Composite
63.4 / 100 percentile
Screener / 215024
C
WHITE OAK REHABILITATION AND NURSING CENTER
snfMD
6500 RIGGS ROAD, HYATTSVILLE, MD 20783 · CCN 215024 · chain ISMD HOLDINGS LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
160
Model
v1.2
Reads as: riskier than 63.4% 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 radar1Staffing16Penalties1Deficiencies76Licensure0Ownership8Related party2Transactions1Comps12Market rent36
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| billing conduct | 91.5 | 61.3 | 0.30 | 0.2308 | 21.12 | in index |
| regulatory risk | 89.4 | 87.0 | 0.30 | 0.2308 | 20.63 | in index |
| staffing risk | 57.9 | 57.9 | 0.25 | 0.1923 | 11.13 | in index |
| chow risk | 3.9 | 11.6 | 0.15 | 0.1154 | 0.45 | in index |
| financial risk | 0.2 | 3.0 | 0.30 | 0.2308 | 0.05 | 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 | 61.3 | C | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 17.1 | A | v0.1-pos | default · in composite | Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure. |
| chow risk | 6.2 | A | v0.6 | default · in composite | |
| financial risk | 3.0 | A | 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 | 87.0 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 57.9 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 85.2 | F | 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 | 65.2 | D | 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 | 24.8 | A | 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 | 7.1 | A | 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 | 86.9 | 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 | 86.9 | 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 | 57.9 | 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 | 57.9 | 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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
12.1
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) | 6.41 | -1.22 | |
| Occupancy | 0.98 | -0.82 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Deficiencies, last 12 months | 2.00 | -0.12 | |
| Facility size (log beds) | 5.08 | -0.11 |
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
33.6
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 | 2.00 | +1.06 | |
| Occupancy | 0.98 | -0.97 | |
| For-profit ownership | 1.00 | -0.69 | |
| Chain size (log) | 1.39 | +0.39 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 6.41 | -0.20 | |
| Fine amount, 12m (log) | 0.00 | +0.18 |
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 | 3.16 | 3.32 | 3.28 | 2.90–3.77 |
| RN | 0.48 | 0.47 | 0.39 | 0.25–0.58 |
| Weekend total | 3.05 | 3.17 | 3.11 | — |
| Weekday total | 3.20 | 3.36 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 156.8 | 3.16 | 0.48 | 0.76 | 1.92 | 3.05 | 0.0% |
| 2025Q3 | 92 | 156.4 | 2.98 | 0.35 | 0.77 | 1.86 | 2.72 | 0.0% |
| 2025Q2 | 91 | 156.1 | 2.78 | 0.31 | 0.89 | 1.58 | 2.60 | 0.0% |
| 2025Q1 | 90 | 158.5 | 2.62 | 0.31 | 0.87 | 1.45 | 2.36 | 0.0% |
| 2024Q4 | 92 | 158.3 | 2.81 | 0.35 | 0.84 | 1.61 | 2.65 | 0.0% |
| 2024Q3 | 92 | 159.6 | 2.71 | 0.33 | 0.83 | 1.55 | 2.47 | 0.0% |
| 2024Q2 | 91 | 158.0 | 2.69 | 0.32 | 0.80 | 1.57 | 2.51 | 0.0% |
| 2024Q1 | 91 | 157.1 | 2.63 | 0.29 | 0.79 | 1.55 | 2.46 | 0.0% |
| 2023Q4 | 92 | 156.8 | 2.79 | 0.29 | 0.88 | 1.62 | 2.66 | 0.4% |
| 2023Q3 | 92 | 156.0 | 2.81 | 0.32 | 0.86 | 1.63 | 2.55 | 1.3% |
| 2023Q2 | 91 | 154.3 | 2.82 | 0.36 | 0.88 | 1.58 | 2.50 | 0.7% |
| 2023Q1 | 90 | 156.9 | 2.81 | 0.32 | 0.90 | 1.58 | 2.58 | 1.1% |
| 2022Q4 | 92 | 151.0 | 2.79 | 0.39 | 0.79 | 1.62 | 2.50 | 0.0% |
| 2022Q3 | 92 | 152.2 | 2.72 | 0.47 | 0.69 | 1.56 | 2.40 | 0.1% |
| 2022Q2 | 91 | 148.9 | 2.23 | 0.42 | 0.62 | 1.19 | 2.04 | 3.2% |
| 2022Q1 | 90 | 148.4 | 2.11 | 0.31 | 0.68 | 1.13 | 1.89 | 7.4% |
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
1| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-04-29 | Fine | $76,515 | CMS provider data |
Total fines on record: $76,515
Deficiencies
76B × 1D × 54E × 18F × 1J × 2
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-03 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-04-24 |
| 2026-04-03 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2026-04-24 |
| 2025-04-29 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-07-08 |
| 2025-04-29 | Health · complaint | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D | 2025-07-08 |
| 2025-04-29 | 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 | 2025-07-08 |
| 2025-04-29 | 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. | E | 2025-07-08 |
| 2025-04-29 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2025-07-08 |
| 2025-04-29 | Health · complaint | F0603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | J | 2025-07-08 |
| 2025-04-29 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-07-08 |
