Composite
64.9 / 100 percentile
Screener / 495339
C
HOLLY MANOR REHAB AND NURSING
snfVA
2003 COBB STREET, FARMVILLE, VA 23901 · CCN 495339 · chain SAESSY IRREVOCABLE TRUST
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
120
Model
v1.2
Reads as: riskier than 64.9% 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 radar1Staffing16Penalties0Deficiencies95Licensure0Ownership15Related party4Transactions1Comps12Market rent32
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| billing conduct | 68.7 | 47.1 | 0.30 | 0.2308 | 15.85 | in index |
| staffing risk | 75.4 | 75.4 | 0.25 | 0.1923 | 14.50 | in index |
| regulatory risk | 61.1 | 52.6 | 0.30 | 0.2308 | 14.10 | in index |
| chow risk | 44.7 | 42.9 | 0.15 | 0.1154 | 5.16 | in index |
| financial risk | 18.6 | 26.1 | 0.30 | 0.2308 | 4.29 | 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 | 47.1 | C | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 25.0 | B | 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 | 60.8 | C | v0.6 | default · in composite | |
| financial risk | 26.1 | B | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.0 | — | 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 | 52.6 | C | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 75.4 | D | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 70.2 | 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 | 50.2 | 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 | 38.7 | B | 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 | 31.9 | B | 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 | 52.5 | C | 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 | 52.5 | C | 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 | 75.4 | 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 | 75.4 | 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
7.0
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) | 4.24 | -1.43 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.91 | -0.62 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 3.85 | +0.41 | |
| Deficiencies, last 12 months | 0.00 | -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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
27.7
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 | |
| Chain size (log) | 3.85 | -1.04 | |
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.91 | -0.68 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Ownership changes, last 5 years | 1.00 | +0.23 | |
| Current owner tenure (years) | 4.24 | -0.23 |
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 | 2.89 | 3.13 | 3.28 | 2.90–3.77 |
| RN | 0.34 | 0.30 | 0.39 | 0.25–0.58 |
| Weekend total | 2.77 | 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 | 109.2 | 2.89 | 0.34 | 0.82 | 1.72 | 2.77 | 6.2% |
| 2025Q3 | 92 | 108.3 | 2.92 | 0.31 | 0.79 | 1.82 | 2.83 | 4.4% |
| 2025Q2 | 91 | 104.9 | 2.95 | 0.34 | 0.74 | 1.87 | 2.83 | 6.3% |
| 2025Q1 | 90 | 107.8 | 2.80 | 0.31 | 0.74 | 1.75 | 2.73 | 18.6% |
| 2024Q4 | 92 | 103.0 | 2.86 | 0.37 | 0.70 | 1.79 | 2.77 | 21.8% |
| 2024Q3 | 92 | 106.2 | 2.73 | 0.37 | 0.64 | 1.73 | 2.58 | 28.7% |
| 2024Q2 | 91 | 108.1 | 2.90 | 0.49 | 0.55 | 1.86 | 2.70 | 31.5% |
| 2024Q1 | 91 | 107.6 | 2.67 | 0.30 | 0.67 | 1.70 | 2.52 | 28.2% |
| 2023Q4 | 92 | 108.2 | 2.69 | 0.30 | 0.67 | 1.73 | 2.59 | 34.0% |
| 2023Q3 | 92 | 108.5 | 2.84 | 0.26 | 0.83 | 1.74 | 2.53 | 36.0% |
| 2023Q2 | 91 | 103.6 | 2.57 | 0.14 | 0.82 | 1.62 | 2.40 | 35.7% |
| 2023Q1 | 90 | 100.0 | 2.37 | 0.21 | 0.81 | 1.35 | 2.44 | 27.2% |
| 2022Q4 | 92 | 97.5 | 2.43 | 0.22 | 0.78 | 1.43 | 2.28 | 14.2% |
| 2022Q3 | 92 | 102.7 | 2.65 | 0.23 | 0.88 | 1.54 | 2.24 | 14.7% |
| 2022Q2 | 91 | 95.6 | 3.12 | 0.30 | 0.91 | 1.92 | 2.93 | 6.1% |
| 2022Q1 | 90 | 104.5 | 3.38 | 0.31 | 0.94 | 2.13 | 3.28 | 6.7% |
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
0No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
95B × 1C × 3D × 47E × 35F × 8G × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-06-05 | Health · complaint | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2025-08-26 |
| 2025-06-05 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2025-08-26 |
