Composite
74.8 / 100 percentile
Screener / 215277
C
MOUNTAIN CITY REHAB CENTER
snfMD
48 TARN TERRACE, FROSTBURG, MD 21532 · CCN 215277 · chain JEK IRRV TR
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
88
Model
v1.2
Reads as: riskier than 74.8% 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 radar1Staffing15Penalties3Deficiencies65Licensure0Ownership8Related party6Transactions1Comps12Market rent34
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 90.9 | 88.6 | 0.30 | 0.2308 | 20.98 | in index |
| billing conduct | 80.1 | 53.0 | 0.30 | 0.2308 | 18.48 | in index |
| staffing risk | 42.5 | 42.6 | 0.25 | 0.1923 | 8.17 | in index |
| financial risk | 30.4 | 34.1 | 0.30 | 0.2308 | 7.02 | in index |
| chow risk | 29.6 | 28.5 | 0.15 | 0.1154 | 3.42 | 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 | 53.0 | C | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 25.0 | B | v0.1-pos | default · in composite | Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure. |
| chow risk | 31.9 | B | v0.6 | default · in composite | |
| financial risk | 34.1 | B | 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 | 88.6 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 42.6 | B | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 60.9 | C | v0.1 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 40.9 | B | v0.2 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 45.8 | C | v0.3 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 38.9 | B | v0.4 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 88.5 | 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 | 88.5 | 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 | 42.6 | B | 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 | 42.6 | B | 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
7.0
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 3.99 | -1.46 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| Occupancy | 0.94 | -0.70 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Deficiencies, last 12 months | 22.00 | +0.36 | |
| Total nurse staffing (HPRD) | 3.41 | -0.07 |
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 | 22.00 | -2.65 | |
| Occupancy | 0.94 | -0.79 | |
| For-profit ownership | 1.00 | -0.69 | |
| Fine amount, 12m (log) | 9.62 | -0.53 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Staffing trend, last 4 quarters | 0.73 | +0.31 | |
| Never sold on record | 0.00 | -0.28 | |
| Chain size (log) | 1.61 | +0.26 |
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
15| 2025Q4 HPRD | This facility | MD median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.41 | 3.32 | 3.28 | 2.90–3.77 |
| RN | 0.48 | 0.47 | 0.39 | 0.25–0.58 |
| Weekend total | 3.32 | 3.17 | 3.11 | — |
| Weekday total | 3.44 | 3.36 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 82.5 | 3.41 | 0.48 | 0.73 | 2.20 | 3.32 | 9.7% |
| 2025Q3 | 92 | 85.0 | 3.14 | 0.45 | 0.67 | 2.02 | 3.06 | 12.0% |
| 2025Q2 | 91 | 84.8 | 3.24 | 0.35 | 0.83 | 2.06 | 3.21 | 25.6% |
| 2025Q1 | 90 | 84.1 | 3.04 | 0.40 | 0.77 | 1.87 | 3.03 | 25.3% |
| 2024Q4 | 92 | 83.5 | 2.68 | 0.39 | 0.61 | 1.69 | 2.69 | 15.5% |
| 2024Q3 | 92 | 83.8 | 2.78 | 0.44 | 0.65 | 1.70 | 2.68 | 17.1% |
| 2024Q1 | 91 | 76.6 | 2.74 | 0.48 | 0.68 | 1.58 | 2.63 | 14.7% |
| 2023Q4 | 92 | 76.9 | 2.92 | 0.54 | 0.64 | 1.74 | 2.84 | 16.0% |
| 2023Q3 | 92 | 77.9 | 2.95 | 0.62 | 0.58 | 1.74 | 2.76 | 40.1% |
| 2023Q2 | 91 | 77.4 | 2.91 | 0.51 | 0.66 | 1.74 | 2.76 | 32.0% |
| 2023Q1 | 90 | 76.2 | 2.84 | 0.47 | 0.63 | 1.75 | 2.67 | 18.4% |
| 2022Q4 | 92 | 75.3 | 2.60 | 0.25 | 0.69 | 1.66 | 2.53 | 26.8% |
| 2022Q3 | 92 | 73.8 | 2.15 | 0.23 | 0.53 | 1.39 | 2.02 | 22.5% |
| 2022Q2 | 91 | 71.1 | 2.27 | 0.34 | 0.60 | 1.33 | 2.04 | 20.6% |
