Composite
49.2 / 100 percentile
Screener / 495344
B
KINGS DAUGHTERS COMMUNITY HEALTH & REHAB
snfVA
1410 NORTH AUGUSTA STREET, STAUNTON, VA 24401 · CCN 495344
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
117
Model
v1.2
Reads as: riskier than 49.2% 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 radar1Staffing16Penalties0Deficiencies66Licensure0Ownership21Related party5Transactions1Comps12Market rent36
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| staffing risk | 83.9 | 83.9 | 0.25 | 0.1923 | 16.13 | in index |
| regulatory risk | 63.6 | 55.7 | 0.30 | 0.2308 | 14.68 | in index |
| billing conduct | 62.1 | 44.3 | 0.30 | 0.2308 | 14.33 | in index |
| chow risk | 15.1 | 23.0 | 0.15 | 0.1154 | 1.74 | in index |
| financial risk | 5.5 | 14.3 | 0.30 | 0.2308 | 1.27 | 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 | 44.3 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 21.3 | 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 | 24.7 | A | v0.6 | default · in composite | |
| financial risk | 14.3 | A | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.2 | — | 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 | 55.7 | C | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 83.9 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 54.4 | 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 | 34.4 | 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 | 34.3 | 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 | 20.4 | 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 | 55.6 | C | 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 | 55.6 | C | 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 | 83.9 | 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 | 83.9 | 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 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 0.00 | -0.40 | |
| Occupancy | 0.77 | -0.20 | |
| Contract staffing share | 0.00 | -0.10 |
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)
0.2%
model v0.1 · computed 2026-07-29
Percentile among SNFs
60.1
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) | 0.00 | +1.20 | |
| For-profit ownership | 1.00 | -0.69 | |
| Deficiencies, last 12 months | 5.00 | +0.50 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 1.16 | -0.28 | |
| Ownership changes, last 5 years | 1.00 | +0.23 | |
| Total nurse staffing (HPRD) | 2.72 | +0.21 |
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 | 2.72 | 3.13 | 3.28 | 2.90–3.77 |
| RN | 0.09 | 0.30 | 0.39 | 0.25–0.58 |
| Weekend total | 2.77 | 2.96 | 3.11 | — |
| Weekday total | 2.70 | 3.20 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 89.6 | 2.72 | 0.09 | 1.05 | 1.58 | 2.77 | 0.0% |
| 2025Q3 | 92 | 90.2 | 2.65 | 0.04 | 0.99 | 1.62 | 2.62 | 0.0% |
| 2025Q2 | 91 | 94.9 | 2.61 | 0.05 | 1.16 | 1.40 | 2.51 | 0.0% |
| 2025Q1 | 90 | 100.2 | 2.65 | 0.12 | 1.14 | 1.39 | 2.55 | 0.0% |
| 2024Q4 | 92 | 98.4 | 2.71 | 0.16 | 1.04 | 1.51 | 2.77 | 0.0% |
| 2024Q3 | 92 | 89.3 | 2.29 | 0.18 | 0.92 | 1.19 | 2.34 | 0.0% |
| 2024Q2 | 91 | 97.2 | 2.16 | 0.20 | 0.88 | 1.08 | 2.17 | 0.0% |
| 2024Q1 | 91 | 111.9 | 2.48 | 0.28 | 0.95 | 1.25 | 2.45 | 0.0% |
| 2023Q4 | 92 | 111.6 | 2.55 | 0.30 | 0.96 | 1.29 | 2.34 | 0.0% |
| 2023Q3 | 92 | 112.7 | 2.67 | 0.33 | 0.91 | 1.43 | 2.38 | 0.0% |
| 2023Q2 | 91 | 110.0 | 2.56 | 0.17 | 0.99 | 1.40 | 2.27 | 0.0% |
| 2023Q1 | 90 | 101.6 | 2.35 | 0.22 | 0.84 | 1.29 | 2.16 | 0.0% |
| 2022Q4 | 92 | 91.7 | 2.19 | 0.26 | 0.77 | 1.16 | 2.14 | 0.0% |
| 2022Q3 | 92 | 92.6 | 1.99 | 0.18 | 0.71 | 1.10 | 1.84 | 0.0% |
| 2022Q2 | 91 | 92.9 | 2.14 | 0.10 | 0.83 | 1.22 | 1.89 | 0.4% |
| 2022Q1 | 90 | 102.3 | 1.67 | 0.17 | 0.65 | 0.85 | 1.33 | 19.5% |
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
66D × 35E × 18F × 6G × 4K × 2L × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-12-17 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2026-02-09 |
| 2025-12-17 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2026-02-09 |
| 2025-12-17 | Health · complaint | 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 | 2026-02-09 |
| 2025-12-17 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2026-02-09 |
| 2025-12-17 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2026-02-09 |
| 2024-07-24 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-08-13 |
| 2024-04-17 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-07-15 |
| 2024-04-17 | Health · complaint | F0563 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | D | 2024-07-15 |
| 2024-04-17 | Health · complaint | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2024-07-15 |
| 2024-04-17 | Health · complaint | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | F | 2024-07-15 |
| 2024-04-17 | Health · complaint | F0585 | Honor 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. | D | 2024-07-15 |
| 2024-04-17 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2024-07-15 |
| 2024-04-17 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2024-07-15 |
