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 21:21 UTC
Screener / 495097
C

Parham Health Care & Rehab Center

snfVASFF: SFF Candidate
2400 E PARHAM ROAD, RICHMOND, VA 23228 · CCN 495097 · chain CHARLES 1994 FAMILY GRANTOR TRUST
Composite
72.1 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
180
Model
v1.2
Reads as: riskier than 72.1% 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 signals15Components16CHOW radar1Distress radar1Staffing16Penalties3Deficiencies126Licensure0Ownership21Related party6Transactions1Comps12Market rent36

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk99.599.00.300.230822.96in index
billing conduct72.148.70.300.230816.64in index
staffing risk70.470.40.250.192313.54in index
chow risk16.516.20.150.11541.90in index
financial risk7.816.90.300.23081.80in 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

15
KindFindingSignalSubjectFirst seen
anomalyFederal penalty spike9.6x priorthis facility2026-07-29
connectionOwner fleet enforcement cluster63% finedNATHAN 5604 FAMILY GRANTOR TRUST8 facilities
connectionOwner fleet enforcement cluster63% finedGOLDEN 2017 FAMILY GRANTOR TRUST8 facilities
connectionOwner fleet enforcement cluster63% finedMATT 2002 FAMILY GRANTOR TRUST8 facilities
connectionOwner fleet enforcement cluster56% finedPIVOTAL CENTRAL LLC9 facilities
connectionOwner fleet enforcement cluster56% finedGOLDEN 2017 LLC9 facilities
connectionOwner fleet enforcement cluster50% finedMATT 2002 LLC10 facilities
connectionOwner fleet enforcement cluster50% finedCENTRAL BAY LLC10 facilities
connectionOwner fleet enforcement cluster50% finedMRCZ CENTRAL LLC8 facilities
connectionOwner fleet enforcement cluster50% finedNATHAN 5604 LLC10 facilities
connectionOwner fleet enforcement cluster50% finedNATHAN 5604 FAMILY LLC10 facilities
connectionOwner fleet enforcement cluster50% finedRYBST CENTRAL MANAGER LLC10 facilities
connectionOwner fleet enforcement cluster46% finedSAS 1998 FAMILY TRUST11 facilities
connectionOwner fleet enforcement cluster46% finedAL 2003 FAMILY TRUST11 facilities
connectionOwner fleet enforcement cluster46% finedAK 2003 FAMILY TRUST11 facilities
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.

Component scores and registry models

16
Score typeScoreGradeModelStatusRegistry model notes
billing conduct48.7Cv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk25.0Bv0.1-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 risk7.4Av0.6default · in composite
financial risk16.9Av0.5default · 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 12m0.5—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 risk99.0Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk70.4Dv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk53.0Cv0.1supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk33.0Bv0.2supersededPre-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 risk36.3Bv0.3supersededPre-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 risk22.9Av0.4supersededPre-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 risk99.0Fv0.1supersededPre-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 risk99.0Fv0.2supersededPre-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 risk70.4Dv0.1supersededPre-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 risk70.4Dv0.2supersededPre-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)
0.5%
model v0.1 · computed 2026-07-29
Percentile among SNFs
54.3
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)5.17-1.34
Deficiencies, last 12 months53.00+1.12
For-profit ownership1.00+0.69
No PBJ staffing report0.00+0.42
Chain size (log)3.76+0.40
High-severity deficiencies, 12m5.00+0.26
Ownership changes, last 5 years0.00+0.20
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.

Distress radar — 12-month termination probability

full board →
p(termination, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
0.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Deficiencies, last 12 months53.00-8.40
Chain size (log)3.76-0.99
Fine amount, 12m (log)12.18-0.71
For-profit ownership1.00-0.69
No PBJ staffing report0.00+0.39
High-severity deficiencies, 12m5.00-0.36
Staffing trend, last 4 quarters0.79+0.34
Never sold on record0.00-0.28
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 nurse2.983.133.282.90–3.77
RN0.220.300.390.25–0.58
Weekend total2.852.963.11—
Weekday total3.033.203.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q492135.32.980.220.951.812.8513.3%
2025Q392151.52.860.170.991.702.6327.1%
2025Q291165.92.620.101.031.502.4634.1%
2025Q190170.42.150.110.741.302.136.1%
2024Q492172.52.190.080.801.302.160.0%
2024Q392172.02.310.050.821.442.290.0%
2024Q291168.52.310.080.861.372.280.5%
2024Q191165.82.140.080.891.172.091.5%
2023Q492166.32.300.060.931.312.260.4%
2023Q392170.52.410.130.881.402.314.9%
2023Q291170.62.690.130.971.602.4331.9%
2023Q190174.62.600.040.831.722.3550.5%
2022Q492169.32.140.090.781.261.8152.2%
2022Q392168.22.000.130.741.131.8564.1%
2022Q291153.90.790.090.180.520.6716.4%
2022Q190159.61.510.060.510.941.4750.0%
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.

