Composite
97.2 / 100 percentile
Screener / 215179
F
MANOKIN NURSING AND REHAB
snfMDSFF: SFF Candidate
11974 EDGEHILL TERRACE, PRINCESS ANNE, MD 21853 · CCN 215179 · chain MD2 INVESTORS LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
135
Model
v1.2
Reads as: riskier than 97.2% 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 model5ML signals15Components16CHOW radar1Distress radar1Staffing16Penalties3Deficiencies91Licensure0Ownership20Related party7Transactions1Comps12Market rent32
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 98.6 | 97.7 | 0.30 | 0.2308 | 22.75 | in index |
| billing conduct | 73.0 | 49.1 | 0.30 | 0.2308 | 16.85 | in index |
| financial risk | 69.1 | 58.6 | 0.30 | 0.2308 | 15.95 | in index |
| staffing risk | 81.7 | 81.7 | 0.25 | 0.1923 | 15.71 | in index |
| chow risk | 32.7 | 39.5 | 0.15 | 0.1154 | 3.77 | 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.
ML signals — parallel engine
15| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +46.2 vs natl | HOWARD DANIEL | 6 facilities |
| connection | Owner fleet risk far above national | +43.4 vs natl | AUSCH SARA | 7 facilities |
| connection | Owner fleet risk far above national | +43.4 vs natl | HIRTH YECHIEL | 7 facilities |
| connection | Owner fleet risk far above national | +43.4 vs natl | SCHLUSSEL NAFTALI | 7 facilities |
| connection | Owner fleet risk far above national | +43.4 vs natl | KEY HEALTH MANAGEMENT LLC | 7 facilities |
| connection | Owner fleet risk far above national | +39.0 vs natl | PERLSTEIN BARRY | 9 facilities |
| connection | Owner fleet risk far above national | +30.4 vs natl | KLEIN YEHUDIS | 10 facilities |
| connection | Owner spans multiple chains | 5 chains | EISEN MENASHE | 19 facilities |
| connection | Owner fleet enforcement cluster | 56% fined | PERLSTEIN BARRY | 9 facilities |
| connection | Owner fleet enforcement cluster | 50% fined | KLEIN YEHUDIS | 10 facilities |
| connection | Owner fleet enforcement cluster | 50% fined | HOWARD DANIEL | 6 facilities |
| connection | Owner fleet enforcement cluster | 43% fined | SCHLUSSEL NAFTALI | 7 facilities |
| connection | Owner fleet enforcement cluster | 43% fined | KEY HEALTH MANAGEMENT LLC | 7 facilities |
| connection | Owner fleet enforcement cluster | 43% fined | HIRTH YECHIEL | 7 facilities |
| connection | Owner fleet enforcement cluster | 43% fined | AUSCH SARA | 7 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 type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 49.1 | C | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 22.6 | 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 | 56.5 | C | v0.6 | default · in composite | |
| financial risk | 58.6 | 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 | 97.7 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 81.7 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 54.4 | 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 | 34.4 | 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 | 66.6 | D | 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 | 58.6 | C | 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 | 97.7 | 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 | 97.7 | 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 | 81.7 | F | 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 | 81.7 | F | 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
17.6
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 3.99 | -1.46 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| Deficiencies, last 12 months | 38.00 | +0.75 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 1.10 | -0.17 | |
| Occupancy | 0.75 | -0.15 |
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Distress radar — 12-month termination probability
full board →p(termination, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
0.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 38.00 | -5.62 | |
