5500 WILLIAMSBURG LANDING DR, WILLIAMSBURG, VA 23185 · CCN 495184
Composite
25.5 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
73
Model
v1.2
Reads as: riskier than 25.5% 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.
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
2
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet enforcement cluster
50% fined
ZEIDLER JEANNE
6 facilities
connection
Owner fleet enforcement cluster
40% fined
SMITH CHRISTY
5 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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
16
2025Q4 HPRD
This facility
VA median
National median
National p25–p75
Total nurse
4.94
3.13
3.28
2.90–3.77
RN
0.82
0.30
0.39
0.25–0.58
Weekend total
4.83
2.96
3.11
—
Weekday total
4.99
3.20
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
40.6
4.94
0.82
1.06
3.06
4.83
0.5%
2025Q3
92
38.3
4.16
0.78
0.88
2.50
3.88
1.9%
2025Q2
91
38.8
3.60
0.68
0.92
1.99
3.52
0.8%
2025Q1
90
40.3
4.60
0.92
0.80
2.88
4.64
1.6%
2024Q4
92
38.6
2.03
1.90
0.00
0.13
1.55
7.7%
2024Q3
92
39.3
3.05
0.00
1.16
1.89
2.90
0.0%
2024Q2
91
40.5
4.53
0.22
1.14
3.16
4.14
7.6%
2024Q1
91
39.9
4.89
0.71
1.22
2.96
4.55
15.3%
2023Q4
92
39.1
4.42
0.40
0.97
3.05
4.11
20.4%
2023Q3
92
41.7
4.74
0.63
1.07
3.03
4.37
24.2%
2023Q2
91
40.7
3.65
0.31
0.95
2.39
3.41
34.1%
2023Q1
90
41.7
4.43
0.36
1.12
2.94
4.28
14.5%
2022Q4
92
41.7
4.36
0.39
1.11
2.86
4.29
16.9%
2022Q3
92
40.1
3.46
0.49
0.78
2.19
3.49
36.8%
2022Q2
91
70.6
2.40
0.37
0.54
1.49
2.37
31.1%
2022Q1
90
42.0
4.16
0.53
1.01
2.61
4.18
22.4%
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.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2026-04-10
2026-02-27
Health · complaint
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2026-04-10
2026-02-27
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2026-04-10
2026-02-27
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2026-04-13
2026-02-27
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
J
2026-04-10
2026-02-27
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2026-04-10
2022-08-19
Health
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2022-09-20
2022-08-19
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2022-09-20
2022-08-19
Health
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
2022-09-20
2022-08-19
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2022-09-20
2022-08-19
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2022-09-20
2022-08-19
Health
F0761
Ensure 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.
D
2022-09-20
2022-08-19
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2022-09-20
2022-08-19
Health
F0880
Provide and implement an infection prevention and control program.
D
2022-09-20
2022-08-19
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2022-09-20
2022-08-19
Health
F0886
Perform COVID19 testing on residents and staff.
F
2022-09-20
2022-08-19
Health
F0887
Educate 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.
D
2022-09-20
2022-08-19
Health
F0888
Ensure staff are vaccinated for COVID-19
E
2022-09-20
2019-05-31
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2019-07-12
2019-05-31
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2019-07-12
2019-05-31
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
2019-07-12
2019-05-31
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
B
2019-07-12
2019-05-31
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2019-07-12
2019-05-31
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
2019-07-12
2019-05-31
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
2019-07-12
2019-05-31
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
2019-07-12
2019-05-31
Health
F0730
Observe each nurse aide's job performance and give regular training.
D
2019-07-12
2019-05-31
Health
F0744
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
D
2019-07-12
2019-05-31
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2019-07-12
2019-05-31
Health
F0801
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
D
2019-07-12
2019-05-31
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2019-07-12
2019-05-31
Health
F0880
Provide and implement an infection prevention and control program.
E
2019-07-12
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.
