Composite
94.5 / 100 percentile
Screener / 345261
D
Lotus Village Center for Nursing and Rehabilitatio
snfNC
179 Combs Street, Sparta, NC 28675 · CCN 345261 · chain ZANZIPER FAMILY TRUST
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
90
Model
v1.2
Reads as: riskier than 94.5% 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 signals5Components16CHOW radar1Distress radar1Staffing16Penalties5Deficiencies57Licensure0Ownership13Related party6Transactions1Comps12Market rent28
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 97.3 | 96.0 | 0.30 | 0.2308 | 22.45 | in index |
| staffing risk | 88.7 | 88.7 | 0.25 | 0.1923 | 17.06 | in index |
| financial risk | 66.9 | 57.0 | 0.30 | 0.2308 | 15.44 | in index |
| chow risk | 75.4 | 56.4 | 0.15 | 0.1154 | 8.70 | in index |
| billing conduct | 30.9 | 32.0 | 0.30 | 0.2308 | 7.13 | 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
5| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +21.2 vs natl | EMANUEL YOSEF | 12 facilities |
| connection | Owner fleet risk far above national | +20.5 vs natl | ALLIANCE HEALTH GROUP LLC | 10 facilities |
| connection | Owner fleet enforcement cluster | 67% fined | COALITION GROUP LLC | 6 facilities |
| connection | Owner fleet enforcement cluster | 60% fined | ALLIANCE HEALTH GROUP LLC | 10 facilities |
| connection | Owner fleet enforcement cluster | 50% fined | EMANUEL YOSEF | 12 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 | 32.0 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 53.9 | C | v0.1-pos | default · in composite | Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure. |
| chow risk | 59.0 | C | v0.6 | default · in composite | |
| financial risk | 57.0 | 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 | 96.0 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 88.7 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 42.2 | B | 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 | 22.2 | A | 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 | 68.1 | D | 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 | 56.5 | 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 | 96.0 | 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 | 96.0 | 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 | 88.7 | F | v0.1 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| staffing risk | 88.7 | F | v0.2 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
CHOW radar — 12-month sale probability
full board →p(CHOW, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
7.0
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) | 3.08 | -1.55 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.88 | -0.52 | |
| Chain size (log) | 4.23 | +0.50 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Deficiencies, last 12 months | 2.00 | -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 | |
|---|---|---|---|
| Chain size (log) | 4.23 | -1.26 | |
| Deficiencies, last 12 months | 2.00 | +1.06 | |
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.88 | -0.54 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Total nurse staffing (HPRD) | 2.58 | +0.27 | |
| Current owner tenure (years) | 3.08 | -0.25 |
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
16| 2025Q4 HPRD | This facility | NC median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.58 | 3.08 | 3.28 | 2.90–3.77 |
| RN | 0.21 | 0.30 | 0.39 | 0.25–0.58 |
| Weekend total | 2.60 | 2.93 | 3.11 | — |
| Weekday total | 2.56 | 3.14 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 78.9 | 2.58 | 0.21 | 0.48 | 1.89 | 2.60 | 11.6% |
| 2025Q3 | 92 | 72.6 | 2.72 | 0.23 | 0.48 | 2.01 | 2.69 | 8.5% |
| 2025Q2 | 91 | 74.5 | 2.69 | 0.26 | 0.50 | 1.94 | 2.64 | 5.6% |
| 2025Q1 | 90 | 72.9 | 2.84 | 0.35 | 0.58 | 1.91 | 2.86 | 10.8% |
