Composite
88.7 / 100 percentile
Screener / 215094
D
Westminster Rehabilitation and Wellness Center
snfMD
1234 WASHINGTON ROAD, WESTMINSTER, MD 21157 · CCN 215094 · chain I ROSEDALE IRREVOCABLE TRUST
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
170
Model
v1.2
Reads as: riskier than 88.7% 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 radar1Staffing16Penalties2Deficiencies70Licensure0Ownership21Related party5Transactions1Comps12Market rent35
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 92.0 | 89.7 | 0.30 | 0.2308 | 21.23 | in index |
| financial risk | 76.7 | 64.3 | 0.30 | 0.2308 | 17.70 | in index |
| chow risk | 94.3 | 80.6 | 0.15 | 0.1154 | 10.88 | in index |
| staffing risk | 46.1 | 46.1 | 0.25 | 0.1923 | 8.87 | in index |
| billing conduct | 30.7 | 31.9 | 0.30 | 0.2308 | 7.08 | 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 | 31.9 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 75.0 | D | 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 | 86.1 | F | v0.6 | default · in composite | |
| financial risk | 64.3 | 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 | 0.1 | — | 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 | 89.7 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 46.1 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 51.0 | 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 | 31.0 | 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 | 59.9 | 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 | 66.3 | D | 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 | 89.7 | 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 | 89.7 | 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 | 46.1 | C | v0.1 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| staffing risk | 46.1 | C | v0.2 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
CHOW radar — 12-month sale probability
full board →p(CHOW, 12m)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
33.9
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) | 9.24 | -0.95 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Chain size (log) | 1.10 | -0.17 | |
| Contract staffing share | 0.14 | +0.13 | |
| Facility size (log beds) | 5.14 | -0.12 |
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
20.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 1.00 | -0.69 | |
| Chain size (log) | 1.10 | +0.56 | |
| Fine amount, 12m (log) | 9.61 | -0.52 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Occupancy | 0.66 | +0.38 | |
| Never sold on record | 0.00 | -0.28 | |
| Deficiencies, last 12 months | 9.00 | -0.24 | |
| Facility size (log beds) | 5.14 | -0.16 |
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 | MD median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.35 | 3.32 | 3.28 | 2.90–3.77 |
| RN | 0.69 | 0.47 | 0.39 | 0.25–0.58 |
| Weekend total | 3.17 | 3.17 | 3.11 | — |
| Weekday total | 3.42 | 3.36 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 112.1 | 3.35 | 0.69 | 0.73 | 1.93 | 3.17 | 14.4% |
| 2025Q3 | 92 | 114.0 | 3.38 | 0.69 | 0.73 | 1.97 | 3.17 | 19.6% |
| 2025Q2 | 91 | 115.7 | 3.41 | 0.50 | 0.93 | 1.98 | 3.26 | 9.6% |
| 2025Q1 | 90 | 110.0 | 3.53 | 0.57 | 0.98 | 1.98 | 3.26 | 15.7% |
| 2024Q4 | 92 | 113.5 | 3.37 | 0.61 | 0.85 | 1.91 | 3.13 | 17.5% |
| 2024Q3 | 92 | 107.6 | 3.22 | 0.49 | 0.82 | 1.90 | 3.08 | 7.1% |
| 2024Q2 | 91 | 102.5 | 3.17 | 0.45 | 0.86 | 1.87 | 3.09 | 5.2% |
| 2024Q1 | 91 | 107.9 | 3.16 | 0.51 | 0.84 | 1.81 | 3.07 | 5.8% |
| 2023Q4 | 92 | 115.8 | 3.02 | 0.50 | 0.80 | 1.72 | 2.86 | 1.2% |
| 2023Q3 | 92 | 119.7 | 2.94 | 0.60 | 0.77 | 1.58 | 2.75 | 4.4% |
| 2023Q2 | 91 | 117.2 | 2.69 | 0.68 | 0.78 | 1.22 | 2.44 | 5.5% |
| 2023Q1 | 90 | 115.0 | 2.76 | 0.67 | 0.84 | 1.25 | 2.52 | 7.5% |
| 2022Q4 | 92 | 112.2 | 2.86 | 0.64 | 0.96 | 1.26 | 2.61 | 10.6% |
| 2022Q3 | 92 | 108.9 | 2.70 | 0.58 | 0.94 | 1.19 | 2.58 | 6.9% |
| 2022Q2 | 91 | 107.2 | 2.73 | 0.52 | 1.00 | 1.22 | 2.60 | 2.6% |
| 2022Q1 | 90 | 103.3 | 2.90 | 0.63 | 1.00 | 1.27 | 2.67 | 6.3% |
