Composite
95.8 / 100 percentile
Screener / 495315
F
Woodstock Valley Health and Rehabilitation
snfVASFF: SFF Candidate
803 SOUTH MAIN ST, WOODSTOCK, VA 22664 · CCN 495315 · chain SNF MGR LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
88
Model
v1.2
Reads as: riskier than 95.8% 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 model5Components16CHOW radar1Distress radar1Staffing16Penalties3Deficiencies115Licensure0Ownership22Related party5Transactions1Comps12Market rent33
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 97.7 | 96.4 | 0.30 | 0.2308 | 22.55 | in index |
| staffing risk | 92.1 | 92.1 | 0.25 | 0.1923 | 17.71 | in index |
| financial risk | 65.5 | 56.0 | 0.30 | 0.2308 | 15.12 | in index |
| billing conduct | 49.6 | 39.2 | 0.30 | 0.2308 | 11.45 | in index |
| chow risk | 49.2 | 50.7 | 0.15 | 0.1154 | 5.68 | 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
16| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 39.2 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 24.6 | A | 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 | 76.9 | D | v0.6 | default · in composite | |
| financial risk | 56.0 | C | 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 | 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 | 96.4 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 92.1 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 65.1 | D | 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 | 45.1 | C | 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 | 66.6 | D | 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 | 56.0 | C | 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 | 96.4 | F | 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 | 96.4 | F | 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 | 92.1 | F | 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 | 92.1 | F | 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
15.3
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Current owner tenure (years) | 1.16 | -1.73 | |
| Never sold on record | 0.00 | -1.62 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| Deficiencies, last 12 months | 31.00 | +0.58 | |
| Occupancy | 0.86 | -0.48 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 3.61 | +0.36 |
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
0.0
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 | 31.00 | -4.32 | |
| Chain size (log) | 3.61 | -0.90 | |
| For-profit ownership | 1.00 | -0.69 | |
| Fine amount, 12m (log) | 11.25 | -0.64 | |
| Occupancy | 0.86 | -0.48 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Total nurse staffing (HPRD) | 2.45 | +0.32 | |
| Never sold on record | 0.00 | -0.28 |
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 | 2.45 | 3.13 | 3.28 | 2.90–3.77 |
| RN | 0.16 | 0.30 | 0.39 | 0.25–0.58 |
| Weekend total | 2.23 | 2.96 | 3.11 | — |
| Weekday total | 2.54 | 3.20 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 76.0 | 2.45 | 0.16 | 0.75 | 1.54 | 2.23 | 0.0% |
| 2025Q3 | 92 | 83.2 | 2.31 | 0.06 | 0.76 | 1.50 | 2.05 | 0.0% |
| 2025Q2 | 91 | 75.8 | 2.57 | 0.09 | 0.90 | 1.58 | 2.17 | 0.0% |
| 2025Q1 | 90 | 70.2 | 2.55 | 0.10 | 0.92 | 1.53 | 2.29 | 0.0% |
| 2024Q4 | 92 | 74.7 | 2.56 | 0.17 | 0.80 | 1.59 | 2.34 | 0.0% |
| 2024Q3 | 92 | 79.0 | 2.75 | 0.19 | 0.84 | 1.72 | 2.52 | 0.0% |
| 2024Q2 | 91 | 77.1 | 2.65 | 0.20 | 0.76 | 1.69 | 2.38 | 0.0% |
| 2024Q1 | 91 | 77.8 | 2.63 | 0.17 | 0.76 | 1.70 | 2.40 | 0.0% |
| 2023Q4 | 92 | 79.3 | 2.73 | 0.25 | 0.82 | 1.66 | 2.57 | 0.0% |
| 2023Q3 | 92 | 80.5 | 2.81 | 0.20 | 0.92 | 1.69 | 2.54 | 0.0% |
| 2023Q2 | 91 | 76.5 | 2.90 | 0.20 | 1.00 | 1.71 | 2.73 | 0.2% |
| 2023Q1 | 90 | 76.6 | 2.58 | 0.12 | 0.89 | 1.57 | 2.42 | 17.1% |
| 2022Q4 | 92 | 81.4 | 2.00 | 0.09 | 0.77 | 1.15 | 1.93 | 36.3% |
| 2022Q3 | 92 | 75.3 | 1.72 | 0.14 | 0.50 | 1.07 | 1.62 | 42.3% |
| 2022Q2 | 91 | 78.2 | 1.29 | 0.10 | 0.56 | 0.64 | 1.11 | 36.2% |
| 2022Q1 | 90 | 76.6 | 1.16 | 0.15 | 0.47 | 0.53 | 1.01 | 30.9% |
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
3fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-09-26 | Fine | $76,610 | CMS provider data |
| 2024-05-29 | Fine | $97,714 | CMS provider data |
| 2024-05-29 | Payment Denial | — | CMS provider data |
Total fines on record: $174,324
Deficiencies
115C × 2D × 65E × 41F × 2G × 2J × 1K × 2
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-09-26 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-12-01 |
| 2025-09-26 | Health · complaint | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2025-12-01 |
| 2025-09-26 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | 2025-12-23 |
| 2025-09-26 | Health · complaint | F0583 | Keep residents' personal and medical records private and confidential. | D | 2025-12-01 |
| 2025-09-26 | 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 | 2025-12-23 |
| 2025-09-26 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2025-12-01 |
