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 2026-08-04 21:35 UTC
Screener / 495193
C

HENRICO HEALTH & REHABILITATION CENTER

snfVASFF: SFF
561 NORTH AIRPORT DRIVE, HIGHLAND SPRINGS, VA 23075 · CCN 495193 · chain CHARLES 1994 FAMILY GRANTOR TRUST
Composite
75.6 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
120
Model
v1.2
Reads as: riskier than 75.6% 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 model5ML signals13Components16CHOW radar1Distress radar1Staffing16Penalties3Deficiencies77Licensure0Ownership19Related party6Transactions1Comps12Market rent32

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk98.697.70.300.230822.75in index
billing conduct86.857.30.300.230820.03in index
staffing risk41.741.80.250.19238.02in index
financial risk31.134.50.300.23087.18in index
chow risk4.212.10.150.11540.48in 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.

ML signals — parallel engine

13
KindFindingSignalSubjectFirst seen
connectionOwner fleet enforcement cluster63% finedNATHAN 5604 FAMILY GRANTOR TRUST8 facilities
connectionOwner fleet enforcement cluster63% finedGOLDEN 2017 FAMILY GRANTOR TRUST8 facilities
connectionOwner fleet enforcement cluster63% finedMATT 2002 FAMILY GRANTOR TRUST8 facilities
connectionOwner fleet enforcement cluster56% finedPIVOTAL CENTRAL LLC9 facilities
connectionOwner fleet enforcement cluster56% finedGOLDEN 2017 LLC9 facilities
connectionOwner fleet enforcement cluster50% finedMATT 2002 LLC10 facilities
connectionOwner fleet enforcement cluster50% finedCENTRAL BAY LLC10 facilities
connectionOwner fleet enforcement cluster50% finedNATHAN 5604 LLC10 facilities
connectionOwner fleet enforcement cluster50% finedNATHAN 5604 FAMILY LLC10 facilities
connectionOwner fleet enforcement cluster50% finedRYBST CENTRAL MANAGER LLC10 facilities
connectionOwner fleet enforcement cluster46% finedSAS 1998 FAMILY TRUST11 facilities
connectionOwner fleet enforcement cluster46% finedAL 2003 FAMILY TRUST11 facilities
connectionOwner fleet enforcement cluster46% finedAK 2003 FAMILY TRUST11 facilities
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.

Component scores and registry models

16
Score typeScoreGradeModelStatusRegistry model notes
billing conduct57.3Cv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk23.0Av0.1-posdefault · in compositeChange-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 risk1.3Av0.6default · in composite
financial risk34.5Bv0.5default · in compositeR18.
p adverse action 12m0.0—v0.1default · in compositeR23/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 12m0.1—v0.1default · in compositeR22/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 risk97.7Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk41.8Bv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk53.9Cv0.1supersededPre-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 risk33.9Bv0.2supersededPre-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 risk54.2Cv0.3supersededPre-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 risk38.0Bv0.4supersededPre-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 risk97.7Fv0.1supersededPre-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 risk97.7Fv0.2supersededPre-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 risk41.8Bv0.1supersededPre-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 risk41.8Bv0.2supersededPre-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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
22.4
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Never sold on record0.00-1.62
Current owner tenure (years)5.17-1.34
For-profit ownership1.00+0.69
No PBJ staffing report0.00+0.42
Chain size (log)3.76+0.40
Occupancy0.81-0.34
Ownership changes, last 5 years0.00+0.20
Deficiencies, last 12 months13.00+0.14
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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
0.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Chain size (log)3.76-0.99
Deficiencies, last 12 months13.00-0.98
For-profit ownership1.00-0.69
No PBJ staffing report0.00+0.39
Never sold on record0.00-0.28
Occupancy0.81-0.28
Current owner tenure (years)5.17-0.22
Fine amount, 12m (log)0.00+0.18
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 HPRDThis facilityVA medianNational medianNational p25–p75
Total nurse3.423.133.282.90–3.77
RN0.240.300.390.25–0.58
Weekend total3.152.963.11—
Weekday total3.533.203.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49297.83.420.241.251.923.150.0%
2025Q392100.63.330.151.251.933.070.0%
2025Q291108.43.190.131.231.832.869.2%
2025Q190109.52.950.161.051.732.729.1%
2024Q492109.22.980.121.011.852.850.0%
2024Q392113.12.940.100.981.852.740.0%
2024Q291110.73.000.071.061.862.800.0%
2024Q191116.22.690.050.931.722.600.0%
2023Q492112.83.100.171.071.863.002.2%
2023Q392116.03.140.161.171.822.9616.9%
2023Q291115.62.750.150.981.632.7248.1%
2023Q190117.62.320.180.831.312.3843.3%
2022Q492118.72.170.190.901.082.1932.2%
2022Q392119.22.020.210.830.981.8125.4%
2022Q291113.61.300.180.380.741.208.9%
2022Q19095.51.830.190.690.961.7823.8%
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