| 2025-06-05 | Health · complaint | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | 2025-08-26 |
| 2025-06-05 | Health · complaint | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | E | 2025-08-26 |
| 2025-06-05 | 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. | E | 2025-08-26 |
| 2025-06-05 | 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 | 2025-08-26 |
| 2025-06-05 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2025-08-26 |
| 2025-06-05 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2025-08-26 |
| 2025-06-05 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-08-26 |
| 2025-06-05 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-08-26 |
| 2025-06-05 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | E | 2025-08-26 |
| 2025-06-05 | Health · complaint | F0710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | D | 2025-08-26 |
| 2025-06-05 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | 2025-08-26 |
| 2025-06-05 | Health · complaint | F0732 | Post nurse staffing information every day. | C | 2025-08-26 |
| 2025-06-05 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | E | 2025-08-26 |
| 2025-06-05 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2025-08-26 |
| 2025-06-05 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-08-26 |
| 2024-08-30 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2024-10-30 |
| 2024-08-30 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-10-30 |
| 2024-08-30 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-10-30 |
| 2024-08-30 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2024-10-30 |
| 2024-08-30 | 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 | 2024-10-30 |
| 2024-08-30 | Health · complaint | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-10-30 |
| 2024-08-30 | 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 | 2024-10-30 |
| 2024-08-30 | 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. | E | 2024-10-30 |
| 2024-08-30 | 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 | 2024-10-30 |
| 2024-08-30 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-10-30 |
| 2024-08-30 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2024-10-30 |
| 2024-08-30 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2024-10-30 |
| 2024-08-30 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | 2024-10-30 |
| 2024-08-30 | 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 | 2024-10-30 |
| 2024-08-30 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-10-30 |
| 2024-08-30 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2024-10-30 |
| 2024-08-30 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | E | 2024-10-30 |
| 2024-08-30 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | 2024-10-30 |
| 2024-08-30 | Health · complaint | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | 2024-10-30 |
| 2024-08-30 | Health · complaint | F0710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | D | 2024-10-30 |
| 2024-08-30 | Health · complaint | 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 | 2024-10-30 |
| 2024-08-30 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-10-30 |
| 2024-08-30 | 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 | 2024-10-30 |
| 2024-08-30 | Health · complaint | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | 2024-10-30 |
| 2024-08-30 | Health | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | 2024-10-30 |
| 2024-08-30 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2024-10-30 |
| 2024-08-30 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2024-10-30 |
| 2024-08-30 | Health | F0814 | Dispose of garbage and refuse properly. | F | 2024-10-30 |
| 2024-08-30 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2024-10-30 |
| 2024-08-30 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2024-10-30 |
| 2024-08-30 | 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 | 2024-10-30 |
| 2024-05-07 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-06-21 |
| 2024-05-07 | 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 | 2024-06-21 |
| 2024-05-07 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-06-21 |