| 2025-09-26 | Health · complaint | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | 2025-12-01 |
| 2025-09-26 | Health · complaint | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2025-12-01 |
| 2025-09-26 | 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 | 2025-12-23 |
| 2025-09-26 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-12-01 |
| 2025-09-26 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2025-12-23 |
| 2025-09-26 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | 2025-12-23 |
| 2025-09-26 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2025-12-01 |
| 2025-09-26 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-12-23 |
| 2025-09-26 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | E | 2025-12-23 |
| 2025-09-26 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2025-12-01 |
| 2025-09-26 | Health · complaint | 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 | 2025-12-23 |
| 2025-09-26 | Health · complaint | F0730 | Observe each nurse aide's job performance and give regular training. | E | 2025-12-01 |
| 2025-09-26 | Health · complaint | F0732 | Post nurse staffing information every day. | C | 2025-12-01 |
| 2025-09-26 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2025-12-23 |
| 2025-09-26 | Health · complaint | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2025-12-01 |
| 2025-09-26 | Health · complaint | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | 2025-12-23 |
| 2025-09-26 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2025-12-01 |
| 2025-09-26 | Health · complaint | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | 2025-12-23 |
| 2025-09-26 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-12-01 |
| 2025-09-26 | Health · complaint | F0836 | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | D | 2025-12-01 |
| 2025-09-26 | Health · complaint | F0840 | Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | E | 2025-12-01 |
| 2025-09-26 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-12-23 |
| 2025-09-26 | Health · complaint | F0843 | Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. | F | 2025-12-01 |
| 2025-09-26 | Health · complaint | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | 2025-12-01 |
| 2025-09-26 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-12-23 |
| 2024-05-23 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-08-07 |
| 2024-05-23 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | 2024-11-04 |
| 2024-05-23 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-08-07 |
| 2024-05-23 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2024-08-07 |
| 2024-05-23 | Health · complaint | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | 2024-08-07 |
| 2024-05-23 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | 2024-08-07 |
| 2024-05-23 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2024-08-07 |
| 2024-05-23 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | E | 2024-08-07 |
| 2024-05-23 | 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 | 2024-08-07 |
| 2024-05-23 | Health · complaint | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2024-08-07 |
| 2024-05-23 | 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 | 2024-11-04 |
| 2024-05-23 | Health · complaint | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | 2024-08-07 |
| 2024-05-23 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-11-04 |
| 2024-05-23 | Health | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2024-08-07 |
| 2024-05-23 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-08-07 |
| 2024-05-23 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2024-08-07 |
| 2024-05-23 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2024-11-04 |
| 2024-05-23 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2024-11-04 |
| 2024-05-23 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | 2024-08-07 |
| 2024-05-23 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-11-04 |
| 2024-05-23 | 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 | 2024-08-07 |
| 2024-05-23 | Health · complaint | F0710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | D | 2024-08-07 |
| 2024-05-23 | Health | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | 2024-08-07 |
| 2024-05-23 | 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 | 2024-11-04 |
| 2024-05-23 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | D | 2024-08-07 |
| 2024-05-23 | Health | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | 2024-08-07 |
| 2024-05-23 | Health · complaint | 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 | 2024-08-07 |
| 2024-05-23 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2024-08-07 |
| 2024-05-23 | Health | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | 2024-08-07 |
| 2024-05-23 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-08-07 |
