Composite
90.3 / 100 percentile
Screener / 515197
D
AUTUMN LAKE HEALTHCARE AT CRYSTAL SPRINGS
snfWV
200 WHITMAN AVENUE, ELKINS, WV 26241 · CCN 515197 · chain NELLAS OPCO HOLDCO LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
84
Model
v1.2
Reads as: riskier than 90.3% 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 model5ML signals4Components13CHOW radar1Distress radar1Staffing16Penalties0Deficiencies73Licensure0Ownership14Related party3Transactions0Comps12Market rent33
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| billing conduct | 83.4 | 55.0 | 0.30 | 0.2308 | 19.25 | in index |
| financial risk | 70.4 | 59.4 | 0.30 | 0.2308 | 16.25 | in index |
| regulatory risk | 58.3 | 48.9 | 0.30 | 0.2308 | 13.45 | in index |
| chow risk | 83.2 | 35.2 | 0.15 | 0.1154 | 9.60 | in index |
| staffing risk | 43.6 | 43.7 | 0.25 | 0.1923 | 8.38 | in index |
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
ML signals — parallel engine
4| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner spans multiple chains | 14 chains | BRAND SONNENSCHINE LLP | 42 facilities |
| connection | Owner spans multiple chains | 9 chains | SCHWARTZ MARK | 40 facilities |
| connection | Owner spans multiple chains | 8 chains | STERN ARYEH | 29 facilities |
| connection | Owner spans multiple chains | 8 chains | ACCURATE STAFFING LLC | 33 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
13| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 55.0 | C | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 35.2 | B | 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. |
| financial risk | 59.4 | C | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.1 | — | 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 | 4.3 | — | 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 | 48.9 | C | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 43.7 | B | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 59.8 | C | 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 | 61.5 | C | 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 | 48.9 | 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 | 48.9 | 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 | 43.7 | B | 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 | 43.7 | B | 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)
4.3%
model v0.1 · computed 2026-07-29
Percentile among SNFs
86.3
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Contract staffing share | 0.65 | +0.90 | |
| Occupancy | 0.97 | -0.78 | |
| For-profit ownership | 1.00 | +0.69 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Chain size (log) | 1.10 | -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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
57.2
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Occupancy | 0.97 | -0.92 | |
| Deficiencies, last 12 months | 3.00 | +0.87 | |
| For-profit ownership | 1.00 | -0.69 | |
| Contract staffing share | 0.65 | +0.61 | |
| Chain size (log) | 1.10 | +0.56 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Never sold on record | 1.00 | +0.12 |
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 | WV median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.39 | 3.14 | 3.28 | 2.90–3.77 |
| RN | 0.30 | 0.37 | 0.39 | 0.25–0.58 |
| Weekend total | 3.04 | 2.97 | 3.11 | — |
| Weekday total | 3.53 | 3.20 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 81.2 | 3.39 | 0.30 | 0.92 | 2.17 | 3.04 | 64.6% |
| 2025Q3 | 92 | 81.7 | 3.23 | 0.19 | 0.90 | 2.14 | 2.86 | 62.1% |
| 2025Q2 | 91 | 80.4 | 3.21 | 0.14 | 0.94 | 2.13 | 3.03 | 58.0% |
| 2025Q1 | 90 | 80.4 | 3.24 | 0.14 | 0.87 | 2.24 | 3.07 | 37.6% |
| 2024Q4 | 92 | 81.6 | 3.47 | 0.19 | 0.97 | 2.31 | 3.18 | 41.2% |
| 2024Q3 | 92 | 80.7 | 3.29 | 0.12 | 0.91 | 2.26 | 3.19 | 50.5% |
| 2024Q2 | 91 | 78.7 | 3.02 | 0.17 | 0.78 | 2.08 | 2.81 | 22.7% |
| 2024Q1 | 91 | 64.3 | 3.48 | 0.18 | 0.93 | 2.36 | 3.25 | 23.1% |
| 2023Q4 | 92 | 62.5 | 4.33 | 0.08 | 1.41 | 2.84 | 4.02 | 42.2% |
| 2023Q3 | 92 | 62.2 | 2.98 | 0.10 | 0.45 | 2.43 | 2.64 | 18.4% |
| 2023Q2 | 91 | 66.7 | 2.88 | 0.11 | 0.44 | 2.32 | 2.52 | 27.3% |
