618-A S Main Street, Reidsville, NC 27320 · CCN 345530
Composite
33.3 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
82
Model
v1.2
Reads as: riskier than 33.3% 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.
ML signals — parallel engine
1
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
6 chains
MILLER JOHN
18 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.
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 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.
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.
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.
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.
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.
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.
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
NC median
National median
National p25–p75
Total nurse
3.00
3.08
3.28
2.90–3.77
RN
0.30
0.30
0.39
0.25–0.58
Weekend total
2.89
2.93
3.11
—
Weekday total
3.04
3.14
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
67.4
3.00
0.30
0.53
2.17
2.89
0.0%
2025Q3
92
71.2
2.99
0.34
0.48
2.17
2.96
0.0%
2025Q2
91
69.4
3.11
0.38
0.52
2.22
3.06
0.3%
2025Q1
90
69.4
3.36
0.41
0.61
2.35
3.34
2.4%
2024Q4
92
69.0
3.41
0.38
0.62
2.40
3.39
2.2%
2024Q3
92
72.5
3.05
0.18
0.69
2.18
2.90
2.9%
2024Q2
91
72.4
3.29
0.20
0.65
2.44
3.18
0.0%
2024Q1
91
72.1
3.20
0.19
0.65
2.36
3.06
0.0%
2023Q4
92
70.3
3.21
0.32
0.68
2.21
3.16
0.0%
2023Q3
92
71.4
3.08
0.30
0.76
2.02
2.97
0.0%
2023Q2
91
68.4
3.56
0.35
0.76
2.45
3.51
0.0%
2023Q1
90
65.3
3.47
0.22
0.82
2.43
3.31
0.0%
2022Q4
92
66.3
3.35
0.18
0.84
2.32
3.22
0.0%
2022Q3
92
63.4
3.63
0.28
0.87
2.48
3.43
0.0%
2022Q2
91
70.4
3.56
0.21
0.99
2.36
3.55
0.0%
2022Q1
90
67.8
3.40
0.20
1.04
2.15
3.40
0.0%
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
1
E × 1
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-01-30
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
2025-02-26
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
60
Owner
Role
Pct
From
Status
Source
RISANT HEALTH, INC.
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2024-12-01
current
pecos_ownership
THE MOSES H. CONE MEMORIAL HOSPITAL
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2005-04-01
current
pecos_ownership
ANTRUM, VI-ANNE
CORPORATE DIRECTOR
—
2019-04-18
current
pecos_ownership
BARROW, ANDREW
CORPORATE OFFICER
—
2012-11-05
current
pecos_ownership
BOYLSTON, YUN
TRUSTEE OF THE SNF
—
2018-10-01
current
pecos_ownership
BRANDON, ASHLEY
CORPORATE DIRECTOR
—
2022-10-01
current
pecos_ownership
BRANDON, ASHLEY
TRUSTEE OF THE SNF
—
2021-10-01
current
pecos_ownership
CAMPBELL, LENORA
CORPORATE DIRECTOR
—
2018-10-01
current
pecos_ownership
CAREY, ELISE
TRUSTEE OF THE SNF
—
2025-01-01
current
pecos_ownership
CARTER, ROBERT
TRUSTEE OF THE SNF
—
2014-10-01
current
pecos_ownership
CHANDLER, THOMAS
TRUSTEE OF THE SNF
—
2023-10-01
current
pecos_ownership
CHU, BENJAMIN
TRUSTEE OF THE SNF
—
2025-06-13
current
pecos_ownership
CONE, THOMAS