| 2024-05-23 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-11-04 |
| 2024-05-23 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-08-07 |
| 2024-05-23 | Health | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | E | 2024-08-07 |
| 2024-05-23 | Health | F0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | D | 2024-08-07 |
| 2024-05-23 | Health | F0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | D | 2024-08-07 |
| 2024-05-23 | Health | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | E | 2024-08-07 |
| 2024-05-23 | Health | F0946 | Provide training in compliance and ethics. | D | 2024-08-07 |
| 2024-05-23 | 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. | E | 2024-08-07 |
| 2024-05-23 | Health | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | D | 2024-08-07 |
| 2023-12-19 | 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. | D | 2024-01-20 |
| 2023-12-19 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | 2024-01-20 |
| 2023-12-19 | 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 | 2024-01-20 |
| 2023-04-20 | 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 | 2023-05-26 |
| 2023-04-20 | 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 | 2023-05-26 |
| 2023-04-20 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | 2023-01-27 |
| 2023-04-20 | 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 | 2023-05-26 |
| 2023-04-20 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2023-05-26 |
| 2023-04-20 | 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 | 2023-05-26 |
| 2023-04-20 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2023-05-26 |
| 2023-04-20 | Health | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | E | 2023-05-26 |
| 2023-04-20 | 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. | E | 2023-05-26 |
| 2023-04-20 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-05-26 |
| 2023-04-20 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2023-05-26 |
| 2023-04-20 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2023-05-26 |
| 2023-04-20 | Health | F0888 | Ensure staff are vaccinated for COVID-19 | D | 2023-05-26 |
| 2023-04-20 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2023-05-26 |
| 2021-10-26 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2021-12-01 |
| 2021-10-26 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2021-12-13 |
| 2021-10-26 | 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 | 2021-12-01 |
| 2021-10-26 | Health | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | 2021-12-13 |
| 2021-10-26 | 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 | 2021-12-01 |
| 2021-10-26 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | 2021-12-01 |
| 2021-10-26 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2021-12-01 |
| 2021-10-26 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2021-12-13 |
| 2021-10-26 | 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 | 2021-12-13 |
| 2021-10-26 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2021-12-01 |
| 2021-10-26 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2021-12-01 |
| 2021-10-26 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2021-12-01 |
| 2021-10-26 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | 2021-12-01 |
| 2021-10-26 | 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 | 2021-12-13 |
| 2021-10-26 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2021-12-13 |
| 2021-10-26 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2021-12-01 |
| 2021-10-26 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | 2021-12-13 |
| 2021-10-26 | Health | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | 2021-12-01 |
| 2021-10-26 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | D | 2021-12-01 |
| 2021-10-26 | Health | F0732 | Post nurse staffing information every day. | C | 2021-12-01 |
| 2021-10-26 | Health | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | K | 2021-12-01 |
| 2021-10-26 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2021-12-01 |
| 2021-10-26 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2021-12-01 |
| 2021-10-26 | Health | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | 2021-12-01 |
| 2021-10-26 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2021-12-01 |
| 2021-10-26 | Health | F0886 | Perform COVID19 testing on residents and staff. | E | 2021-12-01 |
| 2021-10-26 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | 2021-12-01 |
| 2021-10-26 | 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. | D | 2021-12-01 |
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
22| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| WOODSTOCK PARENTCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2025-05-01 | current | pecos_ownership |
| AFZAL, AHSAN | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-06-01 | current | pecos_ownership |