| 2022Q1 | 90 | 69.0 | 2.51 | 0.34 | 0.83 | 1.34 | 2.31 | 19.6% |
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 |
|---|---|---|---|
| 2025-11-07 | Fine | $15,106 | CMS provider data |
| 2024-11-26 | Fine | $16,559 | CMS provider data |
| 2024-11-26 | Fine | $16,562 | CMS provider data |
Total fines on record: $48,227
Deficiencies
65C × 1D × 47E × 13F × 1G × 2J × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-06 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2026-04-30 |
| 2026-03-06 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2026-04-30 |
| 2026-03-06 | 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 | 2026-04-30 |
| 2026-03-06 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2026-04-30 |
| 2026-03-06 | Health | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | 2026-04-30 |
| 2026-03-06 | Health | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | 2026-04-30 |
| 2026-03-06 | 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 | 2026-04-30 |
| 2026-03-06 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-04-30 |
| 2026-03-06 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2026-04-30 |
| 2026-03-06 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2026-04-30 |
| 2026-03-06 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2026-04-30 |
| 2026-03-06 | Health | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | 2026-04-30 |
| 2026-03-06 | 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. | D | 2026-04-30 |
| 2025-11-07 | 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. | D | 2026-01-07 |
| 2025-11-07 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2026-01-07 |
| 2025-11-07 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2026-01-07 |
| 2025-11-07 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2026-01-07 |
| 2025-11-07 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | E | 2026-01-07 |
| 2025-11-07 | Health · complaint | F0641 | Ensure each resident receives an accurate assessment. | D | 2026-01-07 |
| 2025-11-07 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-01-07 |
| 2025-11-07 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2026-01-07 |
| 2025-11-07 | Health · complaint | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | E | 2026-01-07 |
| 2024-11-26 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-12-20 |
| 2024-11-26 | Health | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | 2024-12-20 |
| 2024-11-26 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | 2024-12-20 |
| 2024-11-26 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2024-12-20 |
| 2024-11-26 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-12-20 |
| 2024-11-26 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2024-12-20 |
| 2024-11-26 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-12-20 |
| 2024-11-26 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2024-12-20 |
| 2024-11-26 | Health | F0637 | Assess the resident when there is a significant change in condition | D | 2024-12-20 |
| 2024-11-26 | Health | F0641 | Ensure each resident receives an accurate assessment. | E | 2024-12-20 |
| 2024-11-26 | Health · complaint | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | 2024-12-20 |
| 2024-11-26 | 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 | 2024-12-20 |
| 2024-11-26 | Health | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2024-12-20 |
| 2024-11-26 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-12-20 |
| 2024-11-26 | Health · complaint | F0679 | Provide activities to meet all resident's needs. | D | 2024-12-20 |
| 2024-11-26 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2024-12-20 |
