Composite
4.4 / 100 percentile
Screener / 495384
A
FRANCIS MARION MANOR HEALTH & REHABILITATION
snfVA
100 FRANCIS MARION LANE, MARION, VA 24354 · CCN 495384 · chain BALLAD HEALTH
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
109
Model
v1.2
Reads as: riskier than 4.4% 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.
Score model4Components10CHOW radar1Distress radar1Staffing16Penalties0Deficiencies9Licensure0Ownership18Related party0Transactions1Comps12Market rent36
Composite explanation
4| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| staffing risk | 51.3 | 51.3 | 0.25 | 0.2500 | 12.83 | in index |
| billing conduct | 15.3 | 20.0 | 0.30 | 0.3000 | 4.59 | in index |
| chow risk | 25.2 | 25.0 | 0.15 | 0.1500 | 3.78 | in index |
| regulatory risk | 5.5 | 3.4 | 0.30 | 0.3000 | 1.65 | 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
10| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 20.0 | 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. |
| p adverse action 12m | 1.3 | — | v0.1 | default · in composite | R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite. |
| p chow 12m | 0.0 | — | v0.1 | default · in composite | R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite. |
| regulatory risk | 3.4 | A | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 51.3 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| regulatory risk | 3.4 | A | 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 | 3.4 | A | 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 | 51.3 | 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 | 51.3 | 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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
0.0
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Current owner tenure (years) | 1.24 | -1.72 | |
| Never sold on record | 0.00 | -1.62 | |
| For-profit ownership | 0.00 | -1.24 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| Occupancy | 0.52 | +0.51 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Deficiencies, last 12 months | 0.00 | -0.17 | |
| Contract staffing share | 0.01 | -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)
1.3%
model v0.1 · computed 2026-07-29
Percentile among SNFs
87.6
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 0.00 | +1.62 | |
| Deficiencies, last 12 months | 0.00 | +1.43 | |
| Occupancy | 0.52 | +0.95 | |
| Staffing trend, last 4 quarters | -1.58 | -0.76 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 1.24 | -0.28 | |
| Ownership changes, last 5 years | 1.00 | +0.23 |
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 | 3.26 | 3.13 | 3.28 | 2.90–3.77 |
| RN | 0.37 | 0.30 | 0.39 | 0.25–0.58 |
| Weekend total | 3.04 | 2.96 | 3.11 | — |
| Weekday total | 3.35 | 3.20 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 57.0 | 3.26 | 0.37 | 1.06 | 1.83 | 3.04 | 0.7% |
| 2025Q3 | 92 | 52.7 | 3.07 | 0.53 | 0.94 | 1.60 | 2.75 | 0.0% |
| 2025Q2 | 91 | 30.2 | 4.29 | 0.85 | 1.34 | 2.10 | 3.68 | 2.7% |
| 2025Q1 | 90 | 22.5 | 4.86 | 0.74 | 1.43 | 2.69 | 4.30 | 0.0% |
| 2024Q4 | 92 | 24.9 | 4.84 | 0.61 | 1.44 | 2.80 | 4.30 | 0.0% |
| 2024Q3 | 92 | 24.1 | 5.12 | 0.65 | 1.52 | 2.95 | 4.62 | 0.0% |
| 2024Q2 | 91 | 25.0 | 5.08 | 0.74 | 1.23 | 3.12 | 4.41 | 0.0% |
