Screener / 495210

Norfolk Health Care Center

snfVA

901 EAST PRINCESS ANNE ROAD, NORFOLK, VA 23504 · CCN 495210 · chain CHARLES 1994 FAMILY GRANTOR TRUST

Composite

67.4 / 100 percentile

Peer group

snf n = 14,684

Evidence depth

deep

Certified beds

180

Model

v1.2

Reads as: riskier than 67.4% 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 model5 ML signals1 Components16 CHOW radar1 Distress radar1 Staffing16 Penalties1 Deficiencies51 Licensure0 Ownership20 Related party6 Transactions1 Comps12 Market rent33

Composite explanation

Component	Percentile	Raw	Weight	Weight share	Contribution	Counts
billing conduct	90.3	60.1	0.30	0.2308	20.84	in index
regulatory risk	73.5	69.4	0.30	0.2308	16.96	in index
staffing risk	80.4	80.4	0.25	0.1923	15.46	in index
financial risk	5.1	13.7	0.30	0.2308	1.18	in index
chow risk	4.5	12.3	0.15	0.1154	0.52	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.

ML signals — parallel engine

Kind	Finding	Signal	Subject	First seen
anomaly	Federal penalty spike	no prior fines	this facility	2026-07-29

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

Score type	Score	Grade	Model	Status	Registry model notes
billing conduct	60.1	C	v0.1-pacpuf-snf	default · in composite	R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk	17.4	A	v0.1-pos	default · in composite	Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure.
chow risk	7.3	A	v0.6	default · in composite
financial risk	13.7	A	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	0.1	—	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	69.4	D	v0.3	default · in composite	Deficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk	80.4	F	v0.3	default · in composite	Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk	55.7	C	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	35.7	B	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	33.7	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	19.7	A	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	69.3	D	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	69.3	D	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	80.4	F	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	80.4	F	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)

0.1%

model v0.1 · computed 2026-07-29

Percentile among SNFs

25.3

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)	5.17	-1.34
Occupancy	0.96	-0.77
For-profit ownership	1.00	+0.69
No PBJ staffing report	0.00	+0.42
Chain size (log)	3.76	+0.40
Ownership changes, last 5 years	0.00	+0.20
Contract staffing share	0.18	+0.19

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

Driver	Value	Pull on odds
Chain size (log)	3.76	-0.99
Deficiencies, last 12 months	13.00	-0.98
Occupancy	0.96	-0.91
Fine amount, 12m (log)	11.97	-0.70
For-profit ownership	1.00	-0.69
No PBJ staffing report	0.00	+0.39
Never sold on record	0.00	-0.28
Current owner tenure (years)	5.17	-0.22

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

2025Q4 HPRD	This facility	VA median	National median	National p25–p75
Total nurse	2.80	3.13	3.28	2.90–3.77
RN	0.33	0.30	0.39	0.25–0.58
Weekend total	2.54	2.96	3.11	—
Weekday total	2.90	3.20	3.35	—

Quarter	Days	Avg census	Total HPRD	RN	LPN	CNA	Weekend	Contract %
2025Q4	92	173.6	2.80	0.33	0.88	1.58	2.54	18.4%
2025Q3	92	172.1	2.64	0.28	0.85	1.50	2.38	13.7%
2025Q2	91	168.4	2.74	0.31	0.86	1.57	2.45	14.8%
2025Q1	90	165.9	2.40	0.15	0.86	1.39	2.26	19.2%
2024Q4	92	163.1	2.59	0.17	0.89	1.53	2.40	16.1%
2024Q3	92	163.0	2.54	0.21	0.86	1.47	2.35	15.3%
2024Q2	91	165.5	2.63	0.21	0.76	1.65	2.40	18.2%
2024Q1	91	170.2	2.54	0.24	0.72	1.57	2.33	19.0%
2023Q4	92	167.7	2.42	0.08	0.79	1.55	2.27	18.1%
2023Q3	92	169.1	2.32	0.06	0.76	1.51	2.13	21.3%
2023Q2	91	169.3	2.36	0.09	0.73	1.55	2.21	28.3%
2023Q1	90	170.0	2.19	0.07	0.75	1.37	2.07	31.4%
2022Q4	92	165.1	2.06	0.10	0.65	1.31	1.98	21.3%
2022Q3	92	159.6	1.98	0.15	0.66	1.17	1.79	10.3%
2022Q2	91	147.1	1.83	0.17	0.67	0.99	1.71	5.8%
2022Q1	90	151.0	1.88	0.21	0.62	1.05	1.88	2.6%

