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 / 495115
C

COLONIAL HEIGHTS REHABILITATION AND NURSING CENTER

snfVA
831 ELLERSLIE AVE, CHESTERFIELD, VA 23834 · CCN 495115 · chain CHARLES 1994 FAMILY GRANTOR TRUST
Composite
80.1 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
196
Model
v1.2
Reads as: riskier than 80.1% 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 signals14Components16CHOW radar1Distress radar1Staffing16Penalties1Deficiencies89Licensure0Ownership54Related party2Transactions1Comps12Market rent33

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk87.084.30.300.230820.08in index
billing conduct86.056.70.300.230819.85in index
staffing risk58.758.70.250.192311.29in index
financial risk37.438.10.300.23088.63in index
chow risk6.414.80.150.11540.74in 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

14
KindFindingSignalSubjectFirst seen
connectionOwner fleet risk far above national+24.5 vs natlMLVA HOLDINGS LLC5 facilities
connectionOwner fleet risk far above national+24.5 vs natlVIRGINIA CARE HOLCO LLC5 facilities
connectionOwner fleet risk far above national+24.5 vs natlISVA HOLDINGS LLC5 facilities
connectionOwner fleet risk far above national+24.5 vs natlJKVA HOLDINGS LLC5 facilities
connectionOwner fleet risk far above national+20.5 vs natlGOTTESMAN DANIEL26 facilities
connectionOwner spans multiple chains8 chainsCAPITAL FUNDING LLC22 facilities
connectionOwner spans multiple chains7 chainsGOTTESMAN DANIEL24 facilities
connectionOwner spans multiple chains5 chainsRYTES COMPANY LLC7 facilities
connectionOwner fleet enforcement cluster57% finedDIGACORE CONSULTING7 facilities
connectionOwner fleet enforcement cluster50% finedKLEIN MIRIAM6 facilities
connectionOwner fleet enforcement cluster40% finedVIRGINIA CARE HOLCO LLC5 facilities
connectionOwner fleet enforcement cluster40% finedJKVA HOLDINGS LLC5 facilities
connectionOwner fleet enforcement cluster40% finedISVA HOLDINGS LLC5 facilities
connectionOwner fleet enforcement cluster40% finedMLVA HOLDINGS LLC5 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 conduct56.7Cv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk20.7Av0.1-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 risk8.8Av0.6default · in composite
financial risk38.1Bv0.5default · 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 risk84.3Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk58.7Cv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk84.3Fv0.1supersededPre-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 risk64.3Cv0.2supersededPre-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 risk52.5Cv0.3supersededPre-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 risk41.8Bv0.4supersededPre-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 risk84.2Fv0.1supersededPre-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 risk84.2Fv0.2supersededPre-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 risk58.7Cv0.1supersededPre-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 risk58.7Cv0.2supersededPre-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
32.3
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)6.57-1.21
For-profit ownership1.00+0.69
No PBJ staffing report0.00+0.42
Chain size (log)3.76+0.40
Ownership changes, last 5 years0.00+0.20
Facility size (log beds)5.28-0.14
Contract staffing share0.11+0.08
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
DriverValuePull on odds
Chain size (log)3.76-0.99
For-profit ownership1.00-0.69
Deficiencies, last 12 months5.00+0.50
No PBJ staffing report0.00+0.39
Never sold on record0.00-0.28
Staffing trend, last 4 quarters0.65+0.27
Occupancy0.68+0.27
Current owner tenure (years)6.57-0.19
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 nurse3.153.133.282.90–3.77
RN0.170.300.390.25–0.58
Weekend total3.012.963.11—
Weekday total3.203.203.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q492134.03.150.171.021.963.0111.5%
2025Q392133.43.390.201.032.153.1725.0%
2025Q291133.63.230.131.012.082.9833.3%
2025Q190145.23.340.071.052.223.0034.7%
2024Q492180.92.500.150.811.542.256.6%
2024Q392180.62.610.140.831.642.256.7%
2024Q291179.72.500.140.821.542.125.8%
2024Q191175.92.420.130.791.502.063.4%
2023Q492174.32.660.170.811.682.357.5%
2023Q392181.32.570.190.781.602.2320.2%
2023Q291178.22.660.200.681.782.3138.0%
2023Q190188.62.580.210.661.712.1840.2%
2022Q492183.52.170.120.581.481.7626.5%
2022Q392182.12.230.170.731.331.8825.7%
2022Q291180.72.250.180.611.461.9429.2%
2022Q190182.01.820.100.521.191.4116.8%
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

