Composite
20.3 / 100 percentile
Screener / 345433
A
Clay County Health and Rehabilitation
snfNC
86 Valley Hideaway Drive, Hayesville, NC 28904 · CCN 345433 · chain SNF MGR LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
90
Model
v1.2
Reads as: riskier than 20.3% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
Score model5Components16CHOW radar1Distress radar1Staffing16Penalties0Deficiencies6Licensure0Ownership22Related party5Transactions1Comps12Market rent30
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| staffing risk | 94.4 | 94.4 | 0.25 | 0.1923 | 18.15 | in index |
| chow risk | 66.0 | 47.2 | 0.15 | 0.1154 | 7.62 | in index |
| billing conduct | 21.2 | 26.2 | 0.30 | 0.2308 | 4.89 | in index |
| financial risk | 13.4 | 22.1 | 0.30 | 0.2308 | 3.09 | in index |
| regulatory risk | 10.6 | 6.8 | 0.30 | 0.2308 | 2.45 | in index |
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
Component scores and registry models
16| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 26.2 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 55.0 | C | 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 | 39.4 | B | v0.6 | default · in composite | |
| financial risk | 22.1 | 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 | 0.0 | — | v0.1 | default · in composite | R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite. |
| regulatory risk | 6.8 | A | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 94.4 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 57.4 | 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 | 37.4 | 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 | 28.5 | 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 | 27.6 | B | v0.4 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 6.7 | A | 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 | 6.7 | A | 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 | 94.4 | 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 | 94.4 | 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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
1.1
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Current owner tenure (years) | 1.16 | -1.73 | |
| Never sold on record | 0.00 | -1.62 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.89 | -0.56 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 3.61 | +0.36 | |
| Deficiencies, last 12 months | 0.00 | -0.17 |
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Distress radar — 12-month termination probability
full board →p(termination, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
27.7
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 0.00 | +1.43 | |
| Chain size (log) | 3.61 | -0.90 | |
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.89 | -0.60 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Total nurse staffing (HPRD) | 2.34 | +0.37 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 1.16 | -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 HPRD | This facility | NC median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.34 | 3.08 | 3.28 | 2.90–3.77 |
| RN | 0.28 | 0.30 | 0.39 | 0.25–0.58 |
| Weekend total | 2.36 | 2.93 | 3.11 | — |
| Weekday total | 2.33 | 3.14 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 80.3 | 2.34 | 0.28 | 0.43 | 1.63 | 2.36 | 0.0% |
| 2025Q3 | 92 | 76.4 | 2.50 | 0.35 | 0.37 | 1.78 | 2.60 | 0.0% |
| 2025Q2 | 91 | 75.4 | 2.85 | 0.35 | 0.45 | 2.05 | 2.72 | 0.0% |
| 2025Q1 | 90 | 81.2 | 2.66 | 0.28 | 0.53 | 1.86 | 2.49 | 0.0% |
| 2024Q4 | 92 | 80.4 | 2.85 | 0.42 | 0.44 | 1.98 | 2.64 | 0.0% |
| 2024Q3 | 92 | 74.4 | 2.84 | 0.48 | 0.43 | 1.94 | 2.53 | 0.0% |
| 2024Q2 | 91 | 75.6 | 2.78 | 0.55 | 0.52 | 1.71 | 2.43 | 0.0% |
| 2024Q1 | 91 | 75.9 | 2.93 | 0.57 | 0.58 | 1.78 | 2.66 | 0.0% |
| 2023Q4 | 92 | 75.3 | 2.88 | 0.54 | 0.51 | 1.84 | 2.65 | 0.0% |
| 2023Q3 | 92 | 76.9 | 2.88 | 0.41 | 0.54 | 1.92 | 2.72 | 0.0% |
| 2023Q2 | 91 | 73.3 | 3.04 | 0.48 | 0.53 | 2.03 | 2.84 | 0.0% |
| 2023Q1 | 90 | 69.5 | 3.24 | 0.51 | 0.63 | 2.11 | 3.11 | 0.0% |
| 2022Q4 | 92 | 71.2 | 3.14 | 0.53 | 0.62 | 1.99 | 3.00 | 0.0% |
| 2022Q3 | 92 | 65.8 | 3.33 | 0.58 | 0.59 | 2.17 | 3.13 | 0.0% |
| 2022Q2 | 91 | 63.6 | 3.31 | 0.51 | 0.74 | 2.05 | 3.15 | 0.0% |
| 2022Q1 | 90 | 64.3 | 3.24 | 0.49 | 0.69 | 2.05 | 3.19 | 0.0% |
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
0No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
6D × 2E × 4
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-02-27 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2025-03-25 |
| 2025-02-27 | Health | F0641 | Ensure each resident receives an accurate assessment. | E | 2025-03-25 |
| 2025-02-27 | Health | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | 2025-03-25 |
| 2023-10-26 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | 2023-11-21 |
| 2023-10-26 | Health | F0760 | Ensure that residents are free from significant medication errors. | E | 2023-11-21 |
| 2023-10-26 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2023-11-21 |
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.