| 2024Q1 | 91 | 26.7 | 5.07 | 0.86 | 1.58 | 2.62 | 4.32 | 1.3% |
| 2023Q4 | 92 | 30.5 | 4.52 | 0.77 | 1.48 | 2.27 | 3.82 | 1.3% |
| 2023Q3 | 92 | 33.2 | 3.99 | 0.61 | 1.42 | 1.97 | 3.40 | 1.3% |
| 2023Q2 | 91 | 38.9 | 2.97 | 0.46 | 1.19 | 1.33 | 2.53 | 1.1% |
| 2023Q1 | 90 | 45.2 | 2.99 | 0.78 | 0.92 | 1.29 | 2.52 | 0.8% |
| 2022Q4 | 92 | 46.3 | 3.41 | 0.75 | 1.13 | 1.53 | 2.87 | 0.4% |
| 2022Q3 | 92 | 51.4 | 3.22 | 0.60 | 0.90 | 1.72 | 2.80 | 0.6% |
| 2022Q2 | 91 | 56.6 | 3.03 | 0.57 | 0.86 | 1.61 | 2.47 | 0.5% |
| 2022Q1 | 90 | 56.6 | 2.99 | 0.59 | 0.88 | 1.52 | 2.59 | 0.8% |
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
9D × 8F × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2024-08-14 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2024-10-15 |
| 2024-08-14 | Health | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | D | 2024-10-15 |
| 2024-08-14 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-10-15 |
| 2024-08-14 | Health | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | 2024-10-15 |
| 2021-11-04 | 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 | 2021-12-19 |
| 2021-11-04 | 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 | 2021-12-19 |
| 2021-11-04 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2021-12-19 |
| 2020-02-21 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2020-03-06 |
| 2020-02-21 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2020-03-06 |
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
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
18| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| AHAVA HC LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-05-01 | current | pecos_ownership |
| AHAVA HC LLC | ADP OF THE SNF | — | 2025-06-12 | current | pecos_ownership |
| BALLAD HEALTH | ADP OF THE SNF | — | 2025-05-01 | current | pecos_ownership |
| BHO OPERATING GROUP LLC | INDIRECT OWNERSHIP INTEREST | — | 2025-05-01 | current | pecos_ownership |
| BLUE RIDGE MEDICAL MANAGEMENT CORPORATION | ADP OF THE SNF | — | 2025-05-01 | current | pecos_ownership |
| CLAMPITT, ROBERT | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-05-01 | current | pecos_ownership |
| FRANCIS MARION OPERATIONS GROUP HOLDCO LLC | DIRECT OWNERSHIP INTEREST | — | 2025-05-01 | current | pecos_ownership |
| FRANCIS MARION REALTY GROUP LLC | ADP OF THE SNF | — | 2025-05-01 | current | pecos_ownership |
| LABIN, SHIYA | INDIRECT OWNERSHIP INTEREST | — | 2025-05-01 | current | pecos_ownership |
| MOUNTAIN STATES HEALTH ALLIANCE | ADP OF THE SNF | — | 2025-05-01 | current | pecos_ownership |
| NEUMAN, BENJAMIN | INDIRECT OWNERSHIP INTEREST | — | 2025-05-01 | current | pecos_ownership |
| NIEDERMAN, ANSHEL | ADP OF THE SNF | — | 2025-05-01 | current | pecos_ownership |
| TAYLOR, STACY | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-05-01 | current | pecos_ownership |
| ANSHEL NIEDERMAN | INDIRECT OWNERSHIP INTEREST | 70% | 2025-05-01 | ended 2026-05-18 | pecos_ownership |
| BENJAMIN NEUMAN | INDIRECT OWNERSHIP INTEREST | 12% | 2025-05-01 | ended 2026-05-18 | pecos_ownership |
| SHIYA LABIN | INDIRECT OWNERSHIP INTEREST | 12% | 2025-05-01 | ended 2026-05-18 | pecos_ownership |