| 2024-04-17 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2024-07-15 |
| 2024-04-17 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | L | 2024-07-15 |
| 2024-04-17 | Health · complaint | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-07-15 |
| 2024-04-17 | Health · complaint | 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 | 2024-07-15 |
| 2024-04-17 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-07-15 |
| 2024-04-17 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-07-15 |
| 2024-04-17 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2024-07-15 |
| 2024-04-17 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2024-07-15 |
| 2024-04-17 | 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. | G | 2024-07-15 |
| 2024-04-17 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | K | 2024-07-15 |
| 2024-04-17 | Health · complaint | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | 2024-07-15 |
| 2024-04-17 | 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. | G | 2024-07-15 |
| 2024-04-17 | Health · complaint | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | 2024-07-15 |
| 2024-04-17 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-08-13 |
| 2024-04-17 | 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 | 2024-07-15 |
| 2024-04-17 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | 2024-07-15 |
| 2024-04-17 | Health · complaint | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | 2024-07-15 |
| 2024-04-17 | Health · complaint | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | E | 2024-07-15 |
| 2024-04-17 | Health · complaint | F0809 | Ensure 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. | E | 2024-07-15 |
| 2024-04-17 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-07-15 |
| 2024-04-17 | Health · complaint | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | 2024-07-15 |
| 2024-04-17 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-07-15 |
| 2024-04-17 | Health · complaint | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | E | 2024-07-15 |
| 2024-04-17 | Health · complaint | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | 2024-07-15 |
| 2023-11-29 | Health · complaint | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | E | 2024-01-05 |
| 2023-11-29 | Health · complaint | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | 2024-01-05 |
| 2023-11-29 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2024-01-05 |
| 2023-11-29 | Health · complaint | F0809 | Ensure 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. | F | 2024-01-05 |
| 2023-11-29 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-01-05 |
| 2023-11-29 | Health · complaint | F0908 | Keep all essential equipment working safely. | D | 2024-01-05 |
| 2023-02-02 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2023-03-08 |
| 2023-02-02 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | — |
| 2023-02-02 | 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 | — |
| 2023-02-02 | 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 | — |
| 2023-02-02 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | — |
| 2023-02-02 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | — |
| 2023-02-02 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2023-03-08 |
| 2023-02-02 | Health | F0880 | Provide and implement an infection prevention and control program. | D | — |
| 2021-04-15 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2021-05-19 |
| 2021-04-15 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2021-05-19 |
| 2021-04-15 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2021-05-19 |
| 2021-04-15 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2021-05-19 |
| 2021-04-15 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2021-05-19 |
| 2021-04-15 | 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 | 2021-05-19 |
| 2021-04-15 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2021-05-19 |
| 2019-06-24 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2019-07-22 |
| 2019-06-24 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2019-07-22 |
| 2019-06-24 | 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. | K | 2019-07-22 |
| 2019-06-24 | Health | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | 2019-07-22 |
| 2019-06-24 | 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 | 2019-07-22 |
| 2019-06-24 | Health | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | 2019-07-22 |
| 2019-06-24 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2019-07-22 |
| 2019-06-24 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | 2019-07-22 |
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
21| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| STAUNTON PARENTCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2025-05-01 | current | pecos_ownership |
| BAROCO, PATRICK | ADP OF THE SNF | — | 2025-05-01 | current | pecos_ownership |
