CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT 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: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · 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 noticeENFFACO HEALTHCARE SERVICES INCTX · 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 noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · 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)ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT 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: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · 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 noticeENFFACO HEALTHCARE SERVICES INCTX · 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 noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · 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 05:41 UTC
Screener / 215069
C

ORCHARD HILL REHABILITATION AND HEALTHCARE CENTER

snfMD
111 WEST ROAD, TOWSON, MD 21204 · CCN 215069 · chain NFR 2020 IRRV TR
Composite
80.5 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
139
Model
v1.2
Reads as: riskier than 80.5% 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 signals2Components16CHOW radar1Distress radar1Staffing16Penalties1Deficiencies108Licensure0Ownership33Related party5Transactions1Comps12Market rent35

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk86.583.70.300.230819.96in index
billing conduct63.644.90.300.230814.68in index
financial risk45.742.90.300.230810.55in index
staffing risk46.746.70.250.19238.98in index
chow risk57.238.90.150.11546.60in 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

2
KindFindingSignalSubjectFirst seen
connectionOwner spans multiple chains15 chainsCIBC BANK USA155 facilities
connectionOwner spans multiple chains5 chainsRIZQUI IBRAHIM8 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 conduct44.9Bv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk55.0Cv0.1-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 risk22.9Av0.6default · in composite
financial risk42.9Bv0.5default · in compositeR18.
p adverse action 12m0.0—v0.1default · 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 12m0.1—v0.1default · 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 risk83.7Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk46.7Cv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk55.6Cv0.1supersededPre-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 risk35.6Bv0.2supersededPre-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 risk46.3Cv0.3supersededPre-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 risk47.6Cv0.4supersededPre-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 risk83.6Fv0.1supersededPre-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 risk83.6Fv0.2supersededPre-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 risk46.7Cv0.1supersededPre-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 risk46.7Cv0.2supersededPre-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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
32.3
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)8.08-1.06
For-profit ownership1.00+0.69
Chain size (log)4.38+0.53
Occupancy0.86-0.47
No PBJ staffing report0.00+0.42
Deficiencies, last 12 months16.00+0.22
Ownership changes, last 5 years0.00+0.20
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 months16.00-1.54
Chain size (log)4.38-1.35
For-profit ownership1.00-0.69
Occupancy0.86-0.47
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)8.08-0.17
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 facilityMD medianNational medianNational p25–p75
Total nurse3.343.323.282.90–3.77
RN0.440.470.390.25–0.58
Weekend total3.103.173.11—
Weekday total3.443.363.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q492119.53.340.441.141.763.104.1%
2025Q392122.83.140.421.091.633.031.0%
2025Q291117.03.280.381.191.713.260.4%
2025Q190121.63.310.531.181.603.063.5%
2024Q492120.83.330.531.141.662.985.4%
2024Q392118.33.450.541.151.772.907.1%
2024Q291122.03.140.281.171.682.871.0%
2024Q191119.73.030.191.281.562.631.5%
2023Q492111.33.260.271.371.623.1115.2%
2023Q392110.73.090.261.151.683.1313.9%
2023Q291106.53.380.221.351.813.2920.1%
2023Q190111.73.340.261.341.753.1340.9%
2022Q492111.83.200.321.101.783.0348.0%
2022Q392114.72.940.271.071.592.9343.4%
2022Q291115.12.740.311.041.392.5342.6%
2022Q190120.32.580.300.891.392.3933.1%
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
DateTypeFineSource
2024-10-22Fine$50,122CMS provider data
Total fines on record: $50,122

