Screener / 365195

MCNAUGHTEN POINTE NURSING AND REHAB

snfOH

1425 YORKLAND ROAD, COLUMBUS, OH 43232 · CCN 365195 · chain FOUNDATIONS HEALTH LLC

Composite

3.8 / 100 percentile

Peer group

snf n = 14,684

Evidence depth

deep

Certified beds

124

Model

v1.2

Reads as: riskier than 3.8% 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 model5 Components16 CHOW radar1 Distress radar1 Staffing16 Penalties0 Deficiencies35 Licensure0 Ownership14 Related party4 Transactions0 Comps12 Market rent35

Composite explanation

Component	Percentile	Raw	Weight	Weight share	Contribution	Counts
regulatory risk	46.1	35.0	0.30	0.2308	10.64	in index
chow risk	55.7	37.6	0.15	0.1154	6.43	in index
staffing risk	14.0	14.1	0.25	0.1923	2.69	in index
financial risk	8.9	18.1	0.30	0.2308	2.05	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.

Component scores and registry models

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	54.1	C	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	21.1	A	v0.6	default · in composite
financial risk	18.1	A	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	3.3	—	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	35.0	B	v0.3	default · in composite	Deficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk	14.1	A	v0.3	default · in composite	Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk	50.8	C	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	30.8	B	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	25.9	B	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	22.7	A	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	34.9	B	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	34.9	B	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	14.1	A	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	14.1	A	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)

3.3%

model v0.1 · computed 2026-07-29

Percentile among SNFs

79.6

100 = most likely to sell

Holdout AUC

0.874

evaluated before shipping, never refit

Driver	Value	Pull on odds
For-profit ownership	1.00	+0.69
Never sold on record	1.00	+0.62
Current owner tenure (years)	25.00	+0.57
Occupancy	0.88	-0.53
Chain size (log)	4.16	+0.48
No PBJ staffing report	0.00	+0.42
Total nurse staffing (HPRD)	4.14	-0.22
Ownership changes, last 5 years	0.00	+0.20

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
Chain size (log)	4.16	-1.22
For-profit ownership	1.00	-0.69
Deficiencies, last 12 months	4.00	+0.69
Occupancy	0.88	-0.56
No PBJ staffing report	0.00	+0.39
Total nurse staffing (HPRD)	4.14	-0.39
Fine amount, 12m (log)	0.00	+0.18
Staffing trend, last 4 quarters	0.41	+0.17

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

2025Q4 HPRD	This facility	OH median	National median	National p25–p75
Total nurse	4.14	3.24	3.28	2.90–3.77
RN	0.87	0.38	0.39	0.25–0.58
Weekend total	3.96	3.11	3.11	—
Weekday total	4.21	3.29	3.35	—

Quarter	Days	Avg census	Total HPRD	RN	LPN	CNA	Weekend	Contract %
2025Q4	92	109.2	4.14	0.87	0.64	2.63	3.96	1.2%
2025Q3	92	111.7	4.08	0.86	0.60	2.61	3.89	1.6%
2025Q2	91	117.6	3.93	0.82	0.63	2.49	3.73	1.7%
2025Q1	90	117.4	3.98	0.85	0.68	2.45	3.83	1.2%
2024Q4	92	121.4	3.73	0.70	0.70	2.33	3.58	1.3%
2024Q3	92	115.3	3.88	0.67	0.77	2.44	3.59	1.3%
2024Q2	91	103.8	4.02	0.67	0.89	2.46	3.81	1.0%
2024Q1	91	114.9	3.54	0.62	0.81	2.11	3.31	1.3%
2023Q4	92	114.4	3.48	0.64	0.84	2.00	3.21	1.3%
2023Q3	92	114.3	3.45	0.63	0.81	2.02	3.14	1.2%
2023Q2	91	106.1	3.67	0.57	0.97	2.13	3.38	1.4%
2023Q1	90	110.8	3.44	0.56	0.94	1.95	3.28	0.0%
2022Q4	92	111.7	3.32	0.46	1.02	1.84	3.15	0.0%
2022Q3	92	108.7	3.21	0.51	0.97	1.72	3.07	0.0%
2022Q2	91	108.1	3.29	0.56	0.96	1.77	3.06	0.0%
2022Q1	90	113.6	3.23	0.65	0.96	1.61	3.07	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

