Composite
15.1 / 100 percentile
Screener / 495264
A
BAYSIDE OF POQUOSON HEALTH AND REHAB
snfVA
1 VANTAGE DRIVE, POQUOSON, VA 23662 · CCN 495264 · chain TRIO HEALTHCARE LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
60
Model
v1.2
Reads as: riskier than 15.1% 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 radar1Staffing16Penalties0Deficiencies70Licensure0Ownership10Related party5Transactions1Comps12Market rent28
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| staffing risk | 50.5 | 50.5 | 0.25 | 0.1923 | 9.71 | in index |
| regulatory risk | 41.6 | 30.5 | 0.30 | 0.2308 | 9.60 | in index |
| financial risk | 29.2 | 33.3 | 0.30 | 0.2308 | 6.74 | in index |
| chow risk | 39.5 | 37.9 | 0.15 | 0.1154 | 4.56 | in index |
| billing conduct | 11.3 | 10.0 | 0.30 | 0.2308 | 2.61 | 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 spans multiple chains | 7 chains | RUBENSTEIN DAVID | 31 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 | 10.0 | 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 | 50.7 | C | v0.6 | default · in composite | |
| financial risk | 33.3 | B | 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 | 0.1 | — | 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 | 30.5 | B | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 50.5 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 64.9 | 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 | 44.9 | 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 | 44.8 | 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 | 38.2 | B | 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 | 30.4 | 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 | 30.4 | 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 | 50.5 | C | 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 | 50.5 | C | 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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
19.6
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) | 9.62 | -0.91 | |
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.89 | -0.57 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Deficiencies, last 12 months | 0.00 | -0.17 | |
| Contract staffing share | 0.00 | -0.09 |
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
38.3
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 | |
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.89 | -0.61 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Current owner tenure (years) | 9.62 | -0.14 | |
| Chain size (log) | 2.30 | -0.14 |
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 | 3.27 | 3.13 | 3.28 | 2.90–3.77 |
| RN | 0.26 | 0.30 | 0.39 | 0.25–0.58 |
| Weekend total | 3.00 | 2.96 | 3.11 | — |
| Weekday total | 3.38 | 3.20 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 53.6 | 3.27 | 0.26 | 0.89 | 2.12 | 3.00 | 0.3% |
| 2025Q3 | 92 | 55.7 | 3.19 | 0.29 | 0.86 | 2.04 | 2.98 | 0.1% |
| 2025Q2 | 91 | 54.0 | 3.03 | 0.41 | 0.69 | 1.94 | 2.81 | 0.0% |
| 2025Q1 | 90 | 54.2 | 3.31 | 0.55 | 0.81 | 1.95 | 3.15 | 0.0% |
| 2024Q4 | 92 | 54.5 | 3.50 | 0.50 | 0.90 | 2.10 | 3.43 | 2.7% |
| 2024Q3 | 92 | 56.1 | 3.32 | 0.43 | 0.96 | 1.93 | 3.09 | 10.0% |
| 2024Q2 | 91 | 55.4 | 3.12 | 0.30 | 0.85 | 1.97 | 2.82 | 5.1% |
| 2024Q1 | 91 | 54.8 | 3.06 | 0.37 | 0.84 | 1.85 | 2.82 | 5.4% |
| 2023Q4 | 92 | 52.2 | 3.18 | 0.27 | 0.80 | 2.11 | 3.12 | 2.9% |
| 2023Q3 | 92 | 51.7 | 3.05 | 0.30 | 0.82 | 1.93 | 3.03 | 1.3% |
| 2023Q2 | 91 | 52.8 | 2.62 | 0.32 | 0.67 | 1.63 | 2.48 | 0.0% |
| 2023Q1 | 90 | 52.5 | 2.45 | 0.31 | 0.57 | 1.57 | 2.28 | 1.6% |
| 2022Q4 | 92 | 52.3 | 3.18 | 0.64 | 0.63 | 1.91 | 3.08 | 8.5% |
| 2022Q3 | 92 | 54.0 | 2.46 | 0.21 | 0.38 | 1.87 | 2.37 | 3.4% |
| 2022Q2 | 91 | 53.5 | 2.42 | 0.10 | 0.53 | 1.79 | 2.23 | 8.9% |
| 2022Q1 | 90 | 54.1 | 2.64 | 0.10 | 0.86 | 1.68 | 2.39 | 43.9% |
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
0No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
70D × 43E × 25F × 1G × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-03-27 | 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. | E | 2025-04-30 |
| 2025-03-27 | 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. | E | 2025-04-30 |
| 2025-03-27 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2025-04-30 |
| 2025-03-27 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-04-30 |
| 2025-03-27 | 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. | E | 2025-04-30 |
| 2025-03-27 | Health · complaint | 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 | 2025-04-30 |