1
DateTypeFineSource
2025-01-03Fine$105,289CMS provider data
Total fines on record: $105,289

Deficiencies

89
D × 54E × 29F × 2G × 4
deficiencies by survey year
3015171921232526
SurveyTypeTagDeficiencyScopeCorrected
2026-01-08Health · complaintF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D2026-02-03
2026-01-08Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2026-02-03
2026-01-08Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2026-02-03
2026-01-08Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2026-02-03
2026-01-08Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2026-02-03
2025-03-26Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-04-17
2025-03-26Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2025-04-17
2025-03-26Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E2025-04-17
2025-01-03Health · complaintF0558Reasonably accommodate the needs and preferences of each resident.E2025-02-16
2025-01-03Health · complaintF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.E2025-02-16
2025-01-03Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.E2025-04-17
2025-01-03Health · 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.E2025-02-16
2025-01-03Health · complaintF0585Honor 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.D2025-02-16
2025-01-03Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.E2025-02-16
2025-01-03Health · complaintF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.E2025-02-16
2025-01-03Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-04-17
2025-01-03Health · complaintF0610Respond appropriately to all alleged violations.D2025-02-16
2025-01-03Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E2025-04-17
2025-01-03Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.E2025-04-17
2025-01-03Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2025-02-16
2025-01-03Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E2025-02-16
2025-01-03Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.E2025-04-17
2025-01-03Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2025-04-17
2025-01-03Health · complaintF0693Ensure 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.D2025-02-16
2025-01-03Health · complaintF0695Provide safe and appropriate respiratory care for a resident when needed.D2025-02-16
2025-01-03Health · complaintF0697Provide safe, appropriate pain management for a resident who requires such services.D2025-04-17
2025-01-03Health · complaintF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F2025-02-16
2025-01-03Health · 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.E2025-02-16
2025-01-03Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2025-04-17
2025-01-03Health · complaintF0770Provide timely, quality laboratory services/tests to meet the needs of residents.E2025-02-16
2025-01-03Health · complaintF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2025-02-16
2025-01-03Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2025-02-16
2025-01-03Health · complaintF0814Dispose of garbage and refuse properly.F2025-02-16
2025-01-03Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2025-04-17
2025-01-03Health · complaintF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.D2025-02-16
2024-08-06Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2024-09-18
2024-08-06Health · complaintF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D2024-09-18
2024-08-06Health · complaintF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD2024-09-18
2024-08-06Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.E2024-09-18
2024-08-06Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2024-09-18
2024-08-06Health · complaintF0760Ensure that residents are free from significant medication errors.E2024-09-18
2024-08-06Health · complaintF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.E2024-09-18
2022-10-28HealthF0565Honor the resident's right to organize and participate in resident/family groups in the facility.E2022-12-08
2022-10-28HealthF0578Honor 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.D2022-12-08
2022-10-28HealthF0641Ensure each resident receives an accurate assessment.D2022-12-08
2022-10-28HealthF0645PASARR screening for Mental disorders or Intellectual DisabilitiesD2022-12-08
2022-10-28HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.D2022-12-08
2022-10-28HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2022-12-08
2022-10-28HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2022-12-08
2022-10-28HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2022-12-08
2022-10-28HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2022-12-08
2022-10-28HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2022-12-08
2022-10-28HealthF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.D2022-12-08
2022-10-28HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2022-12-08
2022-10-28HealthF0760Ensure that residents are free from significant medication errors.D2022-12-08
2022-10-28HealthF0761Ensure 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.E2022-12-08
2022-10-28HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2022-12-08
2022-10-28HealthF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.D2022-12-08
2022-10-28HealthF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.E2022-12-08
2019-02-25HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2019-04-02
2019-02-25HealthF0554Allow residents to self-administer drugs if determined clinically appropriate.D2019-04-02
2019-02-25HealthF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D2019-04-02
2019-02-25HealthF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.E2019-04-02
2019-02-25HealthF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2019-04-02
2019-02-25HealthF0641Ensure each resident receives an accurate assessment.D2019-04-02
2019-02-25HealthF0645PASARR screening for Mental disorders or Intellectual DisabilitiesD2019-04-02
2019-02-25HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2019-04-02
2019-02-25HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.E2019-04-25
2019-02-25HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G2019-04-02
2019-02-25HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2019-04-02
2019-02-25HealthF0688Provide 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.D2019-04-02
2019-02-25HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2019-04-02
2019-02-25HealthF0697Provide safe, appropriate pain management for a resident who requires such services.D2019-04-02
2019-02-25HealthF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.E2019-04-02
2019-02-25HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2019-04-02
2019-02-25HealthF0758Implement 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.D2019-04-25
2019-02-25HealthF0760Ensure that residents are free from significant medication errors.D2019-04-25
2019-02-25HealthF0761Ensure 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.D2019-04-25
2019-02-25HealthF0790Provide routine and 24-hour emergency dental care for each resident.D2019-04-02
2019-02-25HealthF0880Provide and implement an infection prevention and control program.D2019-04-25
2019-02-25HealthF0908Keep all essential equipment working safely.D2019-04-02
2017-11-09HealthF0221Keep each resident free from physical restraints, unless needed for medical treatment.D2017-12-15
2017-11-09HealthF0281Ensure services provided by the nursing facility meet professional standards of quality.D2017-12-15
2017-11-09HealthF0309Provide necessary care and services to maintain or improve the highest well being of each resident .D2017-12-15
2017-11-09HealthF0314Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.G2017-08-03
2017-11-09HealthF0315Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.D2017-12-15
2017-11-09HealthF0362Hire sufficient dietary support personnel.D2017-12-15
2017-11-09HealthF0371Store, cook, and serve food in a safe and clean way.E2017-12-15
2017-11-09HealthF0431Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.D2017-12-15
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