| 2024Q4 | 92 | 77.9 | 2.63 | 0.29 | 0.62 | 1.73 | 2.50 | 17.1% |
| 2024Q3 | 92 | 80.3 | 2.55 | 0.33 | 0.60 | 1.62 | 2.38 | 22.8% |
| 2024Q2 | 91 | 73.5 | 2.79 | 0.29 | 0.67 | 1.83 | 2.65 | 31.2% |
| 2024Q1 | 91 | 81.5 | 2.60 | 0.27 | 0.66 | 1.67 | 2.38 | 34.9% |
| 2023Q4 | 92 | 79.2 | 2.71 | 0.22 | 0.76 | 1.74 | 2.60 | 52.5% |
| 2023Q3 | 92 | 81.2 | 2.87 | 0.18 | 0.91 | 1.77 | 2.76 | 72.0% |
| 2023Q2 | 91 | 80.6 | 2.95 | 0.24 | 0.80 | 1.91 | 2.79 | 60.8% |
| 2023Q1 | 90 | 78.9 | 3.14 | 0.23 | 0.91 | 2.00 | 2.85 | 47.9% |
| 2022Q4 | 92 | 76.5 | 2.94 | 0.19 | 0.87 | 1.88 | 2.75 | 53.6% |
| 2022Q3 | 92 | 76.6 | 2.85 | 0.25 | 0.64 | 1.95 | 2.51 | 53.8% |
| 2022Q2 | 91 | 72.0 | 2.87 | 0.10 | 0.81 | 1.96 | 2.63 | 36.4% |
| 2022Q1 | 90 | 73.3 | 2.99 | 0.14 | 0.83 | 2.02 | 2.75 | 42.2% |
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
5fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-04-10 | Fine | $102,102 | CMS provider data |
| 2025-04-10 | Payment Denial | — | CMS provider data |
| 2024-09-27 | Fine | $16,055 | CMS provider data |
| 2024-02-22 | Fine | $197,071 | CMS provider data |
| 2023-07-12 | Fine | $103,194 | CMS provider data |
Total fines on record: $418,422
Deficiencies
57B × 1D × 31E × 10F × 2G × 5J × 3K × 5
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-19 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-04-01 |
| 2026-03-19 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2026-04-01 |
| 2025-05-22 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2025-06-13 |
| 2025-05-22 | Health | F0637 | Assess the resident when there is a significant change in condition | D | 2025-06-13 |
| 2025-05-22 | Health | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | 2025-06-13 |
| 2025-05-22 | 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 | 2025-06-13 |
| 2025-05-22 | 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. | E | 2025-06-13 |
| 2025-05-22 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2025-06-13 |
| 2025-04-10 | 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. | G | 2025-05-22 |
| 2025-04-10 | Health · complaint | F0641 | Ensure each resident receives an accurate assessment. | D | 2025-05-22 |
| 2025-04-10 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-05-22 |
| 2025-04-10 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | G | 2025-05-22 |
| 2024-10-24 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-10-25 |
| 2024-09-27 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2024-09-20 |
| 2024-08-07 | 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 | 2024-08-29 |
| 2024-08-07 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-08-29 |
| 2024-08-07 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-08-29 |
| 2024-04-08 | 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. | J | 2024-05-04 |
| 2024-04-08 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | 2024-05-04 |
| 2024-04-08 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | K | 2024-05-04 |
| 2024-04-08 | Health · complaint | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | 2024-05-04 |
| 2024-02-22 | Health · complaint | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | 2024-05-04 |
| 2024-02-22 | Health · complaint | 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. | F | 2024-05-04 |
| 2024-02-22 | Health · complaint | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | 2024-05-04 |
| 2024-02-22 | Health · complaint | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-05-04 |
| 2024-02-22 | Health · complaint | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | B | 2024-05-04 |
| 2024-02-22 | 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 | 2024-05-04 |
| 2024-02-22 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-05-04 |