Licensure actions
0No licensure actions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Ownership
22| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| CHANDROSS, MARK | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-05-01 | current | pecos_ownership |
| EVH HOLDCO LLC | INDIRECT OWNERSHIP INTEREST | — | 2025-06-01 | current | pecos_ownership |
| GARRETT, KATHIE | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-05-01 | current | pecos_ownership |
| HAYESVILLE PARENTCO LLC | DIRECT OWNERSHIP INTEREST | — | 2025-06-01 | current | pecos_ownership |
| HOBACK, TIFFANY | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-05-01 | current | pecos_ownership |
| JONES, TEQUILLA | ADP OF THE SNF | — | 2025-05-01 | current | pecos_ownership |
| NCOP HOLDCO LLC | INDIRECT OWNERSHIP INTEREST | — | 2025-06-01 | current | pecos_ownership |
| NU C II IRREVOCABLE TRUST | INDIRECT OWNERSHIP INTEREST | — | 2025-06-01 | current | pecos_ownership |
| NU C IRREVOCABLE TRUST | INDIRECT OWNERSHIP INTEREST | — | 2025-06-01 | current | pecos_ownership |
| SEMONES, BRANDI | ADP OF THE SNF | — | 2025-05-01 | current | pecos_ownership |
| SNF CARE CENTERS LLC | INDIRECT OWNERSHIP INTEREST | — | 2025-06-01 | current | pecos_ownership |
| SNF MGR LLC | ADP OF THE SNF | — | 2025-04-14 | current | pecos_ownership |
| SNF MGR LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-05-01 | current | pecos_ownership |
| VARGAS, CARLOS | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-05-01 | current | pecos_ownership |
| ZENITH HOLDCO II LLC | INDIRECT OWNERSHIP INTEREST | — | 2025-06-01 | current | pecos_ownership |
| ZENITH HOLDCO LLC | INDIRECT OWNERSHIP INTEREST | — | 2025-06-01 | current | pecos_ownership |
| BRANDI SEMONES | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-05-01 | ended 2026-05-18 | pecos_ownership |
| CARLOS VARGAS | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-05-01 | ended 2026-05-18 | pecos_ownership |
| KATHIE GARRETT | ADP OF THE SNF | — | 2025-05-01 | ended 2026-05-18 | pecos_ownership |
| MARK CHANDROSS | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-05-01 | ended 2026-05-18 | pecos_ownership |
| TEQUILLA JONES | ADP OF THE SNF | — | 2025-05-01 | ended 2026-05-18 | pecos_ownership |
| TIFFANY HOBACK | MANAGING CONTROL - GOVERNING BODY | — | 2025-05-01 | ended 2026-05-18 | pecos_ownership |
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Transactions
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2025-06-01 | — | 86 VALLEY HIDEAWAY DRIVE OPCO LLC | CLAY COUNTY HEALTHCARE, LLC | chow |
Comparable trades — NC snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-07-15 | Juniper Gardens Center for Nursing and Rehabilitat | — | — | — | 50 | WILKINSON BLVD OPERATING COMPANY, LLC |
| 2025-07-01 | Warsaw Rehabilitation and Healthcare Center | — | — | — | 100 | WARSAW OPCO LLC |
| 2025-06-01 | Walnut Cove Health and Rehabilitation | — | — | — | 90 | 511 WINDMILL STREET OPCO LLC |
| 2025-06-01 | Wilora Lake Healthcare | — | — | — | 70 | 6001 WILORA LAKE ROAD OPCO LLC |
