1000 LITTON LANE, BLACKSBURG, VA 24060 · CCN 495406
Composite
1.9 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
60
Model
v1.2
Reads as: riskier than 1.9% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure.
R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite.
R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
16
2025Q4 HPRD
This facility
VA median
National median
National p25–p75
Total nurse
4.12
3.13
3.28
2.90–3.77
RN
1.12
0.30
0.39
0.25–0.58
Weekend total
3.72
2.96
3.11
—
Weekday total
4.28
3.20
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
51.1
4.12
1.12
0.48
2.52
3.72
0.0%
2025Q3
92
53.4
3.51
1.03
0.41
2.07
3.29
0.0%
2025Q2
91
52.0
3.60
1.05
0.43
2.12
3.24
0.0%
2025Q1
90
51.3
3.52
0.92
0.47
2.12
3.37
0.0%
2024Q4
92
52.5
3.69
0.95
0.54
2.19
3.54
0.0%
2024Q3
92
51.2
3.63
0.92
0.56
2.15
3.34
0.0%
2024Q2
91
51.0
3.85
0.91
0.55
2.39
3.74
0.0%
2024Q1
91
49.9
3.65
0.81
0.58
2.27
3.48
0.0%
2023Q4
92
50.5
3.53
0.76
0.64
2.13
3.22
0.0%
2023Q3
92
50.3
3.23
0.51
0.62
2.11
2.94
0.0%
2023Q2
91
50.4
3.37
0.54
0.84
1.99
2.95
0.0%
2023Q1
90
50.9
3.60
0.64
0.98
1.98
3.26
0.0%
2022Q4
92
50.1
3.00
0.59
0.70
1.71
2.76
0.0%
2022Q3
92
48.9
2.83
0.53
0.80
1.50
2.45
0.0%
2022Q2
91
47.1
3.28
0.58
0.87
1.82
2.78
0.0%
2022Q1
90
46.8
3.32
0.59
0.85
1.88
2.82
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
0
No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
15
D × 11E × 3F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2024-09-17
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-11-01
2024-09-17
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
2024-11-01
2024-09-17
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-11-01
2022-04-21
Health
F0580
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2022-07-19
2022-04-21
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2022-07-19
2022-04-21
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
2022-07-19
2022-04-21
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2022-07-19
2019-02-07
Health
F0636
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
D
2019-03-28
2019-02-07
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
2019-03-28
2019-02-07
Health
F0744
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
D
2019-03-28
2019-02-07
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
2019-03-28
2019-02-07
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.
E
2019-03-28
2019-02-07
Health
F0777
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
D
2019-03-28
2019-02-07
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
E
2019-03-28
2019-02-07
Health
F0867
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F
2019-03-28
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.
Licensure actions
0
No licensure actions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Ownership
36
Owner
Role
Pct
From
Status
Source
ALLEN, KATHERINE
CORPORATE DIRECTOR
—
2015-11-12
current
pecos_ownership
BOOKOUT, ALLAN
CORPORATE OFFICER
—
2021-10-01
current
pecos_ownership
DALTON, BRAD
CONTRACTED MANAGING EMPLOYEE
—
2020-10-01
current
pecos_ownership
FLANNAGAN, KORIE
CORPORATE DIRECTOR
—
2020-10-01
current
pecos_ownership
GEARHART, HEATHER
CORPORATE DIRECTOR
—
1998-08-30
current
pecos_ownership
JOHNSON, CHARLES
CORPORATE DIRECTOR
—
1997-03-13
current
pecos_ownership
LO, HING HAR
CORPORATE DIRECTOR
—
2005-11-10
current
pecos_ownership
MCDEARIS, TOMMY
CORPORATE DIRECTOR
—
2020-10-01
current
pecos_ownership
MCMAHON, BRIDGET
CORPORATE DIRECTOR
—
2009-11-12
current
pecos_ownership
NEVITT, MOLLY
CORPORATE OFFICER
—
2019-09-01
current
pecos_ownership
PIERCE, THOMAS
CORPORATE DIRECTOR
—
2012-10-01
current
pecos_ownership
POSPICHAL, JASON
CORPORATE DIRECTOR
—
2010-10-01
current
pecos_ownership
PRICE, WILLIAM
CORPORATE DIRECTOR
—
—
current
pecos_ownership
SHEPHERD, RICHARD
CORPORATE DIRECTOR
—
2020-10-01
current
pecos_ownership
SPENCER, EDWARD
CORPORATE DIRECTOR
—
2013-10-01
current
pecos_ownership
STONE, MEG
CORPORATE OFFICER
—
2015-11-12
current
pecos_ownership
TEASTER, PAMELA
CORPORATE DIRECTOR
—
2020-10-01
current
pecos_ownership
