237 FRANKLIN PIKE ROAD SE, FLOYD, VA 24091 · CCN 495348 · chain SNF MGR LLC
Composite
34.9 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
90
Model
v1.2
Reads as: riskier than 34.9% 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
3.13
3.13
3.28
2.90–3.77
RN
0.35
0.30
0.39
0.25–0.58
Weekend total
2.90
2.96
3.11
—
Weekday total
3.22
3.20
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
82.7
3.13
0.35
0.81
1.97
2.90
0.0%
2025Q3
92
84.3
3.12
0.40
0.70
2.02
2.87
0.0%
2025Q2
91
83.1
3.21
0.40
0.69
2.12
2.94
0.0%
2025Q1
90
83.3
2.99
0.35
0.78
1.87
2.81
0.0%
2024Q4
92
82.9
3.07
0.36
0.81
1.90
2.78
0.0%
2024Q3
92
84.3
3.06
0.30
0.81
1.95
2.88
0.0%
2024Q2
91
83.5
2.86
0.26
0.82
1.79
2.67
0.0%
2024Q1
91
83.5
2.79
0.30
0.82
1.67
2.71
0.0%
2023Q4
92
83.7
2.71
0.30
0.80
1.61
2.55
0.0%
2023Q3
92
84.7
2.43
0.30
0.79
1.35
2.22
0.0%
2023Q2
91
85.9
2.35
0.28
0.79
1.28
2.12
0.0%
2023Q1
90
86.4
2.52
0.27
0.77
1.48
2.34
0.0%
2022Q4
92
84.3
2.35
0.23
0.75
1.37
2.18
0.0%
2022Q3
92
83.6
2.11
0.21
0.69
1.21
2.04
0.0%
2022Q2
91
81.6
1.99
0.18
0.70
1.10
1.91
0.0%
2022Q1
90
79.7
2.38
0.33
0.82
1.22
2.26
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.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
2026-01-04
2025-12-04
Health
F0628
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
D
2026-01-04
2025-12-04
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2026-02-12
2025-12-04
Health
F0688
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
2026-01-03
2025-12-04
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2026-01-03
2025-12-04
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
2026-01-04
2025-12-04
Health
F0760
Ensure that residents are free from significant medication errors.
G
2026-01-04
2025-12-04
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2026-02-12
2025-12-04
Health
F0880
Provide and implement an infection prevention and control program.
D
2026-01-03
2025-12-04
Health
F0887
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
C
2026-01-03
2022-09-22
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
2022-11-15
2022-09-22
Health
F0623
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
2022-11-15
2022-09-22
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
2022-11-15
2022-09-22
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2022-11-15
2019-10-03
Health
F0585
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
E
2019-11-15
2019-10-03
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
2019-11-15
2019-10-03
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2019-11-15
2019-10-03
Health
F0744
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
D
2019-11-15
2019-10-03
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
2019-11-15
2019-10-03
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F
2019-11-15
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
22
Owner
Role
Pct
From
Status
Source
FLOYD PARENTCO LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2025-05-01
current
pecos_ownership
CLARK, ALYSSA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-01
current
pecos_ownership
FLOYD HOLDCO LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2025-05-01
current
pecos_ownership
GALLIMORE, DEBRA
ADP OF THE SNF
—
2025-05-01
current
pecos_ownership
HOBACK, TIFFANY
ADP OF THE SNF
—
2025-05-01
current
pecos_ownership
JONES, TEQUILLA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-01
current
pecos_ownership
MARCH, JARED
ADP OF THE SNF
—
2025-05-01
current
pecos_ownership
SCHUMANN, JASON
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-01
current
pecos_ownership
SNF MGR LLC
ADP OF THE SNF
—
2025-04-18
current
pecos_ownership
SNF MGR LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-01
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
ALYSSA CLARK
MANAGING CONTROL - GOVERNING BODY
—
2025-05-01
ended 2026-05-18
pecos_ownership
DEBRA GALLIMORE
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-01
ended 2026-05-18
pecos_ownership
JARED MARCH
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-01
ended 2026-05-18
pecos_ownership
JASON SCHUMANN
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
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.
Related-party costs
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$382,654
—
—
—
—
3
—
2023-12-31
$337,570
—
—
—
—
3
—
2022-12-31
$306,027
—
—
—
—
3
—
2021-12-31
$323,212
—
—
—
—
5
—
2020-12-31
$346,297
—
—
—
—
3
—
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
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 51063
fmr
0
$830
2025-10-01
HUD_USER_FMR
county 51063
acs median gross
1
$581
2024-12-31
CENSUS_ACS5
county 51063
fmr
1
$834
2025-10-01
HUD_USER_FMR
county 51063
acs median gross
2
$897
2024-12-31
CENSUS_ACS5
county 51063
fmr
2
$1,094
2025-10-01
HUD_USER_FMR
county 51063
acs median gross
3
$922
2024-12-31
CENSUS_ACS5
county 51063
fmr
3
$1,312
2025-10-01
HUD_USER_FMR
county 51063
acs median gross
4
$1,190
2024-12-31
CENSUS_ACS5
county 51063
fmr
4
$1,448
2025-10-01
HUD_USER_FMR
county 51063
acs median gross
5
$2,167
2024-12-31
CENSUS_ACS5
county 51063
acs median gross
$878
2024-12-31
CENSUS_ACS5
county 51063
acs recent mover gross
$940
2024-12-31
CENSUS_ACS5
zcta 24091
acs median gross
1
$483
2024-12-31
CENSUS_ACS5
zcta 24091
acs median gross
2
$910
2024-12-31
CENSUS_ACS5
zcta 24091
acs median gross
3
$1,077
2024-12-31
CENSUS_ACS5
zcta 24091
acs median gross
4
$1,319
2024-12-31
CENSUS_ACS5
zcta 24091
acs median gross
$952
2024-12-31
CENSUS_ACS5
zcta 24091
acs recent mover gross
$973
2024-12-31
CENSUS_ACS5
zip 24091
payment standard 110
0
$913
2025-10-01
HUD_USER_SAFMR
zip 24091
payment standard 90
0
$747
2025-10-01
HUD_USER_SAFMR
zip 24091
safmr
0
$830
2025-10-01
HUD_USER_SAFMR
zip 24091
payment standard 110
1
$924
2025-10-01
HUD_USER_SAFMR
zip 24091
payment standard 90
1
$756
2025-10-01
HUD_USER_SAFMR
zip 24091
safmr
1
$840
2025-10-01
HUD_USER_SAFMR
zip 24091
payment standard 110
2
$1,210
2025-10-01
HUD_USER_SAFMR
zip 24091
payment standard 90
2
$990
2025-10-01
HUD_USER_SAFMR
zip 24091
safmr
2
$1,100
2025-10-01
HUD_USER_SAFMR
zip 24091
payment standard 110
3
$1,452
2025-10-01
HUD_USER_SAFMR
zip 24091
payment standard 90
3
$1,188
2025-10-01
HUD_USER_SAFMR
zip 24091
safmr
3
$1,320
2025-10-01
HUD_USER_SAFMR
zip 24091
payment standard 110
4
$1,606
2025-10-01
HUD_USER_SAFMR
zip 24091
payment standard 90
4
$1,314
2025-10-01
HUD_USER_SAFMR
zip 24091
safmr
4
$1,460
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.