3
fines by year
$132.7k$66.4k232425
DateTypeFineSource
2025-02-24Fine$132,741CMS provider data
2024-09-06Fine$23,196CMS provider data
2023-10-04Fine$104,310CMS provider data
Total fines on record: $260,247

Deficiencies

77
D × 44E × 17F × 6G × 6J × 1K × 1L × 2
deficiencies by survey year
3518212223242526
SurveyTypeTagDeficiencyScopeCorrected
2026-01-15HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2026-02-11
2026-01-15HealthF0584Honor 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.D2026-02-11
2026-01-15HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2026-02-11
2026-01-15HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2026-02-11
2026-01-15HealthF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D2026-02-11
2026-01-15HealthF0761Ensure 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.D2026-02-11
2026-01-15HealthF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.E2026-02-11
2026-01-15HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2026-02-11
2026-01-15HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2026-02-11
2026-01-15HealthF0814Dispose of garbage and refuse properly.E2026-02-11
2026-01-15HealthF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.E2026-02-11
2026-01-15HealthF0908Keep all essential equipment working safely.F2026-02-11
2026-01-15HealthF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.F2026-02-11
2025-07-22Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-11-04
2025-07-22Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-11-04
2025-05-13Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G2025-06-11
2025-05-13Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-06-11
2025-05-13Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2025-06-11
2025-05-13Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-06-11
2025-02-24Health · complaintF0552Ensure that residents are fully informed and understand their health status, care and treatments.D2025-03-21
2025-02-24Health · complaintF0584Honor 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.D2025-03-21
2025-02-24Health · complaintF0624Prepare residents for a safe transfer or discharge from the nursing home.D2025-03-21
2025-02-24Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-03-21
2025-02-24Health · complaintF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E2025-03-21
2024-09-06Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2024-10-01
2024-09-06Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2024-10-01
2024-09-06Health · complaintF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E2024-10-01
2024-09-06Health · complaintF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.E2024-10-01
2024-05-08Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2024-07-16
2024-05-08Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-07-16
2024-05-08Health · complaintF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.D2024-07-16
2023-12-07Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2024-01-12
2023-12-07Health · complaintF0695Provide safe and appropriate respiratory care for a resident when needed.D2024-01-12
2023-10-04HealthF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.D2023-11-19
2023-10-04HealthF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D2023-11-19
2023-10-04Health · complaintF0565Honor the resident's right to organize and participate in resident/family groups in the facility.D2023-11-19
2023-10-04Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2023-11-19
2023-10-04HealthF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D2023-11-19
2023-10-04Health · complaintF0584Honor 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.E2023-11-19
2023-10-04Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G2023-11-19
2023-10-04Health · complaintF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.K2023-11-19
2023-10-04Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2023-11-19
2023-10-04Health · complaintF0610Respond appropriately to all alleged violations.D2023-11-19
2023-10-04Health · complaintF0637Assess the resident when there is a significant change in conditionD2023-11-19
2023-10-04Health · complaintF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD2023-11-19
2023-10-04HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2023-11-19
2023-10-04Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2024-01-12
2023-10-04Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2023-11-19
2023-10-04Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E2023-11-19
2023-10-04Health · complaintF0692Provide enough food/fluids to maintain a resident's health.E2023-11-19
2023-10-04HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2024-01-12
2023-10-04Health · complaintF0699Provide care or services that was trauma informed and/or culturally competent.G2023-11-19
2023-10-04Health · complaintF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.G2023-11-19
2023-10-04Health · complaintF0742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.G2023-11-19
2023-10-04HealthF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.D2023-11-19
2023-10-04Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2023-11-19
2023-10-04Health · complaintF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.F2023-11-19
2023-10-04Health · complaintF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.F2023-11-19
2023-10-04HealthF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.E2023-11-19
2023-10-04HealthF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.G2023-11-19
2023-10-04Health · complaintF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.D2023-11-19
2023-10-04HealthF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.E2023-11-19
2023-10-04HealthF0887Educate 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.F2023-11-19
2023-10-04Health · complaintF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.E2023-11-19
2023-10-04Health · complaintF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.E2023-11-19
2023-07-25Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2023-08-15
2021-09-10HealthF0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.D2021-10-14
2021-09-10HealthF0576Ensure residents have reasonable access to and privacy in their use of communication methods.D2021-11-30
2021-09-10HealthF0602Protect each resident from the wrongful use of the resident's belongings or money.D2021-11-30
2021-09-10HealthF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D2022-01-12
2021-09-10HealthF0625Notify 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.D2021-11-30
2021-09-10HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.D2021-11-30
2021-09-10HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2021-10-14
2021-09-10HealthF0880Provide and implement an infection prevention and control program.L2022-01-12
2021-09-10HealthF0885Report COVID19 data to residents and families.F2022-01-12
2021-09-10HealthF0886Perform COVID19 testing on residents and staff.L2022-01-12
2021-09-10HealthF0887Educate 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.E2022-01-12
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

