570 NORTH ROCKY RIVER DRIVE, BEREA, OH 44017 · CCN 365811 · chain RRW LLC
Composite
84.3 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
100
Model
v1.2
Reads as: riskier than 84.3% 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
anomaly
Federal penalty spike
3.8x prior
this facility
2026-07-29
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
OH median
National median
National p25–p75
Total nurse
2.95
3.24
3.28
2.90–3.77
RN
0.39
0.38
0.39
0.25–0.58
Weekend total
2.84
3.11
3.11
—
Weekday total
3.00
3.29
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
67.2
2.95
0.39
0.88
1.69
2.84
0.0%
2025Q3
92
80.3
2.89
0.35
0.88
1.66
2.71
0.0%
2025Q2
91
86.5
2.90
0.31
0.82
1.77
2.79
0.0%
2025Q1
90
85.3
2.90
0.26
0.86
1.79
2.85
0.0%
2024Q4
92
87.9
2.73
0.12
0.88
1.73
2.59
0.0%
2024Q3
92
89.0
2.78
0.24
0.70
1.84
2.58
0.0%
2024Q2
91
91.1
2.92
0.39
0.75
1.78
2.60
0.0%
2024Q1
91
88.6
2.94
0.34
0.86
1.74
2.67
0.0%
2023Q4
92
89.6
2.86
0.28
0.82
1.77
2.73
0.0%
2023Q3
92
88.3
2.88
0.26
0.85
1.77
2.71
0.0%
2023Q2
91
90.0
2.90
0.42
0.87
1.60
2.61
4.2%
2023Q1
90
91.0
2.74
0.26
0.91
1.57
2.50
0.0%
2022Q4
92
89.3
2.72
0.21
0.93
1.58
2.59
1.3%
2022Q3
92
88.5
2.58
0.28
0.98
1.31
2.29
2.4%
2022Q2
91
92.0
2.37
0.33
0.93
1.10
2.09
16.7%
2022Q1
90
91.0
2.55
0.38
0.86
1.30
2.17
22.4%
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.
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
D
2025-09-20
2025-08-27
Health
F0569
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
D
2025-09-20
2025-08-27
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
J
2025-09-20
2025-08-27
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
2025-09-20
2025-08-27
Health
F0685
Assist a resident in gaining access to vision and hearing services.
D
2025-09-20
2025-08-27
Health
F0687
Provide appropriate foot care.
D
2025-09-20
2025-08-27
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2025-09-20
2025-08-27
Health
F0805
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
D
2025-09-20
2025-08-27
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-09-20
2025-08-27
Health
F0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
C
2025-09-20
2025-08-27
Health
F0843
Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.
C
2025-09-20
2025-08-27
Health
F0865
Have a plan that describes the process for conducting QAPI and QAA activities.
F
2025-09-20
2025-08-27
Health
F0868
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
F
2025-09-20
2025-08-27
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-09-20
2024-12-09
Health · complaint
F0558
Reasonably accommodate the needs and preferences of each resident.
E
2024-12-26
2024-12-09
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-12-26
2024-12-09
Health · complaint
F0760
Ensure that residents are free from significant medication errors.
D
2024-12-26
2024-12-09
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2024-12-26
2024-09-24
Health · complaint
F0759
Ensure medication error rates are not 5 percent or greater.
D
2024-10-01
2024-08-26
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-09-13
2024-08-26
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-09-13
2024-08-26
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2024-09-13
2024-08-26
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-09-13
2024-08-26
Health · complaint
F0880
Provide and implement an infection prevention and control program.
E
2024-09-13
2024-05-07
Health · complaint
F0805
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
K
2024-05-22
2023-09-05
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-09-29
2021-09-14
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
E
2021-10-06
2021-09-14
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.
D
2021-10-06
2021-09-14
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.
D
2021-10-06
2021-09-14
Health
F0661
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
D
2021-10-06
2021-09-14
Health
F0685
Assist a resident in gaining access to vision and hearing services.