| 2024-11-26 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2025-01-31 |
| 2024-11-26 | 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 | 2025-01-31 |
| 2024-11-26 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2022-12-06 |
| 2024-11-26 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2024-12-20 |
| 2024-11-26 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2025-01-31 |
| 2024-11-26 | Health · complaint | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | 2025-01-31 |
| 2024-11-26 | Health | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2025-01-31 |
| 2024-11-26 | Health | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | 2025-01-31 |
| 2024-11-26 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2025-01-31 |
| 2024-11-26 | 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 | 2025-01-31 |
| 2024-11-26 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2024-12-20 |
| 2024-11-26 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2025-01-31 |
| 2024-11-26 | Health | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | 2025-01-31 |
| 2024-11-26 | Health · complaint | F0776 | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | D | 2025-01-31 |
| 2024-11-26 | Health | 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 | 2024-12-20 |
| 2024-11-26 | Health | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | D | 2024-12-20 |
| 2024-11-26 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-01-31 |
| 2024-11-26 | Health · complaint | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | 2024-12-20 |
| 2024-11-26 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2025-01-31 |
| 2024-11-26 | Health · complaint | F0908 | Keep all essential equipment working safely. | D | 2024-12-20 |
| 2024-11-26 | Health · complaint | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2025-01-31 |
| 2019-09-20 | Health | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | C | 2019-11-30 |
| 2019-09-20 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2019-11-30 |
| 2019-09-20 | Health | F0624 | Prepare residents for a safe transfer or discharge from the nursing home. | D | 2019-11-30 |
| 2019-09-20 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2019-11-30 |
| 2019-09-20 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2019-11-30 |
| 2019-09-20 | Health | F0908 | Keep all essential equipment working safely. | D | 2019-11-30 |
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
8| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| SHALOM FRIEDLAND | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 43% | 2022-08-01 | ended 2026-05-18 | pecos_ownership |
| JEK IRRV TR | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 13% | 2022-08-01 | ended 2026-05-18 | pecos_ownership |
| NMJ IRRV TR | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 13% | 2022-08-01 | ended 2026-05-18 | pecos_ownership |
| J & M HOLDINGS GROUP LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 11% | 2022-08-01 | ended 2026-05-18 | pecos_ownership |
| ROCHEL BAMBERGER | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 11% | 2022-08-01 | ended 2026-05-18 | pecos_ownership |
| SAMBA HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 11% | 2022-08-01 | ended 2026-05-18 | pecos_ownership |
| JOSHUA BAMBERGER | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | 2022-08-01 | ended 2026-05-18 | pecos_ownership |
| RACHEL BREITOWITZ | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | 2022-08-01 | 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 |
|---|---|---|---|---|
| 2022-08-01 | — | MC HEALTHCARE OPERATIONS LLC | AXIS HEALTH AT FROSTBURG OPCO LLC | chow |
Comparable trades — MD snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-03-01 | FROSTBURG REHAB CENTER | — | — | — | 122 | KAYLOR FROSTBURG LLC |
