Composite
74.2 / 100 percentile
Screener / 345092
C
Willow Valley Center for Nursing and Rehabilitatio
snfNC
1900 W 1st Street, Winston-Salem, NC 27104 · CCN 345092 · chain COALITION GROUP LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
230
Model
v1.2
Reads as: riskier than 74.2% 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 signals7Components16CHOW radar1Distress radar1Staffing16Penalties5Deficiencies51Licensure0Ownership10Related party6Transactions1Comps12Market rent34
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 98.4 | 97.4 | 0.30 | 0.2308 | 22.71 | in index |
| staffing risk | 85.3 | 85.3 | 0.25 | 0.1923 | 16.40 | in index |
| financial risk | 41.2 | 40.3 | 0.30 | 0.2308 | 9.51 | in index |
| billing conduct | 25.0 | 29.0 | 0.30 | 0.2308 | 5.77 | in index |
| chow risk | 29.5 | 30.1 | 0.15 | 0.1154 | 3.40 | 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
7| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +28.5 vs natl | TURBETT TIMOTHY | 8 facilities |
| 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 | 63% fined | TURBETT TIMOTHY | 8 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 | 29.0 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 24.8 | A | 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 | 35.3 | B | v0.6 | default · in composite | |
| financial risk | 40.3 | B | 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 | 97.4 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 85.3 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 62.0 | 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 | 42.0 | 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 | 51.7 | 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 | 44.2 | B | 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 | 97.3 | 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 | 97.3 | 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 | 85.3 | 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 | 85.3 | 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
1.1
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Current owner tenure (years) | 1.99 | -1.65 | |
| Never sold on record | 0.00 | -1.62 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.94 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Facility size (log beds) | 5.44 | -0.17 | |
| Chain size (log) | 2.40 | +0.11 |
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
10.1
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 | 10.00 | -0.43 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 1.99 | -0.27 | |
| Ownership changes, last 5 years | 1.00 | +0.23 | |
| Facility size (log beds) | 5.44 | -0.23 |
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 | 2.68 | 3.08 | 3.28 | 2.90–3.77 |
| RN | 0.14 | 0.30 | 0.39 | 0.25–0.58 |
| Weekend total | 2.64 | 2.93 | 3.11 | — |
| Weekday total | 2.70 | 3.14 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 215.1 | 2.68 | 0.14 | 0.59 | 1.96 | 2.64 | 0.0% |
| 2025Q3 | 92 | 217.1 | 2.66 | 0.13 | 0.54 | 1.98 | 2.54 | 0.0% |
| 2025Q2 | 91 | 215.2 | 2.66 | 0.18 | 0.50 | 1.98 | 2.56 | 2.3% |
| 2025Q1 | 90 | 216.7 | 2.72 | 0.22 | 0.63 | 1.87 | 2.63 | 11.3% |
| 2024Q4 | 92 | 213.8 | 2.54 | 0.15 | 0.68 | 1.71 | 2.43 | 16.7% |
| 2024Q3 | 92 | 215.7 | 2.61 | 0.16 | 0.75 | 1.71 | 2.29 | 30.2% |
| 2024Q2 | 91 | 210.9 | 2.72 | 0.15 | 0.74 | 1.83 | 2.49 | 44.8% |
| 2024Q1 | 91 | 206.6 | 2.64 | 0.12 | 0.74 | 1.78 | 2.38 | 39.3% |
| 2023Q4 | 92 | 210.1 | 2.87 | 0.13 | 0.69 | 2.05 | 2.71 | 44.6% |
| 2023Q3 | 92 | 203.8 | 3.02 | 0.17 | 0.59 | 2.26 | 2.76 | 56.1% |
| 2023Q2 | 91 | 194.7 | 3.10 | 0.11 | 0.60 | 2.39 | 2.77 | 75.8% |
| 2023Q1 | 90 | 197.5 | 2.52 | 0.06 | 0.58 | 1.89 | 2.10 | 74.3% |
| 2022Q4 | 92 | 186.0 | 2.77 | 0.10 | 0.72 | 1.95 | 2.46 | 76.5% |
| 2022Q3 | 92 | 159.7 | 2.76 | 0.07 | 0.73 | 1.97 | 2.48 | 70.9% |
| 2022Q2 | 91 | 155.4 | 3.42 | 0.19 | 0.90 | 2.33 | 2.83 | 67.0% |
| 2022Q1 | 90 | 160.4 | 3.03 | 0.16 | 0.87 | 2.00 | 2.39 | 63.7% |
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 |
|---|---|---|---|
| 2025-06-25 | Fine | $14,508 | CMS provider data |
| 2024-11-22 | Fine | $12,529 | CMS provider data |
| 2024-07-02 | Fine | $8,018 | CMS provider data |
| 2024-07-02 | Fine | $8,783 | CMS provider data |
