Composite
62.2 / 100 percentile
Screener / 495149
C
PORTSMOUTH HEALTH AND REHAB
snfVA
900 LONDON BOULEVARD, PORTSMOUTH, VA 23704 · CCN 495149 · chain TRIO HEALTHCARE LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
120
Model
v1.2
Reads as: riskier than 62.2% 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 signals1Components16CHOW radar1Distress radar1Staffing16Penalties3Deficiencies64Licensure0Ownership12Related party5Transactions1Comps12Market rent35
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 89.5 | 87.1 | 0.30 | 0.2308 | 20.65 | in index |
| staffing risk | 73.7 | 73.7 | 0.25 | 0.1923 | 14.17 | in index |
| financial risk | 49.7 | 45.3 | 0.30 | 0.2308 | 11.47 | in index |
| chow risk | 35.2 | 41.5 | 0.15 | 0.1154 | 4.06 | in index |
| billing conduct | 11.3 | 10.0 | 0.30 | 0.2308 | 2.61 | 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
1| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner spans multiple chains | 7 chains | RUBENSTEIN DAVID | 31 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 | 10.0 | A | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 17.1 | 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 | 65.8 | D | v0.6 | default · in composite | |
| financial risk | 45.3 | 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 | 0.1 | — | 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 | 87.1 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 73.7 | D | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 85.9 | F | 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 | 65.9 | D | 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 | 47.5 | 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 | 49.9 | 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 | 87.0 | 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 | 87.0 | 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 | 73.7 | D | 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 | 73.7 | D | 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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
30.7
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) | 9.62 | -0.91 | |
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.85 | -0.43 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Chain size (log) | 2.30 | +0.09 | |
| Fine amount, 12m (log) | 11.04 | +0.08 |
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 | |
|---|---|---|---|
| For-profit ownership | 1.00 | -0.69 | |
| Fine amount, 12m (log) | 11.04 | -0.63 | |
| Occupancy | 0.85 | -0.42 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 9.62 | -0.14 | |
| Chain size (log) | 2.30 | -0.14 | |
| Deficiencies, last 12 months | 7.00 | +0.13 |
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 | 2.91 | 3.13 | 3.28 | 2.90–3.77 |
| RN | 0.07 | 0.30 | 0.39 | 0.25–0.58 |
| Weekend total | 2.73 | 2.96 | 3.11 | — |
| Weekday total | 2.98 | 3.20 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 101.7 | 2.91 | 0.07 | 0.76 | 2.09 | 2.73 | 8.3% |
| 2025Q3 | 92 | 98.4 | 2.73 | 0.06 | 0.75 | 1.92 | 2.63 | 6.6% |
| 2025Q2 | 91 | 93.2 | 3.00 | 0.05 | 0.72 | 2.23 | 2.75 | 4.5% |
| 2025Q1 | 90 | 100.6 | 2.71 | 0.05 | 0.88 | 1.78 | 2.56 | 2.4% |
| 2024Q4 | 92 | 95.8 | 3.04 | 0.17 | 0.94 | 1.94 | 2.90 | 0.0% |
| 2024Q3 | 92 | 101.0 | 3.29 | 0.21 | 0.91 | 2.16 | 2.95 | 2.0% |
| 2024Q2 | 91 | 103.9 | 3.48 | 0.15 | 0.98 | 2.34 | 3.11 | 0.2% |
| 2024Q1 | 91 | 108.0 | 2.66 | 0.14 | 0.88 | 1.64 | 2.48 | 0.0% |
| 2023Q4 | 92 | 104.6 | 2.75 | 0.09 | 0.96 | 1.70 | 2.64 | 0.0% |
| 2023Q3 | 92 | 86.4 | 2.80 | 0.10 | 1.00 | 1.70 | 2.71 | 0.0% |
| 2023Q2 | 91 | 84.3 | 2.95 | 0.07 | 1.11 | 1.77 | 2.77 | 0.1% |
| 2023Q1 | 90 | 95.6 | 2.36 | 0.03 | 0.91 | 1.42 | 2.25 | 0.0% |
| 2022Q4 | 92 | 94.3 | 2.43 | 0.02 | 0.86 | 1.56 | 2.34 | 0.0% |
| 2022Q3 | 92 | 92.0 | 2.60 | 0.07 | 0.78 | 1.74 | 2.40 | 1.0% |
| 2022Q2 | 91 | 87.0 | 2.48 | 0.13 | 0.61 | 1.74 | 2.36 | 10.9% |
| 2022Q1 | 90 | 77.8 | 2.55 | 0.22 | 0.61 | 1.72 | 2.45 | 16.6% |
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
3fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-09-19 | Fine | $62,320 | CMS provider data |
| 2024-10-02 | Fine | $8,824 | CMS provider data |
| 2024-03-22 | Fine | $85,069 | CMS provider data |
Total fines on record: $156,213
Deficiencies
64C × 2D × 40E × 14F × 2G × 3J × 1K × 2
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-09-19 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-12-08 |
| 2025-09-19 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-12-08 |
| 2025-09-19 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-12-08 |
| 2025-09-19 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-12-08 |
| 2025-09-19 | Health · complaint | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | 2025-12-09 |
| 2025-09-19 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2026-01-21 |
| 2025-09-19 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-12-08 |
| 2024-10-02 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | G | 2024-09-19 |
| 2024-05-23 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-06-19 |
| 2024-05-23 | Health · complaint | F0687 | Provide appropriate foot care. | D | 2024-06-19 |
| 2024-05-23 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-06-19 |
| 2024-05-23 | Health · complaint | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2024-06-19 |
| 2024-03-22 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-06-19 |
| 2024-03-22 | Health · complaint | F0687 | Provide appropriate foot care. | D | 2024-06-19 |
| 2024-03-22 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-06-19 |
| 2024-03-22 | Health · complaint | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | K | 2024-04-23 |
| 2024-03-22 | Health · complaint | F0741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | K | 2024-04-23 |
| 2024-03-22 | Health · complaint | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2024-06-19 |
| 2021-05-28 | Health | F0583 | Keep residents' personal and medical records private and confidential. | D | 2021-07-05 |
| 2021-05-28 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2021-07-05 |
| 2021-05-28 | 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 | 2021-07-05 |
| 2021-05-28 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2021-07-05 |
| 2021-05-28 | 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 | 2021-07-05 |
| 2021-05-28 | 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 | 2021-07-05 |
| 2021-05-28 | 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 | 2021-07-05 |
| 2021-05-28 | 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 | 2021-07-05 |
| 2021-05-28 | Health | 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 | 2021-07-05 |
| 2021-05-28 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2021-07-05 |
| 2021-05-28 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2021-07-05 |
| 2021-05-28 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2021-07-05 |
| 2021-05-28 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | F | 2021-07-05 |
| 2019-02-07 | Health | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2019-03-09 |
| 2019-02-07 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2019-03-09 |
| 2019-02-07 | Health | 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 | 2019-03-09 |
| 2019-02-07 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2019-03-09 |
| 2019-02-07 | Health | 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 | 2019-04-17 |
| 2019-02-07 | 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 | 2019-03-09 |
| 2019-02-07 | Health | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | 2019-03-09 |
| 2019-02-07 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2019-03-09 |
| 2019-02-07 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2019-03-09 |
| 2019-02-07 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2019-03-09 |
| 2019-02-07 | 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. | D | 2019-03-09 |
| 2019-02-07 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2019-03-09 |