| 2025-03-01 | SOUTH MOUNTAIN REHAB CENTER | — | — | — | 157 | SM REHAB |
| 2024-12-01 | ST. ELIZABETH REHABILITATION & NURSING CENTER | — | — | — | 162 | ST. ELIZABETH OPCO LLC |
| 2024-10-01 | SNOW HILL REHABILITATION & HEALTHCARE CENTER | — | — | — | 69 | SNOW HILL SNF OPERATIONS LLC |
| 2024-10-01 | DENNETT REHAB CENTER | — | — | — | 99 | DENNETT SNF |
| 2024-09-01 | FREDERICK CROSSING OF JOURNEY | — | — | — | 120 | FREDERICK CROSSING OF JOURNEY LLC |
| 2024-07-01 | BAY HARBOR POST ACUTE HEALTHCARE CENTER | — | — | — | 305 | BAY HARBOR OPERATOR LLC |
| 2024-04-01 | GREEN ACRES NURSING AND REHAB | — | — | — | 170 | 10200 LA PLATA OPCO LLC |
| 2024-03-01 | COPPER RIDGE NURSING AND ASSISTED LIVING CENTER | — | — | — | 66 | CARROLL MD OPCO LLC |
| 2024-01-01 | RESORTS OF AUGSBURG | — | — | — | 131 | RESORTS OF AUGSBURG CORP |
| 2023-12-01 | ROSSVILLE REHABILITATION AND HEALTHCARE CENTER | — | — | — | 172 | ROSSVILLE SNF OPERATIONS LLC |
| 2023-12-01 | TOWSON REHABILITATION AND HEALTHCARE CENTER | — | — | — | 132 | TOWSON SNF OPERATIONS 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
34| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 24001 | acs median gross | 0 | $508 | 2024-12-31 | CENSUS_ACS5 |
| county 24001 | fmr | 0 | $694 | 2025-10-01 | HUD_USER_FMR |
| county 24001 | acs median gross | 1 | $633 | 2024-12-31 | CENSUS_ACS5 |
| county 24001 | fmr | 1 | $823 | 2025-10-01 | HUD_USER_FMR |
| county 24001 | acs median gross | 2 | $827 | 2024-12-31 | CENSUS_ACS5 |
| county 24001 | fmr | 2 | $973 | 2025-10-01 | HUD_USER_FMR |
| county 24001 | acs median gross | 3 | $1,051 | 2024-12-31 | CENSUS_ACS5 |
| county 24001 | fmr | 3 | $1,333 | 2025-10-01 | HUD_USER_FMR |
| county 24001 | acs median gross | 4 | $907 | 2024-12-31 | CENSUS_ACS5 |
| county 24001 | fmr | 4 | $1,452 | 2025-10-01 | HUD_USER_FMR |
| county 24001 | acs median gross | 5 | $989 | 2024-12-31 | CENSUS_ACS5 |
| county 24001 | acs median gross | $805 | 2024-12-31 | CENSUS_ACS5 | |
| county 24001 | acs recent mover gross | $792 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 21532 | acs median gross | 1 | $703 | 2024-12-31 | CENSUS_ACS5 |
| zcta 21532 | acs median gross | 2 | $918 | 2024-12-31 | CENSUS_ACS5 |
| zcta 21532 | acs median gross | 3 | $1,131 | 2024-12-31 | CENSUS_ACS5 |
| zcta 21532 | acs median gross | 4 | $858 | 2024-12-31 | CENSUS_ACS5 |
| zcta 21532 | acs median gross | $916 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 21532 | acs recent mover gross | $865 | 2024-12-31 | CENSUS_ACS5 | |
| zip 21532 | payment standard 110 | 0 | $825 | 2025-10-01 | HUD_USER_SAFMR |
| zip 21532 | payment standard 90 | 0 | $675 | 2025-10-01 | HUD_USER_SAFMR |
| zip 21532 | safmr | 0 | $750 | 2025-10-01 | HUD_USER_SAFMR |
| zip 21532 | payment standard 110 | 1 | $957 | 2025-10-01 | HUD_USER_SAFMR |
| zip 21532 | payment standard 90 | 1 | $783 | 2025-10-01 | HUD_USER_SAFMR |
| zip 21532 | safmr | 1 | $870 | 2025-10-01 | HUD_USER_SAFMR |
| zip 21532 | payment standard 110 | 2 | $1,133 | 2025-10-01 | HUD_USER_SAFMR |
| zip 21532 | payment standard 90 | 2 | $927 | 2025-10-01 | HUD_USER_SAFMR |
| zip 21532 | safmr | 2 | $1,030 | 2025-10-01 | HUD_USER_SAFMR |
| zip 21532 | payment standard 110 | 3 | $1,551 | 2025-10-01 | HUD_USER_SAFMR |
| zip 21532 | payment standard 90 | 3 | $1,269 | 2025-10-01 | HUD_USER_SAFMR |
| zip 21532 | safmr | 3 | $1,410 | 2025-10-01 | HUD_USER_SAFMR |
| zip 21532 | payment standard 110 | 4 | $1,683 | 2025-10-01 | HUD_USER_SAFMR |
| zip 21532 | payment standard 90 | 4 | $1,377 | 2025-10-01 | HUD_USER_SAFMR |
| zip 21532 | safmr | 4 | $1,530 | 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.