Composite
83.9 / 100 percentile
Screener / 495327
C
FOREST HILL HEALTH & REHABILITATION
snfVA
4403 FOREST HILL AVENUE, RICHMOND, VA 23225 · CCN 495327 · chain SAESSY IRREVOCABLE TRUST
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
174
Model
v1.2
Reads as: riskier than 83.9% 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 radar1Staffing16Penalties1Deficiencies95Licensure0Ownership9Related party6Transactions1Comps12Market rent35
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 92.9 | 90.6 | 0.30 | 0.2308 | 21.44 | in index |
| financial risk | 77.6 | 65.0 | 0.30 | 0.2308 | 17.91 | in index |
| staffing risk | 85.4 | 85.4 | 0.25 | 0.1923 | 16.42 | in index |
| chow risk | 59.5 | 58.0 | 0.15 | 0.1154 | 6.87 | in index |
| billing conduct | 0.0 | 0.0 | 0.30 | 0.2308 | 0.00 | 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 fleet enforcement cluster | 60% fined | VA 6 SNF OPERATIONS HOLDINGS LLC | 5 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 | 0.0 | A | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 25.0 | B | 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 | 91.1 | F | v0.6 | default · in composite | |
| financial risk | 65.0 | D | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.1 | — | 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 | 90.6 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 85.4 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 96.8 | 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 | 76.8 | 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 | 63.1 | 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 | 66.0 | D | 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 | 90.5 | 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 | 90.5 | 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 | 85.4 | 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 | 85.4 | 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
12.1
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 3.66 | -1.49 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 3.85 | +0.41 | |
| Deficiencies, last 12 months | 0.00 | -0.17 | |
| Occupancy | 0.75 | -0.15 |
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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
41.8
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 0.00 | +1.43 | |
| Chain size (log) | 3.85 | -1.04 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 3.66 | -0.24 | |
| Ownership changes, last 5 years | 1.00 | +0.23 | |
| Total nurse staffing (HPRD) | 2.68 | +0.22 |
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 | 2.68 | 3.13 | 3.28 | 2.90–3.77 |
| RN | 0.50 | 0.30 | 0.39 | 0.25–0.58 |
| Weekend total | 2.60 | 2.96 | 3.11 | — |
| Weekday total | 2.71 | 3.20 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 130.2 | 2.68 | 0.50 | 0.48 | 1.71 | 2.60 | 11.4% |
| 2025Q3 | 92 | 129.9 | 2.59 | 0.45 | 0.50 | 1.64 | 2.58 | 15.3% |
| 2025Q2 | 91 | 127.9 | 2.80 | 0.49 | 0.62 | 1.69 | 2.72 | 26.1% |
| 2025Q1 | 90 | 132.4 | 3.14 | 0.43 | 0.73 | 1.97 | 3.14 | 35.5% |
| 2024Q4 | 92 | 141.1 | 2.73 | 0.43 | 0.71 | 1.59 | 2.72 | 34.4% |
| 2024Q3 | 92 | 139.0 | 2.71 | 0.29 | 0.87 | 1.54 | 2.62 | 25.7% |
| 2024Q2 | 91 | 136.7 | 2.72 | 0.36 | 0.86 | 1.50 | 2.57 | 47.3% |
| 2024Q1 | 91 | 133.2 | 2.63 | 0.26 | 0.93 | 1.45 | 2.39 | 38.0% |
| 2023Q4 | 92 | 130.5 | 2.59 | 0.10 | 1.01 | 1.48 | 2.44 | 48.0% |
| 2023Q3 | 92 | 130.4 | 2.49 | 0.06 | 0.95 | 1.48 | 2.26 | 59.9% |
| 2023Q2 | 91 | 131.4 | 2.67 | 0.14 | 0.97 | 1.56 | 2.42 | 53.1% |
| 2023Q1 | 90 | 129.7 | 2.01 | 0.14 | 0.54 | 1.33 | 1.71 | 21.2% |
| 2022Q4 | 92 | 124.7 | 2.07 | 0.22 | 0.67 | 1.18 | 1.89 | 8.7% |
| 2022Q3 | 92 | 136.6 | 1.80 | 0.17 | 0.69 | 0.93 | 1.67 | 3.4% |
| 2022Q2 | 91 | 139.2 | 1.74 | 0.15 | 0.74 | 0.84 | 1.67 | 0.0% |
| 2022Q1 | 90 | 136.4 | 1.85 | 0.15 | 0.81 | 0.90 | 1.79 | 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
1| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-02-05 | Fine | $80,132 | CMS provider data |
Total fines on record: $80,132
Deficiencies
95D × 61E × 24F × 7G × 1K × 2
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-02-05 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-05-26 |