| For-profit ownership | 1.00 | -0.69 | |
| Fine amount, 12m (log) | 10.19 | -0.57 | |
| Chain size (log) | 1.10 | +0.56 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 3.99 | -0.24 | |
| Ownership changes, last 5 years | 1.00 | +0.23 |
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 | 2.77 | 3.32 | 3.28 | 2.90–3.77 |
| RN | 0.29 | 0.47 | 0.39 | 0.25–0.58 |
| Weekend total | 2.78 | 3.17 | 3.11 | — |
| Weekday total | 2.76 | 3.36 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 101.2 | 2.77 | 0.29 | 0.49 | 1.99 | 2.78 | 0.0% |
| 2025Q3 | 92 | 102.9 | 3.01 | 0.26 | 0.54 | 2.21 | 2.95 | 0.0% |
| 2025Q2 | 91 | 107.1 | 2.89 | 0.27 | 0.45 | 2.17 | 2.92 | 0.0% |
| 2025Q1 | 90 | 110.9 | 2.70 | 0.23 | 0.42 | 2.04 | 2.73 | 0.0% |
| 2024Q4 | 92 | 106.6 | 2.92 | 0.32 | 0.45 | 2.15 | 2.89 | 0.0% |
| 2024Q3 | 92 | 110.6 | 3.11 | 0.25 | 0.51 | 2.36 | 3.01 | 0.0% |
| 2024Q2 | 91 | 116.6 | 2.90 | 0.16 | 0.63 | 2.12 | 2.80 | 0.0% |
| 2024Q1 | 91 | 118.0 | 2.64 | 0.25 | 0.63 | 1.75 | 2.57 | 22.7% |
| 2023Q4 | 92 | 120.5 | 2.65 | 0.23 | 0.62 | 1.79 | 2.50 | 27.7% |
| 2023Q3 | 92 | 115.4 | 2.85 | 0.39 | 0.67 | 1.79 | 2.81 | 27.1% |
| 2023Q2 | 91 | 115.1 | 2.50 | 0.26 | 0.80 | 1.44 | 2.09 | 16.4% |
| 2023Q1 | 90 | 119.8 | 2.40 | 0.42 | 0.51 | 1.47 | 2.28 | 13.8% |
| 2022Q4 | 92 | 122.4 | 2.47 | 0.34 | 0.57 | 1.55 | 2.31 | 7.7% |
| 2022Q3 | 92 | 123.2 | 1.47 | 0.21 | 0.23 | 1.03 | 1.26 | 3.8% |
| 2022Q2 | 91 | 121.7 | 2.25 | 0.28 | 0.28 | 1.69 | 2.12 | 20.5% |
| 2022Q1 | 90 | 113.0 | 2.65 | 0.32 | 0.37 | 1.96 | 2.53 | 26.2% |
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.
Penalties
3fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2026-04-01 | Fine | $26,685 | CMS provider data |
| 2023-08-11 | Fine | $160,325 | CMS provider data |
| 2023-08-11 | Payment Denial | — | CMS provider data |
Total fines on record: $187,010
Deficiencies
91C × 1D × 51E × 27F × 7G × 1J × 3L × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-01 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2026-02-24 |
| 2026-04-01 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-02-24 |
| 2025-09-26 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2025-12-25 |
| 2025-09-26 | Health | F0551 | Give the resident's representative the ability to exercise the resident's rights. | D | 2025-11-11 |
| 2025-09-26 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2025-11-11 |
| 2025-09-26 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2025-12-25 |
| 2025-09-26 | 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 | 2025-12-25 |
| 2025-09-26 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2025-11-11 |
| 2025-09-26 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-11-11 |
| 2025-09-26 | Health | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | 2025-11-11 |
| 2025-09-26 | Health | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2025-11-11 |
| 2025-09-26 | 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 | 2025-11-11 |
| 2025-09-26 | 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 | 2025-11-11 |
| 2025-09-26 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-12-25 |
| 2025-09-26 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2025-11-11 |
| 2025-09-26 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2025-12-25 |
| 2025-09-26 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-11-11 |
| 2025-09-26 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-11-11 |
| 2025-09-26 | 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 | 2025-12-25 |
| 2025-09-26 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | E | 2025-12-25 |
| 2025-09-26 | Health | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2025-11-11 |
| 2025-09-26 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2025-11-11 |
| 2025-09-26 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2025-12-25 |
| 2025-09-26 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2025-12-25 |
