Composite
82.7 / 100 percentile
Screener / 085033
C
PIKE CREEK NURSING & REHABILITATION CENTER
snfDESFF: SFF Candidate
5651 LIMESTONE ROAD, WILMINGTON, DE 19808 · CCN 085033 · chain ML MILANO 2022 FAMILY TRUST
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
177
Model
v1.2
Reads as: riskier than 82.7% 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 radar1Staffing16Penalties4Deficiencies95Licensure0Ownership16Related party5Transactions1Comps12Market rent35
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 99.6 | 99.2 | 0.30 | 0.2308 | 22.98 | in index |
| financial risk | 59.4 | 51.9 | 0.30 | 0.2308 | 13.71 | in index |
| billing conduct | 56.1 | 42.0 | 0.30 | 0.2308 | 12.95 | in index |
| chow risk | 54.6 | 52.8 | 0.15 | 0.1154 | 6.30 | in index |
| staffing risk | 30.9 | 31.0 | 0.25 | 0.1923 | 5.94 | 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 fleet risk far above national | +21.1 vs natl | IB MIMI 2022 FAMILY TRUST | 5 facilities |
| connection | Owner spans multiple chains | 5 chains | LANDAU FAMILY INVESTMENT TRUST | 30 facilities |
| connection | Owner spans multiple chains | 5 chains | J R FAMILY INVESTMENTS LLC | 30 facilities |
| connection | Owner fleet enforcement cluster | 40% fined | IB MIMI 2022 FAMILY TRUST | 5 facilities |
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.
Component scores and registry models
16| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 42.0 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 25.0 | 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. |
| chow risk | 80.5 | F | v0.6 | default · in composite | |
| financial risk | 51.9 | C | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.0 | — | v0.1 | default · in composite | R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite. |
| p chow 12m | 0.0 | — | v0.1 | default · in composite | R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite. |
| regulatory risk | 99.2 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 31.0 | B | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 60.9 | 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 | 40.9 | 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 | 62.1 | 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 | 53.3 | 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 | 99.2 | F | 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 | 99.2 | F | 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 | 31.0 | 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 | 31.0 | 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)
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 | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 2.99 | -1.55 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| Occupancy | 0.94 | -0.69 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Facility size (log beds) | 5.18 | -0.13 | |
| Total nurse staffing (HPRD) | 3.64 | -0.12 |
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Distress radar — 12-month termination probability
full board →p(termination, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
20.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Occupancy | 0.94 | -0.79 | |
| For-profit ownership | 1.00 | -0.69 | |
| Deficiencies, last 12 months | 4.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 2.99 | -0.25 | |
| Ownership changes, last 5 years | 1.00 | +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
16| 2025Q4 HPRD | This facility | DE median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.64 | 3.64 | 3.28 | 2.90–3.77 |
| RN | 0.28 | 0.51 | 0.39 | 0.25–0.58 |
| Weekend total | 3.55 | 3.58 | 3.11 | — |
| Weekday total | 3.67 | 3.69 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 165.8 | 3.64 | 0.28 | 1.12 | 2.23 | 3.55 | 1.4% |
| 2025Q3 | 92 | 157.3 | 3.48 | 0.30 | 1.09 | 2.09 | 3.27 | 4.6% |
| 2025Q2 | 91 | 142.1 | 3.56 | 0.41 | 1.12 | 2.02 | 3.40 | 7.4% |
| 2025Q1 | 90 | 114.9 | 3.56 | 0.32 | 1.03 | 2.21 | 3.45 | 3.2% |
| 2024Q4 | 92 | 119.7 | 3.53 | 0.31 | 1.00 | 2.22 | 3.43 | 1.5% |
| 2024Q3 | 92 | 157.7 | 3.59 | 0.36 | 0.97 | 2.26 | 3.36 | 18.5% |
| 2024Q2 | 91 | 151.4 | 3.48 | 0.34 | 1.04 | 2.10 | 3.28 | 53.2% |
| 2024Q1 | 91 | 128.1 | 3.82 | 0.32 | 1.15 | 2.35 | 3.66 | 64.2% |
| 2023Q4 | 92 | 159.0 | 3.60 | 0.29 | 1.05 | 2.26 | 3.46 | 71.5% |
| 2023Q3 | 92 | 154.5 | 3.43 | 0.35 | 1.06 | 2.03 | 3.35 | 63.8% |
| 2023Q2 | 91 | 144.8 | 3.51 | 0.44 | 1.01 | 2.06 | 3.21 | 46.6% |
| 2023Q1 | 90 | 114.3 | 3.49 | 0.41 | 1.13 | 1.96 | 3.14 | 22.3% |
| 2022Q4 | 92 | 108.6 | 3.17 | 0.35 | 1.06 | 1.76 | 3.10 | 0.0% |
| 2022Q3 | 92 | 98.9 | 3.26 | 0.44 | 1.05 | 1.77 | 3.11 | 1.1% |
| 2022Q2 | 91 | 90.6 | 3.07 | 0.29 | 0.98 | 1.80 | 2.97 | 3.8% |
| 2022Q1 | 90 | 88.2 | 2.97 | 0.33 | 0.90 | 1.73 | 2.94 | 1.5% |
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
4fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-09-10 | Fine | $221,208 | CMS provider data |
