CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)
AS OF 2026-08-05 17:05 UTC
Screener / 495143
B

MARTINSVILLE HEALTH AND REHAB

snfVA
1607 SPRUCE STREET, MARTINSVILLE, VA 24112 · CCN 495143 · chain TRIO HEALTHCARE LLC
Composite
57.1 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
140
Model
v1.2
Reads as: riskier than 57.1% 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.

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
billing conduct60.143.50.300.230813.87in index
regulatory risk47.136.10.300.230810.87in index
chow risk89.268.80.150.115410.29in index
financial risk38.538.70.300.23088.88in index
staffing risk36.436.40.250.19237.00in 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.

ML signals — parallel engine

1
KindFindingSignalSubjectFirst seen
connectionOwner spans multiple chains7 chainsRUBENSTEIN DAVID31 facilities
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.

Component scores and registry models

16
Score typeScoreGradeModelStatusRegistry model notes
billing conduct43.5Bv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk49.7Cv0.1-posdefault · in compositeChange-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 risk87.8Fv0.6default · in composite
financial risk38.7Bv0.5default · in compositeR18.
p adverse action 12m0.0v0.1default · in compositeR23/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 12m0.2v0.1default · in compositeR22/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 risk36.1Bv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk36.4Bv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk89.9Fv0.1supersededPre-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 risk69.9Dv0.2supersededPre-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 risk40.9Bv0.3supersededPre-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 risk44.2Bv0.4supersededPre-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 risk36.0Bv0.1supersededPre-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 risk36.0Bv0.2supersededPre-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 risk36.4Bv0.1supersededPre-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 risk36.4Bv0.2supersededPre-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)
0.2%
model v0.1 · computed 2026-07-29
Percentile among SNFs
36.3
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Never sold on record0.00-1.62
Current owner tenure (years)9.62-0.91
For-profit ownership1.00+0.69
No PBJ staffing report0.00+0.42
Deficiencies, last 12 months19.00+0.29
Occupancy0.62+0.24
Ownership changes, last 5 years0.00+0.20
Contract staffing share0.00-0.10
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
DriverValuePull on odds
Deficiencies, last 12 months19.00-2.09
For-profit ownership1.00-0.69
Occupancy0.62+0.56
No PBJ staffing report0.00+0.39
Never sold on record0.00-0.28
Fine amount, 12m (log)0.00+0.18
Current owner tenure (years)9.62-0.14
Chain size (log)2.30-0.14
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 HPRDThis facilityVA medianNational medianNational p25–p75
Total nurse3.523.133.282.90–3.77
RN0.460.300.390.25–0.58
Weekend total3.502.963.11
Weekday total3.533.203.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49286.23.520.460.942.123.500.0%
2025Q39287.33.640.370.972.313.580.0%
2025Q29192.23.480.261.022.193.410.0%
2025Q190101.33.430.221.042.173.340.0%
2024Q492103.13.530.261.062.213.620.0%
2024Q392112.33.420.271.022.133.360.0%
2024Q291116.43.630.261.072.313.510.0%
2024Q191119.73.450.231.022.213.340.0%
2023Q492117.43.280.260.952.073.191.0%
2023Q392106.93.180.151.022.003.060.0%
2023Q291103.33.100.161.001.942.930.0%
2023Q190102.63.150.171.051.933.060.0%
2022Q49298.83.220.101.052.063.153.0%
2022Q39296.73.030.071.001.962.8120.4%
2022Q29192.83.000.090.991.932.8623.2%
2022Q19091.52.970.061.011.902.8130.9%
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.