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

Date	Type	Fine	Source
2025-09-24	Fine	$157,300	CMS provider data

Total fines on record: $157,300

Deficiencies

D × 36E × 12F × 2J × 1

deficiencies by survey year

Survey	Type	Tag	Deficiency	Scope	Corrected
2026-03-12	Health · complaint	F0607	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	D	2026-04-06
2026-03-12	Health · complaint	F0726	Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.	D	2026-04-06
2026-01-14	Health · complaint	F0628	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.	D	2026-01-30
2026-01-14	Health · complaint	F0803	Ensure 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.	E	2026-01-30
2026-01-14	Health · complaint	F0807	Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.	D	2026-01-30
2026-01-14	Health · complaint	F0880	Provide and implement an infection prevention and control program.	D	2026-01-30
2026-01-14	Health · complaint	F0921	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	D	2026-01-30
2025-09-24	Health · complaint	F0628	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.	D	2026-01-30
2025-09-24	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.	J	2025-12-16
2025-09-24	Health · complaint	F0803	Ensure 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.	D	2026-01-30
2025-09-24	Health · complaint	F0807	Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.	E	2026-01-30
2025-09-24	Health · complaint	F0880	Provide and implement an infection prevention and control program.	D	2026-01-30
2025-09-24	Health · complaint	F0921	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	D	2026-01-30
2024-09-05	Health · complaint	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	2024-10-01
2021-07-15	Health	F0574	The resident has the right to receive notices in a format and a language he or she understands.	D	2021-08-18
2021-07-15	Health	F0578	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.	D	2021-08-18
2021-07-15	Health	F0622	Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.	D	2021-08-18
2021-07-15	Health	F0623	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	D	2021-08-18
2021-07-15	Health	F0625	Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.	D	2021-08-18
2021-07-15	Health	F0641	Ensure each resident receives an accurate assessment.	E	2021-08-18
2021-07-15	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	2021-08-18
2021-07-15	Health	F0658	Ensure services provided by the nursing facility meet professional standards of quality.	D	2021-08-18
2021-07-15	Health	F0677	Provide care and assistance to perform activities of daily living for any resident who is unable.	E	2021-08-18
2021-07-15	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	2021-08-18
2021-07-15	Health	F0760	Ensure that residents are free from significant medication errors.	E	2021-08-18
2021-07-15	Health	F0925	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.	F	2021-08-18
2019-05-09	Health	F0565	Honor the resident's right to organize and participate in resident/family groups in the facility.	D	2019-06-17
2019-05-09	Health	F0622	Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.	E	2019-06-17
2019-05-09	Health	F0623	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	D	2019-06-17
2019-05-09	Health	F0625	Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.	E	2019-06-17
2019-05-09	Health	F0641	Ensure each resident receives an accurate assessment.	D	2019-06-17
2019-05-09	Health	F0655	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	D	2019-06-17
2019-05-09	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	2019-06-17
2019-05-09	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	2019-06-17
2019-05-09	Health	F0658	Ensure services provided by the nursing facility meet professional standards of quality.	D	2019-06-17
2019-05-09	Health	F0677	Provide care and assistance to perform activities of daily living for any resident who is unable.	D	2019-06-17
2019-05-09	Health	F0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	2019-06-17
2019-05-09	Health	F0695	Provide safe and appropriate respiratory care for a resident when needed.	D	2019-06-17
2019-05-09	Health	F0727	Have 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.	F	2019-06-17
2019-05-09	Health	F0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	E	2019-06-17
2019-05-09	Health	F0849	Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.	D	2019-06-17
2019-05-09	Health	F0880	Provide and implement an infection prevention and control program.	D	2019-06-17
2017-08-17	Health	F0166	Try to resolve each resident's complaints quickly.	D	2017-09-27
2017-08-17	Health	F0309	Provide necessary care and services to maintain or improve the highest well being of each resident .	E	2017-09-27
2017-08-17	Health	F0314	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	D	2017-09-27
2017-08-17	Health	F0333	Ensure that residents are safe from serious medication errors.	E	2017-09-27
2017-08-17	Health	F0371	Store, cook, and serve food in a safe and clean way.	E	2017-09-27
2017-08-17	Health	F0411	Provide routine and 24-hour emergency dental care for each resident.	E	2017-09-27
2017-08-17	Health	F0431	Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.	D	2017-09-27
2017-08-17	Health	F0441	Have a program that investigates, controls and keeps infection from spreading.	D	2017-09-27
2017-08-17	Health	F0514	Keep accurate, complete and organized clinical records on each resident that meet professional standards.	D	2017-09-27