| 2024-05-07 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-06-21 |
| 2024-05-07 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-06-21 |
| 2024-05-07 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-06-21 |
| 2023-09-12 | 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 | 2023-10-13 |
| 2023-09-12 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2023-10-13 |
| 2023-09-12 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2023-10-13 |
| 2023-09-12 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2023-10-13 |
| 2022-11-17 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | 2022-12-25 |
| 2022-11-17 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2022-12-25 |
| 2022-11-17 | Health | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | 2022-12-25 |
| 2022-11-17 | Health | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2022-12-25 |
| 2022-11-17 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2022-12-25 |
| 2022-11-17 | 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 | 2022-12-25 |
| 2022-11-17 | 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. | D | 2022-12-25 |
| 2022-11-17 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2022-12-25 |
| 2022-11-17 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2022-12-25 |
| 2022-11-17 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2022-11-11 |
| 2022-11-17 | 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 | 2022-12-25 |
| 2022-11-17 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2022-12-25 |
| 2022-11-17 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | 2022-12-25 |
| 2022-11-17 | Health | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | 2022-12-25 |
| 2022-11-17 | 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. | D | 2022-12-25 |
| 2022-11-17 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | E | 2022-12-25 |
| 2022-11-17 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | 2022-12-25 |
| 2022-11-17 | Health | F0760 | Ensure that residents are free from significant medication errors. | E | 2022-12-25 |
| 2022-11-17 | Health | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | 2022-12-25 |
| 2022-11-17 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2022-12-25 |
| 2022-11-17 | Health | F0839 | Employ staff that are licensed, certified, or registered in accordance with state laws. | E | 2022-12-25 |
| 2022-11-17 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | 2022-12-25 |
| 2022-11-17 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2022-12-25 |
| 2022-11-17 | Health | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | 2022-12-25 |
| 2022-11-17 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2022-12-15 |
| 2022-11-17 | Health | F0881 | Implement a program that monitors antibiotic use. | C | 2022-12-25 |
| 2022-11-17 | Health | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | 2022-12-25 |
| 2022-11-17 | Health | F0888 | Ensure staff are vaccinated for COVID-19 | C | 2022-12-25 |
| 2022-11-17 | Health | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | D | 2022-12-25 |
| 2022-11-17 | 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 | 2022-12-25 |
| 2021-06-30 | 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 | 2021-08-01 |
| 2021-06-30 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2021-08-01 |
| 2021-06-30 | 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 | 2021-08-01 |
| 2021-06-30 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | E | 2021-08-01 |
| 2021-06-30 | 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. | B | 2021-08-01 |
| 2021-06-30 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | 2021-08-01 |
| 2021-06-30 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2021-08-01 |
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
15| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| FARMVILLE OPERATIONS HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2022-05-01 | current | pecos_ownership |
| HOLLY MANOR SNF OPERATIONS HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-05-01 | current | pecos_ownership |