| 2024-09-10 | Payment Denial | — | CMS provider data |
| 2023-09-25 | Fine | $263,388 | CMS provider data |
| 2023-09-25 | Payment Denial | — | CMS provider data |
Total fines on record: $484,596
Deficiencies
95B × 1C × 5D × 55E × 21F × 7G × 2H × 1J × 3
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-08-13 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2025-09-26 |
| 2025-08-13 | 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. | D | 2025-09-26 |
| 2025-08-13 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-09-26 |
| 2025-08-13 | Health · complaint | F0732 | Post nurse staffing information every day. | C | 2025-09-26 |
| 2024-09-10 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-11-11 |
| 2024-09-10 | Health · complaint | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2024-11-11 |
| 2024-09-10 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-11-11 |
| 2024-09-10 | 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 | 2024-11-11 |
| 2024-09-10 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-11-11 |
| 2024-09-10 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-11-11 |
| 2024-09-10 | 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 | 2024-11-11 |
| 2024-09-10 | 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 | 2024-11-11 |
| 2024-09-10 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-11-11 |
| 2024-09-10 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-11-11 |
| 2024-09-10 | Health | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | 2024-11-11 |
| 2024-09-10 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-11-11 |
| 2024-09-10 | 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 | 2024-11-11 |
| 2024-09-10 | Health · complaint | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | 2024-11-11 |
| 2024-09-10 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-11-11 |
| 2024-09-10 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2024-11-11 |
| 2024-09-10 | Health · complaint | 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. | J | 2024-11-11 |
| 2024-09-10 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | D | 2024-11-11 |
| 2024-09-10 | 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. | D | 2024-11-11 |
| 2024-09-10 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | J | 2024-11-11 |
| 2024-09-10 | Health · complaint | 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 | 2024-12-20 |
| 2024-09-10 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2024-11-11 |
| 2024-09-10 | Health | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | E | 2024-11-11 |
| 2024-09-10 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2024-11-11 |
| 2024-09-10 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2024-11-11 |
| 2024-09-10 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-11-11 |
| 2024-09-10 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-11-11 |
| 2024-09-10 | Health · complaint | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | 2024-11-11 |
| 2024-09-10 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2024-11-11 |
| 2024-09-10 | Health | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | 2024-11-11 |
| 2024-09-10 | Health · complaint | F0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | E | 2024-11-11 |
| 2024-09-10 | Health | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | 2024-11-11 |
| 2024-09-10 | Health · complaint | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | E | 2024-11-11 |
| 2024-09-10 | Health · complaint | F0946 | Provide training in compliance and ethics. | E | 2024-11-11 |
| 2024-09-10 | Health · complaint | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | 2024-11-11 |
| 2024-09-10 | Health · complaint | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | E | 2024-11-11 |
| 2023-09-25 | Health | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | 2023-11-30 |
| 2023-09-25 | 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 | 2023-11-30 |
| 2023-09-25 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-01-29 |
| 2023-09-25 | 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. | F | 2023-11-30 |
| 2023-09-25 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-11-30 |
| 2023-09-25 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | C | 2023-11-30 |
| 2023-09-25 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-11-30 |
| 2023-09-25 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2023-11-30 |
| 2023-09-25 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2023-11-30 |
| 2023-09-25 | Health · complaint | F0641 | Ensure each resident receives an accurate assessment. | D | 2023-11-30 |
| 2023-09-25 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2023-11-30 |
| 2023-09-25 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2023-11-30 |
| 2023-09-25 | Health · complaint | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2023-11-30 |
