13700 NORTH GAYTON ROAD, RICHMOND, VA 23233 · CCN 495311
Composite
3.1 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
75
Model
v1.2
Reads as: riskier than 3.1% 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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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
14
2025Q4 HPRD
This facility
VA median
National median
National p25–p75
Total nurse
3.94
3.13
3.28
2.90–3.77
RN
0.30
0.30
0.39
0.25–0.58
Weekend total
3.69
2.96
3.11
—
Weekday total
4.04
3.20
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
71.3
3.94
0.30
1.34
2.30
3.69
16.5%
2025Q3
92
70.2
4.12
0.45
1.27
2.40
3.67
19.2%
2025Q2
91
71.3
3.94
0.41
1.22
2.31
3.67
23.9%
2025Q1
90
73.1
3.40
0.27
0.97
2.17
3.24
25.6%
2024Q4
92
74.3
3.77
0.33
1.09
2.35
3.69
14.5%
2024Q3
92
75.1
3.91
0.33
1.16
2.41
3.63
11.8%
2024Q2
91
72.5
3.48
0.52
0.94
2.02
3.13
16.8%
2024Q1
91
70.5
3.53
0.64
0.93
1.97
3.34
20.7%
2023Q4
92
71.8
3.33
0.56
0.87
1.91
2.96
30.0%
2023Q3
92
71.6
3.37
0.30
0.99
2.08
3.15
26.1%
2022Q4
92
72.8
9.03
1.18
3.02
4.83
8.22
10.1%
2022Q3
92
72.1
2.87
0.32
0.89
1.66
2.67
22.7%
2022Q2
91
70.5
2.62
0.18
0.96
1.48
2.43
15.3%
2022Q1
90
66.9
2.63
0.11
1.00
1.52
2.66
0.0%
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
33
D × 27E × 5F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-04-17
Health · complaint
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2026-05-06
2026-04-17
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2026-05-06
2024-12-06
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
2025-01-07
2024-12-06
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2025-01-07
2024-12-06
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-01-07
2023-09-27
Health · complaint
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2023-10-17
2023-09-27
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2023-10-17
2023-09-27
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
2023-10-17
2023-09-27
Health · complaint
F0711
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
D
2023-10-17
2023-05-03
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2023-05-17
2023-05-03
Health
F0561
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
2023-05-17
2023-05-03
Health
F0641
Ensure each resident receives an accurate assessment.
D
2023-05-17
2023-05-03
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
2023-05-17
2023-05-03
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
2023-05-17
2021-12-09
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
2021-12-29
2021-12-09
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2021-12-29
2021-12-09
Health
F0730
Observe each nurse aide's job performance and give regular training.
D
2021-12-29
2021-12-09
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2021-12-29
2020-02-27
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
2020-04-03
2020-02-27
Health
F0607
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
D
2020-04-03
2020-02-27
Health
F0622
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
D
2020-04-03
2020-02-27
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
2020-04-03
2020-02-27
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2020-04-03
2020-02-27
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
2020-04-03
2020-02-27
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
2020-04-03
2020-02-27
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.
E
2020-04-03
2020-02-27
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2020-04-03
2020-02-27
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2020-04-03
2020-02-27
Health
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.
E
2020-04-03
2020-02-27
Health
F0730
Observe each nurse aide's job performance and give regular training.
E
2020-04-03
2020-02-27
Health
F0814
Dispose of garbage and refuse properly.
F
2020-04-03
2020-02-27
Health
F0909
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
E
2020-04-03
2020-02-27
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
2020-04-03
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
7
Owner
Role
Pct
From
Status
Source
KNESTOUT, BARRY
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2017-12-05
current
pecos_ownership
BLUM, JONATHAN
CORPORATE DIRECTOR
—
2025-03-01
current
pecos_ownership
CATRAMBONE, JOSEPH
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-31
current
pecos_ownership
KRECK, MICHAEL
ADP OF THE SNF
—
2025-04-08
current
pecos_ownership
FRANCIS DILORENZO
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2010-09-20
ended 2026-05-18
pecos_ownership
PAMELA WOLFE
CONTRACTED MANAGING EMPLOYEE
—
2010-09-20
ended 2026-05-18
pecos_ownership
ROBERT MCNICHOLS
W-2 MANAGING EMPLOYEE
—
2010-10-13
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.
Related-party costs
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
Transactions
0
No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
34
Geo
Kind
BR
Amount
As of
Source
county 51087
acs median gross
0
$1,453
2024-12-31
CENSUS_ACS5
county 51087
fmr
0
$1,442
2025-10-01
HUD_USER_FMR
county 51087
acs median gross
1
$1,342
2024-12-31
CENSUS_ACS5
county 51087
fmr
1
$1,507
2025-10-01
HUD_USER_FMR
county 51087
acs median gross
2
$1,511
2024-12-31
CENSUS_ACS5
county 51087
fmr
2
$1,655
2025-10-01
HUD_USER_FMR
county 51087
acs median gross
3
$1,725
2024-12-31
CENSUS_ACS5
county 51087
fmr
3
$2,072
2025-10-01
HUD_USER_FMR
county 51087
acs median gross
4
$2,154
2024-12-31
CENSUS_ACS5
county 51087
fmr
4
$2,553
2025-10-01
HUD_USER_FMR
county 51087
acs median gross
5
$2,486
2024-12-31
CENSUS_ACS5
county 51087
acs median gross
$1,541
2024-12-31
CENSUS_ACS5
county 51087
acs recent mover gross
$1,736
2024-12-31
CENSUS_ACS5
zcta 23233
acs median gross
1
$1,583
2024-12-31
CENSUS_ACS5
zcta 23233
acs median gross
2
$1,833
2024-12-31
CENSUS_ACS5
zcta 23233
acs median gross
3
$1,993
2024-12-31
CENSUS_ACS5
zcta 23233
acs median gross
4
$2,726
2024-12-31
CENSUS_ACS5
zcta 23233
acs median gross
$1,832
2024-12-31
CENSUS_ACS5
zcta 23233
acs recent mover gross
$1,823
2024-12-31
CENSUS_ACS5
zip 23233
payment standard 110
0
$1,947
2025-10-01
HUD_USER_SAFMR
zip 23233
payment standard 90
0
$1,593
2025-10-01
HUD_USER_SAFMR
zip 23233
safmr
0
$1,770
2025-10-01
HUD_USER_SAFMR
zip 23233
payment standard 110
1
$2,035
2025-10-01
HUD_USER_SAFMR
zip 23233
payment standard 90
1
$1,665
2025-10-01
HUD_USER_SAFMR
zip 23233
safmr
1
$1,850
2025-10-01
HUD_USER_SAFMR
zip 23233
payment standard 110
2
$2,233
2025-10-01
HUD_USER_SAFMR
zip 23233
payment standard 90
2
$1,827
2025-10-01
HUD_USER_SAFMR
zip 23233
safmr
2
$2,030
2025-10-01
HUD_USER_SAFMR
zip 23233
payment standard 110
3
$2,794
2025-10-01
HUD_USER_SAFMR
zip 23233
payment standard 90
3
$2,286
2025-10-01
HUD_USER_SAFMR
zip 23233
safmr
3
$2,540
2025-10-01
HUD_USER_SAFMR
zip 23233
payment standard 110
4
$3,443
2025-10-01
HUD_USER_SAFMR
zip 23233
payment standard 90
4
$2,817
2025-10-01
HUD_USER_SAFMR
zip 23233
safmr
4
$3,130
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.