ownership interest |
No. of Beds: 50 SHEBOYGAN, WI Ranking: #4 out of 14 (Ranking List) |
Morningside Health Services Most Recent Record: 07/01/2015 Role: 5% or greater direct ownership interest |
No. of Beds: 50 SHEBOYGAN, WI Ranking: #11 out of 16 (Ranking List) |
Cornell Health Services Most Recent Record: 07/01/2015 Role: 5% or greater direct ownership interest |
No. of Beds: 50 CORNELL, WI Ranking: #7 out of 12 (Ranking List) |
Lake Country Health Services Most Recent Record: 07/01/2015 Role: 5% or greater indirect ownership interest |
No. of Beds: 100 OCONOMOWOC, WI Ranking: #17 out of 43 (Ranking List) |
Skilled nursing homes with the red icon () are homes where CMS had indicated that abuse has actually occurred or is likely to have occurred.