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

54
OwnerRolePctFromStatusSource
VIRGINIA CARE HOLCO LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2020-01-01currentpecos_ownership
ISVA HOLDINGS LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST31%2020-01-01currentpecos_ownership
JKVA HOLDINGS LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST31%2020-01-01currentpecos_ownership
MLVA HOLDINGS LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST31%2020-01-01currentpecos_ownership
831 EAST ELLERSLIE AVENUE LLCADP OF THE SNF—2025-12-10currentpecos_ownership
831 EAST ELLERSLIE AVENUE LLCCorporation, partnership or other organization has financial interest in provider—2024-04-01currenthcris_a_8_1
AAVA HOLDINGS LLCINDIRECT OWNERSHIP INTEREST—2020-01-01currentpecos_ownership
ACS PRO GLOBAL SOLUTIONSADP OF THE SNF—2024-11-01currentpecos_ownership
AKINSHOLA, OLUWASEGUNOPERATIONAL/MANAGERIAL CONTROL—2024-09-03currentpecos_ownership
AKY 148 FAMILY GRANTOR TRUSTTRUSTEE OF THE SNF—2020-01-01currentpecos_ownership
AREM, AARONINDIRECT OWNERSHIP INTEREST—2020-01-01currentpecos_ownership
BURTON, NOAHTRUSTEE OF THE SNF—2020-01-01currentpecos_ownership
CAPITAL FUNDING LLC5% OR GREATER MORTGAGE INTEREST—2021-04-27currentpecos_ownership
CHARLES 1994 FAMILY GRANTOR TRUSTADP OF THE SNF—2020-01-01currentpecos_ownership
CYOP CYBER SECURITY LLCADP OF THE SNF—2023-05-01currentpecos_ownership
DELANEY, MICAOPERATIONAL/MANAGERIAL CONTROL—2023-07-18currentpecos_ownership
DELK, STEPHANIEOPERATIONAL/MANAGERIAL CONTROL—2022-12-19currentpecos_ownership
DIGACORE CONSULTINGADP OF THE SNF—2021-09-01currentpecos_ownership
EARHART, MARYOPERATIONAL/MANAGERIAL CONTROL—2020-01-01currentpecos_ownership
EDWARD 1998 FAMILY GRANTOR TRUSTTRUSTEE OF THE SNF—2020-01-01currentpecos_ownership
EVICK, CARIOPERATIONAL/MANAGERIAL CONTROL—2022-12-29currentpecos_ownership
EVICK, CARIADP OF THE SNF—2025-12-29currentpecos_ownership
GOTTESMAN, DANIELTRUSTEE OF THE SNF—2020-01-01currentpecos_ownership
IBS FAMILY GRANTOR TRUSTTRUSTEE OF THE SNF—2020-01-01currentpecos_ownership
KLEIN, MIRIAMINDIRECT OWNERSHIP INTEREST—2020-01-01currentpecos_ownership
KPVA HOLDINGS LLCINDIRECT OWNERSHIP INTEREST—2020-01-01currentpecos_ownership
KRISPIN, PHILLIPINDIRECT OWNERSHIP INTEREST—2020-01-01currentpecos_ownership
LACKEY, JENNIFEROPERATIONAL/MANAGERIAL CONTROL—2023-10-10currentpecos_ownership