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
2fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-08-14 | Fine | $14,892 | CMS provider data |
| 2024-04-18 | Fine | $48,789 | CMS provider data |
Total fines on record: $63,681
Deficiencies
70C × 1D × 49E × 14F × 5G × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-02-13 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2026-03-13 |
| 2026-02-13 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-03-13 |
| 2025-08-14 | Health · complaint | 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. | D | 2025-09-12 |
| 2025-08-14 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2025-09-12 |
| 2025-08-14 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-09-12 |
| 2025-08-14 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-09-12 |
| 2025-08-14 | Health · complaint | F0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | D | 2025-09-12 |
| 2025-08-14 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-09-12 |
| 2025-08-14 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-09-12 |
| 2025-02-14 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-03-07 |
| 2024-10-18 | Health | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | 2024-11-18 |
| 2024-10-18 | Health | F0583 | Keep residents' personal and medical records private and confidential. | D | 2024-11-18 |
| 2024-10-18 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-11-18 |
| 2024-10-18 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-11-18 |
| 2024-10-18 | 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 | 2024-11-18 |
| 2024-10-18 | 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 | 2024-11-18 |
| 2024-10-18 | 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 | 2024-11-18 |
| 2024-10-18 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-11-18 |
| 2024-10-18 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-11-18 |
| 2024-10-18 | 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 | 2024-11-18 |
| 2024-10-18 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2024-11-18 |
| 2024-04-18 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-05-25 |
| 2024-04-18 | Health · complaint | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | 2024-05-25 |
| 2024-04-18 | 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 | 2024-05-25 |
| 2024-04-18 | 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 | 2024-05-25 |
| 2024-04-18 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-05-25 |
| 2024-04-18 | 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 | 2024-05-25 |
| 2024-04-18 | 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 | 2024-05-25 |
| 2024-04-18 | 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 | 2024-05-25 |
| 2024-04-18 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2024-05-25 |
| 2024-04-18 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-05-25 |
| 2024-04-18 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-05-25 |
| 2024-04-18 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2024-05-25 |
| 2024-04-18 | Health · complaint | F0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | E | 2024-05-25 |
| 2024-04-18 | Health | 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 | 2024-05-25 |
| 2024-04-18 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2024-05-25 |
| 2024-04-18 | Health · complaint | F0791 | Provide or obtain dental services for each resident. | D | 2024-05-25 |
| 2024-04-18 | Health | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | D | 2024-05-25 |
| 2024-04-18 | Health | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | 2024-05-25 |
| 2024-04-18 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-05-25 |
| 2024-04-18 | 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. | E | 2024-05-25 |
| 2024-04-18 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-05-25 |
| 2024-04-18 | Health | F0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | F | 2024-05-25 |
