Composite
99.8 / 100 percentile
Screener / 495156
F
OLD SOUTHWEST HEALTH AND REHABILITATION
snfVA
324 KING GEORGE AVE SW, ROANOKE, VA 24016 · CCN 495156 · chain YDI IRREVOCABLE TRUST
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
130
Model
v1.2
Reads as: riskier than 99.8% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
Score model5Components16CHOW radar1Distress radar1Staffing16Penalties3Deficiencies129Licensure0Ownership9Related party8Transactions1Comps12Market rent33
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| billing conduct | 97.9 | 70.9 | 0.30 | 0.2308 | 22.59 | in index |
| regulatory risk | 97.2 | 95.9 | 0.30 | 0.2308 | 22.43 | in index |
| financial risk | 89.6 | 77.0 | 0.30 | 0.2308 | 20.68 | in index |
| staffing risk | 78.0 | 78.0 | 0.25 | 0.1923 | 15.00 | in index |
| chow risk | 55.8 | 60.5 | 0.15 | 0.1154 | 6.44 | in index |
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
Component scores and registry models
16| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 70.9 | D | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 24.2 | A | v0.1-pos | default · in composite | Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure. |
| chow risk | 96.7 | F | v0.6 | default · in composite | |
| financial risk | 77.0 | D | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.2 | — | v0.1 | default · in composite | R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite. |
| p chow 12m | 0.0 | — | v0.1 | default · in composite | R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite. |
| regulatory risk | 95.9 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 78.0 | D | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 74.9 | D | v0.1 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 54.9 | C | v0.2 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 62.5 | C | v0.3 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 78.3 | D | v0.4 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 95.8 | F | v0.1 | superseded | Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 95.8 | F | v0.2 | superseded | Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| staffing risk | 78.0 | D | v0.1 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| staffing risk | 78.0 | D | v0.2 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
CHOW radar — 12-month sale probability
full board →p(CHOW, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
12.1
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 2.49 | -1.60 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 2.83 | +0.20 | |
| Deficiencies, last 12 months | 0.00 | -0.17 | |
| Occupancy | 0.64 | +0.17 |
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Distress radar — 12-month termination probability
full board →p(termination, 12m)
0.2%
model v0.1 · computed 2026-07-29
Percentile among SNFs
61.8
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 0.00 | +1.43 | |
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.64 | +0.46 | |
| Chain size (log) | 2.83 | -0.45 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Staffing trend, last 4 quarters | 0.66 | +0.28 | |
| Current owner tenure (years) | 2.49 | -0.26 |
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
16| 2025Q4 HPRD | This facility | VA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.85 | 3.13 | 3.28 | 2.90–3.77 |
| RN | 0.28 | 0.30 | 0.39 | 0.25–0.58 |
| Weekend total | 2.64 | 2.96 | 3.11 | — |
| Weekday total | 2.93 | 3.20 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 83.2 | 2.85 | 0.28 | 0.79 | 1.77 | 2.64 | 6.0% |
| 2025Q3 | 92 | 95.2 | 3.05 | 0.22 | 0.81 | 2.03 | 2.85 | 7.1% |
| 2025Q2 | 91 | 95.7 | 2.96 | 0.15 | 0.80 | 2.01 | 2.55 | 6.1% |
| 2025Q1 | 90 | 85.0 | 2.31 | 0.16 | 0.78 | 1.38 | 2.10 | 13.1% |
| 2024Q4 | 92 | 70.4 | 2.19 | 0.21 | 0.58 | 1.39 | 1.99 | 8.6% |
| 2024Q3 | 92 | 70.6 | 2.69 | 0.32 | 0.83 | 1.54 | 2.48 | 20.7% |
| 2024Q2 | 91 | 83.1 | 2.64 | 0.34 | 0.75 | 1.55 | 2.39 | 18.4% |
| 2024Q1 | 91 | 81.1 | 2.21 | 0.21 | 0.76 | 1.24 | 2.06 | 10.1% |
| 2023Q4 | 92 | 63.5 | 3.11 | 0.32 | 1.08 | 1.71 | 2.98 | 9.8% |
| 2023Q3 | 92 | 66.1 | 3.14 | 0.39 | 1.01 | 1.74 | 2.94 | 21.5% |
| 2023Q2 | 91 | 71.3 | 3.23 | 0.62 | 0.89 | 1.73 | 3.02 | 34.3% |
| 2023Q1 | 90 | 66.4 | 2.79 | 0.30 | 0.80 | 1.68 | 2.57 | 45.2% |
| 2022Q4 | 92 | 59.5 | 3.03 | 0.18 | 1.08 | 1.77 | 2.11 | 59.4% |
| 2022Q3 | 92 | 63.6 | 2.65 | 0.07 | 1.00 | 1.58 | 1.92 | 62.3% |
| 2022Q2 | 91 | 57.4 | 1.63 | 0.05 | 0.41 | 1.17 | 1.22 | 43.3% |
| 2022Q1 | 90 | 57.2 | 2.57 | 0.09 | 0.92 | 1.56 | 2.19 | 55.9% |
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.