| 2023Q1 | 90 | 67.4 | 3.24 | 0.30 | 0.87 | 2.07 | 2.94 | 29.2% |
| 2022Q4 | 92 | 67.9 | 3.03 | 0.11 | 0.66 | 2.26 | 2.76 | 28.0% |
| 2022Q3 | 92 | 66.8 | 2.86 | 0.10 | 0.68 | 2.08 | 2.59 | 34.2% |
| 2022Q2 | 91 | 60.1 | 2.85 | 0.12 | 0.79 | 1.94 | 2.69 | 14.8% |
| 2022Q1 | 90 | 12.3 | 13.95 | 0.46 | 3.32 | 10.17 | 14.56 | 2.9% |
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
73D × 39E × 32F × 2
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-12-30 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-01-15 |
| 2025-10-23 | Health · complaint | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2025-12-05 |
| 2025-10-23 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-12-05 |
| 2025-03-06 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-05-02 |
| 2025-03-06 | Health | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | D | 2025-05-02 |
| 2025-03-06 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2025-05-02 |
| 2025-03-06 | Health | F0584 | Honor 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. | D | 2025-05-02 |
| 2025-03-06 | Health | 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. | E | 2025-05-02 |
| 2025-03-06 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2025-05-02 |
| 2025-03-06 | 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 | 2025-05-02 |
| 2025-03-06 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2025-05-02 |
| 2025-03-06 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-05-02 |
| 2025-03-06 | 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. | E | 2025-05-02 |
| 2025-03-06 | Health | F0732 | Post nurse staffing information every day. | D | 2025-05-02 |
| 2025-03-06 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2025-05-02 |
| 2025-03-06 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-05-02 |
| 2025-03-06 | Health | F0814 | Dispose of garbage and refuse properly. | D | 2025-05-02 |
| 2025-03-06 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2025-05-02 |
| 2024-11-26 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2025-01-06 |
| 2024-11-26 | Health · complaint | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | D | 2024-06-24 |
| 2024-11-26 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2025-01-06 |
| 2024-11-26 | Health · complaint | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2025-01-06 |
| 2024-11-26 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2025-01-06 |
| 2024-02-22 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2024-04-15 |
| 2024-02-22 | Health | F0567 | Honor the resident's right to manage his or her financial affairs. | E | 2024-04-15 |
| 2024-02-22 | Health | F0572 | Give residents a notice of rights, rules, services and charges. | E | 2024-04-15 |
| 2024-02-22 | Health | F0584 | Honor 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. | E | 2024-04-15 |
| 2024-02-22 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | E | 2024-04-15 |
| 2024-02-22 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2024-04-15 |
| 2024-02-22 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2024-04-15 |
| 2024-02-22 | 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 | 2024-04-15 |
| 2024-02-22 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-04-15 |
| 2024-02-22 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-04-15 |
| 2024-02-22 | 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. | E | 2024-04-15 |
| 2024-02-22 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-04-15 |
| 2024-02-22 | Health | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | F | 2024-04-15 |
| 2024-02-22 | Health · complaint | F0730 | Observe each nurse aide's job performance and give regular training. | E | 2024-04-15 |
| 2024-02-22 | Health | F0732 | Post nurse staffing information every day. | E | 2024-04-15 |
| 2024-02-22 | 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 | 2024-04-15 |
| 2024-02-22 | 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 | 2024-04-15 |
| 2024-02-22 | 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 | 2024-04-15 |