| 2025-03-27 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2025-04-30 |
| 2025-03-27 | Health · complaint | 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 | 2025-04-30 |
| 2025-03-27 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-04-30 |
| 2025-03-27 | Health · complaint | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | 2025-04-30 |
| 2024-08-29 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-10-03 |
| 2024-08-29 | Health · complaint | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | D | 2024-10-03 |
| 2024-08-29 | 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 | 2024-10-03 |
| 2024-08-29 | 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 | 2024-10-03 |
| 2024-08-29 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-10-03 |
| 2024-08-29 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-10-03 |
| 2024-08-29 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2024-10-03 |
| 2024-08-29 | Health | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | 2024-10-03 |
| 2024-08-29 | 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 | 2024-10-03 |
| 2024-08-29 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-10-03 |
| 2024-08-29 | Health | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | 2024-10-03 |
| 2024-08-29 | Health | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | 2024-10-03 |
| 2021-05-11 | Health | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | 2021-07-29 |
| 2021-05-11 | Health | F0555 | Honor the resident's right to choose his or her attending physician. | D | 2021-07-29 |
| 2021-05-11 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2021-07-29 |
| 2021-05-11 | Health | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | D | 2021-07-29 |
| 2021-05-11 | 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. | E | 2021-07-29 |
| 2021-05-11 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | 2021-07-29 |
| 2021-05-11 | Health | F0583 | Keep residents' personal and medical records private and confidential. | D | 2021-07-29 |
| 2021-05-11 | 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 | 2021-07-29 |
| 2021-05-11 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2021-07-29 |
| 2021-05-11 | Health | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | E | 2021-07-29 |
| 2021-05-11 | Health | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | 2021-07-29 |
| 2021-05-11 | Health | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | 2021-07-29 |
| 2021-05-11 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | 2021-07-29 |
| 2021-05-11 | 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 | 2021-07-29 |
| 2021-05-11 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2021-07-29 |
| 2021-05-11 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2021-07-29 |
| 2021-05-11 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2021-07-29 |
| 2021-05-11 | Health | F0687 | Provide appropriate foot care. | D | 2021-07-29 |
| 2021-05-11 | 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 | 2021-07-29 |
| 2021-05-11 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2021-07-29 |
| 2021-05-11 | 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 | 2021-07-29 |
| 2021-05-11 | Health | F0741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | E | 2021-07-29 |
| 2021-05-11 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2021-07-29 |
| 2021-05-11 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2021-07-29 |
| 2021-05-11 | Health | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | 2021-07-29 |
| 2021-05-11 | Health | F0760 | Ensure that residents are free from significant medication errors. | E | 2021-07-29 |
| 2021-05-11 | 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 | 2021-07-29 |
| 2021-05-11 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | 2021-07-29 |
| 2021-05-11 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | 2021-07-29 |
| 2021-05-11 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2021-07-29 |
| 2021-05-11 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | E | 2021-07-29 |
| 2021-05-11 | Health | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | 2021-07-29 |
| 2021-05-11 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2021-07-29 |
| 2021-05-11 | Health | F0881 | Implement a program that monitors antibiotic use. | D | 2021-07-29 |
| 2021-05-11 | Health | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | D | 2021-07-29 |
| 2021-05-11 | Health | F0886 | Perform COVID19 testing on residents and staff. | D | 2021-07-29 |