Penalties

0
No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.

Deficiencies

70
C × 1D × 56E × 8F × 2G × 3
deficiencies by survey year
35181921232526
SurveyTypeTagDeficiencyScopeCorrected
2026-01-15Health · complaintF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.D2026-02-24
2026-01-15HealthF0558Reasonably accommodate the needs and preferences of each resident.D2026-02-24
2026-01-15HealthF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D2026-02-24
2026-01-15HealthF0578Honor 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.D2026-02-24
2026-01-15HealthF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D2026-02-24
2026-01-15HealthF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D2026-02-24
2026-01-15HealthF0641Ensure each resident receives an accurate assessment.D2026-02-24
2026-01-15HealthF0645PASARR screening for Mental disorders or Intellectual DisabilitiesD2026-02-24
2026-01-15HealthF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD2026-02-24
2026-01-15HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2026-02-24
2026-01-15HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2026-02-24
2026-01-15HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2026-02-24
2026-01-15HealthF0679Provide activities to meet all resident's needs.D2026-02-24
2026-01-15HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2026-02-24
2026-01-15HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.D2026-02-24
2026-01-15HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2026-02-24
2026-01-15HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E2026-02-24
2026-01-15HealthF0880Provide and implement an infection prevention and control program.D2026-02-24
2026-01-15HealthF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.D2026-02-24
2024-01-31Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2024-04-19
2024-01-31Health · complaintF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D2024-04-19
2024-01-31Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2024-04-19
2024-01-31Health · complaintF0610Respond appropriately to all alleged violations.D2024-04-19
2024-01-31Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2024-04-19
2024-01-31Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-04-19
2024-01-31Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2024-04-19
2024-01-31Health · complaintF0760Ensure that residents are free from significant medication errors.E2024-04-19
2022-06-15HealthF0641Ensure each resident receives an accurate assessment.D2022-07-12
2022-06-15HealthF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.D2022-07-12
2022-06-15HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2022-07-12
2022-06-15HealthF0732Post nurse staffing information every day.C2022-07-12
2022-06-15HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2022-07-12
2022-06-15HealthF0759Ensure medication error rates are not 5 percent or greater.E2022-07-12
2022-06-15HealthF0770Provide timely, quality laboratory services/tests to meet the needs of residents.D2022-07-12
2022-06-15HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2022-07-12
2019-10-18HealthF0558Reasonably accommodate the needs and preferences of each resident.D2020-01-03
2019-10-18HealthF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D2020-01-03
2019-10-18HealthF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2020-02-26
2019-10-18HealthF0584Honor 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.D2020-03-15
2019-10-18HealthF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G2020-01-03
2019-10-18HealthF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2020-01-03
2019-10-18HealthF0610Respond appropriately to all alleged violations.D2020-01-03
2019-10-18HealthF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.E2020-01-03
2019-10-18HealthF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D2020-01-03
2019-10-18HealthF0625Notify 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.E2020-01-03
2019-10-18HealthF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.D2020-01-03
2019-10-18HealthF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D2020-01-03
2019-10-18HealthF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD2020-01-03
2019-10-18HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2020-01-03
2019-10-18HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E2020-01-03
2019-10-18HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.D2020-01-03
2019-10-18HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2020-01-03
2019-10-18HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G2020-03-15
2019-10-18HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2020-01-03
2019-10-18HealthF0697Provide safe, appropriate pain management for a resident who requires such services.D2020-01-03
2019-10-18HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2020-01-03
2019-10-18HealthF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D2020-01-03
2019-10-18HealthF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.D2020-01-03
2019-10-18HealthF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.D2020-01-03
2019-10-18HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2020-03-15
2019-10-18HealthF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D2020-01-03
2019-10-18HealthF0758Implement 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.D2020-02-26
2019-10-18HealthF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.D2020-01-03
2019-10-18HealthF0791Provide or obtain dental services for each resident.D2020-01-03
2019-10-18HealthF0825Provide or get specialized rehabilitative services as required for a resident.D2020-01-03
2019-10-18HealthF0826Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor.D2020-01-03
2019-10-18HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2020-03-15
2019-10-18HealthF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.F2020-03-15
2019-10-18HealthF0880Provide and implement an infection prevention and control program.D2020-03-15
2019-10-18HealthF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.D2020-02-26
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.

Licensure actions

0
No licensure actions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.

Ownership

10
OwnerRolePctFromStatusSource
GL VIRGINIA HOLDINGS LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2016-12-16currentpecos_ownership
DAVIS, DUANEW-2 MANAGING EMPLOYEE2023-05-29currentpecos_ownership
GENTRY, BOYDCORPORATE OFFICER2016-12-16currentpecos_ownership
RUBENSTEIN, DAVIDCORPORATE OFFICER2016-12-16currentpecos_ownership
TRIO HEALTH CARE - EAST, LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST2019-05-24currentpecos_ownership
TRIO HEALTHCARE INVESTORS LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST2016-12-16currentpecos_ownership
TRIO HEALTHCARE LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST2019-12-10currentpecos_ownership
DAVID RUBENSTEIN5% OR GREATER INDIRECT OWNERSHIP INTEREST57%2016-12-16ended 2026-05-18pecos_ownership
BOYD GENTRY5% OR GREATER INDIRECT OWNERSHIP INTEREST43%2016-12-16ended 2026-05-18pecos_ownership
DUANE DAVISW-2 MANAGING EMPLOYEE2023-05-29ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