| HOLLY MANOR PROPERTY | Corporation, partnership or other organization has financial interest in provider | — | 2024-07-01 | current | hcris_a_8_1 |
| HOLLY MANOR PROPERTY | Individual has financial interest in both related organization and provider | — | 2023-01-01 | current | hcris_a_8_1 |
| HOLLY MANOR PROPERTY | Individual has financial interest in both related organization and provider | — | 2023-07-01 | current | hcris_a_8_1 |
| IDELS, SHIMON | CORPORATE OFFICER | — | 2021-05-01 | current | pecos_ownership |
| PRESTON, ZACH | W-2 MANAGING EMPLOYEE | — | 2022-05-01 | current | pecos_ownership |
| LION 26 HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 48% | 2022-05-01 | ended 2026-05-18 | pecos_ownership |
| SABRINA 1818 HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 48% | 2022-05-01 | ended 2026-05-18 | pecos_ownership |
| SAESSY IRREVOCABLE TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 45% | 2022-05-01 | ended 2026-05-18 | pecos_ownership |
| TATIRIQ IRREVOCABLE TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 45% | 2022-05-01 | ended 2026-05-18 | pecos_ownership |
| DELILAH 2626 HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | 2022-05-01 | ended 2026-05-18 | pecos_ownership |
| SHIMON IDELS | CORPORATE OFFICER | — | 2021-05-01 | ended 2026-05-18 | pecos_ownership |
| WOODLAND PROPERTY | Individual has financial interest in both related organization and provider | — | 2022-05-01 | ended 2022-12-31 | hcris_a_8_1 |
| ZACH PRESTON | W-2 MANAGING EMPLOYEE | — | 2022-05-01 | 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 |
|---|---|---|---|---|
| 2022-05-01 | — | HOLLY MANOR SNF OPERATIONS LLC | THE WOODLAND INC | 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
32| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 51147 | fmr | 0 | $916 | 2025-10-01 | HUD_USER_FMR |
| county 51147 | acs median gross | 1 | $697 | 2024-12-31 | CENSUS_ACS5 |
| county 51147 | fmr | 1 | $922 | 2025-10-01 | HUD_USER_FMR |
| county 51147 | acs median gross | 2 | $1,018 | 2024-12-31 | CENSUS_ACS5 |
| county 51147 | fmr | 2 | $1,094 | 2025-10-01 | HUD_USER_FMR |
| county 51147 | acs median gross | 3 | $972 | 2024-12-31 | CENSUS_ACS5 |
| county 51147 | fmr | 3 | $1,312 | 2025-10-01 | HUD_USER_FMR |
| county 51147 | acs median gross | 4 | $1,028 | 2024-12-31 | CENSUS_ACS5 |
| county 51147 | fmr | 4 | $1,448 | 2025-10-01 | HUD_USER_FMR |
| county 51147 | acs median gross | $931 | 2024-12-31 | CENSUS_ACS5 | |
| county 51147 | acs recent mover gross | $832 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 23901 | acs median gross | 1 | $753 | 2024-12-31 | CENSUS_ACS5 |
| zcta 23901 | acs median gross | 2 | $1,047 | 2024-12-31 | CENSUS_ACS5 |
| zcta 23901 | acs median gross | 3 | $1,034 | 2024-12-31 | CENSUS_ACS5 |
| zcta 23901 | acs median gross | 4 | $863 | 2024-12-31 | CENSUS_ACS5 |
| zcta 23901 | acs median gross | $915 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 23901 | acs recent mover gross | $810 | 2024-12-31 | CENSUS_ACS5 | |
| zip 23901 | payment standard 110 | 0 | $1,034 | 2025-10-01 | HUD_USER_SAFMR |
| zip 23901 | payment standard 90 | 0 | $846 | 2025-10-01 | HUD_USER_SAFMR |
| zip 23901 | safmr | 0 | $940 | 2025-10-01 | HUD_USER_SAFMR |
| zip 23901 | payment standard 110 | 1 | $1,045 | 2025-10-01 | HUD_USER_SAFMR |
| zip 23901 | payment standard 90 | 1 | $855 | 2025-10-01 | HUD_USER_SAFMR |
| zip 23901 | safmr | 1 | $950 | 2025-10-01 | HUD_USER_SAFMR |
| zip 23901 | payment standard 110 | 2 | $1,243 | 2025-10-01 | HUD_USER_SAFMR |
| zip 23901 | payment standard 90 | 2 | $1,017 | 2025-10-01 | HUD_USER_SAFMR |
| zip 23901 | safmr | 2 | $1,130 | 2025-10-01 | HUD_USER_SAFMR |
| zip 23901 | payment standard 110 | 3 | $1,496 | 2025-10-01 | HUD_USER_SAFMR |
| zip 23901 | payment standard 90 | 3 | $1,224 | 2025-10-01 | HUD_USER_SAFMR |
| zip 23901 | safmr | 3 | $1,360 | 2025-10-01 | HUD_USER_SAFMR |
| zip 23901 | payment standard 110 | 4 | $1,760 | 2025-10-01 | HUD_USER_SAFMR |
| zip 23901 | payment standard 90 | 4 | $1,440 | 2025-10-01 | HUD_USER_SAFMR |
| zip 23901 | safmr | 4 | $1,600 | 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.