| 2024-04-18 | Health | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | 2024-05-25 |
| 2023-09-21 | Health · complaint | F0551 | Give the resident's representative the ability to exercise the resident's rights. | D | 2023-11-05 |
| 2023-09-21 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-11-05 |
| 2023-09-21 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2023-11-05 |
| 2023-09-21 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2023-11-05 |
| 2023-09-21 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | E | 2023-11-05 |
| 2023-09-21 | Health · complaint | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2023-11-05 |
| 2023-09-21 | Health · complaint | F0641 | Ensure each resident receives an accurate assessment. | E | 2023-11-05 |
| 2023-09-21 | 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 | 2023-11-05 |
| 2023-09-21 | 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 | 2023-11-05 |
| 2023-09-21 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2023-11-05 |
| 2023-09-21 | Health · complaint | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2023-11-05 |
| 2023-09-21 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2023-11-05 |
| 2023-09-21 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-11-05 |
| 2023-09-21 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-11-05 |
| 2023-09-21 | Health · complaint | F0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | D | 2023-11-05 |
| 2023-09-21 | 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 | 2023-11-05 |
| 2023-09-21 | 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. | E | 2023-11-05 |
| 2023-09-21 | Health · complaint | F0730 | Observe each nurse aide's job performance and give regular training. | E | 2023-11-05 |
| 2023-09-21 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2023-11-05 |
| 2023-09-21 | Health · complaint | 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 | 2023-11-05 |
| 2023-09-21 | Health · complaint | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2023-11-05 |
| 2023-09-21 | Health · complaint | F0791 | Provide or obtain dental services for each resident. | D | 2023-11-05 |
| 2023-09-21 | Health · complaint | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | 2023-11-05 |
| 2023-09-21 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2023-11-05 |
| 2023-09-21 | Health · complaint | F0881 | Implement a program that monitors antibiotic use. | D | 2023-11-05 |
| 2023-09-21 | Health · complaint | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E | 2023-11-05 |
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
21| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| PC MSTR LSCO, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2017-05-01 | current | pecos_ownership |
| GROVES, DONNA | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-04-14 | current | pecos_ownership |
| KNAISH, KINAN | ADP OF THE SNF | — | 2014-07-01 | current | pecos_ownership |
| MILLER, JENNIFER | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-11-20 | current | pecos_ownership |
| ROMEO, DOMINIC | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-04-01 | current | pecos_ownership |
| STOLTZ, CHARLES | CORPORATE OFFICER | — | 2017-05-01 | current | pecos_ownership |
| WASHINGTON (WEST) MGT CO., LLC | ADP OF THE SNF | — | 2025-04-16 | current | pecos_ownership |
| WASHINGTON (WEST) MGT CO., LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-05-01 | current | pecos_ownership |
| WILHEIM, RONALD | CORPORATE OFFICER | — | 2017-05-01 | current | pecos_ownership |
| SKILLED HC HOLDINGS, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 93% | 2017-05-01 | ended 2026-05-18 | pecos_ownership |
| I. ROSEDALE FAMILY INVESTMENT COMPANY INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 31% | 2017-05-01 | ended 2026-05-18 | pecos_ownership |
| S.L. ROSEDALE IRREVOCABLE TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 31% | 2017-05-01 | ended 2026-05-18 | pecos_ownership |
