125 BUENA VISTA CIRCLE, SOUTH HILL, VA 23970 · CCN 495177 · chain YDI IRREVOCABLE TRUST
Composite
87.7 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
moderate
Certified beds
140
Model
v1.2
Reads as: riskier than 87.7% 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.
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.
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.
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.
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.
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.
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.
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.
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
16
2025Q4 HPRD
This facility
VA median
National median
National p25–p75
Total nurse
2.71
3.13
3.28
2.90–3.77
RN
0.15
0.30
0.39
0.25–0.58
Weekend total
2.66
2.96
3.11
—
Weekday total
2.73
3.20
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
99.1
2.71
0.15
0.79
1.77
2.66
1.0%
2025Q3
92
99.7
2.62
0.16
0.77
1.70
2.30
0.0%
2025Q2
91
92.5
2.66
0.18
0.75
1.73
2.38
0.0%
2025Q1
90
88.4
3.56
0.35
1.25
1.96
3.41
0.0%
2024Q4
92
91.2
3.67
0.49
1.30
1.89
3.50
0.0%
2024Q3
92
89.9
3.00
0.52
0.90
1.58
2.77
0.0%
2024Q2
91
85.1
4.03
0.50
1.52
2.01
3.79
0.4%
2024Q1
91
84.2
3.84
0.37
1.53
1.94
3.80
2.5%
2023Q4
92
81.7
3.57
0.28
1.54
1.74
3.42
8.3%
2023Q3
92
79.3
3.71
0.32
1.62
1.76
3.52
16.1%
2023Q2
91
83.2
3.71
0.27
1.60
1.84
3.43
24.9%
2023Q1
90
81.5
3.45
0.33
1.59
1.53
3.06
33.6%
2022Q4
92
82.1
3.39
0.27
1.56
1.56
2.98
36.6%
2022Q3
92
81.8
3.72
0.32
1.59
1.81
3.39
37.9%
2022Q2
91
80.3
3.69
0.35
1.26
2.09
3.37
38.3%
2022Q1
90
78.6
3.45
0.45
1.08
1.92
3.17
29.6%
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
0
No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
27
C × 2D × 14E × 7F × 1G × 3
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2023-05-03
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2023-06-16
2023-05-03
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
2023-06-16
2023-05-03
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
2023-06-16
2023-05-03
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2023-06-16
2023-05-03
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-06-16
2023-05-03
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-06-16
2021-06-10
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2021-07-22
2021-06-10
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
2021-07-22
2021-06-10
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2021-07-22
2021-06-10
Health
F0814
Dispose of garbage and refuse properly.
D
2021-07-22
2021-06-10
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2021-07-22
2019-05-30
Health
F0641
Ensure each resident receives an accurate assessment.
D
2019-07-12
2019-05-30
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2019-07-31
2019-05-30
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
2019-07-31
2019-05-30
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2019-07-12
2019-05-30
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.
G
2019-07-12
2019-05-30
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
2019-07-12
2019-05-30
Health
F0691
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
E
2019-07-12
2019-05-30
Health
F0692
Provide enough food/fluids to maintain a resident's health.
G
2019-07-12
2019-05-30
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2019-07-12
2019-05-30
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
2019-07-12
2019-05-30
Health
F0732
Post nurse staffing information every day.
C
2019-07-12
2019-05-30
Health
F0744
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
D
2019-07-12
2019-05-30
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
2019-07-12
2019-05-30
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2019-07-12
2019-05-30
Health
F0880
Provide and implement an infection prevention and control program.
C
2019-07-12
2019-05-30
Health
F0881
Implement a program that monitors antibiotic use.
