CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)
AS OF 2026-08-05 00:12 UTC
Chains / JAMES RIVER BUYER INC

JAMES RIVER BUYER INC

Facilities
8
8 scored
% D/F
12.5%
1 facilities
Mean pctl position
68.1
blunt across peer groups
Certified beds
Low evidence
0

Grade mix

A 0B 2C 5D 1F 0
Grades are peer-group percentiles, so the grade mix is the comparable statistic. mean_percentile_position averages percentile positions across peer groups and should be read as a rough central tendency, not a score.

Ownership graph

Showing 8 of 8 facilities · 11 of 11 owner nodes · 59 of 59 current edges
SHANE MALEY — ownership 100% — CORPORATE OFFICERTORINO JENNINGS — ownership 100% — W-2 MANAGING EMPLOYEETRICIA ROWSEY — ownership 100% — W-2 MANAGING EMPLOYEEJAMES RIVER INTERMEDIATE HOLDINGS, LLC — ownership 100% — 5% OR GREATER DIRECT OWNERSHIP INTERESTALESHA HOLMAN — ownership 100% — W-2 MANAGING EMPLOYEEJAMES RIVER HOLDCO, LLC — ownership 100% — 5% OR GREATER INDIRECT OWNERSHIP INTERESTJAMES RIVER BUYER, INC — ownership 100% — 5% OR GREATER INDIRECT OWNERSHIP INTERESTJAMES RIVER INTERMEDIATE HOLDINGS, LLC — ownership 100% — 5% OR GREATER DIRECT OWNERSHIP INTERESTSHANE MALEY — ownership 100% — CORPORATE OFFICERSHANE MALEY — ownership 100% — OPERATIONAL/MANAGERIAL CONTROLSTEPHANIE WILLIS — ownership 100% — W-2 MANAGING EMPLOYEEALESHA HOLMAN — ownership 100% — W-2 MANAGING EMPLOYEETRICIA ROWSEY — ownership 100% — W-2 MANAGING EMPLOYEEJAMES RIVER HOLDCO, LLC — ownership 100% — 5% OR GREATER INDIRECT OWNERSHIP INTERESTJAMES RIVER BUYER, INC — ownership 100% — 5% OR GREATER INDIRECT OWNERSHIP INTERESTTORINO JENNINGS — ownership 100% — W-2 MANAGING EMPLOYEESHANE MALEY — ownership 100% — OPERATIONAL/MANAGERIAL CONTROLTORINO JENNINGS — ownership 100% — W-2 MANAGING EMPLOYEESTEPHANIE WILLIS — ownership 100% — OPERATIONAL/MANAGERIAL CONTROLTRICIA ROWSEY — ownership 100% — OPERATIONAL/MANAGERIAL CONTROLJAMES RIVER INTERMEDIATE HOLDINGS, LLC — ownership 100% — 5% OR GREATER DIRECT OWNERSHIP INTERESTJAMES RIVER HOLDCO, LLC — ownership 100% — 5% OR GREATER INDIRECT OWNERSHIP INTERESTMEGAN LLOYD — ownership 100% — W-2 MANAGING EMPLOYEEJAMES RIVER BUYER, INC — ownership 100% — 5% OR GREATER INDIRECT OWNERSHIP INTERESTSHANE MALEY — ownership 100% — CORPORATE OFFICERSHANE MALEY — ownership — CORPORATE OFFICERTORINO JENNINGS — ownership 100% — W-2 MANAGING EMPLOYEETRICIA ROWSEY — ownership — OPERATIONAL/MANAGERIAL CONTROLJAMES RIVER HOLDCO, LLC — ownership 100% — 5% OR GREATER INDIRECT OWNERSHIP INTERESTMEGAN LLOYD — ownership 100% — W-2 MANAGING EMPLOYEEJAMES RIVER INTERMEDIATE HOLDINGS, LLC — ownership 100% — 5% OR GREATER DIRECT OWNERSHIP INTERESTJAMES RIVER BUYER, INC — ownership 100% — 5% OR GREATER INDIRECT OWNERSHIP INTERESTTRICIA ROWSEY — ownership 100% — W-2 