Deficiencies

108
C × 2D × 88E × 15F × 2G × 1
deficiencies by survey year
32161820222426
SurveyTypeTagDeficiencyScopeCorrected
2026-01-21Health · complaintF0610Respond appropriately to all alleged violations.D2026-02-19
2026-01-21Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2026-02-19
2026-01-21Health · complaintF0695Provide safe and appropriate respiratory care for a resident when needed.D2026-02-19
2026-01-21Health · complaintF0840Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.D2026-02-19
2025-10-17Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2025-12-22
2025-10-17Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-12-22
2025-10-17Health · complaintF0641Ensure each resident receives an accurate assessment.D2025-12-22
2025-10-17Health · complaintF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD2025-12-22
2025-10-17Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2025-12-22
2025-10-17Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2025-12-22
2025-10-17Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-12-22
2025-10-17Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2025-12-22
2025-10-17Health · complaintF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E2025-12-22
2025-10-17Health · complaintF0732Post nurse staffing information every day.C2025-12-22
2025-10-17Health · complaintF0761Ensure 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.D2025-12-22
2025-10-17Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2025-12-22
2025-03-18HealthF0578Honor 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.D2025-04-28
2025-03-18HealthF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2025-04-28
2025-03-18HealthF0584Honor 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.D2025-04-28
2025-03-18Health · complaintF0602Protect each resident from the wrongful use of the resident's belongings or money.D2025-04-28
2025-03-18Health · complaintF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D2025-04-28
2025-03-18HealthF0637Assess the resident when there is a significant change in conditionD2025-04-28
2025-03-18HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2025-04-28
2025-03-18HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-04-28
2025-03-18HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-04-28
2025-03-18HealthF0692Provide enough food/fluids to maintain a resident's health.D2025-04-28
2025-03-18HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2025-04-28
2025-03-18HealthF0732Post nurse staffing information every day.D2025-04-28
2025-03-18HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2025-04-28
2025-03-18HealthF0761Ensure 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.D2025-04-28
2025-03-18HealthF0790Provide routine and 24-hour emergency dental care for each resident.D2025-04-28
2025-03-18HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2025-04-28
2025-03-18HealthF0840Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.D2025-04-28
2025-03-18HealthF0881Implement a program that monitors antibiotic use.D2025-04-28
2025-03-18HealthF0908Keep all essential equipment working safely.E2025-04-28
2024-10-22Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2024-11-30
2024-10-22Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2024-11-30
2024-10-22Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2024-11-30
2024-10-22Health · complaintF0610Respond appropriately to all alleged violations.D2024-11-30
2024-10-22Health · complaintF0641Ensure each resident receives an accurate assessment.D2025-01-13
2024-10-22Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2024-11-30
2024-10-22Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E2025-01-13
2024-10-22Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2024-11-30
2024-10-22Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2024-11-13
2024-10-22Health · complaintF0695Provide safe and appropriate respiratory care for a resident when needed.D2024-11-30
2024-10-22Health · complaintF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.D2024-11-30
2024-10-22Health · complaintF0840Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.D2024-11-30
2024-10-22Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2024-11-30
2024-10-22Health · complaintF0919Make sure that a working call system is available in each resident's bathroom and bathing area.D2024-11-30
2021-06-30HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2021-08-10
2021-06-30HealthF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.E2021-08-10
2021-06-30HealthF0570Assure the security of all personal funds of residents deposited with the facility.E2021-08-10
2021-06-30HealthF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2021-08-10
2021-06-30HealthF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D2021-08-10
2021-06-30HealthF0584Honor 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.D2021-08-10
2021-06-30HealthF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2021-08-10
2021-06-30HealthF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.D2021-08-10
2021-06-30HealthF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D2021-08-10
2021-06-30HealthF0624Prepare residents for a safe transfer or discharge from the nursing home.D2021-08-10
2021-06-30HealthF0625Notify 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.E2021-08-10
2021-06-30HealthF0641Ensure each resident receives an accurate assessment.D2021-08-10
2021-06-30HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2021-08-10
2021-06-30HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E2021-08-10
2021-06-30HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.D2021-08-10
2021-06-30HealthF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.D2021-08-10
2021-06-30HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2021-08-10
2021-06-30HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E2021-08-10
2021-06-30HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2021-08-10
2021-06-30HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2021-08-10
2021-06-30HealthF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2021-08-10
2021-06-30HealthF0692Provide enough food/fluids to maintain a resident's health.E2021-08-10
2021-06-30HealthF0697Provide safe, appropriate pain management for a resident who requires such services.D2021-08-10
2021-06-30HealthF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.D2021-08-10
2021-06-30HealthF0732Post nurse staffing information every day.C2021-08-10
2021-06-30HealthF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.E2021-08-10
2021-06-30HealthF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.D2021-08-10
2021-06-30HealthF0759Ensure medication error rates are not 5 percent or greater.D2021-08-10
2021-06-30HealthF0791Provide or obtain dental services for each resident.D2021-08-10
2021-06-30HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2021-08-10
2021-06-30HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E2021-08-10
2021-06-30HealthF0880Provide and implement an infection prevention and control program.E2021-08-10
2018-09-26HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2018-11-08
2018-09-26HealthF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D2018-11-08
2018-09-26HealthF0565Honor the resident's right to organize and participate in resident/family groups in the facility.D2018-11-08
2018-09-26HealthF0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.D2018-11-08
2018-09-26HealthF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.D2018-11-08
2018-09-26HealthF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D2018-11-08
2018-09-26HealthF0584Honor 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.D2018-11-08
2018-09-26HealthF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.D2018-11-08
2018-09-26HealthF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2018-11-08
2018-09-26HealthF0610Respond appropriately to all alleged violations.D2018-11-08
2018-09-26HealthF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D2018-11-08
2018-09-26HealthF0625Notify 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.D2018-11-08
2018-09-26HealthF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.D2018-11-08
2018-09-26HealthF0641Ensure each resident receives an accurate assessment.D2018-11-08
2018-09-26HealthF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD2018-11-08
2018-09-26HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E2018-11-08
2018-09-26HealthF0679Provide activities to meet all resident's needs.E2018-11-08
2018-09-26HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2018-11-08
2018-09-26HealthF0685Assist a resident in gaining access to vision and hearing services.D2018-11-08
2018-09-26HealthF0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.D2018-11-08
2018-09-26HealthF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.D2018-11-08
2018-09-26HealthF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D2018-11-08
2018-09-26HealthF0761Ensure 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.D2018-11-08
2018-09-26HealthF0791Provide or obtain dental services for each resident.D2018-11-08
2018-09-26HealthF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D2018-11-08
2018-09-26HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2018-11-08
2018-09-26HealthF0880Provide and implement an infection prevention and control program.D2018-11-08
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