D
2021-10-06
2021-09-14
Health
F0759
Ensure medication error rates are not 5 percent or greater.
E
2021-10-06
2021-09-14
Health
F0880
Provide and implement an infection prevention and control program.
E
2021-10-06
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
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
30
Owner
Role
Pct
From
Status
Source
SECOND OPTION OP CO LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2008-04-01
current
pecos_ownership
AFZAL, ENDIA
OPERATIONAL/MANAGERIAL CONTROL
—
2023-08-24
current
pecos_ownership
C R STOLTZ II LLC
ADP OF THE SNF
—
2008-04-01
current
pecos_ownership
C.R. STOLTZ IRREVOCABLE TRUST
ADP OF THE SNF
—
2008-04-01
current
pecos_ownership
DAMTEW, BELAI
OPERATIONAL/MANAGERIAL CONTROL
—
2018-11-10
current
pecos_ownership
DAMTEW, BELAI
ADP OF THE SNF
—
2025-05-14
current
pecos_ownership
GROVES, DONNA
OPERATIONAL/MANAGERIAL CONTROL
—
2023-04-14
current
pecos_ownership
HC REAL ESTATE HOLDINGS, LLC
ADP OF THE SNF
—
2008-04-01
current
pecos_ownership
I. ROSEDALE IRREVOCABLE TRUST
ADP OF THE SNF
—
2008-04-01
current
pecos_ownership
OMG RE HOLDINGS LLC
ADP OF THE SNF
—
2008-04-01
current
pecos_ownership
OPTION HOLDINGS II LLC
ADP OF THE SNF
—
2008-04-01
current
pecos_ownership
R.S. WILHEIM IRREVOCABLE TRUST
ADP OF THE SNF
—
2008-04-01
current
pecos_ownership
ROCKY RIVER MANAGEMENT CO LLC
ADP OF THE SNF
—
2025-04-15
current
pecos_ownership
ROCKY RIVER MANAGEMENT CO LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2008-04-01
current
pecos_ownership
ROMEO, DOMINIC
CORPORATE OFFICER
—
2023-04-01
current
pecos_ownership
RONALD S WILHEIM 2012 SPOUSAL TRUST
ADP OF THE SNF
—
2008-04-01
current
pecos_ownership
ROSEDALE FAMILY INVESTMENT COMPANY, INC
ADP OF THE SNF
—
2008-04-01
current
pecos_ownership
RRW, LLC
ADP OF THE SNF
—
2008-04-01
current
pecos_ownership
S.L. ROSEDALE IRREVOCABLE TRUST
ADP OF THE SNF
—
2008-04-01
current
pecos_ownership
STOLTZ, CHARLES
CORPORATE OFFICER
—
2008-04-01
current
pecos_ownership
WILHEIM FAMILY INVESTMENT COMPANY, INC.