MANAGING EMPLOYEEJAMES RIVER INTERMEDIATE HOLDINGS, LLC — ownership 100% — 5% OR GREATER DIRECT OWNERSHIP INTERESTJAMIE WINSTEAD — ownership 100% — W-2 MANAGING EMPLOYEEJAMES RIVER HOLDCO, LLC — ownership 100% — 5% OR GREATER INDIRECT OWNERSHIP INTERESTJAMES RIVER BUYER, INC — ownership 100% — 5% OR GREATER INDIRECT OWNERSHIP INTERESTSHANE MALEY — ownership 100% — CORPORATE OFFICERSHANE MALEY — ownership 100% — CORPORATE DIRECTORSTEPHANIE WILLIS — ownership 100% — CORPORATE OFFICERSTEPHANIE WILLIS — ownership 100% — CORPORATE DIRECTORKIMBERLY WILLIAMS — ownership 100% — OPERATIONAL/MANAGERIAL CONTROLTRICIA ROWSEY — ownership 100% — OPERATIONAL/MANAGERIAL CONTROLJAMES RIVER INTERMEDIATE HOLDINGS, LLC — ownership 100% — 5% OR GREATER DIRECT OWNERSHIP INTERESTJAMES RIVER HOLDCO, LLC — ownership 100% — 5% OR GREATER INDIRECT OWNERSHIP INTERESTJAMES RIVER BUYER, INC — ownership 100% — 5% OR GREATER INDIRECT OWNERSHIP INTERESTSHANE MALEY — ownership 100% — CORPORATE DIRECTORSHANE MALEY — ownership 100% — OPERATIONAL/MANAGERIAL CONTROLTRICIA ROWSEY — ownership 100% — W-2 MANAGING EMPLOYEEJAMES RIVER INTERMEDIATE HOLDINGS, LLC — ownership 100% — 5% OR GREATER DIRECT OWNERSHIP INTERESTJAMES RIVER HOLDCO, LLC — ownership 100% — 5% OR GREATER INDIRECT OWNERSHIP INTERESTJAMES RIVER BUYER, INC — ownership 100% — 5% OR GREATER INDIRECT OWNERSHIP INTERESTSHANE MALEY — ownership 100% — CORPORATE DIRECTORSHANE MALEY — ownership 100% — OPERATIONAL/MANAGERIAL CONTROLTRICIA ROWSEY — ownership 100% — W-2 MANAGING EMPLOYEEJAMES RIVER HOLDCO, LLC — ownership 100% — 5% OR GREATER INDIRECT OWNERSHIP INTERESTJAMES RIVER BUYER, INC — ownership 100% — 5% OR GREATER INDIRECT OWNERSHIP INTERESTJAMIE WINSTEAD — ownership 100% — W-2 MANAGING EMPLOYEEJAMES RIVER INTERMEDIATE HOLDINGS, LLC — ownership 100% — 5% OR GREATER DIRECT OWNERSHIP INTERESTJAMES RIVER BUYER INCchain · 8 facilitiesJAMES RIVER HOME HEALTH CARE LLC (VA hospice) — score 91.8DJAMES RIVER HOME HEALTH CARE LLC91.8JAMES RIVER HOME HEALTH CARE LLC (FREDERICKSBURG) (VA hospice) — score 81.2CJAMES RIVER HOME HEALTH CARE LLC …81.2JAMES RIVER HOME HEALTH CARE LLC (VA hospice) — score 80.4CJAMES RIVER HOME HEALTH CARE LLC80.4JAMES RIVER HOME HEALTH AND HOSPICE (VA hospice) — score 74.8CJAMES RIVER HOME HEALTH AND HOSPI…74.8JAMES RIVER HOME HEALTH CARE LLC (VA home_health) — score 68.4CJAMES RIVER HOME HEALTH CARE LLC68.4JAMES RIVER HOME HEALTH AGENCY (VA home_health) — score 60.4CJAMES RIVER HOME HEALTH AGENCY60.4JAMES RIVER HOME HEALTH CARE LLC (VA home_health) — score 47.5BJAMES RIVER HOME HEALTH CARE LLC47.5JAMES RIVER HOME HEALTH CARE LLC (VA home_health) — score 39.9BJAMES RIVER HOME HEALTH CARE LLC39.9JAMES RIVER BUYER, INC — ownership on 8 shown-chain facilities — up to 100% 5% OR GREATER INDIRECT OWNERSHIP