| 2024-02-22 | Health | 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 | 2024-04-15 |
| 2024-02-22 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2024-04-15 |
| 2024-02-22 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2024-04-15 |
| 2024-02-22 | Health | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | E | 2024-04-15 |
| 2024-02-22 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2024-04-15 |
| 2024-02-22 | Health | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | 2024-04-15 |
| 2023-06-08 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-08-05 |
| 2023-06-08 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2023-08-05 |
| 2022-07-13 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2022-08-08 |
| 2022-07-13 | Health | F0574 | The resident has the right to receive notices in a format and a language he or she understands. | D | 2022-08-08 |
| 2022-07-13 | Health | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | 2022-08-08 |
| 2022-07-13 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2022-08-08 |
| 2022-07-13 | Health | F0583 | Keep residents' personal and medical records private and confidential. | D | 2022-08-08 |
| 2022-07-13 | Health | 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 | 2022-08-08 |
| 2022-07-13 | Health | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2022-08-08 |
| 2022-07-13 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2022-08-08 |
| 2022-07-13 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2022-08-08 |
| 2022-07-13 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2022-08-08 |
| 2022-07-13 | 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. | E | 2022-08-08 |
| 2022-07-13 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2022-08-08 |
| 2022-07-13 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2022-08-08 |
| 2022-07-13 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2022-08-08 |
| 2022-07-13 | Health | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2022-08-08 |
| 2022-07-13 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2022-08-08 |
| 2022-07-13 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2022-08-08 |
| 2022-07-13 | 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. | E | 2022-08-08 |
| 2022-07-13 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2022-08-08 |
| 2022-07-13 | Health | 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. | D | 2022-08-08 |
| 2022-07-13 | Health | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | 2022-08-08 |
| 2022-07-13 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2022-08-08 |
| 2022-07-13 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2022-08-08 |
| 2022-07-13 | Health | F0888 | Ensure staff are vaccinated for COVID-19 | D | 2022-08-08 |
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
14| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| NELLAS OPCO HOLDCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2021-06-01 | current | pecos_ownership |
| A & R STERN FAMILY WV HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 99% | 2021-06-01 | current | pecos_ownership |
| A STERN FAMILY TRUST WV | ADP OF THE SNF | — | 2021-06-01 | current | pecos_ownership |
| ACCURATE STAFFING LLC | ADP OF THE SNF | — | 2021-06-01 | current | pecos_ownership |
| BRAND SONNENSCHINE LLP | ADP OF THE SNF | — | 2021-06-01 | current | pecos_ownership |
| CHUA, CATHERINE | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-01 | current | pecos_ownership |
| HOLICKER, ROSE | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-11-30 | current | pecos_ownership |
| R STERN FAMILY TRUST | ADP OF THE SNF | — | 2021-06-01 | current | pecos_ownership |
| SCHWARTZ, MARK | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-06-01 | current | pecos_ownership |
| STERN, ARYEH | ADP OF THE SNF | — | 2021-06-01 | current | pecos_ownership |
| ARYEH STERN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 1% | 2021-06-01 | ended 2026-05-18 | pecos_ownership |
| CATHERINE CHUA | ADP OF THE SNF | — | 2024-02-01 | ended 2026-05-18 | pecos_ownership |