| 2025-02-05 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2025-03-20 |
| 2025-02-05 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | 2025-05-26 |
| 2025-02-05 | Health · complaint | F0567 | Honor the resident's right to manage his or her financial affairs. | D | 2025-05-26 |
| 2025-02-05 | Health · complaint | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | 2025-03-20 |
| 2025-02-05 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2025-03-20 |
| 2025-02-05 | Health | F0583 | Keep residents' personal and medical records private and confidential. | D | 2025-03-20 |
| 2025-02-05 | 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. | F | 2025-03-20 |
| 2025-02-05 | Health · complaint | F0586 | Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials. | D | 2025-03-20 |
| 2025-02-05 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-03-20 |
| 2025-02-05 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | E | 2025-03-20 |
| 2025-02-05 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2025-03-20 |
| 2025-02-05 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-03-20 |
| 2025-02-05 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-03-20 |
| 2025-02-05 | 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 | 2025-03-20 |
| 2025-02-05 | Health · complaint | F0641 | Ensure each resident receives an accurate assessment. | D | 2025-03-20 |
| 2025-02-05 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2025-03-20 |
| 2025-02-05 | 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. | E | 2025-03-20 |
| 2025-02-05 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-05-26 |
| 2025-02-05 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-03-20 |
| 2025-02-05 | Health | F0685 | Assist a resident in gaining access to vision and hearing services. | D | 2025-05-26 |
| 2025-02-05 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-03-20 |
| 2025-02-05 | Health | F0687 | Provide appropriate foot care. | D | 2025-05-26 |
| 2025-02-05 | 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. | E | 2025-03-20 |
| 2025-02-05 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | 2025-03-20 |
| 2025-02-05 | 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 | 2025-05-26 |
| 2025-02-05 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-03-20 |
| 2025-02-05 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-03-20 |
| 2025-02-05 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2025-05-26 |
| 2025-02-05 | Health | F0791 | Provide or obtain dental services for each resident. | E | 2025-03-20 |
| 2025-02-05 | 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. | D | 2025-03-20 |
| 2025-02-05 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | 2025-05-26 |
| 2025-02-05 | Health · complaint | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | K | 2025-03-20 |
| 2025-02-05 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-05-26 |
| 2025-02-05 | Health · complaint | F0914 | Provide bedrooms that don't allow residents to see each other when privacy is needed. | D | 2025-03-20 |
| 2025-02-05 | Health · complaint | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | 2025-03-20 |
| 2025-02-05 | Health · complaint | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | 2025-03-20 |
| 2024-03-28 | Health · complaint | F0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | 2024-05-10 |
| 2024-03-28 | Health · complaint | F0563 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | D | 2024-05-10 |
| 2024-03-28 | Health · complaint | F0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D | 2024-05-10 |
| 2024-03-28 | 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. | D | 2024-05-10 |
| 2024-03-28 | Health · complaint | F0624 | Prepare residents for a safe transfer or discharge from the nursing home. | D | 2024-05-10 |
| 2024-03-28 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-05-10 |
| 2024-03-28 | 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 | 2024-05-10 |
| 2024-03-28 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2024-05-10 |
| 2024-03-28 | Health · complaint | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | 2024-05-10 |