F
2019-07-12
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
23
Owner
Role
Pct
From
Status
Source
VA SNF OPERATIONS HOLDINGS 5 LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2025-04-01
current
pecos_ownership
LYAM EASTERN HOLDCO LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
45%
2025-04-01
current
pecos_ownership
LYAM FAMILY TRUST
5% OR GREATER INDIRECT OWNERSHIP INTEREST
45%
2025-04-01
current
pecos_ownership
A&J POMONA ENTERPRISES LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
10%
2025-04-01
current
pecos_ownership
ACKERMAN, CHRISTOPHER
ADP OF THE SNF
—
2025-07-18
current
pecos_ownership
BANKWELL BANK
5% OR GREATER SECURITY INTEREST
—
2025-04-01
current
pecos_ownership
GITTLESON, LAYLA
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-07-25
current
pecos_ownership
GITTLESON, YEHUDA
MANAGING CONTROL - GOVERNING BODY
—
2025-04-01
current
pecos_ownership
SAMUELS, SHONDEL
ADP OF THE SNF
—
2025-07-18
current
pecos_ownership
SAMUELS, SHONDEL
MANAGING CONTROL - GOVERNING BODY
—
2025-04-01
current
pecos_ownership
SHAPIRO, AKIVA
MANAGING CONTROL - GOVERNING BODY
—
2025-04-01
current
pecos_ownership
SOUTH HILL VA PROPCO LLC
ADP OF THE SNF
—
2025-04-01
current
pecos_ownership
VA SNF MASTER CONSULTING LLC
ADP OF THE SNF
—
2025-07-18
current
pecos_ownership
VA SNF MASTER CONSULTING LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-04-01
current
pecos_ownership
VA SNF REALTY HOLDINGS 5 LLC
ADP OF THE SNF
—
2025-04-01
current
pecos_ownership
WEINBERG, SHELLEY
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-07-18
current
pecos_ownership
YDI EASTERN HOLDCO LLC
ADP OF THE SNF
—
2025-04-01
current
pecos_ownership
YDI IRREVOCABLE TRUST
ADP OF THE SNF
—
2025-04-01
current
pecos_ownership
AKIVA SHAPIRO
CORPORATE OFFICER
0%
2025-04-01
ended 2026-05-18
pecos_ownership
YEHUDA GITTLESON
CORPORATE OFFICER
0%
2025-04-01
ended 2026-05-18
pecos_ownership
CHRISTOPHER ACKERMAN
ADP OF THE SNF
—
2025-07-18
ended 2026-05-18
pecos_ownership
SHONDEL SAMUELS
ADP OF THE SNF
—
2025-07-18
ended 2026-05-18
pecos_ownership
SHONDEL SAMUELS
MANAGING CONTROL - GOVERNING BODY
—
2025-04-01
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.
Related-party costs
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
Transactions
0
No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
33
Geo
Kind
BR
Amount
As of
Source
county 51117
acs median gross
0
$3,501
2024-12-31
CENSUS_ACS5
county 51117
fmr
0
$719
2025-10-01
HUD_USER_FMR
county 51117
acs median gross
1
$555
2024-12-31
CENSUS_ACS5
county 51117
fmr
1
$724
2025-10-01
HUD_USER_FMR
county 51117
acs median gross
2
$785
2024-12-31
CENSUS_ACS5
county 51117
fmr
2
$950
2025-10-01
HUD_USER_FMR
county 51117
acs median gross
3
$892
2024-12-31
CENSUS_ACS5
county 51117
fmr
3
$1,224
2025-10-01
HUD_USER_FMR
county 51117
acs median gross
4
$1,224
2024-12-31
CENSUS_ACS5
county 51117
fmr
4
$1,258
2025-10-01
HUD_USER_FMR
county 51117
acs median gross
$823
2024-12-31
CENSUS_ACS5
county 51117
acs recent mover gross
$1,266
2024-12-31
CENSUS_ACS5
zcta 23970
acs median gross
0
$3,501
2024-12-31
CENSUS_ACS5
zcta 23970
acs median gross
1
$285
2024-12-31
CENSUS_ACS5
zcta 23970
acs median gross
2
$982
2024-12-31
CENSUS_ACS5
zcta 23970
acs median gross
3
$1,223
2024-12-31
CENSUS_ACS5
zcta 23970
acs median gross
$1,098
2024-12-31
CENSUS_ACS5
zcta 23970
acs recent mover gross
$1,527
2024-12-31
CENSUS_ACS5
zip 23970
payment standard 110
0
$902
2025-10-01
HUD_USER_SAFMR
zip 23970
payment standard 90
0
$738
2025-10-01
HUD_USER_SAFMR
zip 23970
safmr
0
$820
2025-10-01
HUD_USER_SAFMR
zip 23970
payment standard 110
1
$913
2025-10-01
HUD_USER_SAFMR
zip 23970
payment standard 90
1
$747
2025-10-01
HUD_USER_SAFMR
zip 23970
safmr
1
$830
2025-10-01
HUD_USER_SAFMR
zip 23970
payment standard 110
2
$1,199
2025-10-01
HUD_USER_SAFMR
zip 23970
payment standard 90
2
$981
2025-10-01
HUD_USER_SAFMR
zip 23970
safmr
2
$1,090
2025-10-01
HUD_USER_SAFMR
zip 23970
payment standard 110
3
$1,540
2025-10-01
HUD_USER_SAFMR
zip 23970
payment standard 90
3
$1,260
2025-10-01
HUD_USER_SAFMR
zip 23970
safmr
3
$1,400
2025-10-01
HUD_USER_SAFMR
zip 23970
payment standard 110
4
$1,584
2025-10-01
HUD_USER_SAFMR
zip 23970
payment standard 90
4
$1,296
2025-10-01
HUD_USER_SAFMR
zip 23970
safmr
4
$1,440
2025-10-01
HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.