VOSBURGH, TRACY
CORPORATE DIRECTOR
—
2019-10-01
current
pecos_ownership
ALLAN BOOKOUT
CORPORATE OFFICER
—
2021-10-01
ended 2026-05-18
pecos_ownership
BRAD DALTON
CORPORATE DIRECTOR
—
2020-10-01
ended 2026-05-18
pecos_ownership
BRIDGET MCMAHON
CORPORATE DIRECTOR
—
2009-11-12
ended 2026-05-18
pecos_ownership
CHARLES JOHNSON
CORPORATE DIRECTOR
—
1997-03-13
ended 2026-05-18
pecos_ownership
EDWARD SPENCER
CORPORATE DIRECTOR
—
2013-10-01
ended 2026-05-18
pecos_ownership
HEATHER GEARHART
CORPORATE DIRECTOR
—
1998-08-30
ended 2026-05-18
pecos_ownership
HING HAR LO
CORPORATE DIRECTOR
—
2005-11-10
ended 2026-05-18
pecos_ownership
JASON POSPICHAL
CORPORATE DIRECTOR
—
2010-10-01
ended 2026-05-18
pecos_ownership
KATHERINE ALLEN
CORPORATE DIRECTOR
—
2015-11-12
ended 2026-05-18
pecos_ownership
KORIE FLANNAGAN
CORPORATE DIRECTOR
—
2020-10-01
ended 2026-05-18
pecos_ownership
MEG STONE
CORPORATE OFFICER
—
2015-11-12
ended 2026-05-18
pecos_ownership
MOLLY NEVITT
CORPORATE OFFICER
—
2019-09-01
ended 2026-05-18
pecos_ownership
PAMELA TEASTER
CORPORATE DIRECTOR
—
2020-10-01
ended 2026-05-18
pecos_ownership
RICHARD SHEPHERD
CORPORATE DIRECTOR
—
2020-10-01
ended 2026-05-18
pecos_ownership
THOMAS PIERCE
CORPORATE DIRECTOR
—
2012-10-01
ended 2026-05-18
pecos_ownership
TOMMY MCDEARIS
CORPORATE DIRECTOR
—
2020-10-01
ended 2026-05-18
pecos_ownership
TRACY VOSBURGH
CORPORATE DIRECTOR
—
2019-10-01
ended 2026-05-18
pecos_ownership
WILLIAM PRICE
CORPORATE DIRECTOR
—
—
ended 2026-05-18
pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Related-party costs
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-09-30
$1,356,859
—
—
—
—
1
—
2023-09-30
$1,508,530
—
—
—
—
1
—
2022-09-30
$874,674
—
—
—
—
1
—
2021-09-30
$723,900
—
—
—
—
1
—
2020-09-30
$819,536
—
—
—
—
1
—
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
Transactions
0
No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
36
Geo
Kind
BR
Amount
As of
Source
county 51121
acs median gross
0
$1,185
2024-12-31
CENSUS_ACS5
county 51121
fmr
0
$910
2025-10-01
HUD_USER_FMR
county 51121
acs median gross
1
$1,017
2024-12-31
CENSUS_ACS5
county 51121
fmr
1
$993
2025-10-01
HUD_USER_FMR
county 51121
acs median gross
2
$1,208
2024-12-31
CENSUS_ACS5
county 51121
fmr
2
$1,271
2025-10-01
HUD_USER_FMR
county 51121
acs median gross
3
$1,452
2024-12-31
CENSUS_ACS5
county 51121
fmr
3
$1,706
2025-10-01
HUD_USER_FMR
county 51121
acs median gross
4
$1,761
2024-12-31
CENSUS_ACS5
county 51121
fmr
4
$2,132
2025-10-01
HUD_USER_FMR
county 51121
acs median gross
5
$2,165
2024-12-31
CENSUS_ACS5
county 51121
acs median gross
$1,240
2024-12-31
CENSUS_ACS5
county 51121
acs recent mover gross
$1,406
2024-12-31
CENSUS_ACS5
zcta 24060
acs median gross
0
$1,195
2024-12-31
CENSUS_ACS5
zcta 24060
acs median gross
1
$1,065
2024-12-31
CENSUS_ACS5
zcta 24060
acs median gross
2
$1,309
2024-12-31
CENSUS_ACS5
zcta 24060
acs median gross
3
$1,634
2024-12-31
CENSUS_ACS5
zcta 24060
acs median gross
4
$1,750
2024-12-31
CENSUS_ACS5
zcta 24060
acs median gross
5
$2,156
2024-12-31
CENSUS_ACS5
zcta 24060
acs median gross
$1,314
2024-12-31
CENSUS_ACS5
zcta 24060
acs recent mover gross
$1,474
2024-12-31
CENSUS_ACS5
zip 24060
payment standard 110
0
$1,100
2025-10-01
HUD_USER_SAFMR
zip 24060
payment standard 90
0
$900
2025-10-01
HUD_USER_SAFMR
zip 24060
safmr
0
$1,000
2025-10-01
HUD_USER_SAFMR
zip 24060
payment standard 110
1
$1,199
2025-10-01
HUD_USER_SAFMR
zip 24060
payment standard 90
1
$981
2025-10-01
HUD_USER_SAFMR
zip 24060
safmr
1
$1,090
2025-10-01
HUD_USER_SAFMR
zip 24060
payment standard 110
2
$1,529
2025-10-01
HUD_USER_SAFMR
zip 24060
payment standard 90
2
$1,251
2025-10-01
HUD_USER_SAFMR
zip 24060
safmr
2
$1,390
2025-10-01
HUD_USER_SAFMR
zip 24060
payment standard 110
3
$2,057
2025-10-01
HUD_USER_SAFMR
zip 24060
payment standard 90
3
$1,683
2025-10-01
HUD_USER_SAFMR
zip 24060
safmr
3
$1,870
2025-10-01
HUD_USER_SAFMR
zip 24060
payment standard 110
4
$2,563
2025-10-01
HUD_USER_SAFMR
zip 24060
payment standard 90
4
$2,097
2025-10-01
HUD_USER_SAFMR
zip 24060
safmr
4
$2,330
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.