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

D × 24E × 8F × 1G × 2

deficiencies by survey year

Survey	Type	Tag	Deficiency	Scope	Corrected
2026-04-16	Health · complaint	F0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	2026-04-24
2025-09-11	Health	F0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D	2025-10-03
2025-09-11	Health	F0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	2025-10-03
2025-09-11	Health	F0881	Implement a program that monitors antibiotic use.	D	2025-10-03
2025-07-24	Health · complaint	F0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	2025-08-19
2025-04-07	Health · complaint	F0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	2025-04-22
2025-04-07	Health · complaint	F0880	Provide and implement an infection prevention and control program.	D	2025-04-22
2024-10-31	Health · complaint	F0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	2024-11-14
2024-03-15	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	2024-04-02
2024-03-15	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	2024-04-02
2024-03-15	Health	F0677	Provide care and assistance to perform activities of daily living for any resident who is unable.	D	2024-04-02
2024-03-15	Health	F0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	2024-04-02
2024-03-15	Health	F0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D	2024-04-02
2024-03-15	Health	F0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	2024-04-02
2024-03-15	Health	F0695	Provide safe and appropriate respiratory care for a resident when needed.	D	2024-04-02
2024-03-15	Health	F0697	Provide safe, appropriate pain management for a resident who requires such services.	G	2024-04-02
2024-03-15	Health	F0760	Ensure that residents are free from significant medication errors.	D	2024-04-02
2024-03-15	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	2024-04-02
2024-03-15	Health	F0806	Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.	E	2024-04-02
2024-03-15	Health	F0883	Develop and implement policies and procedures for flu and pneumonia vaccinations.	G	2024-04-02
2022-03-30	Health	F0561	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.	E	2022-04-20
2022-03-30	Health	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	2022-04-20
2022-03-30	Health	F0676	Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.	D	2022-04-20
2022-03-30	Health	F0677	Provide care and assistance to perform activities of daily living for any resident who is unable.	E	2022-04-20
2022-03-30	Health	F0679	Provide activities to meet all resident's needs.	E	2022-04-20
2022-03-30	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	2022-04-20
2022-03-30	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	2022-04-20
2022-03-30	Health	F0694	Provide for the safe, appropriate administration of IV fluids for a resident when needed.	D	2022-04-20
2022-03-30	Health	F0695	Provide safe and appropriate respiratory care for a resident when needed.	E	2022-04-20
2022-03-30	Health	F0740	Ensure each resident must receive and the facility must provide necessary behavioral health care and services.	D	2022-04-20
2022-03-30	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	2022-04-20
2022-03-30	Health	F0770	Provide timely, quality laboratory services/tests to meet the needs of residents.	D	2022-04-20
2022-03-30	Health	F0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	2022-04-20
2022-03-30	Health	F0880	Provide and implement an infection prevention and control program.	F	2022-04-20
2022-03-30	Health	F0881	Implement a program that monitors antibiotic use.	E	2022-04-20

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

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

Owner	Role	Pct	From	Status	Source
1425 YORKLAND ROAD LLC	Corporation, partnership or other organization has financial interest in provider	100%	2023-01-01	current	hcris_a_8_1
1425 YORKLAND ROAD LLC	Corporation, partnership or other organization has financial interest in provider	100%	2024-01-01	current	hcris_a_8_1
CHU, VINCENT	ADP OF THE SNF	—	2018-06-01	current	pecos_ownership
COLLERAN, BRIAN	CORPORATE DIRECTOR	—	2019-01-01	current	pecos_ownership
FATICA, MICHAEL	OPERATIONAL/MANAGERIAL CONTROL	—	2018-09-26	current	pecos_ownership
FOUNDATIONS HEALTH SOLUTIONS, LLC	OPERATIONAL/MANAGERIAL CONTROL	—	2019-01-01	current	pecos_ownership
FOUNDATIONS HEALTH SOLUTIONS, LLC	ADP OF THE SNF	—	2025-04-16	current	pecos_ownership
KRYSTOWSKI, JOHN	CORPORATE OFFICER	—	2018-06-01	current	pecos_ownership
COLLERAN FAM TR DATED 01-01-2018	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100%	2018-06-01	ended 2026-05-18	pecos_ownership
FOUNDATIONS HEALTH LLC	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	2018-06-01	ended 2026-05-18	pecos_ownership
BRIAN COLLERAN	CORPORATE DIRECTOR	—	2019-01-01	ended 2026-05-18	pecos_ownership
JOHN KRYSTOWSKI	CORPORATE OFFICER	—	2018-06-01	ended 2026-05-18	pecos_ownership
MICHAEL FATICA	ADP OF THE SNF	—	2018-09-26	ended 2026-05-18	pecos_ownership
VINCENT CHU	ADP OF THE SNF	—	2018-06-01	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

FY end	Total allowable	Rent	Home office	Therapy	Staffing	Counterparties	PropCo
2024-12-31	$1,080,771	—	$390,393	—	—	2	propco
2023-12-31	$1,117,930	—	$301,730	—	—	2	propco
2022-12-31	$1,154,065	—	—	—	—	1	—
2021-12-31	$980,487	—	—	—	—	1	—

Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.

Transactions

No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.