| BREACH, CHAD | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-06-01 | current | pecos_ownership |
| CHAPUT, TANAYA | ADP OF THE SNF | — | 2025-05-01 | current | pecos_ownership |
| CLARK, ALYSSA | ADP OF THE SNF | — | 2025-06-01 | current | pecos_ownership |
| HOBACK, TIFFANY | ADP OF THE SNF | — | 2025-05-01 | current | pecos_ownership |
| JONES, TEQUILLA | ADP OF THE SNF | — | 2025-05-01 | current | pecos_ownership |
| NAS HOLDCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-05-01 | current | pecos_ownership |
| SNF MGR LLC | ADP OF THE SNF | — | 2025-05-01 | current | pecos_ownership |
| VAOP HOLDCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-05-01 | current | pecos_ownership |
| SNF CARE CENTERS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2025-05-01 | ended 2026-05-18 | pecos_ownership |
| ZENITH HOLDCO II LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2025-05-01 | ended 2026-05-18 | pecos_ownership |
| ZENITH HOLDCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2025-05-01 | ended 2026-05-18 | pecos_ownership |
| NU C II IRREVOCABLE TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2025-05-01 | ended 2026-05-18 | pecos_ownership |
| NU C IRREVOCABLE TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2025-05-01 | ended 2026-05-18 | pecos_ownership |
| ALYSSA CLARK | ADP OF THE SNF | — | 2025-06-01 | ended 2026-05-18 | pecos_ownership |
| CHAD BREACH | ADP OF THE SNF | — | 2025-06-01 | ended 2026-05-18 | pecos_ownership |
| PATRICK BAROCO | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-05-01 | ended 2026-05-18 | pecos_ownership |
| TANAYA CHAPUT | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-05-01 | ended 2026-05-18 | pecos_ownership |
| TEQUILLA JONES | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-05-01 | ended 2026-05-18 | pecos_ownership |
| TIFFANY HOBACK | OPERATIONAL/MANAGERIAL CONTROL | — | 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 | — | 1410 NORTH AUGUSTA STREET OPCO LLC | KINGS DAUGHTERS FACILITY OPERATIONS, LLC | chow |
Comparable trades — VA snf
12| 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 & REHABthis facility | — | — | — | 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
36| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 51790 | acs median gross | 0 | $1,190 | 2024-12-31 | CENSUS_ACS5 |
| county 51790 | fmr | 0 | $1,088 | 2025-10-01 | HUD_USER_FMR |
| county 51790 | acs median gross | 1 | $818 | 2024-12-31 | CENSUS_ACS5 |
| county 51790 | fmr | 1 | $1,095 | 2025-10-01 | HUD_USER_FMR |
| county 51790 | acs median gross | 2 | $949 | 2024-12-31 | CENSUS_ACS5 |
| county 51790 | fmr | 2 | $1,261 | 2025-10-01 | HUD_USER_FMR |
| county 51790 | acs median gross | 3 | $1,326 | 2024-12-31 | CENSUS_ACS5 |
| county 51790 | fmr | 3 | $1,734 | 2025-10-01 | HUD_USER_FMR |
| county 51790 | acs median gross | 4 | $2,048 | 2024-12-31 | CENSUS_ACS5 |
| county 51790 | fmr | 4 | $1,941 | 2025-10-01 | HUD_USER_FMR |
| county 51790 | acs median gross | 5 | $1,637 | 2024-12-31 | CENSUS_ACS5 |
| county 51790 | acs median gross | $1,024 | 2024-12-31 | CENSUS_ACS5 | |
| county 51790 | acs recent mover gross | $1,298 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 24401 | acs median gross | 0 | $1,710 | 2024-12-31 | CENSUS_ACS5 |
| zcta 24401 | acs median gross | 1 | $803 | 2024-12-31 | CENSUS_ACS5 |
| zcta 24401 | acs median gross | 2 | $997 | 2024-12-31 | CENSUS_ACS5 |
| zcta 24401 | acs median gross | 3 | $1,294 | 2024-12-31 | CENSUS_ACS5 |
| zcta 24401 | acs median gross | 4 | $1,410 | 2024-12-31 | CENSUS_ACS5 |
| zcta 24401 | acs median gross | 5 | $1,637 | 2024-12-31 | CENSUS_ACS5 |
| zcta 24401 | acs median gross | $1,041 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 24401 | acs recent mover gross | $1,330 | 2024-12-31 | CENSUS_ACS5 | |
| zip 24401 | payment standard 110 | 0 | $1,221 | 2025-10-01 | HUD_USER_SAFMR |
| zip 24401 | payment standard 90 | 0 | $999 | 2025-10-01 | HUD_USER_SAFMR |
| zip 24401 | safmr | 0 | $1,110 | 2025-10-01 | HUD_USER_SAFMR |
| zip 24401 | payment standard 110 | 1 | $1,232 | 2025-10-01 | HUD_USER_SAFMR |
| zip 24401 | payment standard 90 | 1 | $1,008 | 2025-10-01 | HUD_USER_SAFMR |
| zip 24401 | safmr | 1 | $1,120 | 2025-10-01 | HUD_USER_SAFMR |
| zip 24401 | payment standard 110 | 2 | $1,419 | 2025-10-01 | HUD_USER_SAFMR |
| zip 24401 | payment standard 90 | 2 | $1,161 | 2025-10-01 | HUD_USER_SAFMR |
| zip 24401 | safmr | 2 | $1,290 | 2025-10-01 | HUD_USER_SAFMR |
| zip 24401 | payment standard 110 | 3 | $1,947 | 2025-10-01 | HUD_USER_SAFMR |
| zip 24401 | payment standard 90 | 3 | $1,593 | 2025-10-01 | HUD_USER_SAFMR |
| zip 24401 | safmr | 3 | $1,770 | 2025-10-01 | HUD_USER_SAFMR |
| zip 24401 | payment standard 110 | 4 | $2,189 | 2025-10-01 | HUD_USER_SAFMR |
| zip 24401 | payment standard 90 | 4 | $1,791 | 2025-10-01 | HUD_USER_SAFMR |
| zip 24401 | safmr | 4 | $1,990 | 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.