Penalties

3
DateTypeFineSource
2025-12-17Fine$194,170CMS provider data
2025-12-17Payment Denial—CMS provider data
2025-04-28Fine$60,736CMS provider data
Total fines on record: $254,906

Deficiencies

126
D × 73E × 37F × 6G × 5J × 1K × 4
deficiencies by survey year
78391820222426
SurveyTypeTagDeficiencyScopeCorrected
2026-03-19Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2026-03-30
2026-03-19Health · complaintF0760Ensure that residents are free from significant medication errors.E2026-04-29
2026-02-13Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2026-03-30
2026-02-13Health · complaintF0583Keep residents' personal and medical records private and confidential.E2026-03-30
2026-02-13Health · 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.D2026-03-30
2026-02-13Health · complaintF0602Protect each resident from the wrongful use of the resident's belongings or money.D2026-03-30
2026-02-13Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2026-03-30
2026-02-13Health · complaintF0760Ensure that residents are free from significant medication errors.E2026-04-29
2026-02-13Health · complaintF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.G2026-03-30
2026-02-13Health · complaintF0880Provide and implement an infection prevention and control program.E2026-03-30
2026-02-13Health · complaintF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E2026-03-30
2025-12-17Health · complaintF0554Allow residents to self-administer drugs if determined clinically appropriate.D2026-01-27
2025-12-17Health · complaintF0558Reasonably accommodate the needs and preferences of each resident.E2026-03-30
2025-12-17Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2026-03-30
2025-12-17Health · complaintF0583Keep residents' personal and medical records private and confidential.E2026-03-30
2025-12-17Health · 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.E2026-03-30
2025-12-17Health · 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.D2026-03-30
2025-12-17Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.K2026-01-27
2025-12-17Health · complaintF0602Protect each resident from the wrongful use of the resident's belongings or money.D2026-03-30
2025-12-17Health · complaintF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D2026-01-27
2025-12-17Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2026-01-27
2025-12-17Health · complaintF0610Respond appropriately to all alleged violations.E2026-01-27
2025-12-17Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2026-03-30
2025-12-17Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2026-01-27
2025-12-17Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.E2026-03-30
2025-12-17Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2026-01-27
2025-12-17Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2026-01-27
2025-12-17Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2026-03-30
2025-12-17Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.K2026-03-30
2025-12-17Health · complaintF0730Observe each nurse aide's job performance and give regular training.D2026-01-27
2025-12-17Health · complaintF0760Ensure that residents are free from significant medication errors.E2026-04-29
2025-12-17Health · complaintF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.D2026-03-30
2025-12-17Health · complaintF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.G2026-03-30
2025-12-17Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2026-03-30
2025-12-17Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2026-03-30
2025-12-17Health · complaintF0850Hire a qualified full-time social worker in a facility with more than 120 beds.F2026-01-27
2025-12-17Health · complaintF0865Have a plan that describes the process for conducting QAPI and QAA activities.F2026-01-27
2025-12-17Health · complaintF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyD2026-01-27
2025-12-17Health · complaintF0880Provide and implement an infection prevention and control program.E2026-03-30
2025-12-17Health · complaintF0919Make sure that a working call system is available in each resident's bathroom and bathing area.D2026-01-27
2025-12-17Health · complaintF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E2026-03-30
2025-12-17Health · complaintF0924Put firmly secured handrails on each side of hallways.D2026-03-30
2025-12-17Health · complaintF0926Have policies on smoking.D2026-03-30
2025-12-17Health · complaintF0942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.D2026-03-30
2025-12-17Health · complaintF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.D2026-03-30
2025-12-17Health · complaintF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.D2026-03-30
2025-12-17Health · complaintF0945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.D2026-03-30
2025-12-17Health · complaintF0946Provide training in compliance and ethics.D2026-03-30
2025-09-03Health · 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.E2025-09-24
2025-09-03Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2025-09-24
2025-09-03Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2025-09-24
2025-09-03Health · complaintF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E2025-09-24
2025-09-03Health · complaintF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.E2025-09-24
2025-04-28Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2025-06-12
2025-04-28HealthF0558Reasonably accommodate the needs and preferences of each resident.D2025-06-12
2025-04-28HealthF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D2025-06-12
2025-04-28HealthF0565Honor the resident's right to organize and participate in resident/family groups in the facility.E2025-06-12
2025-04-28HealthF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.E2025-06-12
2025-04-28Health · 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.F2025-09-24
2025-04-28Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2025-06-12
2025-04-28Health · complaintF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D2025-06-12
2025-04-28HealthF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-06-12
2025-04-28Health · complaintF0610Respond appropriately to all alleged violations.D2025-06-12
2025-04-28HealthF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D2025-06-12
2025-04-28HealthF0645PASARR screening for Mental disorders or Intellectual DisabilitiesD2025-06-12
2025-04-28HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-06-12
2025-04-28HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.E2025-06-12
2025-04-28HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2025-09-24
2025-04-28Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G2025-06-12
2025-04-28HealthF0687Provide appropriate foot care.D2025-06-12
2025-04-28Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.K2025-06-12
2025-04-28Health · complaintF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2025-06-12
2025-04-28HealthF0692Provide enough food/fluids to maintain a resident's health.D2025-06-12
2025-04-28HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2025-06-12
2025-04-28HealthF0697Provide safe, appropriate pain management for a resident who requires such services.E2025-06-12
2025-04-28HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.E2025-06-12
2025-04-28HealthF0700Try 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.D2025-06-12
2025-04-28HealthF0742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.E2025-06-12
2025-04-28HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2025-09-24
2025-04-28HealthF0760Ensure that residents are free from significant medication errors.E2025-06-12
2025-04-28HealthF0761Ensure 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.E2025-06-12
2025-04-28Health · complaintF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2025-06-12
2025-04-28HealthF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.F2025-09-24
2025-04-28Health · complaintF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.D2025-06-12
2025-04-28Health · complaintF0880Provide and implement an infection prevention and control program.K2025-06-12
2025-04-28HealthF0908Keep all essential equipment working safely.E2025-06-12
2025-04-28Health · complaintF0909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.D2025-06-12
2025-04-28HealthF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.F2025-09-24
2025-04-28HealthF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.F2025-09-24
2024-02-13Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2024-03-12
2024-02-13Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2024-03-12
2023-09-14Health · complaintF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E2023-10-23
2023-09-14Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2023-10-23
2023-09-14Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2023-10-23
2023-09-14Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2023-10-23
2023-09-14Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2023-10-23
2023-09-14Health · complaintF0692Provide enough food/fluids to maintain a resident's health.D2023-10-23
2023-09-14Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2023-10-23
2023-09-14Health · complaintF0760Ensure that residents are free from significant medication errors.E2023-10-23
2023-09-14Health · complaintF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E2023-10-23
2023-09-14Health · complaintF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.E2023-10-23
2022-04-27HealthF0565Honor the resident's right to organize and participate in resident/family groups in the facility.E2022-06-07
2022-04-27HealthF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2022-06-07
2022-04-27HealthF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D2022-06-07
2022-04-27HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2022-06-07
2022-04-27HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2022-07-12
2022-04-27HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2022-06-07
2022-04-27HealthF0692Provide enough food/fluids to maintain a resident's health.G2022-06-07
2022-04-27HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2022-06-07
2022-04-27HealthF0727Have 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.E2022-06-07
2022-04-27HealthF0761Ensure 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.D2022-06-07
2022-04-27HealthF0807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.D2022-06-07
2022-04-27HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D2022-07-12
2022-04-27HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2022-07-12
2022-04-27HealthF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.E2022-07-12
2022-04-27HealthF0886Perform COVID19 testing on residents and staff.D2022-07-12
2022-04-27HealthF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.E2022-07-12
2022-04-27HealthF0888Ensure staff are vaccinated for COVID-19D2022-07-12
2018-12-06HealthF0554Allow residents to self-administer drugs if determined clinically appropriate.D2019-01-10
2018-12-06HealthF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.D2019-01-10
2018-12-06HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2019-01-10
2018-12-06HealthF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.D2019-01-10
2018-12-06HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2019-01-28
2018-12-06HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2019-01-10
2018-12-06HealthF0791Provide or obtain dental services for each resident.D2019-01-10
2018-12-06HealthF0880Provide and implement an infection prevention and control program.D2019-01-10
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