| 2025-09-26 | Health | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | 2025-12-25 |
| 2025-09-26 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-12-25 |
| 2025-09-26 | Health | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | 2025-11-11 |
| 2025-09-26 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-12-25 |
| 2025-09-26 | Health | F0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | F | 2025-11-11 |
| 2025-09-26 | Health | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | 2025-11-11 |
| 2025-09-26 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2025-12-25 |
| 2025-09-26 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2025-12-25 |
| 2025-09-26 | Health | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | 2025-12-25 |
| 2025-09-26 | Health | F0908 | Keep all essential equipment working safely. | E | 2025-12-25 |
| 2025-09-26 | Health | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | 2025-12-25 |
| 2025-09-26 | Health | F0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | F | 2025-12-25 |
| 2025-09-26 | Health | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | F | 2025-12-25 |
| 2025-09-26 | Health | F0946 | Provide training in compliance and ethics. | E | 2025-12-25 |
| 2025-06-20 | Health · complaint | 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 | 2025-07-25 |
| 2025-06-20 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-07-25 |
| 2025-06-20 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-07-25 |
| 2023-08-17 | 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 | 2023-09-24 |
| 2023-08-17 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-09-24 |
| 2023-08-11 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2023-12-19 |
| 2023-08-11 | Health · complaint | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2023-10-16 |
| 2023-08-11 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2023-12-19 |
| 2023-08-11 | Health · complaint | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | 2023-10-16 |
| 2023-08-11 | 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 | 2023-10-16 |
| 2023-08-11 | 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 | 2023-12-19 |
| 2023-08-11 | Health · complaint | 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 | 2023-12-19 |
| 2023-08-11 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2023-10-16 |
| 2023-08-11 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-12-19 |
| 2023-08-11 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2023-10-16 |
| 2023-08-11 | Health · complaint | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2023-12-19 |
| 2023-08-11 | Health · complaint | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | 2023-12-19 |
| 2023-08-11 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2023-10-16 |
| 2023-08-11 | 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. | E | 2023-12-19 |
| 2023-08-11 | 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 | 2023-12-19 |
| 2023-08-11 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-10-16 |
| 2023-08-11 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2023-10-16 |
| 2023-08-11 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2023-12-19 |
| 2023-08-11 | Health | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | 2023-12-19 |
| 2023-08-11 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2023-10-16 |
| 2023-08-11 | Health · complaint | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | 2023-10-16 |
| 2023-08-11 | Health · complaint | F0710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | D | 2023-12-19 |
| 2023-08-11 | 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 | 2023-12-19 |
| 2023-08-11 | 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 | 2023-10-16 |
| 2023-08-11 | 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 | 2023-12-19 |
| 2023-08-11 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2023-12-19 |