| CLARK, ALYSSA | ADP OF THE SNF | — | 2025-05-01 | current | pecos_ownership |
| GREENWALT, JESSICA | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-05-01 | current | pecos_ownership |
| HOBACK, TIFFANY | MANAGING CONTROL - GOVERNING BODY | — | 2025-05-01 | current | pecos_ownership |
| JONES, TEQUILLA | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-05-01 | current | pecos_ownership |
| SHENANDOAH HOLDCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-05-01 | current | pecos_ownership |
| SNF MGR LLC | ADP OF THE SNF | — | 2025-04-21 | current | pecos_ownership |
| SNF MGR LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-05-01 | current | pecos_ownership |
| SNYDER, TROY | ADP OF THE SNF | — | 2026-01-05 | current | pecos_ownership |
| VAOP HOLDCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-05-01 | current | pecos_ownership |
| SNF CARE CENTERS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2025-05-01 | ended 2026-05-18 | pecos_ownership |
| ZENITH HOLDCO II LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2025-05-01 | ended 2026-05-18 | pecos_ownership |
| ZENITH HOLDCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2025-05-01 | ended 2026-05-18 | pecos_ownership |
| NU C II IRREVOCABLE TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2025-05-01 | ended 2026-05-18 | pecos_ownership |
| NU C IRREVOCABLE TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2025-05-01 | ended 2026-05-18 | pecos_ownership |
| AHSAN AFZAL | ADP OF THE SNF | — | 2025-06-01 | ended 2026-05-18 | pecos_ownership |
| ALYSSA CLARK | ADP OF THE SNF | — | 2025-05-01 | ended 2026-05-18 | pecos_ownership |
| JESSICA GREENWALT | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-05-01 | ended 2026-05-18 | pecos_ownership |
| TEQUILLA JONES | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-05-01 | ended 2026-05-18 | pecos_ownership |
| TIFFANY HOBACK | MANAGING CONTROL - GOVERNING BODY | — | 2025-05-01 | ended 2026-05-18 | pecos_ownership |
| TROY SNYDER | ADP OF THE SNF | — | 2026-01-05 | 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 |
|---|---|---|---|---|
| 2025-06-01 | — | 803 SOUTH MAIN STREET OPCO LLC | WOODSTOCK FACILITY OPERATIONS, LLC | chow |
Comparable trades — VA snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-06-01 | Woodstock Valley Health and Rehabilitationthis facility | — | — | — | 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
33| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 51171 | fmr | 0 | $849 | 2025-10-01 | HUD_USER_FMR |
| county 51171 | acs median gross | 1 | $779 | 2024-12-31 | CENSUS_ACS5 |
| county 51171 | fmr | 1 | $855 | 2025-10-01 | HUD_USER_FMR |
| county 51171 | acs median gross | 2 | $963 | 2024-12-31 | CENSUS_ACS5 |
| county 51171 | fmr | 2 | $1,091 | 2025-10-01 | HUD_USER_FMR |
| county 51171 | acs median gross | 3 | $1,148 | 2024-12-31 | CENSUS_ACS5 |
| county 51171 | fmr | 3 | $1,394 | 2025-10-01 | HUD_USER_FMR |
| county 51171 | acs median gross | 4 | $1,794 | 2024-12-31 | CENSUS_ACS5 |
| county 51171 | fmr | 4 | $1,523 | 2025-10-01 | HUD_USER_FMR |
| county 51171 | acs median gross | 5 | $948 | 2024-12-31 | CENSUS_ACS5 |
| county 51171 | acs median gross | $984 | 2024-12-31 | CENSUS_ACS5 | |
| county 51171 | acs recent mover gross | $1,068 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 22664 | acs median gross | 1 | $791 | 2024-12-31 | CENSUS_ACS5 |
| zcta 22664 | acs median gross | 2 | $928 | 2024-12-31 | CENSUS_ACS5 |
| zcta 22664 | acs median gross | 3 | $1,269 | 2024-12-31 | CENSUS_ACS5 |
| zcta 22664 | acs median gross | 4 | $2,157 | 2024-12-31 | CENSUS_ACS5 |
| zcta 22664 | acs median gross | $989 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 22664 | acs recent mover gross | $1,130 | 2024-12-31 | CENSUS_ACS5 | |
| zip 22664 | payment standard 110 | 0 | $990 | 2025-10-01 | HUD_USER_SAFMR |
| zip 22664 | payment standard 90 | 0 | $810 | 2025-10-01 | HUD_USER_SAFMR |
| zip 22664 | safmr | 0 | $900 | 2025-10-01 | HUD_USER_SAFMR |
| zip 22664 | payment standard 110 | 1 | $1,001 | 2025-10-01 | HUD_USER_SAFMR |
| zip 22664 | payment standard 90 | 1 | $819 | 2025-10-01 | HUD_USER_SAFMR |
| zip 22664 | safmr | 1 | $910 | 2025-10-01 | HUD_USER_SAFMR |
| zip 22664 | payment standard 110 | 2 | $1,276 | 2025-10-01 | HUD_USER_SAFMR |
| zip 22664 | payment standard 90 | 2 | $1,044 | 2025-10-01 | HUD_USER_SAFMR |
| zip 22664 | safmr | 2 | $1,160 | 2025-10-01 | HUD_USER_SAFMR |
| zip 22664 | payment standard 110 | 3 | $1,628 | 2025-10-01 | HUD_USER_SAFMR |
| zip 22664 | payment standard 90 | 3 | $1,332 | 2025-10-01 | HUD_USER_SAFMR |
| zip 22664 | safmr | 3 | $1,480 | 2025-10-01 | HUD_USER_SAFMR |
| zip 22664 | payment standard 110 | 4 | $1,782 | 2025-10-01 | HUD_USER_SAFMR |
| zip 22664 | payment standard 90 | 4 | $1,458 | 2025-10-01 | HUD_USER_SAFMR |
| zip 22664 | safmr | 4 | $1,620 | 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.