21
OwnerRolePctFromStatusSource
PARHARM HOLDINGS I LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2021-05-28currentpecos_ownership
AK 2003 FAMILY TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST—2021-05-28currentpecos_ownership
AL 2003 FAMILY TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST—2021-05-28currentpecos_ownership
CENTRAL BAY LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST—2021-05-28currentpecos_ownership
CHARLES 1994 FAMILY GRANTOR TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST—2021-05-28currentpecos_ownership
EDWARD 1998 FAMILY GRANTOR TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST—2021-05-28currentpecos_ownership
GOLDEN 2017 FAMILY GRANTOR TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST—2021-05-28currentpecos_ownership
GOLDEN 2017 LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST—2021-05-28currentpecos_ownership
HALES-RICHARDS, KOURTNEYW-2 MANAGING EMPLOYEE—2023-09-13currentpecos_ownership
MATT 2002 FAMILY GRANTOR TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST—2021-05-28currentpecos_ownership
MATT 2002 LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST—2021-05-28currentpecos_ownership
MRCZ CENTRAL LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST—2021-05-28currentpecos_ownership
NATHAN 5604 & FAMILY LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST—2021-05-28currentpecos_ownership
NATHAN 5604 FAMILY GRANTOR TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST—2021-05-28currentpecos_ownership
NATHAN 5604 LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST—2021-05-28currentpecos_ownership
PIVOTAL CENTRAL LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST—2021-05-28currentpecos_ownership
RYBST CENTRAL MANAGER LLCOPERATIONAL/MANAGERIAL CONTROL—2021-05-28currentpecos_ownership
SAS 1998 FAMILY TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST—2021-05-28currentpecos_ownership
SAUL 2012 FAMILY GRANTOR TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST—2021-05-28currentpecos_ownership
THERIC BROWNW-2 MANAGING EMPLOYEE100%2021-05-28ended 2026-05-18pecos_ownership
MOSHE RAJCHENBACHCORPORATE OFFICER—2021-05-28ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