| 2019-02-07 | Health | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | 2019-03-09 |
| 2019-02-07 | Health | F0880 | Provide and implement an infection prevention and control program. | C | 2019-03-09 |
| 2017-07-13 | Health | F0156 | Give residents a notice of rights, rules, services and charges. | E | 2017-08-13 |
| 2017-07-13 | Health | F0159 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | 2017-08-13 |
| 2017-07-13 | Health | F0167 | Allow residents to easily view the results of the nursing home's most recent inspection. | C | 2017-08-13 |
| 2017-07-13 | Health | F0241 | Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | D | 2017-08-13 |
| 2017-07-13 | Health | F0276 | Assure that each resident’s assessment is updated at least once every 3 months. | D | 2017-08-13 |
| 2017-07-13 | Health | F0278 | Ensure each resident receives an accurate assessment by a qualified health professional. | D | 2017-08-13 |
| 2017-07-13 | Health | F0279 | Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2017-08-13 |
| 2017-07-13 | Health | F0287 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | E | 2017-08-13 |
| 2017-07-13 | Health | F0309 | Provide necessary care and services to maintain or improve the highest well being of each resident . | E | 2017-08-13 |
| 2017-07-13 | Health | F0314 | Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | E | 2017-08-13 |
| 2017-07-13 | Health | F0315 | Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | D | 2017-08-13 |
| 2017-07-13 | Health | F0323 | Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | D | 2017-08-13 |
| 2017-07-13 | Health | F0332 | Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | D | 2017-08-13 |
| 2017-07-13 | Health | F0333 | Ensure that residents are safe from serious medication errors. | D | 2017-08-13 |
| 2017-07-13 | Health | F0425 | Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | D | 2017-08-13 |
| 2017-07-13 | Health | F0431 | Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | D | 2017-08-13 |
| 2017-07-13 | Health | F0441 | Have a program that investigates, controls and keeps infection from spreading. | E | 2017-08-13 |
| 2017-07-13 | Health | F0465 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2017-08-13 |
| 2017-07-13 | Health | F0514 | Keep accurate, complete and organized clinical records on each resident that meet professional standards. | E | 2017-08-13 |
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
12| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| GL VIRGINIA HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2016-12-26 | current | pecos_ownership |
| CAMBELL, DAWN | W-2 MANAGING EMPLOYEE | — | 2023-09-18 | current | pecos_ownership |
| GENTRY, BOYD | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2016-12-26 | current | pecos_ownership |
| GENTRY, BOYD | CORPORATE OFFICER | — | 2016-12-16 | current | pecos_ownership |
| RUBENSTEIN, DAVID | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2016-12-16 | current | pecos_ownership |
| TRIO HEALTH CARE - EAST, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2019-05-24 | current | pecos_ownership |
| TRIO HEALTHCARE INVESTORS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2016-12-16 | current | pecos_ownership |
| TRIO HEALTHCARE LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2019-12-10 | current | pecos_ownership |
| DAVID RUBENSTEIN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 57% | 2016-12-16 | ended 2026-05-18 | pecos_ownership |
| BOYD GENTRY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 43% | 2016-12-26 | ended 2026-05-18 | pecos_ownership |
| BOYD GENTRY | CORPORATE OFFICER | — | 2016-12-16 | ended 2026-05-18 | pecos_ownership |
| DAWN CAMBELL | W-2 MANAGING EMPLOYEE | — | 2023-09-18 | 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 |
|---|---|---|---|---|
| 2016-12-16 | — | GL VIRGINIA PORTSMOUTH LLC | GGNSC PORTSMOUTH LLC | chow |