| 2025-06-01 | Clay County Health and Rehabilitationthis facility | — | — | — | 90 | 86 VALLEY HIDEAWAY DRIVE OPCO LLC |
| 2025-06-01 | Emerald Ridge Health and Rehabilitation | — | — | — | 100 | 25 REYNOLDS MOUNTAIN BOULEVARD OPCO LLC |
| 2025-06-01 | Willowbrook Rehabilitation and Care | — | — | — | 76 | 333 EAST LEE AVENUE OPCO LLC |
| 2025-06-01 | Westwood Health and Rehabilitation | — | — | — | 68 | 625 ASHLAND STREET OPCO LLC |
| 2025-06-01 | Hibriten Mountain Nursing and Rehabilitation | — | — | — | 100 | 2030 HARPER AVENUE OPCO LLC |
| 2025-06-01 | Forrest Oakes Healthcare | — | — | — | 60 | 620 HEATHWOOD DRIVE OPCO LLC |
| 2025-06-01 | Cardinal Healthcare and Rehabilitation | — | — | — | 63 | 931 NORTH ASPEN STREET OPCO LLC |
| 2025-06-01 | Valley View Care and Rehabilitation | — | — | — | 76 | 551 KENT STREET OPCO 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
30| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 37043 | fmr | 0 | $878 | 2025-10-01 | HUD_USER_FMR |
| county 37043 | acs median gross | 1 | $829 | 2024-12-31 | CENSUS_ACS5 |
| county 37043 | fmr | 1 | $948 | 2025-10-01 | HUD_USER_FMR |
| county 37043 | acs median gross | 2 | $828 | 2024-12-31 | CENSUS_ACS5 |
| county 37043 | fmr | 2 | $1,039 | 2025-10-01 | HUD_USER_FMR |
| county 37043 | acs median gross | 3 | $1,533 | 2024-12-31 | CENSUS_ACS5 |
| county 37043 | fmr | 3 | $1,429 | 2025-10-01 | HUD_USER_FMR |
| county 37043 | fmr | 4 | $1,561 | 2025-10-01 | HUD_USER_FMR |
| county 37043 | acs median gross | $804 | 2024-12-31 | CENSUS_ACS5 | |
| county 37043 | acs recent mover gross | $681 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 28904 | acs median gross | 1 | $829 | 2024-12-31 | CENSUS_ACS5 |
| zcta 28904 | acs median gross | 2 | $803 | 2024-12-31 | CENSUS_ACS5 |
| zcta 28904 | acs median gross | 3 | $1,533 | 2024-12-31 | CENSUS_ACS5 |
| zcta 28904 | acs median gross | $700 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 28904 | acs recent mover gross | $681 | 2024-12-31 | CENSUS_ACS5 | |
| zip 28904 | payment standard 110 | 0 | $957 | 2025-10-01 | HUD_USER_SAFMR |
| zip 28904 | payment standard 90 | 0 | $783 | 2025-10-01 | HUD_USER_SAFMR |
| zip 28904 | safmr | 0 | $870 | 2025-10-01 | HUD_USER_SAFMR |
| zip 28904 | payment standard 110 | 1 | $1,034 | 2025-10-01 | HUD_USER_SAFMR |
| zip 28904 | payment standard 90 | 1 | $846 | 2025-10-01 | HUD_USER_SAFMR |
| zip 28904 | safmr | 1 | $940 | 2025-10-01 | HUD_USER_SAFMR |
| zip 28904 | payment standard 110 | 2 | $1,133 | 2025-10-01 | HUD_USER_SAFMR |
| zip 28904 | payment standard 90 | 2 | $927 | 2025-10-01 | HUD_USER_SAFMR |
| zip 28904 | safmr | 2 | $1,030 | 2025-10-01 | HUD_USER_SAFMR |
| zip 28904 | payment standard 110 | 3 | $1,562 | 2025-10-01 | HUD_USER_SAFMR |
| zip 28904 | payment standard 90 | 3 | $1,278 | 2025-10-01 | HUD_USER_SAFMR |
| zip 28904 | safmr | 3 | $1,420 | 2025-10-01 | HUD_USER_SAFMR |
| zip 28904 | payment standard 110 | 4 | $1,705 | 2025-10-01 | HUD_USER_SAFMR |
| zip 28904 | payment standard 90 | 4 | $1,395 | 2025-10-01 | HUD_USER_SAFMR |
| zip 28904 | safmr | 4 | $1,550 | 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.