INTERESTJAMES RIVER BUYER, INCownership · 8 fac. · ≤100%JAMES RIVER HOLDCO, LLC — ownership on 8 shown-chain facilities — up to 100% 5% OR GREATER INDIRECT OWNERSHIP INTERESTJAMES RIVER HOLDCO, LLCownership · 8 fac. · ≤100%JAMES RIVER INTERMEDIATE HOLDINGS, LLC — ownership on 8 shown-chain facilities — up to 100% 5% OR GREATER DIRECT OWNERSHIP INTERESTJAMES RIVER INTERMEDIATE HOLD…ownership · 8 fac. · ≤100%SHANE MALEY — ownership on 8 shown-chain facilities — up to 100% CORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROLSHANE MALEYownership · 8 fac. · ≤100%TRICIA ROWSEY — ownership on 8 shown-chain facilities — up to 100% OPERATIONAL/MANAGERIAL CONTROL; W-2 MANAGING EMPLOYEETRICIA ROWSEYownership · 8 fac. · ≤100%TORINO JENNINGS — ownership on 4 shown-chain facilities — up to 100% W-2 MANAGING EMPLOYEETORINO JENNINGSownership · 4 fac. · ≤100%STEPHANIE WILLIS — ownership on 3 shown-chain facilities — up to 100% CORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; W-2 MANAGING EMPLOYEESTEPHANIE WILLISownership · 3 fac. · ≤100%ALESHA HOLMAN — ownership on 2 shown-chain facilities — up to 100% W-2 MANAGING EMPLOYEEALESHA HOLMANownership · 2 fac. · ≤100%JAMIE WINSTEAD — ownership on 2 shown-chain facilities — up to 100% W-2 MANAGING EMPLOYEEJAMIE WINSTEADownership · 2 fac. · ≤100%MEGAN LLOYD — ownership on 2 shown-chain facilities — up to 100% W-2 MANAGING EMPLOYEEMEGAN LLOYDownership · 2 fac. · ≤100%KIMBERLY WILLIAMS — ownership on 1 shown-chain facilities — up to 100% OPERATIONAL/MANAGERIAL CONTROLKIMBERLY WILLIAMSownership · 1 fac. · ≤100%
registered ownership operator / lease / managerP related-party real estate in cost reportdrag to pan · scroll to zoom · click a facility for its dossier
Owner nodes group ownership edges by the exact registered owner name; the same person or company filed under two spellings appears as two nodes, because merging them would be an editorial claim the registry does not make. Facility and owner lists are capped; caps and totals travel together so a partial graph cannot pass as a complete one. Facilities are prioritized riskiest-first by composite score.

By setting

2
SettingFacilitiesGrade mixMean pctl
home health4
54.1
hospice4
82.1

By state

1
StateFacilitiesD/F count
VA81

Facilities

8
FacilityGradeScoreSettingStateCityBeds
JAMES RIVER HOME HEALTH CARE LLCD91.8hospiceVALYNCHBURG
JAMES RIVER HOME HEALTH CARE LLC (FREDERICKSBURG)C81.2hospiceVAFREDERICKSBURG
JAMES RIVER HOME HEALTH CARE LLCC80.4hospiceVAFARMVILLE
JAMES RIVER HOME HEALTH AND HOSPICEC74.8hospiceVARICHMOND
JAMES RIVER HOME HEALTH CARE LLCC68.4home healthVALYNCHBURG
JAMES RIVER HOME HEALTH AGENCYC60.4home healthVARICHMOND
JAMES RIVER HOME HEALTH CARE LLCB47.5home healthVAFARMVILLE
JAMES RIVER HOME HEALTH CARE LLCB39.9home healthVAFREDERICKSBURG