1
Close datePriceBuyerSellerEvidence
2016-12-16GL VIRGINIA MARTINSVILLE LLCGGNSC MARTINSVILLE LLCchow

Comparable trades — VA snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-06-01Woodstock Valley Health and Rehabilitation88803 SOUTH MAIN STREET OPCO LLC
2025-06-01Jamestown Health and Rehabilitation901811 JAMESTOWN ROAD OPCO LLC
2025-06-01Windsor Grove Health and Rehabilitation11423352 COURTHOUSE HIGHWAY OPCO LLC
2025-06-01Grayson Health and Rehabilitation120400 SOUTH INDEPENDENCE AVENUE OPCO LLC
2025-06-01SKYLINE NURSING & REHABILITATION90237 FRANKLIN PIKE ROAD SE OPCO LLC
2025-06-01KINGS DAUGHTERS COMMUNITY HEALTH & REHAB1171410 NORTH AUGUSTA STREET OPCO LLC
2025-06-01Ghent Health and Rehabilitation2223900 LLEWELLYN AVENUE OPCO LLC
2025-06-01ASHLAND NURSING AND REHABILITATION190906 THOMPSON STREET OPCO LLC
2025-05-19The Boulevard Post Acute81BOULEVARD OPERATOR LLC
2025-05-01FRANCIS MARION MANOR HEALTH & REHABILITATION109FRANCIS MARION OPERATING GROUP LLC
2024-09-01POPLAR HILL HEALTH AND REHAB113FAUQUIER OPCO LLC
2024-05-01NORTHERN CARDINAL REHABILITATION AND NURSING120NORTHERN CARDINAL REHABILITATION AND NURSING 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

33
GeoKindBRAmountAs ofSource
county 51089fmr0$7492025-10-01HUD_USER_FMR
county 51089acs median gross1$4862024-12-31CENSUS_ACS5
county 51089fmr1$7532025-10-01HUD_USER_FMR
county 51089acs median gross2$6702024-12-31CENSUS_ACS5
county 51089fmr2$9142025-10-01HUD_USER_FMR
county 51089acs median gross3$7902024-12-31CENSUS_ACS5
county 51089fmr3$1,0962025-10-01HUD_USER_FMR
county 51089acs median gross4$9382024-12-31CENSUS_ACS5
county 51089fmr4$1,2822025-10-01HUD_USER_FMR
county 51089acs median gross$7282024-12-31CENSUS_ACS5
county 51089acs recent mover gross$7902024-12-31CENSUS_ACS5
zcta 24112acs median gross1$4972024-12-31CENSUS_ACS5
zcta 24112acs median gross2$7722024-12-31CENSUS_ACS5
zcta 24112acs median gross3$8502024-12-31CENSUS_ACS5
zcta 24112acs median gross4$9082024-12-31CENSUS_ACS5
zcta 24112acs median gross5$2,0252024-12-31CENSUS_ACS5
zcta 24112acs median gross$7902024-12-31CENSUS_ACS5
zcta 24112acs recent mover gross$1,0032024-12-31CENSUS_ACS5
zip 24112payment standard 1100$8582025-10-01HUD_USER_SAFMR
zip 24112payment standard 900$7022025-10-01HUD_USER_SAFMR
zip 24112safmr0$7802025-10-01HUD_USER_SAFMR
zip 24112payment standard 1101$8582025-10-01HUD_USER_SAFMR
zip 24112payment standard 901$7022025-10-01HUD_USER_SAFMR
zip 24112safmr1$7802025-10-01HUD_USER_SAFMR
zip 24112payment standard 1102$1,0452025-10-01HUD_USER_SAFMR
zip 24112payment standard 902$8552025-10-01HUD_USER_SAFMR
zip 24112safmr2$9502025-10-01HUD_USER_SAFMR
zip 24112payment standard 1103$1,2542025-10-01HUD_USER_SAFMR
zip 24112payment standard 903$1,0262025-10-01HUD_USER_SAFMR
zip 24112safmr3$1,1402025-10-01HUD_USER_SAFMR
zip 24112payment standard 1104$1,4742025-10-01HUD_USER_SAFMR
zip 24112payment standard 904$1,2062025-10-01HUD_USER_SAFMR
zip 24112safmr4$1,3402025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.