| 2024-02-22 | Health · complaint | 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 | 2024-05-04 |
| 2024-02-22 | 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 | 2024-05-04 |
| 2024-02-22 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2024-05-04 |
| 2024-02-22 | Health · complaint | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | 2024-05-04 |
| 2024-02-22 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | 2024-05-04 |
| 2024-02-22 | 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 | 2024-05-04 |
| 2024-02-22 | Health · complaint | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2024-05-04 |
| 2024-02-22 | Health · complaint | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2024-05-04 |
| 2024-02-22 | Health · complaint | 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. | E | 2024-05-04 |
| 2023-07-12 | 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. | J | 2023-08-03 |
| 2023-07-12 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | 2023-08-03 |
| 2023-07-12 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | K | 2023-08-03 |
| 2023-07-12 | Health · complaint | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | 2023-08-03 |
| 2022-09-14 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2022-10-28 |
| 2022-09-14 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2022-10-28 |
| 2022-09-14 | 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 | 2022-10-28 |
| 2022-09-14 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2022-10-28 |
| 2022-09-14 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2022-10-28 |
| 2022-09-14 | 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 | 2022-10-28 |
| 2022-09-14 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2022-10-28 |
| 2022-09-14 | 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. | D | 2022-10-28 |
| 2022-09-14 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2022-10-28 |
| 2022-09-14 | Health | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | E | 2022-10-28 |
| 2022-09-14 | Health | 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 | 2022-10-28 |
| 2022-09-14 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2022-10-28 |
| 2022-09-14 | 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 | 2022-10-28 |
| 2022-09-14 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2022-10-28 |
| 2022-09-14 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | G | 2022-10-28 |
| 2022-09-14 | Health | F0880 | Provide and implement an infection prevention and control program. | K | 2022-10-28 |
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
13| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| ALLIANCE HEALTH GROUP LLC | ADP OF THE SNF | — | 2025-03-11 | current | pecos_ownership |
| ALLIANCE HEALTH GROUP LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-07-01 | current | pecos_ownership |
| COALITION GROUP LLC | DIRECT OWNERSHIP INTEREST | — | 2023-07-01 | current | pecos_ownership |
| EDWARDS, BRENDA | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-07-01 | current | pecos_ownership |
| EMANUEL, YOSEF | INDIRECT OWNERSHIP INTEREST | — | 2023-07-01 | current | pecos_ownership |
| HC FAMILY TRUST | TRUSTEE OF THE SNF | — | 2023-07-01 | current | pecos_ownership |
| PIAZZA, MICHAEL | ADP OF THE SNF | — | 2023-07-01 | current | pecos_ownership |
| PPG EE GROUP LLC | INDIRECT OWNERSHIP INTEREST | — | 2023-07-01 | current | pecos_ownership |
| SHNZ HOLDINGS LLC | INDIRECT OWNERSHIP INTEREST | — | 2023-07-01 | current | pecos_ownership |
| ZANZIPER FAMILY TRUST | TRUSTEE OF THE SNF | — | 2023-07-01 | current | pecos_ownership |
| YOSEF EMANUEL | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | 2023-07-01 | ended 2026-05-18 | pecos_ownership |