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

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

Owner	Role	Pct	From	Status	Source
NORFOLK HOLDINGS I LLC	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	2021-05-28	current	pecos_ownership
CHARLES 1994 FAMILY GRANTOR TRUST	5% OR GREATER INDIRECT OWNERSHIP INTEREST	—	2021-05-28	current	pecos_ownership
CHESAPEAKE EAST LLC	5% OR GREATER INDIRECT OWNERSHIP INTEREST	—	2021-05-28	current	pecos_ownership
EDWARD 1998 FAMILY GRANTOR TRUST	5% OR GREATER INDIRECT OWNERSHIP INTEREST	—	2021-05-28	current	pecos_ownership
EK 2005 FAMILY TRUST	5% OR GREATER INDIRECT OWNERSHIP INTEREST	—	2021-05-28	current	pecos_ownership
FAY 2014 FAMILY GRANTOR TRUST	5% OR GREATER INDIRECT OWNERSHIP INTEREST	—	2021-05-28	current	pecos_ownership
FAY 2014 LLC	5% OR GREATER INDIRECT OWNERSHIP INTEREST	—	2021-05-28	current	pecos_ownership
LL 2013 FAMILY TRUST	5% OR GREATER INDIRECT OWNERSHIP INTEREST	—	2021-05-28	current	pecos_ownership
MMS 2008 FAMILY TRUST	5% OR GREATER INDIRECT OWNERSHIP INTEREST	—	2021-05-28	current	pecos_ownership
MZR EAST LLC	5% OR GREATER INDIRECT OWNERSHIP INTEREST	—	2021-05-28	current	pecos_ownership
RYLBSS EAST MANAGER LLC	OPERATIONAL/MANAGERIAL CONTROL	—	2021-05-28	current	pecos_ownership
SAUL 2012 FAMILY GRANTOR TRUST	5% OR GREATER INDIRECT OWNERSHIP INTEREST	—	2021-05-28	current	pecos_ownership
SILVERSTONE EAST LLC	5% OR GREATER INDIRECT OWNERSHIP INTEREST	—	2021-05-28	current	pecos_ownership
SOL 2000 FAMILY GRANTOR TRUST	5% OR GREATER INDIRECT OWNERSHIP INTEREST	—	2021-05-28	current	pecos_ownership
SOL 2000 LLC	5% OR GREATER INDIRECT OWNERSHIP INTEREST	—	2021-05-28	current	pecos_ownership
STEVENS 3920 & FAMILY LLC	5% OR GREATER INDIRECT OWNERSHIP INTEREST	—	2021-05-28	current	pecos_ownership
STEVENS 3920 FAMILY GRANTOR TRUST	5% OR GREATER INDIRECT OWNERSHIP INTEREST	—	2021-05-28	current	pecos_ownership
STEVENS 3920 LLC	5% OR GREATER INDIRECT OWNERSHIP INTEREST	—	2021-05-28	current	pecos_ownership
WILSON, STEVEN	W-2 MANAGING EMPLOYEE	—	2024-01-23	current	pecos_ownership
STEVEN WILSON	W-2 MANAGING EMPLOYEE	—	2024-01-23	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.