0
No 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

19
OwnerRolePctFromStatusSource
HENRICO HOLDINGS 1 LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2021-05-28currentpecos_ownership
AK 2003 FAMILY TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST—2021-05-28currentpecos_ownership
AL 2003 FAMILY TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST—2021-05-28currentpecos_ownership
CENTRAL BAY LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST—2021-05-28currentpecos_ownership
CHARLES 1994 FAMILY GRANTOR TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST—2021-05-28currentpecos_ownership
EDWARD 1998 FAMILY GRANTOR TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST—2021-05-28currentpecos_ownership
GOLDEN 2017 FAMILY GRANTOR TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST—2021-05-28currentpecos_ownership
GOLDEN 2017 LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST—2021-05-28currentpecos_ownership
MATT 2002 FAMILY GRANTOR TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST—2021-05-28currentpecos_ownership
MATT 2002 LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST—2021-05-28currentpecos_ownership
NATHAN 5604 & FAMILY LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST—2021-05-28currentpecos_ownership
NATHAN 5604 FAMILY GRANTOR TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST—2021-05-28currentpecos_ownership
NATHAN 5604 LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST—2021-05-28currentpecos_ownership
PIVOTAL CENTRAL LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST—2021-05-28currentpecos_ownership
RYBST CENTRAL MANAGER LLCOPERATIONAL/MANAGERIAL CONTROL—2021-05-28currentpecos_ownership
SAS 1998 FAMILY TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST—2021-05-28currentpecos_ownership
SAUL 2012 FAMILY GRANTOR TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST—2021-05-28currentpecos_ownership
WILSON, LAKESHIAW-2 MANAGING EMPLOYEE—2023-10-26currentpecos_ownership
LAKESHIA WILSONCORPORATE DIRECTOR—2023-10-26ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

