CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)
AS OF 2026-08-05 16:55 UTC
Screener / 495417
C

MOUNTAIN LAUREL REHABILITATION AND NURSING

snfVASFF: SFF Candidate
514 NORTH MAIN STREET, RURAL RETREAT, VA 24368 · CCN 495417 · chain YDI IRREVOCABLE TRUST
Composite
82.2 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
120
Model
v1.2
Reads as: riskier than 82.2% 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 model5ML signals4Components16CHOW radar1Distress radar1Staffing14Penalties10Deficiencies87Licensure0Ownership21Related party3Transactions1Comps12Market rent31

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk98.697.70.300.230822.75in index
billing conduct72.248.70.300.230816.66in index
staffing risk75.975.90.250.192314.60in index
chow risk47.645.80.150.11545.49in index
financial risk9.318.50.300.23082.15in 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
KindFindingSignalSubjectFirst seen
connectionOwner spans multiple chains10 chainsCAPITAL FUNDING GROUP LLC16 facilities
connectionOwner spans multiple chains7 chainsHAJIMOMENIAN AMIR11 facilities
connectionOwner spans multiple chains5 chainsAPEX GLOBAL SOLUTIONS LLC7 facilities
connectionOwner fleet enforcement cluster50% finedAPEX GLOBAL SOLUTIONS LLC8 facilities
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.

Component scores and registry models

16
Score typeScoreGradeModelStatusRegistry model notes
billing conduct48.7Cv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk25.0Bv0.1-posdefault · in compositeChange-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure.
chow risk66.6Dv0.6default · in composite
financial risk18.5Av0.5default · in compositeR18.
p adverse action 12m0.1—v0.1default · in compositeR23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite.
p chow 12m0.0—v0.1default · in compositeR22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite.
regulatory risk97.7Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk75.9Dv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk76.1Dv0.1supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk56.1Cv0.2supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk31.5Bv0.3supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk24.6Av0.4supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
regulatory risk97.7Fv0.1supersededPre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
regulatory risk97.7Fv0.2supersededPre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
staffing risk75.9Dv0.1supersededPre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
staffing risk75.9Dv0.2supersededPre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.

CHOW radar — 12-month sale probability

full board →
p(CHOW, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
7.0
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Never sold on record0.00-1.62
Current owner tenure (years)2.58-1.59
Ownership changes, last 5 years1.00-0.87
For-profit ownership1.00+0.69
No PBJ staffing report0.00+0.42
Occupancy0.78-0.24
Chain size (log)2.83+0.20
Deficiencies, last 12 months0.00-0.17
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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
49.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Deficiencies, last 12 months0.00+1.43
For-profit ownership1.00-0.69
Chain size (log)2.83-0.45
No PBJ staffing report0.00+0.39
Never sold on record0.00-0.28
Current owner tenure (years)2.58-0.26
Ownership changes, last 5 years1.00+0.23
Fine amount, 12m (log)0.00+0.18
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

14
2025Q4 HPRDThis facilityVA medianNational medianNational p25–p75
Total nurse2.883.133.282.90–3.77
RN0.190.300.390.25–0.58
Weekend total2.712.963.11—
Weekday total2.953.203.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49293.72.880.191.051.652.710.1%
2025Q39294.93.140.220.961.962.881.3%
2025Q291100.23.080.140.892.062.829.2%
2025Q190103.62.720.120.801.812.513.0%
2024Q492107.62.690.040.941.722.4420.8%
2024Q392105.82.640.040.951.662.4722.1%
2024Q291101.72.850.071.001.782.6320.4%
2024Q191104.62.700.120.931.652.437.9%
2023Q492107.12.590.120.871.602.343.5%
2023Q392104.02.720.080.861.782.480.2%
2023Q291102.22.680.010.961.722.520.0%
2023Q190106.42.570.160.931.492.410.1%
2022Q492106.42.770.261.141.372.6023.4%
2022Q392109.52.700.261.101.342.5021.5%
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

10
fines by year
$170k$85k232425
DateTypeFineSource
2025-04-08Fine$170,017CMS provider data
2024-12-04Fine$8,357CMS provider data
2023-09-25Fine$4,235CMS provider data
2023-09-18Fine$3,882CMS provider data
2023-09-11Fine$3,529CMS provider data
2023-09-05Fine$3,176CMS provider data
2023-08-28Fine$2,823CMS provider data
2023-08-21Fine$2,470CMS provider data
2023-08-14Fine$2,117CMS provider data
2023-07-24Fine$4,233CMS provider data
Total fines on record: $204,839