Related-party costs

FY end	Total allowable	Rent	Home office	Therapy	Staffing	Counterparties	PropCo
2025-06-30	$3,632,493	$3,589,660	—	—	—	2	—
2024-06-30	$4,740,050	$4,740,050	—	—	—	0	—
2023-06-30	$3,635,000	$3,635,000	—	—	—	0	—
2022-06-30	$2,816,667	$2,816,667	—	—	—	0	—
2021-05-27	$350,489	—	$350,489	—	—	1	—
2020-12-31	$927,113	—	$927,941	—	—	1	—

Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.

Transactions

Close date	Price	Buyer	Seller	Evidence
2021-05-28	—	NORFOLK SNF LLC	MEDICAL FACILITIES OF AMERICA XLI	chow

Comparable trades — VA snf

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

Geo	Kind	BR	Amount	As of	Source
county 51710	acs median gross	0	$1,170	2024-12-31	CENSUS_ACS5
county 51710	fmr	0	$1,492	2025-10-01	HUD_USER_FMR
county 51710	acs median gross	1	$1,104	2024-12-31	CENSUS_ACS5
county 51710	fmr	1	$1,512	2025-10-01	HUD_USER_FMR
county 51710	acs median gross	2	$1,256	2024-12-31	CENSUS_ACS5
county 51710	fmr	2	$1,713	2025-10-01	HUD_USER_FMR
county 51710	acs median gross	3	$1,690	2024-12-31	CENSUS_ACS5
county 51710	fmr	3	$2,376	2025-10-01	HUD_USER_FMR
county 51710	acs median gross	4	$2,035	2024-12-31	CENSUS_ACS5
county 51710	fmr	4	$2,797	2025-10-01	HUD_USER_FMR
county 51710	acs median gross	5	$2,227	2024-12-31	CENSUS_ACS5
county 51710	acs median gross		$1,321	2024-12-31	CENSUS_ACS5
county 51710	acs recent mover gross		$1,547	2024-12-31	CENSUS_ACS5
zcta 23504	acs median gross	1	$454	2024-12-31	CENSUS_ACS5
zcta 23504	acs median gross	2	$1,069	2024-12-31	CENSUS_ACS5
zcta 23504	acs median gross	3	$1,325	2024-12-31	CENSUS_ACS5
zcta 23504	acs median gross		$957	2024-12-31	CENSUS_ACS5
zcta 23504	acs recent mover gross		$1,454	2024-12-31	CENSUS_ACS5
zip 23504	payment standard 110	0	$1,386	2025-10-01	HUD_USER_SAFMR
zip 23504	payment standard 90	0	$1,134	2025-10-01	HUD_USER_SAFMR
zip 23504	safmr	0	$1,260	2025-10-01	HUD_USER_SAFMR
zip 23504	payment standard 110	1	$1,408	2025-10-01	HUD_USER_SAFMR
zip 23504	payment standard 90	1	$1,152	2025-10-01	HUD_USER_SAFMR
zip 23504	safmr	1	$1,280	2025-10-01	HUD_USER_SAFMR
zip 23504	payment standard 110	2	$1,595	2025-10-01	HUD_USER_SAFMR
zip 23504	payment standard 90	2	$1,305	2025-10-01	HUD_USER_SAFMR
zip 23504	safmr	2	$1,450	2025-10-01	HUD_USER_SAFMR
zip 23504	payment standard 110	3	$2,211	2025-10-01	HUD_USER_SAFMR
zip 23504	payment standard 90	3	$1,809	2025-10-01	HUD_USER_SAFMR
zip 23504	safmr	3	$2,010	2025-10-01	HUD_USER_SAFMR
zip 23504	payment standard 110	4	$2,607	2025-10-01	HUD_USER_SAFMR
zip 23504	payment standard 90	4	$2,133	2025-10-01	HUD_USER_SAFMR
zip 23504	safmr	4	$2,370	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.