Penalties
3fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-03-29 | Fine | $135,633 | CMS provider data |
| 2024-03-29 | Payment Denial | — | CMS provider data |
| 2023-08-16 | Fine | $8,190 | CMS provider data |
Total fines on record: $143,823
Deficiencies
129C × 2D × 81E × 38F × 4G × 4
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2024-07-16 | Health · complaint | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | 2024-08-29 |
| 2024-07-16 | Health · complaint | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | 2024-08-29 |
| 2024-07-16 | Health · complaint | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | 2024-08-29 |
| 2024-07-16 | Health · complaint | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E | 2024-08-29 |
| 2024-07-16 | Health · complaint | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2024-08-29 |
| 2024-07-16 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-08-29 |
| 2024-07-16 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2024-08-29 |
| 2024-07-16 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2024-08-29 |
| 2024-07-16 | Health · complaint | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | 2024-08-29 |
| 2024-07-16 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2024-08-29 |
| 2024-07-16 | Health · complaint | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | F | 2024-08-29 |
| 2024-07-16 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-08-29 |
| 2024-07-16 | Health · complaint | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2024-08-29 |
| 2024-07-16 | Health · complaint | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2024-08-29 |
| 2024-07-16 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2024-08-29 |
| 2024-07-16 | Health · complaint | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | 2024-08-29 |
| 2024-07-16 | Health · complaint | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | 2024-08-29 |
| 2024-07-16 | Health · complaint | F0775 | Keep complete, dated laboratory records in the resident's record. | D | 2024-08-29 |
| 2024-07-16 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-08-29 |
| 2024-07-16 | Health · complaint | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | 2024-08-29 |
| 2024-07-16 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2024-08-29 |
| 2024-07-16 | Health · complaint | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2024-08-29 |
| 2024-07-16 | Health · complaint | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | 2024-08-29 |
| 2024-07-16 | Health · complaint | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | E | 2024-08-29 |
| 2024-03-29 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-07-16 |
| 2024-03-29 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | 2024-07-16 |
| 2024-03-29 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2024-07-16 |
| 2024-03-29 | Health | F0575 | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | C | 2024-07-16 |
| 2024-03-29 | Health | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | 2024-07-16 |
| 2024-03-29 | Health · complaint | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | 2024-08-29 |
| 2024-03-29 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-07-16 |
| 2024-03-29 | Health | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | 2024-08-29 |
| 2024-03-29 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | 2024-07-16 |
| 2024-03-29 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | 2024-07-16 |
| 2024-03-29 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | 2024-08-29 |
| 2024-03-29 | Health | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E | 2024-08-29 |
| 2024-03-29 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2024-07-16 |
| 2024-03-29 | Health · complaint | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-07-16 |
| 2024-03-29 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-07-16 |
| 2024-03-29 | Health · complaint | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2024-08-29 |
| 2024-03-29 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-08-29 |
| 2024-03-29 | Health · complaint | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2024-07-16 |
| 2024-03-29 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2024-08-29 |
| 2024-03-29 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2024-07-16 |
| 2024-03-29 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2024-08-29 |
| 2024-03-29 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-07-16 |
| 2024-03-29 | Health | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | 2024-08-29 |
| 2024-03-29 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2024-08-29 |
| 2024-03-29 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-07-16 |
| 2024-03-29 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2024-07-16 |
| 2024-03-29 | Health | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2024-07-16 |
| 2024-03-29 | Health | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | F | 2024-08-29 |
| 2024-03-29 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | E | 2024-07-16 |
| 2024-03-29 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2024-08-29 |
| 2024-03-29 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | 2024-08-29 |
| 2024-03-29 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2024-08-29 |
| 2024-03-29 | Health | F0760 | Ensure that residents are free from significant medication errors. | G | 2024-08-29 |
| 2024-03-29 | Health · complaint | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | 2024-08-29 |
| 2024-03-29 | Health | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | 2024-08-29 |
| 2024-03-29 | Health · complaint | F0775 | Keep complete, dated laboratory records in the resident's record. | D | 2024-08-29 |
| 2024-03-29 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-08-29 |