1
Close datePriceBuyerSellerEvidence
2021-05-28—HENRICO CARE CENTER LLCMEDICAL FACILITIES OF AMERICA ILchow

Comparable trades — VA snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-06-01Woodstock Valley Health and Rehabilitation———88803 SOUTH MAIN STREET OPCO LLC
2025-06-01Jamestown Health and Rehabilitation———901811 JAMESTOWN ROAD OPCO LLC
2025-06-01Windsor Grove Health and Rehabilitation———11423352 COURTHOUSE HIGHWAY OPCO LLC
2025-06-01Grayson Health and Rehabilitation———120400 SOUTH INDEPENDENCE AVENUE OPCO LLC
2025-06-01SKYLINE NURSING & REHABILITATION———90237 FRANKLIN PIKE ROAD SE OPCO LLC
2025-06-01KINGS DAUGHTERS COMMUNITY HEALTH & REHAB———1171410 NORTH AUGUSTA STREET OPCO LLC
2025-06-01Ghent Health and Rehabilitation———2223900 LLEWELLYN AVENUE OPCO LLC
2025-06-01ASHLAND NURSING AND REHABILITATION———190906 THOMPSON STREET OPCO LLC
2025-05-19The Boulevard Post Acute———81BOULEVARD OPERATOR LLC
2025-05-01FRANCIS MARION MANOR HEALTH & REHABILITATION———109FRANCIS MARION OPERATING GROUP LLC
2024-09-01POPLAR HILL HEALTH AND REHAB———113FAUQUIER OPCO LLC
2024-05-01NORTHERN CARDINAL REHABILITATION AND NURSING———120NORTHERN 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

32
GeoKindBRAmountAs ofSource
county 51087acs median gross0$1,4532024-12-31CENSUS_ACS5
county 51087fmr0$1,4422025-10-01HUD_USER_FMR
county 51087acs median gross1$1,3422024-12-31CENSUS_ACS5
county 51087fmr1$1,5072025-10-01HUD_USER_FMR
county 51087acs median gross2$1,5112024-12-31CENSUS_ACS5
county 51087fmr2$1,6552025-10-01HUD_USER_FMR
county 51087acs median gross3$1,7252024-12-31CENSUS_ACS5
county 51087fmr3$2,0722025-10-01HUD_USER_FMR
county 51087acs median gross4$2,1542024-12-31CENSUS_ACS5
county 51087fmr4$2,5532025-10-01HUD_USER_FMR
county 51087acs median gross5$2,4862024-12-31CENSUS_ACS5
county 51087acs median gross$1,5412024-12-31CENSUS_ACS5
county 51087acs recent mover gross$1,7362024-12-31CENSUS_ACS5
zcta 23075acs median gross1$1,1152024-12-31CENSUS_ACS5
zcta 23075acs median gross2$1,1582024-12-31CENSUS_ACS5
zcta 23075acs median gross3$1,3492024-12-31CENSUS_ACS5
zcta 23075acs median gross$1,2492024-12-31CENSUS_ACS5
zip 23075payment standard 1100$1,4742025-10-01HUD_USER_SAFMR
zip 23075payment standard 900$1,2062025-10-01HUD_USER_SAFMR
zip 23075safmr0$1,3402025-10-01HUD_USER_SAFMR
zip 23075payment standard 1101$1,5402025-10-01HUD_USER_SAFMR
zip 23075payment standard 901$1,2602025-10-01HUD_USER_SAFMR
zip 23075safmr1$1,4002025-10-01HUD_USER_SAFMR
zip 23075payment standard 1102$1,6942025-10-01HUD_USER_SAFMR
zip 23075payment standard 902$1,3862025-10-01HUD_USER_SAFMR
zip 23075safmr2$1,5402025-10-01HUD_USER_SAFMR
zip 23075payment standard 1103$2,1452025-10-01HUD_USER_SAFMR
zip 23075payment standard 903$1,7552025-10-01HUD_USER_SAFMR
zip 23075safmr3$1,9502025-10-01HUD_USER_SAFMR
zip 23075payment standard 1104$2,6512025-10-01HUD_USER_SAFMR
zip 23075payment standard 904$2,1692025-10-01HUD_USER_SAFMR
zip 23075safmr4$2,4102025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.
CII Terminal tearsheet · HENRICO HEALTH & REHABILITATION CENTER (495193) · generated 2026-08-04 · every number derives from public records (CMS Care Compare, PBJ, POS, penalty and survey files, state licensure registers) · scores are published model outputs with holdout metrics disclosed at cii-terminal.vercel.app/transparency