| 2023-08-11 | 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. | E | 2023-12-19 |
| 2023-08-11 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2023-12-19 |
| 2023-08-11 | 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 | 2023-10-16 |
| 2023-08-11 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2023-10-16 |
| 2023-08-11 | Health · complaint | 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. | F | 2023-12-19 |
| 2023-08-11 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | L | 2023-12-19 |
| 2023-08-11 | Health · complaint | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | 2023-12-19 |
| 2023-08-11 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2023-12-19 |
| 2023-08-11 | Health | F0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | E | 2023-10-16 |
| 2023-08-11 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | F | 2023-12-19 |
| 2023-08-11 | Health | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | D | 2023-10-16 |
| 2023-08-11 | Health · complaint | F0908 | Keep all essential equipment working safely. | F | 2023-12-19 |
| 2023-08-11 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2023-10-16 |
| 2023-08-11 | Health · complaint | F0924 | Put firmly secured handrails on each side of hallways. | E | 2023-10-16 |
| 2023-08-11 | 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 | 2023-10-16 |
| 2023-08-11 | Health | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | 2023-10-16 |
| 2019-02-15 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2019-03-28 |
| 2019-02-15 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2019-03-28 |
| 2019-02-15 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2019-03-28 |
| 2019-02-15 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2019-03-28 |
| 2019-02-15 | Health | F0732 | Post nurse staffing information every day. | C | 2019-03-28 |
| 2019-02-15 | Health | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | 2019-03-28 |
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
20| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| AUSCH, SARA | ADP OF THE SNF | — | 2022-08-01 | current | pecos_ownership |
| EISEN, MENASHE | ADP OF THE SNF | — | 2022-08-01 | current | pecos_ownership |
| FOSKEY, TINA | ADP OF THE SNF | — | 2022-08-01 | current | pecos_ownership |
| HIRTH, YECHIEL | ADP OF THE SNF | — | 2022-08-01 | current | pecos_ownership |
| HOWARD, DANIEL | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-04-01 | current | pecos_ownership |
| KEY HEALTH MANAGEMENT LLC | ADP OF THE SNF | — | 2022-08-01 | current | pecos_ownership |
| KLEIN, YEHUDIS | ADP OF THE SNF | — | 2022-08-01 | current | pecos_ownership |
| MANOKIN OPERATIONS HOLDCO LLC | DIRECT OWNERSHIP INTEREST | — | 2022-08-01 | current | pecos_ownership |
| MANOKIN PROPERTY HOLDCO LLC | ADP OF THE SNF | — | 2022-08-01 | current | pecos_ownership |
| MD2 INVESTORS LLC | INDIRECT OWNERSHIP INTEREST | — | 2022-08-01 | current | pecos_ownership |
| PERLSTEIN, BARRY | ADP OF THE SNF | — | 2022-08-01 | current | pecos_ownership |
| SCHLUSSEL, NAFTALI | ADP OF THE SNF | — | 2022-08-01 | current | pecos_ownership |
| YECHIEL HIRTH | CORPORATE OFFICER | 50% | 2022-08-01 | ended 2026-05-18 | pecos_ownership |
| BARRY PERLSTEIN | ADP OF THE SNF | — | 2022-08-01 | ended 2026-05-18 | pecos_ownership |
| DANIEL HOWARD | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-04-01 | ended 2026-05-18 | pecos_ownership |
| MENASHE EISEN | ADP OF THE SNF | — | 2022-08-01 | ended 2026-05-18 | pecos_ownership |
| NAFTALI SCHLUSSEL | ADP OF THE SNF | — | 2022-08-01 | ended 2026-05-18 | pecos_ownership |
| SARA AUSCH | ADP OF THE SNF | — | 2022-08-01 | ended 2026-05-18 | pecos_ownership |
| TINA FOSKEY | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-08-01 | ended 2026-05-18 | pecos_ownership |
| YEHUDIS KLEIN | ADP OF THE SNF | — | 2022-08-01 | ended 2026-05-18 | pecos_ownership |