| 2024-03-29 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | D | 2024-08-29 |
| 2024-03-29 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | G | 2024-07-16 |
| 2024-03-29 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-08-29 |
| 2024-03-29 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2024-08-29 |
| 2024-03-29 | Health | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | 2024-08-29 |
| 2024-03-29 | Health | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | E | 2024-08-29 |
| 2024-03-29 | Health | F0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | E | 2024-07-16 |
| 2024-03-29 | Health | F0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | E | 2024-07-16 |
| 2024-03-29 | Health | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E | 2024-07-16 |
| 2024-03-29 | Health | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | E | 2024-07-16 |
| 2024-03-29 | Health | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | 2024-07-16 |
| 2024-03-29 | Health | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | E | 2024-07-16 |
| 2023-11-01 | Health · complaint | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | 2024-01-18 |
| 2023-11-01 | Health · complaint | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2024-01-18 |
| 2023-11-01 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-01-18 |
| 2023-11-01 | Health · complaint | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2024-01-18 |
| 2023-11-01 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-01-18 |
| 2023-11-01 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-01-18 |
| 2023-11-01 | Health · complaint | F0687 | Provide appropriate foot care. | D | 2024-01-18 |
| 2023-11-01 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2024-01-18 |
| 2023-11-01 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-01-18 |
| 2023-11-01 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2024-01-18 |
| 2023-11-01 | Health · complaint | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2024-01-18 |
| 2023-11-01 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2024-01-18 |
| 2023-11-01 | Health · complaint | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | F | 2024-01-18 |
| 2023-11-01 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-01-18 |
| 2023-11-01 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-01-18 |
| 2023-08-16 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-10-12 |
| 2023-08-16 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-10-27 |
| 2023-08-16 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2023-10-12 |
| 2022-07-19 | Health | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | 2022-08-22 |
| 2022-07-19 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2022-08-22 |
| 2022-07-19 | Health | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | 2022-08-22 |
| 2022-07-19 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2022-08-22 |
| 2022-07-19 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2022-08-22 |
| 2022-07-19 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2022-08-22 |
| 2022-07-19 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2022-08-22 |
| 2022-07-19 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2022-08-22 |
| 2022-07-19 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2022-08-22 |
| 2022-07-19 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2022-08-22 |
| 2022-07-19 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2022-08-22 |
| 2022-07-19 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2022-08-22 |
| 2022-07-19 | Health | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | 2022-08-22 |
| 2022-07-19 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2022-08-22 |
| 2021-08-05 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2021-09-23 |
| 2021-08-05 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2021-09-23 |
| 2021-08-05 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2021-09-23 |
| 2021-08-05 | Health | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | 2021-09-23 |
| 2021-08-05 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2021-09-23 |
| 2021-08-05 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2021-09-23 |
| 2021-08-05 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2021-10-15 |
| 2021-08-05 | Health | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | 2021-10-15 |
| 2021-08-05 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2021-10-15 |
| 2021-08-05 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2021-09-23 |
| 2021-08-05 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2021-09-23 |
| 2021-08-05 | Health | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2021-09-23 |
| 2021-08-05 | Health | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | 2021-09-23 |
| 2021-08-05 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2021-09-23 |
| 2021-08-05 | Health | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2021-09-23 |
| 2021-08-05 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2021-10-15 |
| 2021-08-05 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2021-09-23 |
| 2021-08-05 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2021-09-23 |
| 2021-08-05 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2021-09-23 |
| 2021-08-05 | Health | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | 2021-09-23 |
| 2021-08-05 | Health | F0772 | Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. | D | 2021-09-23 |
| 2021-08-05 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2021-09-23 |
| 2021-08-05 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2021-09-23 |
| 2021-08-05 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | 2021-10-15 |
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.