ADP OF THE SNF
—
2008-04-01
current
pecos_ownership
WILHEIM, RONALD
CORPORATE OFFICER
—
2008-04-01
current
pecos_ownership
NWEST ASSET OWNERSHIP LLC
Director, officer, administrator or key person of related organization, or relative, has financial interest in provider
100%
2020-02-01
ended 2021-01-31
hcris_a_8_1
BELAI DAMTEW
ADP OF THE SNF
—
2025-05-14
ended 2026-05-18
pecos_ownership
BELAI DAMTEW
OPERATIONAL/MANAGERIAL CONTROL
—
2018-11-10
ended 2026-05-18
pecos_ownership
CHARLES STOLTZ
CORPORATE OFFICER
—
2008-04-01
ended 2026-05-18
pecos_ownership
DOMINIC ROMEO
OPERATIONAL/MANAGERIAL CONTROL
—
2023-04-01
ended 2026-05-18
pecos_ownership
DONNA GROVES
OPERATIONAL/MANAGERIAL CONTROL
—
2023-04-14
ended 2026-05-18
pecos_ownership
ENDIA AFZAL
OPERATIONAL/MANAGERIAL CONTROL
—
2023-08-24
ended 2026-05-18
pecos_ownership
RONALD WILHEIM
CORPORATE OFFICER
—
2008-04-01
ended 2026-05-18
pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Related-party costs
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2025-01-31
$1,519,780
$524,229
$396,026
$494,488
$105,037
0
—
2024-01-31
$1,393,195
$525,320
$300,581
$479,285
$88,009
0
—
2023-01-31
$1,348,356
$453,398
$348,992
$465,792
$80,174
0
—
2022-01-31
$1,382,261
$457,576
$362,868
$450,123
$111,694
0
—
2021-01-31
$937,976
—
$338,340
—
$103,881
8
propco
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
35
Geo
Kind
BR
Amount
As of
Source
county 39035
acs median gross
0
$792
2024-12-31
CENSUS_ACS5
county 39035
fmr
0
$933
2025-10-01
HUD_USER_FMR
county 39035
acs median gross
1
$859
2024-12-31
CENSUS_ACS5
county 39035
fmr
1
$1,058
2025-10-01
HUD_USER_FMR
county 39035
acs median gross
2
$1,106
2024-12-31
CENSUS_ACS5
county 39035
fmr
2
$1,279
2025-10-01
HUD_USER_FMR
county 39035
acs median gross
3
$1,290
2024-12-31
CENSUS_ACS5
county 39035
fmr
3
$1,646
2025-10-01
HUD_USER_FMR
county 39035
acs median gross
4
$1,442
2024-12-31
CENSUS_ACS5
county 39035
fmr
4
$1,760
2025-10-01
HUD_USER_FMR
county 39035
acs median gross
5
$1,548
2024-12-31
CENSUS_ACS5
county 39035
acs median gross
$1,060
2024-12-31
CENSUS_ACS5
county 39035
acs recent mover gross
$1,218
2024-12-31
CENSUS_ACS5
zcta 44017
acs median gross
0
$792
2024-12-31
CENSUS_ACS5
zcta 44017
acs median gross
1
$823
2024-12-31
CENSUS_ACS5
zcta 44017
acs median gross
2
$1,180
2024-12-31
CENSUS_ACS5
zcta 44017
acs median gross
3
$1,471
2024-12-31
CENSUS_ACS5
zcta 44017
acs median gross
4
$1,805
2024-12-31
CENSUS_ACS5
zcta 44017
acs median gross
$1,062
2024-12-31
CENSUS_ACS5
zcta 44017
acs recent mover gross
$1,258
2024-12-31
CENSUS_ACS5
zip 44017
payment standard 110
0
$1,023
2025-10-01
HUD_USER_SAFMR
zip 44017
payment standard 90
0
$837
2025-10-01
HUD_USER_SAFMR
zip 44017
safmr
0
$930
2025-10-01
HUD_USER_SAFMR
zip 44017
payment standard 110
1
$1,166
2025-10-01
HUD_USER_SAFMR
zip 44017
payment standard 90
1
$954
2025-10-01
HUD_USER_SAFMR
zip 44017
safmr
1
$1,060
2025-10-01
HUD_USER_SAFMR
zip 44017
payment standard 110
2
$1,408
2025-10-01
HUD_USER_SAFMR
zip 44017
payment standard 90
2
$1,152
2025-10-01
HUD_USER_SAFMR
zip 44017
safmr
2
$1,280
2025-10-01
HUD_USER_SAFMR
zip 44017
payment standard 110
3
$1,815
2025-10-01
HUD_USER_SAFMR
zip 44017
payment standard 90
3
$1,485
2025-10-01
HUD_USER_SAFMR
zip 44017
safmr
3
$1,650
2025-10-01
HUD_USER_SAFMR
zip 44017
payment standard 110
4
$1,936
2025-10-01
HUD_USER_SAFMR
zip 44017
payment standard 90
4
$1,584
2025-10-01
HUD_USER_SAFMR
zip 44017
safmr
4
$1,760
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.