Deficiencies

87
C × 1D × 55E × 22F × 1G × 5J × 3
deficiencies by survey year
56282122232425
SurveyTypeTagDeficiencyScopeCorrected
2025-04-08HealthF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.D2025-05-15
2025-04-08HealthF0565Honor the resident's right to organize and participate in resident/family groups in the facility.E2025-05-15
2025-04-08HealthF0578Honor 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.E2025-05-15
2025-04-08HealthF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2025-06-24
2025-04-08HealthF0583Keep residents' personal and medical records private and confidential.D2025-05-15
2025-04-08HealthF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E2025-05-15
2025-04-08Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J2025-05-15
2025-04-08HealthF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.E2025-05-15
2025-04-08Health · complaintF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.D2025-05-15
2025-04-08HealthF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.E2025-06-24
2025-04-08HealthF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.E2025-05-15
2025-04-08HealthF0635Provide doctor's orders for the resident's immediate care at the time the resident was admitted.D2025-05-15
2025-04-08HealthF0641Ensure each resident receives an accurate assessment.D2025-05-15
2025-04-08HealthF0645PASARR screening for Mental disorders or Intellectual DisabilitiesD2025-05-15
2025-04-08HealthF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedE2025-05-15
2025-04-08Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E2025-06-24
2025-04-08HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.E2025-05-15
2025-04-08Health · complaintF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.D2025-05-15
2025-04-08Health · complaintF0675Honor each resident's preferences, choices, values and beliefs.G2025-05-15
2025-04-08Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2025-05-15
2025-04-08Health · complaintF0679Provide activities to meet all resident's needs.D2025-05-15
2025-04-08Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.J2025-06-24
2025-04-08HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2025-05-15
2025-04-08HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-05-15
2025-04-08HealthF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.G2025-05-15
2025-04-08HealthF0692Provide enough food/fluids to maintain a resident's health.D2025-05-15
2025-04-08HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2025-06-24
2025-04-08HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2025-05-15
2025-04-08HealthF0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.D2025-05-15
2025-04-08HealthF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.D2025-05-15
2025-04-08HealthF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E2025-05-15
2025-04-08HealthF0732Post nurse staffing information every day.C2025-05-15
2025-04-08Health · complaintF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.D2025-05-15
2025-04-08Health · complaintF0742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.J2025-05-15
2025-04-08HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2025-06-24
2025-04-08HealthF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D2025-05-15
2025-04-08HealthF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.D2025-06-24
2025-04-08HealthF0758Implement 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.D2025-05-15
2025-04-08HealthF0759Ensure medication error rates are not 5 percent or greater.D2025-05-15
2025-04-08HealthF0760Ensure that residents are free from significant medication errors.D2025-05-15
2025-04-08HealthF0761Ensure 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.D2025-05-15
2025-04-08HealthF0770Provide timely, quality laboratory services/tests to meet the needs of residents.E2025-06-24
2025-04-08HealthF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.D2025-05-15
2025-04-08HealthF0776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.G2025-05-15
2025-04-08Health · complaintF0777Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.G2025-05-15
2025-04-08HealthF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D2025-05-15
2025-04-08HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2025-06-24
2025-04-08HealthF0814Dispose of garbage and refuse properly.E2025-05-15
2025-04-08Health · complaintF0840Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.D2025-05-15
2025-04-08HealthF0841Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.D2025-05-15
2025-04-08Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E2025-06-24
2025-04-08Health · complaintF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D2025-05-15
2025-04-08Health · complaintF0865Have a plan that describes the process for conducting QAPI and QAA activities.E2025-05-15
2025-04-08HealthF0880Provide and implement an infection prevention and control program.D2025-06-24
2025-04-08HealthF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.D2025-05-15
2025-04-08HealthF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.E2025-05-15
2024-12-04Health · complaintF0558Reasonably accommodate the needs and preferences of each resident.D2025-01-31
2024-12-04Health · complaintF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.D2025-01-31
2024-12-04Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-01-31
2024-12-04Health · complaintF0697Provide safe, appropriate pain management for a resident who requires such services.G2025-01-23
2024-12-04Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2025-01-31
2024-12-04Health · complaintF0760Ensure that residents are free from significant medication errors.D2025-01-23
2024-12-04Health · complaintF0880Provide and implement an infection prevention and control program.D2025-01-31
2023-08-14HealthF0602Protect each resident from the wrongful use of the resident's belongings or money.D2023-09-13
2023-08-14Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2023-09-13
2023-08-14Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2023-09-13
2023-08-14HealthF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2023-09-13
2023-08-14HealthF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.D2023-09-13
2023-08-14HealthF0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.D2023-09-13
2023-08-14HealthF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D2023-09-13
2023-08-14HealthF0730Observe each nurse aide's job performance and give regular training.E2023-09-13
2023-08-14HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D2023-09-13
2023-08-14HealthF0839Employ staff that are licensed, certified, or registered in accordance with state laws.D2023-09-13
2023-08-14HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E2023-09-13
2023-08-14HealthF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.D2023-09-13
2023-08-14HealthF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.E2023-09-13
2021-07-01HealthF0578Honor 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.D2021-07-31
2021-07-01HealthF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2021-07-31
2021-07-01HealthF0583Keep residents' personal and medical records private and confidential.D2021-07-31
2021-07-01HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E2021-07-31
2021-07-01HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2021-07-31
2021-07-01HealthF0692Provide enough food/fluids to maintain a resident's health.D2021-07-31
2021-07-01HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2021-07-31
2021-07-01HealthF0760Ensure that residents are free from significant medication errors.D2021-07-31
2021-07-01HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2021-07-31
2021-07-01HealthF0880Provide and implement an infection prevention and control program.E2021-07-31
2021-07-01HealthF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.D2021-07-31
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.