LIVE WELL PLUS LLCADP OF THE SNF—2025-03-16currentpecos_ownership
MAVA HOLDINGS LLCINDIRECT OWNERSHIP INTEREST—2020-01-01currentpecos_ownership
MCAFEE, JOSHUAADP OF THE SNF—2025-12-16currentpecos_ownership
MCAFEE, JOSHUAOPERATIONAL/MANAGERIAL CONTROL—2025-04-01currentpecos_ownership
MLN FAMILY LLCINDIRECT OWNERSHIP INTEREST—2020-01-01currentpecos_ownership
MOZART HOLDINGS, LPADP OF THE SNF—2023-11-07currentpecos_ownership
NETZER, MICHELEINDIRECT OWNERSHIP INTEREST—2020-01-01currentpecos_ownership
RAJCHENBACH, MOSHEOPERATIONAL/MANAGERIAL CONTROL—2020-01-01currentpecos_ownership
REILLY, CONNORCORPORATE DIRECTOR—2025-02-03currentpecos_ownership
RYTES COMPANY LLCADP OF THE SNF—2022-11-11currentpecos_ownership
SAUL 2012 FAMILY GRANTOR TRUSTTRUSTEE OF THE SNF—2020-01-01currentpecos_ownership
SCARBOROUGH, HOLLYOPERATIONAL/MANAGERIAL CONTROL—2020-01-01currentpecos_ownership
SPIEGEL, HINDYINDIRECT OWNERSHIP INTEREST—2021-01-21currentpecos_ownership
SUEMITSU-NIX, YANGOPERATIONAL/MANAGERIAL CONTROL—2025-02-17currentpecos_ownership
TAYLOR, JAMESOPERATIONAL/MANAGERIAL CONTROL—2024-06-17currentpecos_ownership
TURNING POINT CONSULTING LLCADP OF THE SNF—2020-01-01currentpecos_ownership
INNOVATIVE HEALTHCARE MANAGEMENT LLCOPERATIONAL/MANAGERIAL CONTROL100%2020-01-01ended 2026-05-18pecos_ownership
MOSHE RAJCHENBACH5% OR GREATER MORTGAGE INTEREST100%2023-01-05ended 2026-05-18pecos_ownership
SHAWANDA JETEROTHER100%2020-02-03ended 2026-05-18pecos_ownership
VIRGINIA CARE HOLCO LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2019-12-01ended 2026-05-18pecos_ownership
ISVA HOLDINGS LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST30%2019-12-01ended 2026-05-18pecos_ownership
JKVA HOLDINGS LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST30%2019-12-01ended 2026-05-18pecos_ownership
MLVA HOLDINGS LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST30%2019-12-01ended 2026-05-18pecos_ownership
CHARLES 1994 FAMILY GRANTOR TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST25%2019-12-01ended 2026-05-18pecos_ownership
EDWARD 1998 FAMILY GRANTOR TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST25%2019-12-01ended 2026-05-18pecos_ownership
SAUL 2012 FAMILY GRANTOR TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST25%2019-12-01ended 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
2020-01-01—COLONIAL HEIGHTS OPERATOR LLCCOLONIAL HEIGHTS OPERATIONS, LLCchow