| C.R. STOLTZ FAMILY INVESTMENT COMPANY INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 7% | 2017-05-01 | ended 2026-05-18 | pecos_ownership |
| C.R. STOLTZ IRREVOCABLE TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 7% | 2017-05-01 | ended 2026-05-18 | pecos_ownership |
| CHARLES STOLTZ | CORPORATE OFFICER | — | 2017-05-01 | ended 2026-05-18 | pecos_ownership |
| DOMINIC ROMEO | CORPORATE OFFICER | — | 2023-04-01 | ended 2026-05-18 | pecos_ownership |
| DONNA GROVES | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-04-14 | ended 2026-05-18 | pecos_ownership |
| I. ROSEDALE IRREVOCABLE TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2017-05-01 | ended 2026-05-18 | pecos_ownership |
| JENNIFER MILLER | ADP OF THE SNF | — | 2023-11-20 | ended 2026-05-18 | pecos_ownership |
| KINAN KNAISH | OPERATIONAL/MANAGERIAL CONTROL | — | 2014-07-01 | ended 2026-05-18 | pecos_ownership |
| RONALD WILHEIM | CORPORATE OFFICER | — | 2017-05-01 | ended 2026-05-18 | pecos_ownership |
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Transactions
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2017-05-01 | — | WASHINGTON WEST LEASING CO LLC | BEVERLY ENTERPRISES - MARYLAND, INC. | 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
35| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 24013 | acs median gross | 0 | $873 | 2024-12-31 | CENSUS_ACS5 |
| county 24013 | fmr | 0 | $1,362 | 2025-10-01 | HUD_USER_FMR |
| county 24013 | acs median gross | 1 | $1,033 | 2024-12-31 | CENSUS_ACS5 |
| county 24013 | fmr | 1 | $1,511 | 2025-10-01 | HUD_USER_FMR |
| county 24013 | acs median gross | 2 | $1,459 | 2024-12-31 | CENSUS_ACS5 |
| county 24013 | fmr | 2 | $1,857 | 2025-10-01 | HUD_USER_FMR |
| county 24013 | acs median gross | 3 | $1,637 | 2024-12-31 | CENSUS_ACS5 |
| county 24013 | fmr | 3 | $2,358 | 2025-10-01 | HUD_USER_FMR |
| county 24013 | acs median gross | 4 | $1,945 | 2024-12-31 | CENSUS_ACS5 |
| county 24013 | fmr | 4 | $2,611 | 2025-10-01 | HUD_USER_FMR |
| county 24013 | acs median gross | 5 | $2,667 | 2024-12-31 | CENSUS_ACS5 |
| county 24013 | acs median gross | $1,427 | 2024-12-31 | CENSUS_ACS5 | |
| county 24013 | acs recent mover gross | $1,469 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 21157 | acs median gross | 0 | $833 | 2024-12-31 | CENSUS_ACS5 |
| zcta 21157 | acs median gross | 1 | $1,076 | 2024-12-31 | CENSUS_ACS5 |
| zcta 21157 | acs median gross | 2 | $1,415 | 2024-12-31 | CENSUS_ACS5 |
| zcta 21157 | acs median gross | 3 | $1,460 | 2024-12-31 | CENSUS_ACS5 |
| zcta 21157 | acs median gross | 4 | $1,984 | 2024-12-31 | CENSUS_ACS5 |
| zcta 21157 | acs median gross | $1,331 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 21157 | acs recent mover gross | $1,409 | 2024-12-31 | CENSUS_ACS5 | |
| zip 21157 | payment standard 110 | 0 | $1,397 | 2025-10-01 | HUD_USER_SAFMR |
| zip 21157 | payment standard 90 | 0 | $1,143 | 2025-10-01 | HUD_USER_SAFMR |
| zip 21157 | safmr | 0 | $1,270 | 2025-10-01 | HUD_USER_SAFMR |
| zip 21157 | payment standard 110 | 1 | $1,595 | 2025-10-01 | HUD_USER_SAFMR |
| zip 21157 | payment standard 90 | 1 | $1,305 | 2025-10-01 | HUD_USER_SAFMR |
| zip 21157 | safmr | 1 | $1,450 | 2025-10-01 | HUD_USER_SAFMR |
| zip 21157 | payment standard 110 | 2 | $1,947 | 2025-10-01 | HUD_USER_SAFMR |
| zip 21157 | payment standard 90 | 2 | $1,593 | 2025-10-01 | HUD_USER_SAFMR |
| zip 21157 | safmr | 2 | $1,770 | 2025-10-01 | HUD_USER_SAFMR |
| zip 21157 | payment standard 110 | 3 | $2,508 | 2025-10-01 | HUD_USER_SAFMR |
| zip 21157 | payment standard 90 | 3 | $2,052 | 2025-10-01 | HUD_USER_SAFMR |
| zip 21157 | safmr | 3 | $2,280 | 2025-10-01 | HUD_USER_SAFMR |
| zip 21157 | payment standard 110 | 4 | $2,805 | 2025-10-01 | HUD_USER_SAFMR |
| zip 21157 | payment standard 90 | 4 | $2,295 | 2025-10-01 | HUD_USER_SAFMR |
| zip 21157 | safmr | 4 | $2,550 | 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.