Licensure actions

0
No licensure actions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.

Ownership

21
OwnerRolePctFromStatusSource
VA SNF OPERATIONS HOLDINGS LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2023-12-28currentpecos_ownership
LYAM FAMILY TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST50%2023-12-28currentpecos_ownership
APEX GLOBAL SOLUTIONS LLCINDIRECT OWNERSHIP INTEREST—2023-12-28currentpecos_ownership
CAPITAL FUNDING GROUPOPERATIONAL/MANAGERIAL CONTROL—2023-12-28currentpecos_ownership
GITTLESON, LAYLAINDIRECT OWNERSHIP INTEREST—2023-12-28currentpecos_ownership
GITTLESON, YEHUDATRUSTEE OF THE SNF—2023-12-28currentpecos_ownership
HAJIMOMENIAN, AMIROPERATIONAL/MANAGERIAL CONTROL—2023-12-28currentpecos_ownership
HARTMAN, AARONOPERATIONAL/MANAGERIAL CONTROL—2023-12-28currentpecos_ownership
MOUNTAIN LAUREL VA PROPCOCorporation, partnership or other organization has financial interest in provider—2024-04-01currenthcris_a_8_1
SHAPIRO, AKIVACORPORATE OFFICER—2023-12-28currentpecos_ownership
SOMMER, NECHAMAOPERATIONAL/MANAGERIAL CONTROL—2023-12-28currentpecos_ownership
VA SNF MASTER CONSULTING LLCOPERATIONAL/MANAGERIAL CONTROL—2023-12-28currentpecos_ownership
VA SNF OPERATIONS HOLDINGS 3 LLCOPERATIONAL/MANAGERIAL CONTROL—2023-12-28currentpecos_ownership
YDI EASTERN HOLDCO LLCOPERATIONAL/MANAGERIAL CONTROL—2023-12-28currentpecos_ownership
YDI IRREVOCABLE TRUSTINDIRECT OWNERSHIP INTEREST—2023-12-28currentpecos_ownership
LAYLA GITTLESONINDIRECT OWNERSHIP INTEREST1%2023-12-28ended 2026-05-18pecos_ownership
AARON HARTMANOPERATIONAL/MANAGERIAL CONTROL—2023-12-28ended 2026-05-18pecos_ownership
AKIVA SHAPIROCORPORATE OFFICER—2023-12-28ended 2026-05-18pecos_ownership
AMIR HAJIMOMENIANOPERATIONAL/MANAGERIAL CONTROL—2023-12-28ended 2026-05-18pecos_ownership
NECHAMA SOMMEROPERATIONAL/MANAGERIAL CONTROL—2023-12-28ended 2026-05-18pecos_ownership
YEHUDA GITTLESONTRUSTEE OF THE SNF—2023-12-28ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