| 2023-09-25 | 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. | D | 2024-01-29 |
| 2023-09-25 | 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. | E | 2024-01-29 |
| 2023-09-25 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2023-11-30 |
| 2023-09-25 | Health · complaint | F0679 | Provide activities to meet all resident's needs. | D | 2023-11-30 |
| 2023-09-25 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | H | 2024-03-07 |
| 2023-09-25 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2023-11-30 |
| 2023-09-25 | 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 | 2024-01-29 |
| 2023-09-25 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2023-11-30 |
| 2023-09-25 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-01-29 |
| 2023-09-25 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | 2023-11-30 |
| 2023-09-25 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2024-01-29 |
| 2023-09-25 | Health · complaint | F0710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | D | 2023-11-30 |
| 2023-09-25 | Health | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2023-11-30 |
| 2023-09-25 | Health · complaint | 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. | E | 2023-11-30 |
| 2023-09-25 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | E | 2024-01-29 |
| 2023-09-25 | Health · complaint | F0732 | Post nurse staffing information every day. | C | 2023-11-30 |
| 2023-09-25 | 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. | F | 2024-01-29 |
| 2023-09-25 | 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 | 2023-11-30 |
| 2023-09-25 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2023-11-30 |
| 2023-09-25 | Health · complaint | 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 | 2024-01-29 |
| 2023-09-25 | Health · complaint | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | 2023-11-30 |
| 2023-09-25 | 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. | C | 2023-11-30 |
| 2023-09-25 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2024-01-29 |
| 2023-09-25 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-11-30 |
| 2023-09-25 | Health · complaint | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | 2023-11-30 |
| 2023-09-25 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-01-29 |
| 2023-09-25 | Health | F0843 | Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. | E | 2023-11-30 |
| 2023-09-25 | Health | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | E | 2024-01-29 |
| 2023-09-25 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2023-11-30 |
| 2023-09-25 | Health | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | 2023-11-30 |
| 2023-09-25 | Health | F0880 | Provide and implement an infection prevention and control program. | J | 2023-11-30 |
| 2023-09-25 | Health | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | 2023-11-30 |
| 2023-09-25 | Health | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | F | 2023-11-30 |
| 2023-09-25 | Health | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | F | 2023-11-30 |
| 2022-05-12 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2022-06-30 |
| 2022-05-12 | Health | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2022-06-30 |
| 2022-05-12 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2022-06-30 |
| 2022-05-12 | Health | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | 2022-06-30 |
| 2022-05-12 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2022-06-30 |
| 2022-05-12 | Health | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | 2022-06-30 |
| 2022-05-12 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2022-06-30 |
| 2022-05-12 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B | 2022-06-30 |
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
16| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| PIKE CREEK SNF OPERATOR HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2023-08-01 | current | pecos_ownership |
| GLEN HOLDCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-08-01 | current | pecos_ownership |
| HIGHLAND DE HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-08-01 | current | pecos_ownership |
| IB MIMI 2022 FAMILY TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-08-01 | current | pecos_ownership |
| J & R FAMILY INVESTMENTS, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-08-01 | current | pecos_ownership |
| JK 2022 FAMILY TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-08-01 | current | pecos_ownership |
| LANDAU FAMILY INVESTMENT TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-08-01 | current | pecos_ownership |
| MIMI HOLDCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-08-01 | current | pecos_ownership |
| PANTHER DE PARTNERS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-08-01 | current | pecos_ownership |