| 2024-03-28 | Health · complaint | F0675 | Honor each resident's preferences, choices, values and beliefs. | D | 2024-05-10 |
| 2024-03-28 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-05-10 |
| 2024-03-28 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-05-10 |
| 2024-03-28 | Health · complaint | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2024-05-10 |
| 2024-03-28 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | 2024-05-10 |
| 2024-03-28 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-05-10 |
| 2024-03-28 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2024-05-10 |
| 2022-07-14 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2022-08-25 |
| 2022-07-14 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2022-08-25 |
| 2022-07-14 | Health | F0563 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | D | 2022-08-25 |
| 2022-07-14 | 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 | 2022-08-25 |
| 2022-07-14 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2022-08-25 |
| 2022-07-14 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2022-08-25 |
| 2022-07-14 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2022-08-25 |
| 2022-07-14 | Health | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | 2022-08-25 |
| 2022-07-14 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2022-08-25 |
| 2022-07-14 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2022-08-25 |
| 2022-07-14 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2022-08-25 |
| 2022-07-14 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2022-08-25 |
| 2022-07-14 | 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 | 2022-08-25 |
| 2022-07-14 | Health | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | E | 2022-08-25 |
| 2022-07-14 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | E | 2022-08-25 |
| 2022-07-14 | Health | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | 2022-08-25 |
| 2022-07-14 | Health | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | 2022-08-25 |
| 2022-07-14 | Health | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | 2022-08-25 |
| 2022-07-14 | 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. | D | 2022-08-25 |
| 2022-07-14 | Health | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | 2022-08-25 |
| 2022-07-14 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2022-08-25 |
| 2022-07-14 | Health | F0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | F | 2022-08-25 |
| 2022-07-14 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2022-08-25 |
| 2022-07-14 | Health | F0881 | Implement a program that monitors antibiotic use. | E | 2022-08-25 |
| 2022-07-14 | Health | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | 2022-08-25 |
| 2022-07-14 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2022-08-25 |
| 2022-07-14 | Health | F0885 | Report COVID19 data to residents and families. | F | 2022-08-25 |
| 2022-07-14 | Health | F0886 | Perform COVID19 testing on residents and staff. | E | 2022-08-25 |
| 2022-07-14 | Health | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | 2022-08-25 |
| 2022-07-14 | Health | F0888 | Ensure staff are vaccinated for COVID-19 | E | 2022-08-25 |
| 2022-07-14 | Health | F0908 | Keep all essential equipment working safely. | D | 2022-08-25 |
| 2022-07-14 | Health | F0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | D | 2022-08-25 |
| 2022-07-14 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2022-08-25 |
| 2022-07-14 | Health | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E | 2022-08-25 |
| 2021-04-08 | 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 | 2021-05-04 |
| 2021-04-08 | Health | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2021-05-04 |
| 2021-04-08 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | 2021-05-04 |
| 2021-04-08 | 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 | 2021-05-04 |
| 2021-04-08 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2021-05-04 |
| 2021-04-08 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2021-05-04 |
| 2021-04-08 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2021-05-04 |