Licensure actions
0
No licensure actions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Ownership
56
Owner
Role
Pct
From
Status
Source
ADAMS, VONNIE
W-2 MANAGING EMPLOYEE
—
2022-01-01
current
pecos_ownership
BATES, LISA
W-2 MANAGING EMPLOYEE
—
2014-09-01
current
pecos_ownership
BECKE, RACHEL
W-2 MANAGING EMPLOYEE
—
2024-04-01
current
pecos_ownership
BRODY, ALLISON
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
BUCKLESS, DONALD
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
CANFIELD, LOUISE
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
DAVIS, ELIZABETH
CORPORATE DIRECTOR
—
2014-09-01
current
pecos_ownership
DRISCOLL, EDWARD
CORPORATE OFFICER
—
2024-01-01
current
pecos_ownership
FOX, MICHAEL
CORPORATE OFFICER
—
2024-01-01
current
pecos_ownership
GEDDY, VERNON
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
GERHARDT, PAUL
CORPORATE DIRECTOR
—
2009-09-01
current
pecos_ownership
HARSHAW, CONNIE
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
HILL, TERRY
CORPORATE OFFICER
—
2024-01-01
current
pecos_ownership
KNUDSON, JUDY
CORPORATE OFFICER
—
2024-01-01
current
pecos_ownership
LAMBERT, MATTHEW
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
MILLS, TIMOTHY
CORPORATE OFFICER
—
2024-01-01
current
pecos_ownership
PARKS, JUANITA
W-2 MANAGING EMPLOYEE
—
2014-09-01
current
pecos_ownership
PARKS, JUANITA
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
PITTMAN, CARLANE
CORPORATE OFFICER
—
2024-01-01
current
pecos_ownership
RANDALL, BRANDON
CORPORATE OFFICER
—
2024-01-01
current
pecos_ownership
SMITH, CHRISTOPHER
CORPORATE OFFICER
—
2024-01-01
current
pecos_ownership
STABLER, SCOTT
CORPORATE OFFICER
—
2024-01-01
current
pecos_ownership
STORER, GREG
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
UNDERWOOD, ROBERT
CORPORATE OFFICER
—
2024-01-01
current
pecos_ownership
WILLIAMS, MIKE
W-2 MANAGING EMPLOYEE
—
2021-05-17
current
pecos_ownership
WILLIAMS, SUZANNE
W-2 MANAGING EMPLOYEE
—
2024-01-22
current
pecos_ownership
WOLFE, SALLY
W-2 MANAGING EMPLOYEE
—
2009-09-01
current
pecos_ownership
ZEIDLER, JEANNE
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
ALLISON BRODY
CORPORATE DIRECTOR
—
2022-01-01
ended 2026-05-18
pecos_ownership
BRANDON RANDALL
CORPORATE OFFICER
—
2024-01-01
ended 2026-05-18
pecos_ownership
CARLANE PITTMAN
CORPORATE OFFICER
—
2024-01-01
ended 2026-05-18
pecos_ownership
CHRISTOPHER SMITH
CORPORATE OFFICER
—
2024-01-01
ended 2026-05-18
pecos_ownership
CONNIE HARSHAW
CORPORATE DIRECTOR
—
2022-01-01
ended 2026-05-18
pecos_ownership
DONALD BUCKLESS
CORPORATE DIRECTOR
—
2022-01-01
ended 2026-05-18
pecos_ownership
EDWARD DRISCOLL
CORPORATE OFFICER
—
2024-01-01
ended 2026-05-18
pecos_ownership
ELIZABETH DAVIS
CORPORATE DIRECTOR
—
2014-09-01
ended 2026-05-18
pecos_ownership
GREG STORER
CORPORATE DIRECTOR
—
2022-01-01
ended 2026-05-18
pecos_ownership
JEANNE ZEIDLER
CORPORATE DIRECTOR
—
2022-01-01
ended 2026-05-18
pecos_ownership
JUANITA PARKS
W-2 MANAGING EMPLOYEE
—
2014-09-01
ended 2026-05-18
pecos_ownership
JUANITA PARKS
CORPORATE DIRECTOR
—
2022-01-01
ended 2026-05-18
pecos_ownership
JUDY KNUDSON
CORPORATE OFFICER
—
2024-01-01
ended 2026-05-18
pecos_ownership
LISA BATES
W-2 MANAGING EMPLOYEE
—
2014-09-01
ended 2026-05-18
pecos_ownership
LOUISE CANFIELD
CORPORATE DIRECTOR
—
2022-01-01
ended 2026-05-18
pecos_ownership
MATTHEW LAMBERT
CORPORATE DIRECTOR
—