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

33
GeoKindBRAmountAs ofSource
county 51570fmr0$1,4422025-10-01HUD_USER_FMR
county 51570acs median gross1$9232024-12-31CENSUS_ACS5
county 51570fmr1$1,5072025-10-01HUD_USER_FMR
county 51570acs median gross2$1,1652024-12-31CENSUS_ACS5
county 51570fmr2$1,6552025-10-01HUD_USER_FMR
county 51570acs median gross3$1,4122024-12-31CENSUS_ACS5
county 51570fmr3$2,0722025-10-01HUD_USER_FMR
county 51570acs median gross4$1,4382024-12-31CENSUS_ACS5
county 51570fmr4$2,5532025-10-01HUD_USER_FMR
county 51570acs median gross$1,2342024-12-31CENSUS_ACS5
county 51570acs recent mover gross$1,7312024-12-31CENSUS_ACS5
zcta 23834acs median gross1$9232024-12-31CENSUS_ACS5
zcta 23834acs median gross2$1,1592024-12-31CENSUS_ACS5
zcta 23834acs median gross3$1,4212024-12-31CENSUS_ACS5
zcta 23834acs median gross4$1,9812024-12-31CENSUS_ACS5
zcta 23834acs median gross5$3,1742024-12-31CENSUS_ACS5
zcta 23834acs median gross$1,2562024-12-31CENSUS_ACS5
zcta 23834acs recent mover gross$1,6522024-12-31CENSUS_ACS5
zip 23834payment standard 1100$1,4742025-10-01HUD_USER_SAFMR
zip 23834payment standard 900$1,2062025-10-01HUD_USER_SAFMR
zip 23834safmr0$1,3402025-10-01HUD_USER_SAFMR
zip 23834payment standard 1101$1,5402025-10-01HUD_USER_SAFMR
zip 23834payment standard 901$1,2602025-10-01HUD_USER_SAFMR
zip 23834safmr1$1,4002025-10-01HUD_USER_SAFMR
zip 23834payment standard 1102$1,6942025-10-01HUD_USER_SAFMR
zip 23834payment standard 902$1,3862025-10-01HUD_USER_SAFMR
zip 23834safmr2$1,5402025-10-01HUD_USER_SAFMR
zip 23834payment standard 1103$2,1452025-10-01HUD_USER_SAFMR
zip 23834payment standard 903$1,7552025-10-01HUD_USER_SAFMR
zip 23834safmr3$1,9502025-10-01HUD_USER_SAFMR
zip 23834payment standard 1104$2,6512025-10-01HUD_USER_SAFMR
zip 23834payment standard 904$2,1692025-10-01HUD_USER_SAFMR
zip 23834safmr4$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 · COLONIAL HEIGHTS REHABILITATION AND NURSING CENTER (495115) · 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