Licensure actions
0No licensure actions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Ownership
9| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| VA SNF OPERATIONS HOLDINGS 2 LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2024-02-01 | current | pecos_ownership |
| JJ UNITED TR | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2024-02-01 | current | pecos_ownership |
| OLD SOUTHWEST PROPCO LLC | Corporation, partnership or other organization has financial interest in provider | — | 2024-04-01 | current | hcris_a_8_1 |
| SHAPIRO, AKIVA | CORPORATE OFFICER | — | 2024-02-01 | current | pecos_ownership |
| SHULER, ANDREW | W-2 MANAGING EMPLOYEE | — | 2024-02-01 | current | pecos_ownership |
| YDI IRREVOCABLE TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2024-02-01 | ended 2026-05-18 | pecos_ownership |
| YDI EASTERN HOLDCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2024-02-01 | ended 2026-05-18 | pecos_ownership |
| AKIVA SHAPIRO | CORPORATE OFFICER | 0% | 2024-02-01 | ended 2026-05-18 | pecos_ownership |
| ANDREW SHULER | W-2 MANAGING EMPLOYEE | 0% | 2024-02-01 | ended 2026-05-18 | pecos_ownership |
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Transactions
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2024-02-01 | — | OLD SOUTHWEST HEALTH AND REHABILITATION LLC | 324 KING GEORGE OPCO LLC | chow |
Comparable trades — VA snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-06-01 | Woodstock Valley Health and Rehabilitation | — | — | — | 88 | 803 SOUTH MAIN STREET OPCO LLC |
| 2025-06-01 | Jamestown Health and Rehabilitation | — | — | — | 90 | 1811 JAMESTOWN ROAD OPCO LLC |
| 2025-06-01 | Windsor Grove Health and Rehabilitation | — | — | — | 114 | 23352 COURTHOUSE HIGHWAY OPCO LLC |
| 2025-06-01 | Grayson Health and Rehabilitation | — | — | — | 120 | 400 SOUTH INDEPENDENCE AVENUE OPCO LLC |
| 2025-06-01 | SKYLINE NURSING & REHABILITATION | — | — | — | 90 | 237 FRANKLIN PIKE ROAD SE OPCO LLC |
| 2025-06-01 | KINGS DAUGHTERS COMMUNITY HEALTH & REHAB | — | — | — | 117 | 1410 NORTH AUGUSTA STREET OPCO LLC |
| 2025-06-01 | Ghent Health and Rehabilitation | — | — | — | 222 | 3900 LLEWELLYN AVENUE OPCO LLC |
| 2025-06-01 | ASHLAND NURSING AND REHABILITATION | — | — | — | 190 | 906 THOMPSON STREET OPCO LLC |
| 2025-05-19 | The Boulevard Post Acute | — | — | — | 81 | BOULEVARD OPERATOR LLC |
| 2025-05-01 | FRANCIS MARION MANOR HEALTH & REHABILITATION | — | — | — | 109 | FRANCIS MARION OPERATING GROUP LLC |
| 2024-09-01 | POPLAR HILL HEALTH AND REHAB | — | — | — | 113 | FAUQUIER OPCO LLC |