2022-01-01
ended 2026-05-18
pecos_ownership
MICHAEL FOX
CORPORATE OFFICER
—
2024-01-01
ended 2026-05-18
pecos_ownership
MIKE WILLIAMS
CORPORATE DIRECTOR
—
2021-05-17
ended 2026-05-18
pecos_ownership
PAUL GERHARDT
CORPORATE DIRECTOR
—
2009-09-01
ended 2026-05-18
pecos_ownership
RACHEL BECKE
W-2 MANAGING EMPLOYEE
—
2024-04-01
ended 2026-05-18
pecos_ownership
ROBERT UNDERWOOD
CORPORATE OFFICER
—
2024-01-01
ended 2026-05-18
pecos_ownership
SALLY WOLFE
W-2 MANAGING EMPLOYEE
—
2009-09-01
ended 2026-05-18
pecos_ownership
SCOTT STABLER
CORPORATE OFFICER
—
2024-01-01
ended 2026-05-18
pecos_ownership
SUZANNE WILLIAMS
W-2 MANAGING EMPLOYEE
—
2024-01-22
ended 2026-05-18
pecos_ownership
TERRY HILL
CORPORATE OFFICER
—
2024-01-01
ended 2026-05-18
pecos_ownership
TIMOTHY MILLS
CORPORATE OFFICER
—
2024-01-01
ended 2026-05-18
pecos_ownership
VERNON GEDDY
CORPORATE DIRECTOR
—
2022-01-01
ended 2026-05-18
pecos_ownership
VONNIE ADAMS
W-2 MANAGING EMPLOYEE
—
2022-01-01
ended 2026-05-18
pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Related-party costs
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
Transactions
0
No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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
35
Geo
Kind
BR
Amount
As of
Source
county 51095
acs median gross
0
$970
2024-12-31
CENSUS_ACS5
county 51095
fmr
0
$1,492
2025-10-01
HUD_USER_FMR
county 51095
acs median gross
1
$1,396
2024-12-31
CENSUS_ACS5
county 51095
fmr
1
$1,512
2025-10-01
HUD_USER_FMR
county 51095
acs median gross
2
$1,442
2024-12-31
CENSUS_ACS5
county 51095
fmr
2
$1,713
2025-10-01
HUD_USER_FMR
county 51095
acs median gross
3
$1,770
2024-12-31
CENSUS_ACS5
county 51095
fmr
3
$2,376
2025-10-01
HUD_USER_FMR
county 51095
acs median gross
4
$2,403
2024-12-31
CENSUS_ACS5
county 51095
fmr
4
$2,797
2025-10-01
HUD_USER_FMR
county 51095
acs median gross
$1,552
2024-12-31
CENSUS_ACS5
county 51095
acs recent mover gross
$2,073
2024-12-31
CENSUS_ACS5
zcta 23185
acs median gross
0
$921
2024-12-31
CENSUS_ACS5
zcta 23185
acs median gross
1
$1,303
2024-12-31
CENSUS_ACS5
zcta 23185
acs median gross
2
$1,425
2024-12-31
CENSUS_ACS5
zcta 23185
acs median gross
3
$1,858
2024-12-31
CENSUS_ACS5
zcta 23185
acs median gross
4
$2,255
2024-12-31
CENSUS_ACS5
zcta 23185
acs median gross
5
$1,869
2024-12-31
CENSUS_ACS5
zcta 23185
acs median gross
$1,489
2024-12-31
CENSUS_ACS5
zcta 23185
acs recent mover gross
$1,777
2024-12-31
CENSUS_ACS5
zip 23185
payment standard 110
0
$1,727
2025-10-01
HUD_USER_SAFMR
zip 23185
payment standard 90
0
$1,413
2025-10-01
HUD_USER_SAFMR
zip 23185
safmr
0
$1,570
2025-10-01
HUD_USER_SAFMR
zip 23185
payment standard 110
1
$1,749
2025-10-01
HUD_USER_SAFMR
zip 23185
payment standard 90
1
$1,431
2025-10-01
HUD_USER_SAFMR
zip 23185
safmr
1
$1,590
2025-10-01
HUD_USER_SAFMR
zip 23185
payment standard 110
2
$1,980
2025-10-01
HUD_USER_SAFMR
zip 23185
payment standard 90
2
$1,620
2025-10-01
HUD_USER_SAFMR
zip 23185
safmr
2
$1,800
2025-10-01
HUD_USER_SAFMR
zip 23185
payment standard 110
3
$2,750
2025-10-01
HUD_USER_SAFMR
zip 23185
payment standard 90
3
$2,250
2025-10-01
HUD_USER_SAFMR
zip 23185
safmr
3
$2,500
2025-10-01
HUD_USER_SAFMR
zip 23185
payment standard 110
4
$3,234
2025-10-01
HUD_USER_SAFMR
zip 23185
payment standard 90
4
$2,646
2025-10-01
HUD_USER_SAFMR
zip 23185
safmr
4
$2,940
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.