700 RANDOLPH STREET, RADFORD, VA 24141 · CCN 495355 · chain DJ PETRINE LLC
Composite
63.4 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
90
Model
v1.2
Reads as: riskier than 63.4% 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.
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
VA median
National median
National p25–p75
Total nurse
2.88
3.13
3.28
2.90–3.77
RN
0.11
0.30
0.39
0.25–0.58
Weekend total
2.82
2.96
3.11
—
Weekday total
2.90
3.20
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
86.8
2.88
0.11
0.98
1.79
2.82
0.0%
2025Q3
92
86.7
3.14
0.08
1.00
2.07
3.00
0.0%
2025Q2
91
88.4
3.11
0.11
0.90
2.10
2.95
0.0%
2025Q1
90
84.9
3.06
0.11
0.98
1.96
2.95
0.0%
2024Q4
92
86.5
2.96
0.10
0.97
1.89
2.79
0.5%
2024Q3
92
87.1
3.07
0.16
0.98
1.93
2.81
9.0%
2024Q2
91
81.9
2.97
0.23
0.95
1.80
2.83
12.0%
2024Q1
91
85.3
2.71
0.26
0.84
1.62
2.64
5.2%
2023Q4
92
80.2
2.88
0.28
0.85
1.75
2.85
14.1%
2023Q3
92
83.9
2.83
0.16
0.91
1.76
2.71
9.9%
2023Q2
91
79.8
2.91
0.14
0.98
1.79
2.85
5.3%
2023Q1
90
81.3
2.73
0.09
0.96
1.68
2.65
10.4%
2022Q4
92
77.4
2.51
0.08
0.98
1.45
2.37
8.7%
2022Q3
92
83.5
2.17
0.08
0.87
1.22
2.06
8.6%
2022Q2
91
85.3
2.53
0.08
1.05
1.40
2.41
17.2%
2022Q1
90
81.2
2.35
0.08
0.93
1.34
2.19
17.2%
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
27
D × 25E × 1G × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-02-06
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2025-03-18
2025-02-06
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2025-03-18
2025-02-06
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
2025-03-18
2025-02-06
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-03-18
2025-02-06
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2025-03-18
2025-02-06
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2025-03-18
2025-02-06
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-03-18
2025-02-06
Health
F0685
Assist a resident in gaining access to vision and hearing services.
D
2025-03-18
2025-02-06
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2025-03-18
2025-02-06
Health
F0693
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
2025-03-18
2025-02-06
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2025-03-18
2025-02-06
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2025-03-18
2025-02-06
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2025-03-18
2025-02-06
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
2025-03-18
2025-02-06
Health
F0770
Provide timely, quality laboratory services/tests to meet the needs of residents.
D
2025-03-18
2025-02-06
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
E
2025-03-18
2025-02-06
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-03-18
2022-01-13
Health
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2022-02-18
2022-01-13
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2022-02-18
2022-01-13
Health
F0773
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
D
2022-02-18
2019-08-08
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
2019-09-24
2019-08-08
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2019-08-05
2019-08-08
Health
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
2019-09-24
2019-08-08
Health
F0700
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
D
2019-09-24
2019-08-08
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2019-09-24
2019-08-08
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
2019-09-24
2019-08-08
Health
F0880
Provide and implement an infection prevention and control program.
D
2019-09-24
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
35
Owner
Role
Pct
From
Status
Source
ALESANTRINO, JOE
ADP OF THE SNF
—
2019-06-01
current
pecos_ownership
ASBURY, BRITTNEY
ADP OF THE SNF
—
2022-12-01
current
pecos_ownership
BDSHEFFER LLC
DIRECT OWNERSHIP INTEREST
—
2002-01-14
current
pecos_ownership
BDSHEFFER LLC
ADP OF THE SNF
—
2003-03-14
current
pecos_ownership
BROCHERO, ALFONSO
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-12-03
current
pecos_ownership
COMMONWEALTH CARE OF ROANOKE INC
OPERATIONAL/MANAGERIAL CONTROL
—
2007-06-14
current
pecos_ownership
COMMONWEALTH CARE OF ROANOKE INC
ADP OF THE SNF
—
2025-11-24
current
pecos_ownership
DJ PETRINE LLC
DIRECT OWNERSHIP INTEREST
—
2001-08-16
current
pecos_ownership
GOODALL, LURY
DIRECT OWNERSHIP INTEREST
—
2001-09-21
current
pecos_ownership
HUFFMAN, CHRISTI
ADP OF THE SNF
—
2020-01-01
current
pecos_ownership
MARQUEZ, GLADYS
