Standard&Poor's Ratings Services affirmed its 'A+/A-1' rating on Cuyahoga County, Ohio's (Judson Retirement Community) healthcare facility revenue adjusted rate refunding bonds series 2000, due to the bank facility being extended to Nov. 15, 2013. The long-term and short-term components of the rating are based on the rating on PNC Bank N.A., Pittsburgh, Pa. Criteria: Methodology And Assumptions: Approach To Evaluating Letter Of Credit-Supported Debt, July 6, 2009