| 2023-08-07 | Fine | $231,680 | CMS provider data |
Total fines on record: $275,518
Deficiencies
51B × 3C × 1D × 26E × 11F × 3G × 3J × 4
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-02-20 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2026-03-04 |
| 2026-02-20 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2026-03-04 |
| 2026-02-20 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2026-03-04 |
| 2025-08-29 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | 2025-09-24 |
| 2025-08-29 | 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. | B | 2025-09-23 |
| 2025-08-29 | Health | F0646 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D | 2025-09-24 |
| 2025-08-29 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-09-24 |
| 2025-08-29 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-09-23 |
| 2025-08-29 | Health | F0814 | Dispose of garbage and refuse properly. | F | 2025-09-23 |
| 2025-08-29 | Health | F0880 | Provide and implement an infection prevention and control program. | J | 2025-09-24 |
| 2025-06-25 | Health · complaint | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | 2025-07-17 |
| 2025-06-25 | 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 | 2025-07-17 |
| 2024-11-22 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2024-10-02 |
| 2024-07-02 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | G | 2024-07-17 |
| 2024-07-02 | Health · complaint | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2024-07-17 |
| 2024-07-02 | Health · complaint | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | B | 2024-07-17 |
| 2024-07-02 | Health · complaint | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | C | 2024-07-17 |
| 2024-07-02 | Health | F0583 | Keep residents' personal and medical records private and confidential. | D | 2024-07-17 |
| 2024-07-02 | Health · complaint | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | 2024-07-17 |
| 2024-07-02 | 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 | 2024-07-17 |
| 2024-07-02 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2024-07-17 |
| 2024-07-02 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-07-17 |
| 2024-07-02 | 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 | 2024-07-17 |
| 2024-07-02 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-07-17 |
| 2024-07-02 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | 2024-07-17 |
| 2024-07-02 | 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 | 2024-07-17 |
| 2024-07-02 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-07-17 |
| 2024-07-02 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-07-17 |
| 2024-07-02 | Health · complaint | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | 2024-07-17 |
| 2024-07-02 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-07-17 |
| 2024-07-02 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | 2024-07-17 |
| 2024-07-02 | Health | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | 2024-07-17 |
| 2024-07-02 | Health · complaint | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2024-07-17 |
| 2024-07-02 | 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 | 2024-07-17 |
| 2024-07-02 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2024-07-17 |
| 2024-07-02 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-07-17 |
| 2024-07-02 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2024-07-17 |
| 2024-07-02 | Health · complaint | F0924 | Put firmly secured handrails on each side of hallways. | E | 2024-07-17 |
| 2023-11-21 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-08-29 |
| 2023-11-21 | Health · complaint | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | 2023-12-19 |
| 2023-08-07 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2023-09-06 |
| 2023-08-07 | 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. | D | 2023-09-06 |
| 2023-08-07 | 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. | J | 2023-08-07 |
| 2023-08-07 | Health | F0637 | Assess the resident when there is a significant change in condition | D | 2023-09-06 |
| 2023-08-07 | Health | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | B | 2023-09-06 |
| 2023-08-07 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2023-09-06 |