| ROBERT CLAMPITT | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-05-01 | ended 2026-05-18 | pecos_ownership |
| STACY TAYLOR | ADP OF THE SNF | — | 2025-05-01 | ended 2026-05-18 | pecos_ownership |
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Transactions
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2025-05-01 | — | FRANCIS MARION OPERATING GROUP LLC | SMYTH COUNTY COMMUNITY HOSPITAL | 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 & REHABILITATIONthis facility | — | — | — | 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
36| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 51173 | acs median gross | 0 | $635 | 2024-12-31 | CENSUS_ACS5 |
| county 51173 | fmr | 0 | $642 | 2025-10-01 | HUD_USER_FMR |
| county 51173 | acs median gross | 1 | $536 | 2024-12-31 | CENSUS_ACS5 |
| county 51173 | fmr | 1 | $753 | 2025-10-01 | HUD_USER_FMR |
| county 51173 | acs median gross | 2 | $731 | 2024-12-31 | CENSUS_ACS5 |
| county 51173 | fmr | 2 | $914 | 2025-10-01 | HUD_USER_FMR |
| county 51173 | acs median gross | 3 | $766 | 2024-12-31 | CENSUS_ACS5 |
| county 51173 | fmr | 3 | $1,191 | 2025-10-01 | HUD_USER_FMR |
| county 51173 | acs median gross | 4 | $1,004 | 2024-12-31 | CENSUS_ACS5 |
| county 51173 | fmr | 4 | $1,429 | 2025-10-01 | HUD_USER_FMR |
| county 51173 | acs median gross | 5 | $1,098 | 2024-12-31 | CENSUS_ACS5 |
| county 51173 | acs median gross | $731 | 2024-12-31 | CENSUS_ACS5 | |
| county 51173 | acs recent mover gross | $852 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 24354 | acs median gross | 0 | $640 | 2024-12-31 | CENSUS_ACS5 |
| zcta 24354 | acs median gross | 1 | $548 | 2024-12-31 | CENSUS_ACS5 |
| zcta 24354 | acs median gross | 2 | $719 | 2024-12-31 | CENSUS_ACS5 |
| zcta 24354 | acs median gross | 3 | $736 | 2024-12-31 | CENSUS_ACS5 |
| zcta 24354 | acs median gross | 4 | $988 | 2024-12-31 | CENSUS_ACS5 |
| zcta 24354 | acs median gross | 5 | $1,148 | 2024-12-31 | CENSUS_ACS5 |
| zcta 24354 | acs median gross | $712 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 24354 | acs recent mover gross | $841 | 2024-12-31 | CENSUS_ACS5 | |
| zip 24354 | payment standard 110 | 0 | $704 | 2025-10-01 | HUD_USER_SAFMR |
| zip 24354 | payment standard 90 | 0 | $576 | 2025-10-01 | HUD_USER_SAFMR |
| zip 24354 | safmr | 0 | $640 | 2025-10-01 | HUD_USER_SAFMR |
| zip 24354 | payment standard 110 | 1 | $825 | 2025-10-01 | HUD_USER_SAFMR |
| zip 24354 | payment standard 90 | 1 | $675 | 2025-10-01 | HUD_USER_SAFMR |
| zip 24354 | safmr | 1 | $750 | 2025-10-01 | HUD_USER_SAFMR |
| zip 24354 | payment standard 110 | 2 | $1,001 | 2025-10-01 | HUD_USER_SAFMR |
| zip 24354 | payment standard 90 | 2 | $819 | 2025-10-01 | HUD_USER_SAFMR |
| zip 24354 | safmr | 2 | $910 | 2025-10-01 | HUD_USER_SAFMR |
| zip 24354 | payment standard 110 | 3 | $1,320 | 2025-10-01 | HUD_USER_SAFMR |
| zip 24354 | payment standard 90 | 3 | $1,080 | 2025-10-01 | HUD_USER_SAFMR |
| zip 24354 | safmr | 3 | $1,200 | 2025-10-01 | HUD_USER_SAFMR |
| zip 24354 | payment standard 110 | 4 | $1,584 | 2025-10-01 | HUD_USER_SAFMR |
| zip 24354 | payment standard 90 | 4 | $1,296 | 2025-10-01 | HUD_USER_SAFMR |
| zip 24354 | safmr | 4 | $1,440 | 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.