1
Close datePriceBuyerSellerEvidence
2021-05-28—PARHAM CARE CENTER LLCMEDICAL FACILITIES OF AMERICA V & XVchow

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

36
GeoKindBRAmountAs ofSource
county 51087acs median gross0$1,4532024-12-31CENSUS_ACS5
county 51087fmr0$1,4422025-10-01HUD_USER_FMR
county 51087acs median gross1$1,3422024-12-31CENSUS_ACS5
county 51087fmr1$1,5072025-10-01HUD_USER_FMR
county 51087acs median gross2$1,5112024-12-31CENSUS_ACS5
county 51087fmr2$1,6552025-10-01HUD_USER_FMR
county 51087acs median gross3$1,7252024-12-31CENSUS_ACS5
county 51087fmr3$2,0722025-10-01HUD_USER_FMR
county 51087acs median gross4$2,1542024-12-31CENSUS_ACS5
county 51087fmr4$2,5532025-10-01HUD_USER_FMR
county 51087acs median gross5$2,4862024-12-31CENSUS_ACS5
county 51087acs median gross$1,5412024-12-31CENSUS_ACS5
county 51087acs recent mover gross$1,7362024-12-31CENSUS_ACS5
zcta 23228acs median gross0$1,3112024-12-31CENSUS_ACS5
zcta 23228acs median gross1$1,2272024-12-31CENSUS_ACS5
zcta 23228acs median gross2$1,4892024-12-31CENSUS_ACS5
zcta 23228acs median gross3$1,6602024-12-31CENSUS_ACS5
zcta 23228acs median gross4$1,9352024-12-31CENSUS_ACS5
zcta 23228acs median gross5$2,9222024-12-31CENSUS_ACS5
zcta 23228acs median gross$1,4512024-12-31CENSUS_ACS5
zcta 23228acs recent mover gross$1,5522024-12-31CENSUS_ACS5
zip 23228payment standard 1100$1,7492025-10-01HUD_USER_SAFMR
zip 23228payment standard 900$1,4312025-10-01HUD_USER_SAFMR
zip 23228safmr0$1,5902025-10-01HUD_USER_SAFMR
zip 23228payment standard 1101$1,8262025-10-01HUD_USER_SAFMR
zip 23228payment standard 901$1,4942025-10-01HUD_USER_SAFMR
zip 23228safmr1$1,6602025-10-01HUD_USER_SAFMR
zip 23228payment standard 1102$2,0022025-10-01HUD_USER_SAFMR
zip 23228payment standard 902$1,6382025-10-01HUD_USER_SAFMR
zip 23228safmr2$1,8202025-10-01HUD_USER_SAFMR
zip 23228payment standard 1103$2,5082025-10-01HUD_USER_SAFMR
zip 23228payment standard 903$2,0522025-10-01HUD_USER_SAFMR
zip 23228safmr3$2,2802025-10-01HUD_USER_SAFMR
zip 23228payment standard 1104$3,0912025-10-01HUD_USER_SAFMR
zip 23228payment standard 904$2,5292025-10-01HUD_USER_SAFMR
zip 23228safmr4$2,8102025-10-01HUD_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 · Parham Health Care & Rehab Center (495097) · 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