Comparable trades — OH snf

Close	Facility	Price	$/bed	Cap rate	Beds	Buyer
2024-12-31	SAPPHIRE REHABILITATION AND CARE CENTER	—	—	—	113	SAPPHIRE OPCO LLC
2024-12-31	MAJESTIC CARE OF POINT PLACE	—	—	—	82	POINT PLACE OH HEALTH & REHAB OPCO LLC
2024-12-31	MAJESTIC CARE OF NEW LEXINGTON	—	—	—	82	NEW LEXINGTON OH HEALTH & REHAB OPCO LLC
2024-12-31	Atrium Nursing and Rehabilitation	—	—	—	99	ATRIUM OPCO LLC
2024-12-31	Inniswood Health and Rehabilitation	—	—	—	99	FHS INNISWOOD, INC.
2024-12-31	COMMUNITY SKILLED HEALTHCARE	—	—	—	110	CS OPCO LLC
2024-12-31	MAJESTIC CARE OF PERRYSBURG	—	—	—	75	PERRYSBURG OH HEALTH & REHAB OPCO LLC
2024-12-31	GRAFTON OAKS NURSING CENTER	—	—	—	99	GO OPCO LLC
2024-12-31	MAJESTIC CARE OF KENT	—	—	—	74	KENT OH HEALTH & REHAB OPCO LLC
2024-12-30	Chardon Woods	—	—	—	161	CHARDON WOODS OF JOURNEY LLC
2024-12-16	The Pavilion at Canal Fulton for Nursing and Rehab	—	—	—	60	PAVILION AT CANAL FULTON LLC
2024-12-02	BENNINGTON GLEN NURSING & REHABILITATION CENTER	—	—	—	79	FHS BENNINGTON INC

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

Geo	Kind	BR	Amount	As of	Source
county 39049	acs median gross	0	$1,112	2024-12-31	CENSUS_ACS5
county 39049	fmr	0	$1,111	2025-10-01	HUD_USER_FMR
county 39049	acs median gross	1	$1,119	2024-12-31	CENSUS_ACS5
county 39049	fmr	1	$1,194	2025-10-01	HUD_USER_FMR
county 39049	acs median gross	2	$1,339	2024-12-31	CENSUS_ACS5
county 39049	fmr	2	$1,430	2025-10-01	HUD_USER_FMR
county 39049	acs median gross	3	$1,469	2024-12-31	CENSUS_ACS5
county 39049	fmr	3	$1,715	2025-10-01	HUD_USER_FMR
county 39049	acs median gross	4	$1,711	2024-12-31	CENSUS_ACS5
county 39049	fmr	4	$1,927	2025-10-01	HUD_USER_FMR
county 39049	acs median gross	5	$1,617	2024-12-31	CENSUS_ACS5
county 39049	acs median gross		$1,302	2024-12-31	CENSUS_ACS5
county 39049	acs recent mover gross		$1,444	2024-12-31	CENSUS_ACS5
zcta 43232	acs median gross	0	$801	2024-12-31	CENSUS_ACS5
zcta 43232	acs median gross	1	$906	2024-12-31	CENSUS_ACS5
zcta 43232	acs median gross	2	$1,130	2024-12-31	CENSUS_ACS5
zcta 43232	acs median gross	3	$1,434	2024-12-31	CENSUS_ACS5
zcta 43232	acs median gross	4	$1,394	2024-12-31	CENSUS_ACS5
zcta 43232	acs median gross		$1,119	2024-12-31	CENSUS_ACS5
zcta 43232	acs recent mover gross		$1,364	2024-12-31	CENSUS_ACS5
zip 43232	payment standard 110	0	$1,067	2025-10-01	HUD_USER_SAFMR
zip 43232	payment standard 90	0	$873	2025-10-01	HUD_USER_SAFMR
zip 43232	safmr	0	$970	2025-10-01	HUD_USER_SAFMR
zip 43232	payment standard 110	1	$1,144	2025-10-01	HUD_USER_SAFMR
zip 43232	payment standard 90	1	$936	2025-10-01	HUD_USER_SAFMR
zip 43232	safmr	1	$1,040	2025-10-01	HUD_USER_SAFMR
zip 43232	payment standard 110	2	$1,375	2025-10-01	HUD_USER_SAFMR
zip 43232	payment standard 90	2	$1,125	2025-10-01	HUD_USER_SAFMR
zip 43232	safmr	2	$1,250	2025-10-01	HUD_USER_SAFMR
zip 43232	payment standard 110	3	$1,650	2025-10-01	HUD_USER_SAFMR
zip 43232	payment standard 90	3	$1,350	2025-10-01	HUD_USER_SAFMR
zip 43232	safmr	3	$1,500	2025-10-01	HUD_USER_SAFMR
zip 43232	payment standard 110	4	$1,848	2025-10-01	HUD_USER_SAFMR
zip 43232	payment standard 90	4	$1,512	2025-10-01	HUD_USER_SAFMR
zip 43232	safmr	4	$1,680	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.