| 2019-08-16 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2019-09-16 |
| 2019-08-16 | 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 | 2019-09-16 |
| 2019-08-16 | 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 | 2019-09-16 |
| 2019-08-16 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2019-09-16 |
| 2019-08-16 | 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 | 2019-09-16 |
| 2019-08-16 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2019-09-16 |
| 2019-08-16 | Health | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | E | 2019-09-16 |
| 2019-08-16 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2019-09-16 |
| 2019-08-16 | Health | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | 2019-09-16 |
| 2019-08-16 | Health | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | 2019-09-16 |
| 2019-08-16 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2019-09-16 |
| 2019-08-16 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2019-09-16 |
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
10| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| GL VIRGINIA HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2016-12-16 | current | pecos_ownership |
| GENTRY, BOYD | CORPORATE OFFICER | — | 2016-12-16 | current | pecos_ownership |
| RUBENSTEIN, DAVID | CORPORATE OFFICER | — | 2016-12-16 | current | pecos_ownership |
| SCHLAIKOWSKI, AMANDA | W-2 MANAGING EMPLOYEE | — | 2023-09-12 | current | pecos_ownership |
| TRIO HEALTH CARE - EAST, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2019-05-24 | current | pecos_ownership |
| TRIO HEALTHCARE INVESTORS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2016-12-16 | current | pecos_ownership |
| TRIO HEALTHCARE LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2019-12-01 | current | pecos_ownership |
| DAVID RUBENSTEIN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 57% | 2016-12-16 | ended 2026-05-18 | pecos_ownership |
| BOYD GENTRY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 43% | 2016-12-16 | ended 2026-05-18 | pecos_ownership |
| AMANDA SCHLAIKOWSKI | W-2 MANAGING EMPLOYEE | — | 2023-09-12 | 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 |
|---|---|---|---|---|
| 2016-12-16 | — | GL VIRGINIA POQUOSON LLC | GGNSC POQUOSON 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
28| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 51735 | fmr | 0 | $1,492 | 2025-10-01 | HUD_USER_FMR |
| county 51735 | fmr | 1 | $1,512 | 2025-10-01 | HUD_USER_FMR |
| county 51735 | acs median gross | 2 | $1,562 | 2024-12-31 | CENSUS_ACS5 |
| county 51735 | fmr | 2 | $1,713 | 2025-10-01 | HUD_USER_FMR |
| county 51735 | acs median gross | 3 | $1,661 | 2024-12-31 | CENSUS_ACS5 |
| county 51735 | fmr | 3 | $2,376 | 2025-10-01 | HUD_USER_FMR |
| county 51735 | fmr | 4 | $2,797 | 2025-10-01 | HUD_USER_FMR |
| county 51735 | acs median gross | $1,707 | 2024-12-31 | CENSUS_ACS5 | |
| county 51735 | acs recent mover gross | $1,692 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 23662 | acs median gross | 2 | $1,562 | 2024-12-31 | CENSUS_ACS5 |
| zcta 23662 | acs median gross | 3 | $1,661 | 2024-12-31 | CENSUS_ACS5 |
| zcta 23662 | acs median gross | $1,707 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 23662 | acs recent mover gross | $1,692 | 2024-12-31 | CENSUS_ACS5 | |
| zip 23662 | payment standard 110 | 0 | $1,903 | 2025-10-01 | HUD_USER_SAFMR |
| zip 23662 | payment standard 90 | 0 | $1,557 | 2025-10-01 | HUD_USER_SAFMR |
| zip 23662 | safmr | 0 | $1,730 | 2025-10-01 | HUD_USER_SAFMR |
| zip 23662 | payment standard 110 | 1 | $1,936 | 2025-10-01 | HUD_USER_SAFMR |
| zip 23662 | payment standard 90 | 1 | $1,584 | 2025-10-01 | HUD_USER_SAFMR |
| zip 23662 | safmr | 1 | $1,760 | 2025-10-01 | HUD_USER_SAFMR |
| zip 23662 | payment standard 110 | 2 | $2,189 | 2025-10-01 | HUD_USER_SAFMR |
| zip 23662 | payment standard 90 | 2 | $1,791 | 2025-10-01 | HUD_USER_SAFMR |
| zip 23662 | safmr | 2 | $1,990 | 2025-10-01 | HUD_USER_SAFMR |
| zip 23662 | payment standard 110 | 3 | $3,036 | 2025-10-01 | HUD_USER_SAFMR |
| zip 23662 | payment standard 90 | 3 | $2,484 | 2025-10-01 | HUD_USER_SAFMR |
| zip 23662 | safmr | 3 | $2,760 | 2025-10-01 | HUD_USER_SAFMR |
| zip 23662 | payment standard 110 | 4 | $3,575 | 2025-10-01 | HUD_USER_SAFMR |
| zip 23662 | payment standard 90 | 4 | $2,925 | 2025-10-01 | HUD_USER_SAFMR |
| zip 23662 | safmr | 4 | $3,250 | 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.