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

33
OwnerRolePctFromStatusSource
ORCHARD HILL PROPERTYCorporation, partnership or other organization has financial interest in provider100%2023-01-01currenthcris_a_8_1
ORCHARD HILL PROPERTYCorporation, partnership or other organization has financial interest in provider100%2024-01-01currenthcris_a_8_1
YR 2013 INVESTMENT TR UA 032520135% OR GREATER INDIRECT OWNERSHIP INTEREST22%2018-10-04currentpecos_ownership
BAILEY, LESHAWNMANAGING CONTROL - GOVERNING BODY—2024-02-12currentpecos_ownership
CIBC BANK USA5% OR GREATER SECURITY INTEREST—2018-07-01currentpecos_ownership
GUNTHORPE, JAHIRIADP OF THE SNF—2024-09-09currentpecos_ownership
KOHN FAM TR GST EXEMPT UAD 3-25-13ADP OF THE SNF—2022-01-01currentpecos_ownership
MARQUIS LIMITED LLCADP OF THE SNF—2025-03-31currentpecos_ownership
MARQUIS LIMITED LLCOPERATIONAL/MANAGERIAL CONTROL—2021-01-01currentpecos_ownership
NFR 2020 IRRV TRADP OF THE SNF—2022-01-01currentpecos_ownership
NUTRACO LLCADP OF THE SNF—2025-03-31currentpecos_ownership
NUTRACO LLCOPERATIONAL/MANAGERIAL CONTROL—2021-02-09currentpecos_ownership
ORCHARD HILL PROPERTY LLCADP OF THE SNF—2018-10-04currentpecos_ownership
POSEN, MINDEEADP OF THE SNF—2022-01-01currentpecos_ownership
QUINTO GUARDIAN LLCADP OF THE SNF—2018-10-04currentpecos_ownership
RELIANT PRO REHAB LLCADP OF THE SNF—2025-03-31currentpecos_ownership
RELIANT PRO REHAB LLCOPERATIONAL/MANAGERIAL CONTROL—2018-10-04currentpecos_ownership
RIZQUI, IBRAHIMOPERATIONAL/MANAGERIAL CONTROL—2022-08-01currentpecos_ownership
RSBRMK HOLDINGS LLCADP OF THE SNF—2021-01-01currentpecos_ownership
SK 2013 INVESTMENT TR UA 03252013ADP OF THE SNF—2018-10-04currentpecos_ownership
TRYKO GUARDIAN HOLDINGS LLCADP OF THE SNF—2018-10-04currentpecos_ownership
UAK 2020 IRRV TRADP OF THE SNF—2022-01-01currentpecos_ownership
UKR CONSULTING LLCADP OF THE SNF—2018-10-04currentpecos_ownership
VIROJA, YOGESHADP OF THE SNF—2022-01-01currentpecos_ownership
ORCHARD HILL PROPERTYCorporation, partnership or other organization has financial interest in provider100%2020-01-01ended 2020-12-31hcris_a_8_1
ORCHARD HILL PROPERTYCorporation, partnership or other organization has financial interest in provider100%2022-01-01ended 2022-12-31hcris_a_8_1
ORCHARD HILL PROPERTYCorporation, partnership or other organization has financial interest in provider100%2021-01-01ended 2021-12-31hcris_a_8_1
RSBRMK HOLDINGS LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST22%2022-01-01ended 2026-05-18pecos_ownership
IBRAHIM RIZQUIADP OF THE SNF—2022-08-01ended 2026-05-18pecos_ownership
JAHIRI GUNTHORPEMANAGING CONTROL - GOVERNING BODY—2024-09-09ended 2026-05-18pecos_ownership
LESHAWN BAILEYMANAGING CONTROL - GOVERNING BODY—2024-02-12ended 2026-05-18pecos_ownership
MINDEE POSENCORPORATE OFFICER—2022-01-01ended 2026-05-18pecos_ownership
YOGESH VIROJAMANAGING CONTROL - GOVERNING BODY—2022-01-01ended 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
2018-07-01—ORCHARD HILL OPERATOR LLCMANOR CARE-DULANEY MD LLCchow