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Transactions
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2022-08-01 | — | 11974 EDGEHILL TERRACE OPCO LLC | AXIS HEALTH AT MANOKIN OPCO LLC | chow |
Comparable trades — MD snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-03-01 | FROSTBURG REHAB CENTER | — | — | — | 122 | KAYLOR FROSTBURG LLC |
| 2025-03-01 | SOUTH MOUNTAIN REHAB CENTER | — | — | — | 157 | SM REHAB |
| 2024-12-01 | ST. ELIZABETH REHABILITATION & NURSING CENTER | — | — | — | 162 | ST. ELIZABETH OPCO LLC |
| 2024-10-01 | SNOW HILL REHABILITATION & HEALTHCARE CENTER | — | — | — | 69 | SNOW HILL SNF OPERATIONS LLC |
| 2024-10-01 | DENNETT REHAB CENTER | — | — | — | 99 | DENNETT SNF |
| 2024-09-01 | FREDERICK CROSSING OF JOURNEY | — | — | — | 120 | FREDERICK CROSSING OF JOURNEY LLC |
| 2024-07-01 | BAY HARBOR POST ACUTE HEALTHCARE CENTER | — | — | — | 305 | BAY HARBOR OPERATOR LLC |
| 2024-04-01 | GREEN ACRES NURSING AND REHAB | — | — | — | 170 | 10200 LA PLATA OPCO LLC |
| 2024-03-01 | COPPER RIDGE NURSING AND ASSISTED LIVING CENTER | — | — | — | 66 | CARROLL MD OPCO LLC |
| 2024-01-01 | RESORTS OF AUGSBURG | — | — | — | 131 | RESORTS OF AUGSBURG CORP |
| 2023-12-01 | ROSSVILLE REHABILITATION AND HEALTHCARE CENTER | — | — | — | 172 | ROSSVILLE SNF OPERATIONS LLC |
| 2023-12-01 | TOWSON REHABILITATION AND HEALTHCARE CENTER | — | — | — | 132 | TOWSON SNF OPERATIONS LLC |
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
32| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 24039 | acs median gross | 0 | $1,060 | 2024-12-31 | CENSUS_ACS5 |
| county 24039 | fmr | 0 | $901 | 2025-10-01 | HUD_USER_FMR |
| county 24039 | acs median gross | 1 | $781 | 2024-12-31 | CENSUS_ACS5 |
| county 24039 | fmr | 1 | $907 | 2025-10-01 | HUD_USER_FMR |
| county 24039 | acs median gross | 2 | $998 | 2024-12-31 | CENSUS_ACS5 |
| county 24039 | fmr | 2 | $1,167 | 2025-10-01 | HUD_USER_FMR |
| county 24039 | acs median gross | 3 | $1,243 | 2024-12-31 | CENSUS_ACS5 |
| county 24039 | fmr | 3 | $1,586 | 2025-10-01 | HUD_USER_FMR |
| county 24039 | acs median gross | 4 | $941 | 2024-12-31 | CENSUS_ACS5 |
| county 24039 | fmr | 4 | $1,667 | 2025-10-01 | HUD_USER_FMR |
| county 24039 | acs median gross | $1,013 | 2024-12-31 | CENSUS_ACS5 | |
| county 24039 | acs recent mover gross | $1,528 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 21853 | acs median gross | 0 | $1,060 | 2024-12-31 | CENSUS_ACS5 |
| zcta 21853 | acs median gross | 1 | $835 | 2024-12-31 | CENSUS_ACS5 |
| zcta 21853 | acs median gross | 2 | $1,074 | 2024-12-31 | CENSUS_ACS5 |
| zcta 21853 | acs median gross | 3 | $1,220 | 2024-12-31 | CENSUS_ACS5 |
| zcta 21853 | acs median gross | $1,042 | 2024-12-31 | CENSUS_ACS5 | |
| zip 21853 | payment standard 110 | 0 | $990 | 2025-10-01 | HUD_USER_SAFMR |
| zip 21853 | payment standard 90 | 0 | $810 | 2025-10-01 | HUD_USER_SAFMR |
| zip 21853 | safmr | 0 | $900 | 2025-10-01 | HUD_USER_SAFMR |
| zip 21853 | payment standard 110 | 1 | $1,001 | 2025-10-01 | HUD_USER_SAFMR |
| zip 21853 | payment standard 90 | 1 | $819 | 2025-10-01 | HUD_USER_SAFMR |
| zip 21853 | safmr | 1 | $910 | 2025-10-01 | HUD_USER_SAFMR |
| zip 21853 | payment standard 110 | 2 | $1,287 | 2025-10-01 | HUD_USER_SAFMR |
| zip 21853 | payment standard 90 | 2 | $1,053 | 2025-10-01 | HUD_USER_SAFMR |
| zip 21853 | safmr | 2 | $1,170 | 2025-10-01 | HUD_USER_SAFMR |
| zip 21853 | payment standard 110 | 3 | $1,749 | 2025-10-01 | HUD_USER_SAFMR |
| zip 21853 | payment standard 90 | 3 | $1,431 | 2025-10-01 | HUD_USER_SAFMR |
| zip 21853 | safmr | 3 | $1,590 | 2025-10-01 | HUD_USER_SAFMR |
| zip 21853 | payment standard 110 | 4 | $1,837 | 2025-10-01 | HUD_USER_SAFMR |
| zip 21853 | payment standard 90 | 4 | $1,503 | 2025-10-01 | HUD_USER_SAFMR |
| zip 21853 | safmr | 4 | $1,670 | 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.