CORPORATE DIRECTOR
—
2025-01-01
current
pecos_ownership
COOPER, RAYMOND
OPERATIONAL/MANAGERIAL CONTROL
—
2019-05-13
current
pecos_ownership
COOPER, RAYMOND
ADP OF THE SNF
—
2025-12-11
current
pecos_ownership
CORNUE, CHRISTOPHER
TRUSTEE OF THE SNF
—
2022-05-16
current
pecos_ownership
DOUGLAS, MAE
CORPORATE DIRECTOR
—
2018-10-01
current
pecos_ownership
FORTNEY, CATHERINE
CORPORATE DIRECTOR
—
2024-12-01
current
pecos_ownership
FRENCH, DAVID
TRUSTEE OF THE SNF
—
2023-10-01
current
pecos_ownership
HAYES, WILLIAM
TRUSTEE OF THE SNF
—
2018-10-01
current
pecos_ownership
HOPPER, WILLIAM
ADP OF THE SNF
—
2025-12-11
current
pecos_ownership
HOPPER, WILLIAM
OPERATIONAL/MANAGERIAL CONTROL
—
2018-01-02
current
pecos_ownership
KITZMILLER, DAVID
TRUSTEE OF THE SNF
—
—
current
pecos_ownership
MCIVOR, WILLIAM
TRUSTEE OF THE SNF
—
2024-10-01
current
pecos_ownership
MCIVOR, WILLIAM
CORPORATE DIRECTOR
—
2018-10-01
current
pecos_ownership
MILLER, JOHN
TRUSTEE OF THE SNF
—
2011-01-31
current
pecos_ownership
NELMS, JASON
CORPORATE DIRECTOR
—
2022-10-24
current
pecos_ownership
SAMET, ARTHUR
CORPORATE DIRECTOR
—
2021-10-01
current
pecos_ownership
SHERRY, BERNARD
CORPORATE OFFICER
—
2025-06-01
current
pecos_ownership
STRINGER, ARTHUR
MANAGING CONTROL - GOVERNING BODY
—
2022-01-01
current
pecos_ownership
STUCKEY, THOMAS
CORPORATE DIRECTOR
—
2024-10-01
current
pecos_ownership
ANDREW BARROW
CORPORATE OFFICER
0%
2012-11-05
ended 2026-05-18
pecos_ownership
ARTHUR SAMET
CORPORATE DIRECTOR
—
2021-10-01
ended 2026-05-18
pecos_ownership
ARTHUR STRINGER
MANAGING CONTROL - GOVERNING BODY
—
2022-01-01
ended 2026-05-18
pecos_ownership
ASHLEY BRANDON
TRUSTEE OF THE SNF
—
2021-10-01
ended 2026-05-18
pecos_ownership
ASHLEY BRANDON
CORPORATE DIRECTOR
—
2022-10-01
ended 2026-05-18
pecos_ownership
BENJAMIN CHU
CORPORATE OFFICER
—
2025-06-13
ended 2026-05-18
pecos_ownership
BERNIE SHERRY
CORPORATE OFFICER
—
2025-06-01
ended 2026-05-18
pecos_ownership
CATHERINE FORTNEY
TRUSTEE OF THE SNF
—
2024-12-01
ended 2026-05-18
pecos_ownership
CHRISTOPHER CORNUE
CORPORATE DIRECTOR
—
2022-05-16
ended 2026-05-18
pecos_ownership
DAVID FRENCH
CORPORATE DIRECTOR
—
2023-10-01
ended 2026-05-18
pecos_ownership
DAVID KITZMILLER
CORPORATE OFFICER
—
—
ended 2026-05-18
pecos_ownership
ELISE CAREY
TRUSTEE OF THE SNF
—
2025-01-01
ended 2026-05-18
pecos_ownership
JASON NELMS
TRUSTEE OF THE SNF
—
2022-10-24
ended 2026-05-18
pecos_ownership
JOHN MILLER
CORPORATE OFFICER
—
2011-01-31
ended 2026-05-18
pecos_ownership
LENORA CAMPBELL
CORPORATE DIRECTOR
—
2018-10-01
ended 2026-05-18
pecos_ownership
MAE DOUGLAS
CORPORATE DIRECTOR
—
2018-10-01
ended 2026-05-18
pecos_ownership
RAYMOND COOPER
ADP OF THE SNF
—
2025-12-11
ended 2026-05-18
pecos_ownership
RAYMOND COOPER
OPERATIONAL/MANAGERIAL CONTROL
—
2019-05-13
ended 2026-05-18
pecos_ownership
ROBERT CARTER
CORPORATE OFFICER
—
2014-10-01
ended 2026-05-18
pecos_ownership
THOMAS CHANDLER
TRUSTEE OF THE SNF
—
2023-10-01
ended 2026-05-18
pecos_ownership
THOMAS CONE
CORPORATE DIRECTOR