| 2025-04-29 | Health · complaint | 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 | 2025-07-08 |
| 2025-04-29 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2025-07-08 |
| 2025-04-29 | 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 | 2025-07-08 |
| 2025-04-29 | 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 | 2025-07-08 |
| 2025-04-29 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-07-08 |
| 2025-04-29 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-07-08 |
| 2025-04-29 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2025-07-08 |
| 2025-04-29 | Health | F0732 | Post nurse staffing information every day. | B | 2025-07-08 |
| 2025-04-29 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-07-08 |
| 2025-04-29 | Health | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | 2025-07-08 |
| 2025-04-29 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-07-08 |
| 2025-04-29 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-07-08 |
| 2025-04-29 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2025-07-08 |
| 2025-04-29 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2025-07-08 |
| 2024-01-18 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-02-29 |
| 2024-01-18 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-02-29 |
| 2024-01-18 | 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 | 2024-02-29 |
| 2024-01-18 | Health · complaint | 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 | 2024-02-29 |
| 2024-01-18 | 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 | 2024-02-29 |
| 2024-01-18 | 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. | D | 2024-02-29 |
| 2024-01-18 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-02-29 |
| 2024-01-18 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-02-29 |
| 2024-01-18 | Health · complaint | F0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | D | 2024-02-29 |
| 2024-01-18 | Health · complaint | 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 | 2024-02-29 |
| 2024-01-18 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2024-02-29 |
| 2024-01-18 | Health · complaint | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2024-02-29 |
| 2024-01-18 | Health · complaint | F0908 | Keep all essential equipment working safely. | E | 2024-02-29 |
| 2024-01-18 | Health · complaint | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | 2024-02-29 |
| 2023-08-11 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2023-08-22 |
| 2021-05-28 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2021-07-26 |
| 2021-05-28 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2021-07-26 |
| 2021-05-28 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | 2021-07-26 |
| 2021-05-28 | Health | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | 2021-07-26 |
| 2021-05-28 | Health | F0606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | D | 2021-07-26 |
| 2021-05-28 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2021-07-26 |
| 2021-05-28 | Health | F0610 | Respond appropriately to all alleged violations. | E | 2021-07-26 |
| 2021-05-28 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | 2021-07-26 |
| 2021-05-28 | Health | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | 2021-07-26 |
| 2021-05-28 | Health | F0641 | Ensure each resident receives an accurate assessment. | E | 2021-07-26 |
| 2021-05-28 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2021-07-26 |
| 2021-05-28 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | 2021-07-26 |
| 2021-05-28 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2021-07-26 |
| 2021-05-28 | Health | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2021-07-26 |
| 2021-05-28 | Health | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | 2021-07-26 |
| 2021-05-28 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2021-07-26 |
| 2021-05-28 | Health | F0685 | Assist a resident in gaining access to vision and hearing services. | D | 2021-07-26 |
| 2021-05-28 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2021-07-26 |
| 2021-05-28 | Health | F0710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | D | 2021-07-26 |
| 2021-05-28 | Health | F0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | D | 2021-07-26 |
| 2021-05-28 | Health | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | 2021-07-26 |
| 2021-05-28 | 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. | E | 2021-07-26 |
| 2021-05-28 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | D | 2021-07-26 |
| 2021-05-28 | Health | F0732 | Post nurse staffing information every day. | D | 2021-07-26 |
| 2021-05-28 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | 2021-07-26 |
| 2021-05-28 | 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 | 2021-07-26 |
| 2021-05-28 | Health | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D | 2021-07-26 |