1
Close datePriceBuyerSellerEvidence
2023-12-28—WYTHE VA OPCO LLCRURAL RETREAT CARE CENTER LLCchow

Comparable trades — VA snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-06-01Woodstock Valley Health and Rehabilitation———88803 SOUTH MAIN STREET OPCO LLC
2025-06-01Jamestown Health and Rehabilitation———901811 JAMESTOWN ROAD OPCO LLC
2025-06-01Windsor Grove Health and Rehabilitation———11423352 COURTHOUSE HIGHWAY OPCO LLC
2025-06-01Grayson Health and Rehabilitation———120400 SOUTH INDEPENDENCE AVENUE OPCO LLC
2025-06-01SKYLINE NURSING & REHABILITATION———90237 FRANKLIN PIKE ROAD SE OPCO LLC
2025-06-01KINGS DAUGHTERS COMMUNITY HEALTH & REHAB———1171410 NORTH AUGUSTA STREET OPCO LLC
2025-06-01Ghent Health and Rehabilitation———2223900 LLEWELLYN AVENUE OPCO LLC
2025-06-01ASHLAND NURSING AND REHABILITATION———190906 THOMPSON STREET OPCO LLC
2025-05-19The Boulevard Post Acute———81BOULEVARD OPERATOR LLC
2025-05-01FRANCIS MARION MANOR HEALTH & REHABILITATION———109FRANCIS MARION OPERATING GROUP LLC
2024-09-01POPLAR HILL HEALTH AND REHAB———113FAUQUIER OPCO LLC
2024-05-01NORTHERN CARDINAL REHABILITATION AND NURSING———120NORTHERN CARDINAL REHABILITATION AND NURSING LLC
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.

Market rent context

31
GeoKindBRAmountAs ofSource
county 51197fmr0$7582025-10-01HUD_USER_FMR
county 51197acs median gross1$5122024-12-31CENSUS_ACS5
county 51197fmr1$7622025-10-01HUD_USER_FMR
county 51197acs median gross2$7212024-12-31CENSUS_ACS5
county 51197fmr2$9142025-10-01HUD_USER_FMR
county 51197acs median gross3$9862024-12-31CENSUS_ACS5
county 51197fmr3$1,2122025-10-01HUD_USER_FMR
county 51197acs median gross4$6782024-12-31CENSUS_ACS5
county 51197fmr4$1,5332025-10-01HUD_USER_FMR
county 51197acs median gross$7642024-12-31CENSUS_ACS5
county 51197acs recent mover gross$7582024-12-31CENSUS_ACS5
zcta 24368acs median gross1$8002024-12-31CENSUS_ACS5
zcta 24368acs median gross2$7022024-12-31CENSUS_ACS5
zcta 24368acs median gross3$1,0392024-12-31CENSUS_ACS5
zcta 24368acs median gross$7732024-12-31CENSUS_ACS5
zcta 24368acs recent mover gross$6752024-12-31CENSUS_ACS5
zip 24368payment standard 1100$8032025-10-01HUD_USER_SAFMR
zip 24368payment standard 900$6572025-10-01HUD_USER_SAFMR
zip 24368safmr0$7302025-10-01HUD_USER_SAFMR
zip 24368payment standard 1101$8362025-10-01HUD_USER_SAFMR
zip 24368payment standard 901$6842025-10-01HUD_USER_SAFMR
zip 24368safmr1$7602025-10-01HUD_USER_SAFMR
zip 24368payment standard 1102$1,0012025-10-01HUD_USER_SAFMR
zip 24368payment standard 902$8192025-10-01HUD_USER_SAFMR
zip 24368safmr2$9102025-10-01HUD_USER_SAFMR
zip 24368payment standard 1103$1,3422025-10-01HUD_USER_SAFMR
zip 24368payment standard 903$1,0982025-10-01HUD_USER_SAFMR
zip 24368safmr3$1,2202025-10-01HUD_USER_SAFMR
zip 24368payment standard 1104$1,6722025-10-01HUD_USER_SAFMR
zip 24368payment standard 904$1,3682025-10-01HUD_USER_SAFMR
zip 24368safmr4$1,5202025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.
CII Terminal tearsheet · MOUNTAIN LAUREL REHABILITATION AND NURSING (495417) · generated 2026-08-05 · every number derives from public records (CMS Care Compare, PBJ, POS, penalty and survey files, state licensure registers) · scores are published model outputs with holdout metrics disclosed at cii-terminal.vercel.app/transparency