—
2025-01-01
ended 2026-05-18
pecos_ownership
THOMAS STUCKEY
CORPORATE DIRECTOR
—
2024-10-01
ended 2026-05-18
pecos_ownership
VI-ANNE ANTRUM
CORPORATE DIRECTOR
—
2019-04-18
ended 2026-05-18
pecos_ownership
WILLIAM HAYES
CORPORATE DIRECTOR
—
2018-10-01
ended 2026-05-18
pecos_ownership
WILLIAM HOPPER
OPERATIONAL/MANAGERIAL CONTROL
—
2018-01-02
ended 2026-05-18
pecos_ownership
WILLIAM HOPPER
ADP OF THE SNF
—
2025-12-11
ended 2026-05-18
pecos_ownership
WILLIAM MCIVOR
CORPORATE DIRECTOR
—
2018-10-01
ended 2026-05-18
pecos_ownership
WILLIAM MCIVOR
TRUSTEE OF THE SNF
—
2024-10-01
ended 2026-05-18
pecos_ownership
YUN BOYLSTON
CORPORATE DIRECTOR
—
2018-10-01
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-09-30
$937,158
—
—
—
—
2
—
2023-09-30
$995,789
—
—
—
—
2
—
2022-09-30
$959,082
—
—
—
—
2
—
2021-09-30
$1,018,482
—
$1,018,482
—
—
2
—
2020-09-30
$932,018
—
$932,018
—
—
2
—
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
34
Geo
Kind
BR
Amount
As of
Source
county 37157
acs median gross
0
$632
2024-12-31
CENSUS_ACS5
county 37157
fmr
0
$717
2025-10-01
HUD_USER_FMR
county 37157
acs median gross
1
$545
2024-12-31
CENSUS_ACS5
county 37157
fmr
1
$793
2025-10-01
HUD_USER_FMR
county 37157
acs median gross
2
$809
2024-12-31
CENSUS_ACS5
county 37157
fmr
2
$1,040
2025-10-01
HUD_USER_FMR
county 37157
acs median gross
3
$950
2024-12-31
CENSUS_ACS5
county 37157
fmr
3
$1,286
2025-10-01
HUD_USER_FMR
county 37157
acs median gross
4
$1,022
2024-12-31
CENSUS_ACS5
county 37157
fmr
4
$1,463
2025-10-01
HUD_USER_FMR
county 37157
acs median gross
5
$1,403
2024-12-31
CENSUS_ACS5
county 37157
acs median gross
$810
2024-12-31
CENSUS_ACS5
county 37157
acs recent mover gross
$823
2024-12-31
CENSUS_ACS5
zcta 27320
acs median gross
0
$724
2024-12-31
CENSUS_ACS5
zcta 27320
acs median gross
1
$612
2024-12-31
CENSUS_ACS5
zcta 27320
acs median gross
2
$832
2024-12-31
CENSUS_ACS5
zcta 27320
acs median gross
3
$929
2024-12-31
CENSUS_ACS5
zcta 27320
acs median gross
$825
2024-12-31
CENSUS_ACS5
zcta 27320
acs recent mover gross
$842
2024-12-31
CENSUS_ACS5
zip 27320
payment standard 110
0
$902
2025-10-01
HUD_USER_SAFMR
zip 27320
payment standard 90
0
$738
2025-10-01
HUD_USER_SAFMR
zip 27320
safmr
0
$820
2025-10-01
HUD_USER_SAFMR
zip 27320
payment standard 110
1
$935
2025-10-01
HUD_USER_SAFMR
zip 27320
payment standard 90
1
$765
2025-10-01
HUD_USER_SAFMR
zip 27320
safmr
1
$850
2025-10-01
HUD_USER_SAFMR
zip 27320
payment standard 110
2
$1,177
2025-10-01
HUD_USER_SAFMR
zip 27320
payment standard 90
2
$963
2025-10-01
HUD_USER_SAFMR
zip 27320
safmr
2
$1,070
2025-10-01
HUD_USER_SAFMR
zip 27320
payment standard 110
3
$1,463
2025-10-01
HUD_USER_SAFMR
zip 27320
payment standard 90
3
$1,197
2025-10-01
HUD_USER_SAFMR
zip 27320
safmr
3
$1,330
2025-10-01
HUD_USER_SAFMR
zip 27320
payment standard 110
4
$1,661
2025-10-01
HUD_USER_SAFMR
zip 27320
payment standard 90
4
$1,359
2025-10-01
HUD_USER_SAFMR
zip 27320
safmr
4
$1,510
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.