| BRENDA EDWARDS | ADP OF THE SNF | — | 2023-07-01 | ended 2026-05-18 | pecos_ownership |
| MICHAEL PIAZZA | ADP OF THE SNF | — | 2023-07-01 | 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 |
|---|---|---|---|---|
| 2023-07-01 | — | COMBS STREET OPERATING COMPANY LLC | SUNBRIDGE REGENCY - NORTH CAROLINA, LLC | chow |
Comparable trades — NC snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-07-15 | Juniper Gardens Center for Nursing and Rehabilitat | — | — | — | 50 | WILKINSON BLVD OPERATING COMPANY, LLC |
| 2025-07-01 | Warsaw Rehabilitation and Healthcare Center | — | — | — | 100 | WARSAW OPCO LLC |
| 2025-06-01 | Walnut Cove Health and Rehabilitation | — | — | — | 90 | 511 WINDMILL STREET OPCO LLC |
| 2025-06-01 | Wilora Lake Healthcare | — | — | — | 70 | 6001 WILORA LAKE ROAD OPCO LLC |
| 2025-06-01 | Clay County Health and Rehabilitation | — | — | — | 90 | 86 VALLEY HIDEAWAY DRIVE OPCO LLC |
| 2025-06-01 | Emerald Ridge Health and Rehabilitation | — | — | — | 100 | 25 REYNOLDS MOUNTAIN BOULEVARD OPCO LLC |
| 2025-06-01 | Willowbrook Rehabilitation and Care | — | — | — | 76 | 333 EAST LEE AVENUE OPCO LLC |
| 2025-06-01 | Westwood Health and Rehabilitation | — | — | — | 68 | 625 ASHLAND STREET OPCO LLC |
| 2025-06-01 | Hibriten Mountain Nursing and Rehabilitation | — | — | — | 100 | 2030 HARPER AVENUE OPCO LLC |
| 2025-06-01 | Forrest Oakes Healthcare | — | — | — | 60 | 620 HEATHWOOD DRIVE OPCO LLC |
| 2025-06-01 | Cardinal Healthcare and Rehabilitation | — | — | — | 63 | 931 NORTH ASPEN STREET OPCO LLC |
| 2025-06-01 | Valley View Care and Rehabilitation | — | — | — | 76 | 551 KENT STREET OPCO LLC |
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
28| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 37005 | fmr | 0 | $740 | 2025-10-01 | HUD_USER_FMR |
| county 37005 | acs median gross | 1 | $460 | 2024-12-31 | CENSUS_ACS5 |
| county 37005 | fmr | 1 | $745 | 2025-10-01 | HUD_USER_FMR |
| county 37005 | acs median gross | 2 | $828 | 2024-12-31 | CENSUS_ACS5 |
| county 37005 | fmr | 2 | $978 | 2025-10-01 | HUD_USER_FMR |
| county 37005 | acs median gross | 3 | $632 | 2024-12-31 | CENSUS_ACS5 |
| county 37005 | fmr | 3 | $1,173 | 2025-10-01 | HUD_USER_FMR |
| county 37005 | fmr | 4 | $1,470 | 2025-10-01 | HUD_USER_FMR |
| county 37005 | acs median gross | $675 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 28675 | acs median gross | 1 | $384 | 2024-12-31 | CENSUS_ACS5 |
| zcta 28675 | acs median gross | 2 | $844 | 2024-12-31 | CENSUS_ACS5 |
| zcta 28675 | acs median gross | 3 | $618 | 2024-12-31 | CENSUS_ACS5 |
| zcta 28675 | acs median gross | $663 | 2024-12-31 | CENSUS_ACS5 | |
| zip 28675 | payment standard 110 | 0 | $847 | 2025-10-01 | HUD_USER_SAFMR |
| zip 28675 | payment standard 90 | 0 | $693 | 2025-10-01 | HUD_USER_SAFMR |
| zip 28675 | safmr | 0 | $770 | 2025-10-01 | HUD_USER_SAFMR |
| zip 28675 | payment standard 110 | 1 | $847 | 2025-10-01 | HUD_USER_SAFMR |
| zip 28675 | payment standard 90 | 1 | $693 | 2025-10-01 | HUD_USER_SAFMR |
| zip 28675 | safmr | 1 | $770 | 2025-10-01 | HUD_USER_SAFMR |
| zip 28675 | payment standard 110 | 2 | $1,111 | 2025-10-01 | HUD_USER_SAFMR |
| zip 28675 | payment standard 90 | 2 | $909 | 2025-10-01 | HUD_USER_SAFMR |
| zip 28675 | safmr | 2 | $1,010 | 2025-10-01 | HUD_USER_SAFMR |
| zip 28675 | payment standard 110 | 3 | $1,331 | 2025-10-01 | HUD_USER_SAFMR |
| zip 28675 | payment standard 90 | 3 | $1,089 | 2025-10-01 | HUD_USER_SAFMR |
| zip 28675 | safmr | 3 | $1,210 | 2025-10-01 | HUD_USER_SAFMR |
| zip 28675 | payment standard 110 | 4 | $1,672 | 2025-10-01 | HUD_USER_SAFMR |
| zip 28675 | payment standard 90 | 4 | $1,368 | 2025-10-01 | HUD_USER_SAFMR |
| zip 28675 | safmr | 4 | $1,520 | 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.