OPERATIONAL/MANAGERIAL CONTROL
—
2017-06-01
current
pecos_ownership
MCKERNAN, TIMOTHY
ADP OF THE SNF
—
2025-12-03
current
pecos_ownership
PETRINE, DEBORAH
CORPORATE OFFICER
—
2001-09-21
current
pecos_ownership
PETRINE, JAMES
DIRECT OWNERSHIP INTEREST
—
2001-08-16
current
pecos_ownership
QUALITY CARE REHAB INC
ADP OF THE SNF
—
2024-10-01
current
pecos_ownership
REHNBORG, CHARLES
OPERATIONAL/MANAGERIAL CONTROL
—
2010-08-01
current
pecos_ownership
SHEFFER, BRADY
DIRECT OWNERSHIP INTEREST
—
2001-08-16
current
pecos_ownership
STALLARD, PATRICIA
DIRECT OWNERSHIP INTEREST
—
2001-08-16
current
pecos_ownership
TUCKER, DAVID
CORPORATE OFFICER
—
2006-07-01
current
pecos_ownership
DJ PETRINE LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
40%
2002-01-14
ended 2026-05-18
pecos_ownership
BRADY SHEFFER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
20%
2001-09-21
ended 2026-05-18
pecos_ownership
LURY GOODALL
5% OR GREATER DIRECT OWNERSHIP INTEREST
20%
2001-09-21
ended 2026-05-18
pecos_ownership
PATRICIA STALLARD
5% OR GREATER DIRECT OWNERSHIP INTEREST
20%
2001-09-21
ended 2026-05-18
pecos_ownership
PATRICIA STALLARD
DIRECT OWNERSHIP INTEREST
20%
2001-08-16
ended 2026-05-18
pecos_ownership
DEBORAH PETRINE
5% OR GREATER INDIRECT OWNERSHIP INTEREST
18%
2001-09-21
ended 2026-05-18
pecos_ownership
JAMES PETRINE
DIRECT OWNERSHIP INTEREST
18%
2001-08-16
ended 2026-05-18
pecos_ownership
JAMES PETRINE
5% OR GREATER INDIRECT OWNERSHIP INTEREST
18%
2001-09-21
ended 2026-05-18
pecos_ownership
BRADY SHEFFER
DIRECT OWNERSHIP INTEREST
16%
2001-08-16
ended 2026-05-18
pecos_ownership
DAVID TUCKER
CORPORATE OFFICER
0%
2006-07-01
ended 2026-05-18
pecos_ownership
JOE ALESANTRINO
CORPORATE OFFICER
0%
2019-06-01
ended 2026-05-18
pecos_ownership
BRITTNEY ASBURY
OPERATIONAL/MANAGERIAL CONTROL
—
2022-12-01
ended 2026-05-18
pecos_ownership
CHARLES REHNBORG
OPERATIONAL/MANAGERIAL CONTROL
—
2010-08-01
ended 2026-05-18
pecos_ownership
CHRISTI HUFFMAN
ADP OF THE SNF
—
2020-01-01
ended 2026-05-18
pecos_ownership
GLADYS MARQUEZ
OPERATIONAL/MANAGERIAL CONTROL
—
2017-06-01
ended 2026-05-18
pecos_ownership
TIMOTHY MCKERNAN
ADP OF THE SNF
—
2025-12-03
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
2024-12-31
$646,587
—
$646,587
—
—
2
—
2023-12-31
$593,717
—
$593,717
—
—
2
—
2022-12-31
$527,425
—
$527,425
—
—
2
—
2021-12-31
$501,528
—
$501,528
—
—
2
—
2020-12-31
$495,539
—
$495,539
—
—
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 51750
fmr
0
$910
2025-10-01
HUD_USER_FMR
county 51750
acs median gross
1
$687
2024-12-31
CENSUS_ACS5
county 51750
fmr
1
$993
2025-10-01
HUD_USER_FMR
county 51750
acs median gross
2
$1,045
2024-12-31
CENSUS_ACS5
county 51750
fmr
2
$1,271
2025-10-01
HUD_USER_FMR
county 51750
acs median gross
3
$1,258
2024-12-31
CENSUS_ACS5
county 51750
fmr
3
$1,706
2025-10-01
HUD_USER_FMR
county 51750
acs median gross
4
$1,344
2024-12-31
CENSUS_ACS5
county 51750
fmr
4
$2,132
2025-10-01
HUD_USER_FMR
county 51750
acs median gross
5
$760
2024-12-31
CENSUS_ACS5
county 51750
acs median gross
$1,033
2024-12-31
CENSUS_ACS5
county 51750
acs recent mover gross
$922
2024-12-31
CENSUS_ACS5
zcta 24141
acs median gross
1
$691
2024-12-31
CENSUS_ACS5
zcta 24141
acs median gross
2
$1,024
2024-12-31
CENSUS_ACS5
zcta 24141
acs median gross
3
$1,249
2024-12-31
CENSUS_ACS5
zcta 24141
acs median gross
4
$1,602
2024-12-31
CENSUS_ACS5
zcta 24141
acs median gross
5
$760
2024-12-31
CENSUS_ACS5
zcta 24141
acs median gross
$1,069
2024-12-31
CENSUS_ACS5
zcta 24141
acs recent mover gross
$935
2024-12-31
CENSUS_ACS5
zip 24141
payment standard 110
0
$924
2025-10-01
HUD_USER_SAFMR
zip 24141
payment standard 90
0
$756
2025-10-01
HUD_USER_SAFMR
zip 24141
safmr
0
$840
2025-10-01
HUD_USER_SAFMR
zip 24141
payment standard 110
1
$979
2025-10-01
HUD_USER_SAFMR
zip 24141
payment standard 90
1
$801
2025-10-01
HUD_USER_SAFMR
zip 24141
safmr
1
$890
2025-10-01
HUD_USER_SAFMR
zip 24141
payment standard 110
2
$1,221
2025-10-01
HUD_USER_SAFMR
zip 24141
payment standard 90
2
$999
2025-10-01
HUD_USER_SAFMR
zip 24141
safmr
2
$1,110
2025-10-01
HUD_USER_SAFMR
zip 24141
payment standard 110
3
$1,639
2025-10-01
HUD_USER_SAFMR
zip 24141
payment standard 90
3
$1,341
2025-10-01
HUD_USER_SAFMR
zip 24141
safmr
3
$1,490
2025-10-01
HUD_USER_SAFMR
zip 24141
payment standard 110
4
$2,057
2025-10-01
HUD_USER_SAFMR
zip 24141
payment standard 90
4
$1,683
2025-10-01
HUD_USER_SAFMR
zip 24141
safmr
4
$1,870
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.