| 2024-05-01 | NORTHERN CARDINAL REHABILITATION AND NURSING | — | — | — | 120 | NORTHERN CARDINAL REHABILITATION AND NURSING LLC |
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
33| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 51770 | acs median gross | 0 | $833 | 2024-12-31 | CENSUS_ACS5 |
| county 51770 | fmr | 0 | $1,004 | 2025-10-01 | HUD_USER_FMR |
| county 51770 | acs median gross | 1 | $847 | 2024-12-31 | CENSUS_ACS5 |
| county 51770 | fmr | 1 | $1,053 | 2025-10-01 | HUD_USER_FMR |
| county 51770 | acs median gross | 2 | $967 | 2024-12-31 | CENSUS_ACS5 |
| county 51770 | fmr | 2 | $1,254 | 2025-10-01 | HUD_USER_FMR |
| county 51770 | acs median gross | 3 | $1,282 | 2024-12-31 | CENSUS_ACS5 |
| county 51770 | fmr | 3 | $1,743 | 2025-10-01 | HUD_USER_FMR |
| county 51770 | acs median gross | 4 | $1,484 | 2024-12-31 | CENSUS_ACS5 |
| county 51770 | fmr | 4 | $2,104 | 2025-10-01 | HUD_USER_FMR |
| county 51770 | acs median gross | $996 | 2024-12-31 | CENSUS_ACS5 | |
| county 51770 | acs recent mover gross | $1,390 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 24016 | acs median gross | 0 | $982 | 2024-12-31 | CENSUS_ACS5 |
| zcta 24016 | acs median gross | 1 | $923 | 2024-12-31 | CENSUS_ACS5 |
| zcta 24016 | acs median gross | 2 | $927 | 2024-12-31 | CENSUS_ACS5 |
| zcta 24016 | acs median gross | 3 | $1,082 | 2024-12-31 | CENSUS_ACS5 |
| zcta 24016 | acs median gross | 5 | $338 | 2024-12-31 | CENSUS_ACS5 |
| zcta 24016 | acs median gross | $966 | 2024-12-31 | CENSUS_ACS5 | |
| zip 24016 | payment standard 110 | 0 | $1,034 | 2025-10-01 | HUD_USER_SAFMR |
| zip 24016 | payment standard 90 | 0 | $846 | 2025-10-01 | HUD_USER_SAFMR |
| zip 24016 | safmr | 0 | $940 | 2025-10-01 | HUD_USER_SAFMR |
| zip 24016 | payment standard 110 | 1 | $1,089 | 2025-10-01 | HUD_USER_SAFMR |
| zip 24016 | payment standard 90 | 1 | $891 | 2025-10-01 | HUD_USER_SAFMR |
| zip 24016 | safmr | 1 | $990 | 2025-10-01 | HUD_USER_SAFMR |
| zip 24016 | payment standard 110 | 2 | $1,298 | 2025-10-01 | HUD_USER_SAFMR |
| zip 24016 | payment standard 90 | 2 | $1,062 | 2025-10-01 | HUD_USER_SAFMR |
| zip 24016 | safmr | 2 | $1,180 | 2025-10-01 | HUD_USER_SAFMR |
| zip 24016 | payment standard 110 | 3 | $1,804 | 2025-10-01 | HUD_USER_SAFMR |
| zip 24016 | payment standard 90 | 3 | $1,476 | 2025-10-01 | HUD_USER_SAFMR |
| zip 24016 | safmr | 3 | $1,640 | 2025-10-01 | HUD_USER_SAFMR |
| zip 24016 | payment standard 110 | 4 | $2,178 | 2025-10-01 | HUD_USER_SAFMR |
| zip 24016 | payment standard 90 | 4 | $1,782 | 2025-10-01 | HUD_USER_SAFMR |
| zip 24016 | safmr | 4 | $1,980 | 2025-10-01 | HUD_USER_SAFMR |
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.