| 2021-05-28 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2021-07-26 |
| 2021-05-28 | Health | F0814 | Dispose of garbage and refuse properly. | D | 2021-07-26 |
| 2021-05-28 | Health | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | 2021-07-26 |
| 2021-05-28 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2021-07-26 |
| 2021-05-28 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | 2021-07-26 |
| 2021-05-28 | Health | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | 2021-07-26 |
| 2021-05-28 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2021-07-26 |
| 2021-05-28 | Health | F0908 | Keep all essential equipment working safely. | F | 2021-07-26 |
| 2021-05-28 | Health | F0924 | Put firmly secured handrails on each side of hallways. | D | 2021-07-26 |
| 2018-10-24 | Health | F0583 | Keep residents' personal and medical records private and confidential. | D | 2018-12-08 |
| 2018-10-24 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2018-12-08 |
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 |
|---|---|---|---|---|---|
| TORTUGA HEALTH HOLDCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2020-03-01 | current | pecos_ownership |
| ISMD HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 45% | 2020-03-01 | current | pecos_ownership |
| MLMD HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 45% | 2020-03-01 | current | pecos_ownership |
| MIRO INVESTMENTS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | 2020-03-01 | current | pecos_ownership |
| SMSMD HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | 2020-03-01 | current | pecos_ownership |
| BIRNBAUM, ISRAEL | W-2 MANAGING EMPLOYEE | — | 2020-03-01 | current | pecos_ownership |
| AARON AREM | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | 2020-03-01 | ended 2026-05-18 | pecos_ownership |
| ISRAEL BIRNBAUM | W-2 MANAGING EMPLOYEE | — | 2020-03-01 | 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 |
|---|---|---|---|---|
| 2020-03-01 | — | HYATTSVILLE NURSING AND REHABILITATION CENTER LLC | HEARTLAND OF HYATTSVILLE MD 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
36| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 24033 | acs median gross | 0 | $1,469 | 2024-12-31 | CENSUS_ACS5 |
| county 24033 | fmr | 0 | $1,953 | 2025-10-01 | HUD_USER_FMR |
| county 24033 | acs median gross | 1 | $1,564 | 2024-12-31 | CENSUS_ACS5 |
| county 24033 | fmr | 1 | $2,015 | 2025-10-01 | HUD_USER_FMR |
| county 24033 | acs median gross | 2 | $1,819 | 2024-12-31 | CENSUS_ACS5 |
| county 24033 | fmr | 2 | $2,246 | 2025-10-01 | HUD_USER_FMR |
| county 24033 | acs median gross | 3 | $2,179 | 2024-12-31 | CENSUS_ACS5 |
| county 24033 | fmr | 3 | $2,835 | 2025-10-01 | HUD_USER_FMR |
| county 24033 | acs median gross | 4 | $2,431 | 2024-12-31 | CENSUS_ACS5 |
| county 24033 | fmr | 4 | $3,332 | 2025-10-01 | HUD_USER_FMR |
| county 24033 | acs median gross | 5 | $2,818 | 2024-12-31 | CENSUS_ACS5 |
| county 24033 | acs median gross | $1,799 | 2024-12-31 | CENSUS_ACS5 | |
| county 24033 | acs recent mover gross | $1,840 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 20783 | acs median gross | 0 | $1,471 | 2024-12-31 | CENSUS_ACS5 |
| zcta 20783 | acs median gross | 1 | $1,421 | 2024-12-31 | CENSUS_ACS5 |
| zcta 20783 | acs median gross | 2 | $1,760 | 2024-12-31 | CENSUS_ACS5 |
| zcta 20783 | acs median gross | 3 | $2,283 | 2024-12-31 | CENSUS_ACS5 |
| zcta 20783 | acs median gross | 4 | $2,248 | 2024-12-31 | CENSUS_ACS5 |
| zcta 20783 | acs median gross | 5 | $2,789 | 2024-12-31 | CENSUS_ACS5 |
| zcta 20783 | acs median gross | $1,725 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 20783 | acs recent mover gross | $1,669 | 2024-12-31 | CENSUS_ACS5 | |
| zip 20783 | payment standard 110 | 0 | $1,969 | 2025-10-01 | HUD_USER_SAFMR |
| zip 20783 | payment standard 90 | 0 | $1,611 | 2025-10-01 | HUD_USER_SAFMR |
| zip 20783 | safmr | 0 | $1,790 | 2025-10-01 | HUD_USER_SAFMR |
| zip 20783 | payment standard 110 | 1 | $2,035 | 2025-10-01 | HUD_USER_SAFMR |
| zip 20783 | payment standard 90 | 1 | $1,665 | 2025-10-01 | HUD_USER_SAFMR |
| zip 20783 | safmr | 1 | $1,850 | 2025-10-01 | HUD_USER_SAFMR |
| zip 20783 | payment standard 110 | 2 | $2,266 | 2025-10-01 | HUD_USER_SAFMR |
| zip 20783 | payment standard 90 | 2 | $1,854 | 2025-10-01 | HUD_USER_SAFMR |
| zip 20783 | safmr | 2 | $2,060 | 2025-10-01 | HUD_USER_SAFMR |
| zip 20783 | payment standard 110 | 3 | $2,860 | 2025-10-01 | HUD_USER_SAFMR |
| zip 20783 | payment standard 90 | 3 | $2,340 | 2025-10-01 | HUD_USER_SAFMR |
| zip 20783 | safmr | 3 | $2,600 | 2025-10-01 | HUD_USER_SAFMR |
| zip 20783 | payment standard 110 | 4 | $3,366 | 2025-10-01 | HUD_USER_SAFMR |
| zip 20783 | payment standard 90 | 4 | $2,754 | 2025-10-01 | HUD_USER_SAFMR |
| zip 20783 | safmr | 4 | $3,060 | 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.