Comparable trades — MD snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-03-01FROSTBURG REHAB CENTER———122KAYLOR FROSTBURG LLC
2025-03-01SOUTH MOUNTAIN REHAB CENTER———157SM REHAB
2024-12-01ST. ELIZABETH REHABILITATION & NURSING CENTER———162ST. ELIZABETH OPCO LLC
2024-10-01SNOW HILL REHABILITATION & HEALTHCARE CENTER———69SNOW HILL SNF OPERATIONS LLC
2024-10-01DENNETT REHAB CENTER———99DENNETT SNF
2024-09-01FREDERICK CROSSING OF JOURNEY———120FREDERICK CROSSING OF JOURNEY LLC
2024-07-01BAY HARBOR POST ACUTE HEALTHCARE CENTER———305BAY HARBOR OPERATOR LLC
2024-04-01GREEN ACRES NURSING AND REHAB———17010200 LA PLATA OPCO LLC
2024-03-01COPPER RIDGE NURSING AND ASSISTED LIVING CENTER———66CARROLL MD OPCO LLC
2024-01-01RESORTS OF AUGSBURG———131RESORTS OF AUGSBURG CORP
2023-12-01ROSSVILLE REHABILITATION AND HEALTHCARE CENTER———172ROSSVILLE SNF OPERATIONS LLC
2023-12-01TOWSON REHABILITATION AND HEALTHCARE CENTER———132TOWSON SNF OPERATIONS LLC
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.

Market rent context

35
GeoKindBRAmountAs ofSource
county 24005acs median gross0$1,4032024-12-31CENSUS_ACS5
county 24005fmr0$1,3622025-10-01HUD_USER_FMR
county 24005acs median gross1$1,3602024-12-31CENSUS_ACS5
county 24005fmr1$1,5112025-10-01HUD_USER_FMR
county 24005acs median gross2$1,6642024-12-31CENSUS_ACS5
county 24005fmr2$1,8572025-10-01HUD_USER_FMR
county 24005acs median gross3$1,9482024-12-31CENSUS_ACS5
county 24005fmr3$2,3582025-10-01HUD_USER_FMR
county 24005acs median gross4$2,1802024-12-31CENSUS_ACS5
county 24005fmr4$2,6112025-10-01HUD_USER_FMR
county 24005acs median gross5$2,0762024-12-31CENSUS_ACS5
county 24005acs median gross$1,6272024-12-31CENSUS_ACS5
county 24005acs recent mover gross$1,8142024-12-31CENSUS_ACS5
zcta 21204acs median gross0$1,7222024-12-31CENSUS_ACS5
zcta 21204acs median gross1$1,7292024-12-31CENSUS_ACS5
zcta 21204acs median gross2$2,1272024-12-31CENSUS_ACS5
zcta 21204acs median gross3$2,1882024-12-31CENSUS_ACS5
zcta 21204acs median gross4$1,2842024-12-31CENSUS_ACS5
zcta 21204acs median gross$1,8752024-12-31CENSUS_ACS5
zcta 21204acs recent mover gross$1,6492024-12-31CENSUS_ACS5
zip 21204payment standard 1100$1,7712025-10-01HUD_USER_SAFMR
zip 21204payment standard 900$1,4492025-10-01HUD_USER_SAFMR
zip 21204safmr0$1,6102025-10-01HUD_USER_SAFMR
zip 21204payment standard 1101$1,9692025-10-01HUD_USER_SAFMR
zip 21204payment standard 901$1,6112025-10-01HUD_USER_SAFMR
zip 21204safmr1$1,7902025-10-01HUD_USER_SAFMR
zip 21204payment standard 1102$2,4202025-10-01HUD_USER_SAFMR
zip 21204payment standard 902$1,9802025-10-01HUD_USER_SAFMR
zip 21204safmr2$2,2002025-10-01HUD_USER_SAFMR
zip 21204payment standard 1103$3,0692025-10-01HUD_USER_SAFMR
zip 21204payment standard 903$2,5112025-10-01HUD_USER_SAFMR
zip 21204safmr3$2,7902025-10-01HUD_USER_SAFMR
zip 21204payment standard 1104$3,3992025-10-01HUD_USER_SAFMR
zip 21204payment standard 904$2,7812025-10-01HUD_USER_SAFMR
zip 21204safmr4$3,0902025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.
CII Terminal tearsheet · ORCHARD HILL REHABILITATION AND HEALTHCARE CENTER (215069) · generated 2026-08-05 · every number derives from public records (CMS Care Compare, PBJ, POS, penalty and survey files, state licensure registers) · scores are published model outputs with holdout metrics disclosed at cii-terminal.vercel.app/transparency