| MARK SCHWARTZ | CORPORATE OFFICER | — | 2021-06-01 | ended 2026-05-18 | pecos_ownership |
| ROSE HOLICKER | ADP OF THE SNF | — | 2023-11-30 | 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
0No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Comparable trades — WV snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2024-11-12 | Cortland Acres Health and Rehabilitation | — | — | — | 94 | CORTLAND ACRES SNF OPERATIONS LLC |
| 2024-09-01 | MORGANTOWN HEIGHTS OF JOURNEY | — | — | — | 100 | MORGANTOWN HEIGHTS OF JOURNEY, LLC |
| 2024-09-01 | GLASGOW HILLS OF JOURNEY | — | — | — | 112 | GLASGOW HILLS OF JOURNEY LLC |
| 2024-09-01 | RIVERSIDE VALLEY OF JOURNEY | — | — | — | 90 | RIVERSIDE VALLEY OF JOURNEY, LLC |
| 2024-05-01 | THOMAS HOSPITALS SKILLED NURSING UNIT | — | — | — | 29 | HERBERT J THOMAS MEMORIAL HOSPITAL ASSOCIATION |
| 2024-04-09 | PETERSON REHABILITATION AND HEALTHCARE | — | — | — | 150 | WHEELING REHABILITATION AND HEALTHCARE CENTER LLC |
| 2023-11-01 | PINE VIEW CENTER | — | — | — | 56 | 400 MCKINLEY AVENUE OPERATIONS LLC |
| 2023-09-28 | BLUESTONE HEALTH AND REHABILITATION | — | — | — | 60 | MAPLES SNF OPERATIONS LLC |
| 2023-08-25 | TYGART VALLEY HEALTH & REHABILITATION | — | — | — | 60 | BELINGTON SNF OPERATIONS LLC |
| 2023-07-31 | NEW MARTINSVILLE HEALTH & REHAB | — | — | — | 100 | MARTINSVILLE SNF OPERATIONS LLC |
| 2023-07-31 | GLENVILLE HEALTH & REHAB | — | — | — | 65 | GLENVILLE SNF OPERATIONS LLC |
| 2023-07-01 | OHIO VALLEY HEALTH CARE | — | — | — | 66 | OHIO VALLEY HEALTH CORPORATION |
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
33| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 54083 | acs median gross | 0 | $475 | 2024-12-31 | CENSUS_ACS5 |
| county 54083 | fmr | 0 | $641 | 2025-10-01 | HUD_USER_FMR |
| county 54083 | acs median gross | 1 | $616 | 2024-12-31 | CENSUS_ACS5 |
| county 54083 | fmr | 1 | $708 | 2025-10-01 | HUD_USER_FMR |
| county 54083 | acs median gross | 2 | $822 | 2024-12-31 | CENSUS_ACS5 |
| county 54083 | fmr | 2 | $929 | 2025-10-01 | HUD_USER_FMR |
| county 54083 | acs median gross | 3 | $925 | 2024-12-31 | CENSUS_ACS5 |
| county 54083 | fmr | 3 | $1,183 | 2025-10-01 | HUD_USER_FMR |
| county 54083 | acs median gross | 4 | $1,143 | 2024-12-31 | CENSUS_ACS5 |
| county 54083 | fmr | 4 | $1,468 | 2025-10-01 | HUD_USER_FMR |
| county 54083 | acs median gross | $821 | 2024-12-31 | CENSUS_ACS5 | |
| county 54083 | acs recent mover gross | $725 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 26241 | acs median gross | 1 | $618 | 2024-12-31 | CENSUS_ACS5 |
| zcta 26241 | acs median gross | 2 | $832 | 2024-12-31 | CENSUS_ACS5 |
| zcta 26241 | acs median gross | 3 | $1,010 | 2024-12-31 | CENSUS_ACS5 |
| zcta 26241 | acs median gross | 4 | $1,307 | 2024-12-31 | CENSUS_ACS5 |
| zcta 26241 | acs median gross | $846 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 26241 | acs recent mover gross | $725 | 2024-12-31 | CENSUS_ACS5 | |
| zip 26241 | payment standard 110 | 0 | $693 | 2025-10-01 | HUD_USER_SAFMR |
| zip 26241 | payment standard 90 | 0 | $567 | 2025-10-01 | HUD_USER_SAFMR |
| zip 26241 | safmr | 0 | $630 | 2025-10-01 | HUD_USER_SAFMR |
| zip 26241 | payment standard 110 | 1 | $759 | 2025-10-01 | HUD_USER_SAFMR |
| zip 26241 | payment standard 90 | 1 | $621 | 2025-10-01 | HUD_USER_SAFMR |
| zip 26241 | safmr | 1 | $690 | 2025-10-01 | HUD_USER_SAFMR |
| zip 26241 | payment standard 110 | 2 | $1,001 | 2025-10-01 | HUD_USER_SAFMR |
| zip 26241 | payment standard 90 | 2 | $819 | 2025-10-01 | HUD_USER_SAFMR |
| zip 26241 | safmr | 2 | $910 | 2025-10-01 | HUD_USER_SAFMR |
| zip 26241 | payment standard 110 | 3 | $1,276 | 2025-10-01 | HUD_USER_SAFMR |
| zip 26241 | payment standard 90 | 3 | $1,044 | 2025-10-01 | HUD_USER_SAFMR |
| zip 26241 | safmr | 3 | $1,160 | 2025-10-01 | HUD_USER_SAFMR |
| zip 26241 | payment standard 110 | 4 | $1,584 | 2025-10-01 | HUD_USER_SAFMR |
| zip 26241 | payment standard 90 | 4 | $1,296 | 2025-10-01 | HUD_USER_SAFMR |
| zip 26241 | safmr | 4 | $1,440 | 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.