Comparable trades — VA snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-06-01 | Woodstock Valley Health and Rehabilitation | — | — | — | 88 | 803 SOUTH MAIN STREET OPCO LLC |
| 2025-06-01 | Jamestown Health and Rehabilitation | — | — | — | 90 | 1811 JAMESTOWN ROAD OPCO LLC |
| 2025-06-01 | Windsor Grove Health and Rehabilitation | — | — | — | 114 | 23352 COURTHOUSE HIGHWAY OPCO LLC |
| 2025-06-01 | Grayson Health and Rehabilitation | — | — | — | 120 | 400 SOUTH INDEPENDENCE AVENUE OPCO LLC |
| 2025-06-01 | SKYLINE NURSING & REHABILITATION | — | — | — | 90 | 237 FRANKLIN PIKE ROAD SE OPCO LLC |
| 2025-06-01 | KINGS DAUGHTERS COMMUNITY HEALTH & REHAB | — | — | — | 117 | 1410 NORTH AUGUSTA STREET OPCO LLC |
| 2025-06-01 | Ghent Health and Rehabilitation | — | — | — | 222 | 3900 LLEWELLYN AVENUE OPCO LLC |
| 2025-06-01 | ASHLAND NURSING AND REHABILITATION | — | — | — | 190 | 906 THOMPSON STREET OPCO LLC |
| 2025-05-19 | The Boulevard Post Acute | — | — | — | 81 | BOULEVARD OPERATOR LLC |
| 2025-05-01 | FRANCIS MARION MANOR HEALTH & REHABILITATION | — | — | — | 109 | FRANCIS MARION OPERATING GROUP LLC |
| 2024-09-01 | POPLAR HILL HEALTH AND REHAB | — | — | — | 113 | FAUQUIER OPCO LLC |
| 2024-05-01 | NORTHERN CARDINAL REHABILITATION AND NURSING | — | — | — | 120 | NORTHERN CARDINAL REHABILITATION AND NURSING LLC |
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
35| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 51740 | acs median gross | 0 | $1,261 | 2024-12-31 | CENSUS_ACS5 |
| county 51740 | fmr | 0 | $1,492 | 2025-10-01 | HUD_USER_FMR |
| county 51740 | acs median gross | 1 | $1,110 | 2024-12-31 | CENSUS_ACS5 |
| county 51740 | fmr | 1 | $1,512 | 2025-10-01 | HUD_USER_FMR |
| county 51740 | acs median gross | 2 | $1,252 | 2024-12-31 | CENSUS_ACS5 |
| county 51740 | fmr | 2 | $1,713 | 2025-10-01 | HUD_USER_FMR |
| county 51740 | acs median gross | 3 | $1,572 | 2024-12-31 | CENSUS_ACS5 |
| county 51740 | fmr | 3 | $2,376 | 2025-10-01 | HUD_USER_FMR |
| county 51740 | acs median gross | 4 | $1,746 | 2024-12-31 | CENSUS_ACS5 |
| county 51740 | fmr | 4 | $2,797 | 2025-10-01 | HUD_USER_FMR |
| county 51740 | acs median gross | 5 | $2,303 | 2024-12-31 | CENSUS_ACS5 |
| county 51740 | acs median gross | $1,300 | 2024-12-31 | CENSUS_ACS5 | |
| county 51740 | acs recent mover gross | $1,399 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 23704 | acs median gross | 0 | $1,289 | 2024-12-31 | CENSUS_ACS5 |
| zcta 23704 | acs median gross | 1 | $1,229 | 2024-12-31 | CENSUS_ACS5 |
| zcta 23704 | acs median gross | 2 | $1,275 | 2024-12-31 | CENSUS_ACS5 |
| zcta 23704 | acs median gross | 3 | $1,469 | 2024-12-31 | CENSUS_ACS5 |
| zcta 23704 | acs median gross | 4 | $1,755 | 2024-12-31 | CENSUS_ACS5 |
| zcta 23704 | acs median gross | $1,310 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 23704 | acs recent mover gross | $1,384 | 2024-12-31 | CENSUS_ACS5 | |
| zip 23704 | payment standard 110 | 0 | $1,573 | 2025-10-01 | HUD_USER_SAFMR |
| zip 23704 | payment standard 90 | 0 | $1,287 | 2025-10-01 | HUD_USER_SAFMR |
| zip 23704 | safmr | 0 | $1,430 | 2025-10-01 | HUD_USER_SAFMR |
| zip 23704 | payment standard 110 | 1 | $1,595 | 2025-10-01 | HUD_USER_SAFMR |
| zip 23704 | payment standard 90 | 1 | $1,305 | 2025-10-01 | HUD_USER_SAFMR |
| zip 23704 | safmr | 1 | $1,450 | 2025-10-01 | HUD_USER_SAFMR |
| zip 23704 | payment standard 110 | 2 | $1,804 | 2025-10-01 | HUD_USER_SAFMR |
| zip 23704 | payment standard 90 | 2 | $1,476 | 2025-10-01 | HUD_USER_SAFMR |
| zip 23704 | safmr | 2 | $1,640 | 2025-10-01 | HUD_USER_SAFMR |
| zip 23704 | payment standard 110 | 3 | $2,497 | 2025-10-01 | HUD_USER_SAFMR |
| zip 23704 | payment standard 90 | 3 | $2,043 | 2025-10-01 | HUD_USER_SAFMR |
| zip 23704 | safmr | 3 | $2,270 | 2025-10-01 | HUD_USER_SAFMR |
| zip 23704 | payment standard 110 | 4 | $2,948 | 2025-10-01 | HUD_USER_SAFMR |
| zip 23704 | payment standard 90 | 4 | $2,412 | 2025-10-01 | HUD_USER_SAFMR |
| zip 23704 | safmr | 4 | $2,680 | 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.