| 2023-08-07 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | 2023-08-07 |
| 2023-08-07 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | J | 2023-08-07 |
| 2023-08-07 | 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. | E | 2023-09-06 |
| 2023-08-07 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2023-09-06 |
| 2023-08-07 | Health · complaint | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | 2023-09-06 |
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
10| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| ALIGNMENT HOLDCO LLC | DIRECT OWNERSHIP INTEREST | — | 2024-08-01 | current | pecos_ownership |
| ALLIANCE HEALTH GROUP LLC | ADP OF THE SNF | — | 2025-02-20 | current | pecos_ownership |
| ALLIANCE HEALTH GROUP LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-08-01 | current | pecos_ownership |
| CLARK, ARELYS | ADP OF THE SNF | — | 2024-08-01 | current | pecos_ownership |
| COALITION GROUP LLC | INDIRECT OWNERSHIP INTEREST | — | 2024-08-01 | current | pecos_ownership |
| EMANUEL, YOSEF | INDIRECT OWNERSHIP INTEREST | — | 2024-08-01 | current | pecos_ownership |
| TURBETT, TIMOTHY | ADP OF THE SNF | — | 2024-08-01 | current | pecos_ownership |
| YOSEF EMANUEL | INDIRECT OWNERSHIP INTEREST | 100% | 2024-08-01 | ended 2026-05-18 | pecos_ownership |
| ARELYS CLARK | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-08-01 | ended 2026-05-18 | pecos_ownership |
| TIMOTHY TURBETT | ADP OF THE SNF | — | 2024-08-01 | 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 |
|---|---|---|---|---|
| 2024-08-01 | — | WEST FIRST STREET OPERATING COMPANY LLC | CITADEL AT WINSTON SALEM 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
34| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 37067 | acs median gross | 0 | $893 | 2024-12-31 | CENSUS_ACS5 |
| county 37067 | fmr | 0 | $995 | 2025-10-01 | HUD_USER_FMR |
| county 37067 | acs median gross | 1 | $977 | 2024-12-31 | CENSUS_ACS5 |
| county 37067 | fmr | 1 | $1,082 | 2025-10-01 | HUD_USER_FMR |
| county 37067 | acs median gross | 2 | $1,054 | 2024-12-31 | CENSUS_ACS5 |
| county 37067 | fmr | 2 | $1,232 | 2025-10-01 | HUD_USER_FMR |
| county 37067 | acs median gross | 3 | $1,370 | 2024-12-31 | CENSUS_ACS5 |
| county 37067 | fmr | 3 | $1,607 | 2025-10-01 | HUD_USER_FMR |
| county 37067 | acs median gross | 4 | $1,713 | 2024-12-31 | CENSUS_ACS5 |
| county 37067 | fmr | 4 | $1,898 | 2025-10-01 | HUD_USER_FMR |
| county 37067 | acs median gross | 5 | $1,882 | 2024-12-31 | CENSUS_ACS5 |
| county 37067 | acs median gross | $1,098 | 2024-12-31 | CENSUS_ACS5 | |
| county 37067 | acs recent mover gross | $1,403 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 27104 | acs median gross | 1 | $1,090 | 2024-12-31 | CENSUS_ACS5 |
| zcta 27104 | acs median gross | 2 | $1,181 | 2024-12-31 | CENSUS_ACS5 |
| zcta 27104 | acs median gross | 3 | $1,492 | 2024-12-31 | CENSUS_ACS5 |
| zcta 27104 | acs median gross | 4 | $1,930 | 2024-12-31 | CENSUS_ACS5 |
| zcta 27104 | acs median gross | $1,171 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 27104 | acs recent mover gross | $1,199 | 2024-12-31 | CENSUS_ACS5 | |
| zip 27104 | payment standard 110 | 0 | $1,276 | 2025-10-01 | HUD_USER_SAFMR |
| zip 27104 | payment standard 90 | 0 | $1,044 | 2025-10-01 | HUD_USER_SAFMR |
| zip 27104 | safmr | 0 | $1,160 | 2025-10-01 | HUD_USER_SAFMR |
| zip 27104 | payment standard 110 | 1 | $1,386 | 2025-10-01 | HUD_USER_SAFMR |
| zip 27104 | payment standard 90 | 1 | $1,134 | 2025-10-01 | HUD_USER_SAFMR |
| zip 27104 | safmr | 1 | $1,260 | 2025-10-01 | HUD_USER_SAFMR |
| zip 27104 | payment standard 110 | 2 | $1,584 | 2025-10-01 | HUD_USER_SAFMR |
| zip 27104 | payment standard 90 | 2 | $1,296 | 2025-10-01 | HUD_USER_SAFMR |
| zip 27104 | safmr | 2 | $1,440 | 2025-10-01 | HUD_USER_SAFMR |
| zip 27104 | payment standard 110 | 3 | $2,068 | 2025-10-01 | HUD_USER_SAFMR |
| zip 27104 | payment standard 90 | 3 | $1,692 | 2025-10-01 | HUD_USER_SAFMR |
| zip 27104 | safmr | 3 | $1,880 | 2025-10-01 | HUD_USER_SAFMR |
| zip 27104 | payment standard 110 | 4 | $2,442 | 2025-10-01 | HUD_USER_SAFMR |
| zip 27104 | payment standard 90 | 4 | $1,998 | 2025-10-01 | HUD_USER_SAFMR |
| zip 27104 | safmr | 4 | $2,220 | 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.