| 2021-04-08 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2021-05-04 |
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
9| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| VA 6 SNF OPERATIONS HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-12-01 | current | pecos_ownership |
| FOREST HILL AVE SNF REAL ESTATE LLC | Individual has financial interest in both related organization and provider | — | 2024-02-01 | current | hcris_a_8_1 |
| FOREST HILL AVE SNF REAL ESTATE LLC | Individual has financial interest in both related organization and provider | — | 2023-02-02 | current | hcris_a_8_1 |
| IDELS, SHIMON | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-12-01 | current | pecos_ownership |
| SABRINA 1818 HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 49% | 2022-12-01 | ended 2026-05-18 | pecos_ownership |
| SAESSY IRREVOCABLE TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 46% | 2022-12-01 | ended 2026-05-18 | pecos_ownership |
| TATIRIQ IRREVOCABLE TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 46% | 2022-12-01 | ended 2026-05-18 | pecos_ownership |
| FOREST HILL AVE SNF REAL ESTATE LLC | Individual has financial interest in both related organization and provider | — | 2022-12-01 | ended 2023-02-01 | hcris_a_8_1 |
| SHIMON IDELS | CORPORATE OFFICER | — | 2022-12-01 | 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 |
|---|---|---|---|---|
| 2022-12-01 | — | WESTOVER HILLS SNF OPERATIONS LLC | ENVOY OF RICHMOND, 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 51760 | acs median gross | 0 | $1,215 | 2024-12-31 | CENSUS_ACS5 |
| county 51760 | fmr | 0 | $1,442 | 2025-10-01 | HUD_USER_FMR |
| county 51760 | acs median gross | 1 | $1,266 | 2024-12-31 | CENSUS_ACS5 |
| county 51760 | fmr | 1 | $1,507 | 2025-10-01 | HUD_USER_FMR |
| county 51760 | acs median gross | 2 | $1,445 | 2024-12-31 | CENSUS_ACS5 |
| county 51760 | fmr | 2 | $1,655 | 2025-10-01 | HUD_USER_FMR |
| county 51760 | acs median gross | 3 | $1,508 | 2024-12-31 | CENSUS_ACS5 |
| county 51760 | fmr | 3 | $2,072 | 2025-10-01 | HUD_USER_FMR |
| county 51760 | acs median gross | 4 | $1,827 | 2024-12-31 | CENSUS_ACS5 |
| county 51760 | fmr | 4 | $2,553 | 2025-10-01 | HUD_USER_FMR |
| county 51760 | acs median gross | 5 | $2,256 | 2024-12-31 | CENSUS_ACS5 |
| county 51760 | acs median gross | $1,372 | 2024-12-31 | CENSUS_ACS5 | |
| county 51760 | acs recent mover gross | $1,562 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 23225 | acs median gross | 0 | $1,332 | 2024-12-31 | CENSUS_ACS5 |
| zcta 23225 | acs median gross | 1 | $1,193 | 2024-12-31 | CENSUS_ACS5 |
| zcta 23225 | acs median gross | 2 | $1,407 | 2024-12-31 | CENSUS_ACS5 |
| zcta 23225 | acs median gross | 3 | $1,661 | 2024-12-31 | CENSUS_ACS5 |
| zcta 23225 | acs median gross | 4 | $2,223 | 2024-12-31 | CENSUS_ACS5 |
| zcta 23225 | acs median gross | $1,372 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 23225 | acs recent mover gross | $1,629 | 2024-12-31 | CENSUS_ACS5 | |
| zip 23225 | payment standard 110 | 0 | $1,584 | 2025-10-01 | HUD_USER_SAFMR |
| zip 23225 | payment standard 90 | 0 | $1,296 | 2025-10-01 | HUD_USER_SAFMR |
| zip 23225 | safmr | 0 | $1,440 | 2025-10-01 | HUD_USER_SAFMR |
| zip 23225 | payment standard 110 | 1 | $1,650 | 2025-10-01 | HUD_USER_SAFMR |
| zip 23225 | payment standard 90 | 1 | $1,350 | 2025-10-01 | HUD_USER_SAFMR |
| zip 23225 | safmr | 1 | $1,500 | 2025-10-01 | HUD_USER_SAFMR |
| zip 23225 | payment standard 110 | 2 | $1,815 | 2025-10-01 | HUD_USER_SAFMR |
| zip 23225 | payment standard 90 | 2 | $1,485 | 2025-10-01 | HUD_USER_SAFMR |
| zip 23225 | safmr | 2 | $1,650 | 2025-10-01 | HUD_USER_SAFMR |
| zip 23225 | payment standard 110 | 3 | $2,277 | 2025-10-01 | HUD_USER_SAFMR |
| zip 23225 | payment standard 90 | 3 | $1,863 | 2025-10-01 | HUD_USER_SAFMR |
| zip 23225 | safmr | 3 | $2,070 | 2025-10-01 | HUD_USER_SAFMR |
| zip 23225 | payment standard 110 | 4 | $2,805 | 2025-10-01 | HUD_USER_SAFMR |
| zip 23225 | payment standard 90 | 4 | $2,295 | 2025-10-01 | HUD_USER_SAFMR |
| zip 23225 | safmr | 4 | $2,550 | 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.