| RAJCHENBACH, MOSHE | CORPORATE OFFICER | — | 2023-08-01 | current | pecos_ownership |
| VH WPC SNF OPERATIONS HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-08-01 | current | pecos_ownership |
| WHITE, REBECCA | W-2 MANAGING EMPLOYEE | — | 2023-08-01 | current | pecos_ownership |
| WPC SNF OPERATIONS HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-08-01 | current | pecos_ownership |
| ML MILANO 2022 FAMILY TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 22% | 2023-08-01 | ended 2026-05-18 | pecos_ownership |
| MOSHE RAJCHENBACH | CORPORATE OFFICER | — | 2023-08-01 | ended 2026-05-18 | pecos_ownership |
| REBECCA WHITE | W-2 MANAGING EMPLOYEE | — | 2023-08-01 | 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 |
|---|---|---|---|---|
| 2023-08-01 | — | PIKE CREEK SNF OPERATOR LLC | MANOR CARE-PIKE CREEK OF WILMINGTON DE LLC | chow |
Comparable trades — DE snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-02-01 | OCEAN GROVE POST ACUTE | — | — | — | 181 | OCEAN GROVE POST ACUTE LLC |
| 2025-02-01 | EVERGREEN POST ACUTE | — | — | — | 151 | EVERGREEN POST ACUTE LLC |
| 2024-10-01 | EXCELCARE AT NEWARK LLC | — | — | — | 101 | EXCELCARE AT NEWARK LLC |
| 2024-10-01 | DELAWARE BAY REHABILITATION AND HEALTHCARE CENTER | — | — | — | 139 | GEORGETOWN SNF OPERATIONS LLC |
| 2024-03-01 | BAY TERRACE REHABILITATION AND HEALTH CENTER | — | — | — | 85 | BAY TERRACE REHABILITATION AND HEALTHCARE CENTER LLC |
| 2023-08-01 | WILMINGTON NURSING & REHABILITATION CENTER | — | — | — | 138 | WILMINGTON SNF OPERATOR LLC |
| 2023-08-01 | PIKE CREEK NURSING & REHABILITATION CENTERthis facility | — | — | — | 177 | PIKE CREEK SNF OPERATOR LLC |
| 2021-06-01 | COMPLETE CARE AT BRACKENVILLE LLC | — | — | — | 104 | COMPLETE CARE AT BRACKENVILLE LLC |
| 2021-06-01 | COMPLETE CARE AT HILLSIDE LLC | — | — | — | 106 | COMPLETE CARE AT HILLSIDE LLC |
| 2021-06-01 | COMPLETE CARE AT SILVER LAKE LLC | — | — | — | 120 | COMPLETE CARE AT SILVER LAKE LLC |
| 2021-05-13 | Coral Springs Rehab & Healthcare | — | — | — | 169 | SPRINGS REHABILITATION AT BRANDYWINE LLC |
| 2020-01-01 | ENCORE AT WEST MEADOW | — | — | — | 110 | SNH DEL TENANT 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
35| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 10003 | acs median gross | 0 | $1,239 | 2024-12-31 | CENSUS_ACS5 |
| county 10003 | fmr | 0 | $1,397 | 2025-10-01 | HUD_USER_FMR |
| county 10003 | acs median gross | 1 | $1,241 | 2024-12-31 | CENSUS_ACS5 |
| county 10003 | fmr | 1 | $1,520 | 2025-10-01 | HUD_USER_FMR |
| county 10003 | acs median gross | 2 | $1,487 | 2024-12-31 | CENSUS_ACS5 |
| county 10003 | fmr | 2 | $1,810 | 2025-10-01 | HUD_USER_FMR |
| county 10003 | acs median gross | 3 | $1,714 | 2024-12-31 | CENSUS_ACS5 |
| county 10003 | fmr | 3 | $2,170 | 2025-10-01 | HUD_USER_FMR |
| county 10003 | acs median gross | 4 | $1,851 | 2024-12-31 | CENSUS_ACS5 |
| county 10003 | fmr | 4 | $2,423 | 2025-10-01 | HUD_USER_FMR |
| county 10003 | acs median gross | 5 | $1,864 | 2024-12-31 | CENSUS_ACS5 |
| county 10003 | acs median gross | $1,448 | 2024-12-31 | CENSUS_ACS5 | |
| county 10003 | acs recent mover gross | $1,718 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 19808 | acs median gross | 1 | $986 | 2024-12-31 | CENSUS_ACS5 |
| zcta 19808 | acs median gross | 2 | $1,391 | 2024-12-31 | CENSUS_ACS5 |
| zcta 19808 | acs median gross | 3 | $2,188 | 2024-12-31 | CENSUS_ACS5 |
| zcta 19808 | acs median gross | 4 | $2,119 | 2024-12-31 | CENSUS_ACS5 |
| zcta 19808 | acs median gross | 5 | $3,115 | 2024-12-31 | CENSUS_ACS5 |
| zcta 19808 | acs median gross | $1,436 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 19808 | acs recent mover gross | $1,814 | 2024-12-31 | CENSUS_ACS5 | |
| zip 19808 | payment standard 110 | 0 | $1,463 | 2025-10-01 | HUD_USER_SAFMR |
| zip 19808 | payment standard 90 | 0 | $1,197 | 2025-10-01 | HUD_USER_SAFMR |
| zip 19808 | safmr | 0 | $1,330 | 2025-10-01 | HUD_USER_SAFMR |
| zip 19808 | payment standard 110 | 1 | $1,584 | 2025-10-01 | HUD_USER_SAFMR |
| zip 19808 | payment standard 90 | 1 | $1,296 | 2025-10-01 | HUD_USER_SAFMR |
| zip 19808 | safmr | 1 | $1,440 | 2025-10-01 | HUD_USER_SAFMR |
| zip 19808 | payment standard 110 | 2 | $1,892 | 2025-10-01 | HUD_USER_SAFMR |
| zip 19808 | payment standard 90 | 2 | $1,548 | 2025-10-01 | HUD_USER_SAFMR |
| zip 19808 | safmr | 2 | $1,720 | 2025-10-01 | HUD_USER_SAFMR |
| zip 19808 | payment standard 110 | 3 | $2,266 | 2025-10-01 | HUD_USER_SAFMR |
| zip 19808 | payment standard 90 | 3 | $1,854 | 2025-10-01 | HUD_USER_SAFMR |
| zip 19808 | safmr | 3 | $2,060 | 2025-10-01 | HUD_USER_SAFMR |
| zip 19808 | payment standard 110 | 4 | $2,530 | 2025-10-01 | HUD_USER_SAFMR |
| zip 19808 | payment standard 90 | 4 | $2,070 | 2025-10-01 | HUD_USER_SAFMR |
| zip 19808 | safmr | 4 | $2,300 | 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.