Composite
21.0 / 100 percentile
Screener / 215128
A
COURTLAND, LLC
snfMD
7920 SCOTTS LEVEL ROAD, BALTIMORE, MD 21208 · CCN 215128 · chain CARLYN ALEXANDRA ATTMAN 2005 TRUST
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
151
Model
v1.2
Reads as: riskier than 21.0% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
Score model5Components16CHOW radar1Distress radar1Staffing16Penalties1Deficiencies74Licensure0Ownership27Related party5Transactions0Comps12Market rent35
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 68.4 | 62.4 | 0.30 | 0.2308 | 15.78 | in index |
| financial risk | 30.6 | 34.2 | 0.30 | 0.2308 | 7.06 | in index |
| staffing risk | 36.2 | 36.3 | 0.25 | 0.1923 | 6.96 | in index |
| billing conduct | 24.0 | 28.3 | 0.30 | 0.2308 | 5.54 | in index |
| chow risk | 10.4 | 18.7 | 0.15 | 0.1154 | 1.20 | in index |
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
Component scores and registry models
16| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 28.3 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 21.4 | 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 | 15.9 | A | v0.6 | default · in composite | |
| financial risk | 34.2 | B | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.1 | — | 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 | 2.2 | — | 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 | 62.4 | C | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 36.3 | B | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 72.0 | D | 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 | 52.0 | C | 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 | 51.4 | C | 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 | 38.2 | B | 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 | 62.2 | C | 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 | 62.2 | C | 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 | 36.3 | B | 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 | 36.3 | B | 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)
2.2%
model v0.1 · computed 2026-07-29
Percentile among SNFs
71.0
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.93 | -0.68 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Deficiencies, last 12 months | 0.00 | -0.17 | |
| Facility size (log beds) | 5.02 | -0.10 |
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Distress radar — 12-month termination probability
full board →p(termination, 12m)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
49.0
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 | 0.00 | +1.43 | |
| Occupancy | 0.93 | -0.78 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Facility size (log beds) | 5.02 | -0.14 | |
| Total nurse staffing (HPRD) | 3.52 | -0.13 | |
| Never sold on record | 1.00 | +0.12 |
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
16| 2025Q4 HPRD | This facility | MD median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.52 | 3.32 | 3.28 | 2.90–3.77 |
| RN | 0.87 | 0.47 | 0.39 | 0.25–0.58 |
| Weekend total | 3.20 | 3.17 | 3.11 | — |
| Weekday total | 3.65 | 3.36 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 140.9 | 3.52 | 0.87 | 0.67 | 1.98 | 3.20 | 12.3% |
| 2025Q3 | 92 | 137.3 | 3.55 | 0.88 | 0.68 | 1.99 | 3.23 | 16.8% |
| 2025Q2 | 91 | 143.5 | 3.63 | 0.91 | 0.61 | 2.11 | 3.30 | 18.5% |
| 2025Q1 | 90 | 144.7 | 3.53 | 0.96 | 0.50 | 2.07 | 3.24 | 18.1% |
| 2024Q4 | 92 | 144.7 | 3.48 | 0.97 | 0.54 | 1.97 | 3.16 | 21.9% |
| 2024Q3 | 92 | 142.0 | 3.48 | 0.96 | 0.51 | 2.00 | 3.14 | 11.6% |
| 2024Q2 | 91 | 139.5 | 3.62 | 1.00 | 0.58 | 2.04 | 3.29 | 13.0% |
| 2024Q1 | 91 | 140.3 | 3.49 | 0.98 | 0.55 | 1.96 | 3.17 | 24.3% |
| 2023Q4 | 92 | 138.0 | 3.46 | 0.95 | 0.56 | 1.95 | 3.16 | 20.4% |
| 2023Q3 | 92 | 139.4 | 3.61 | 0.93 | 0.62 | 2.07 | 3.33 | 25.7% |
| 2023Q2 | 91 | 140.9 | 3.50 | 0.83 | 0.68 | 1.99 | 3.21 | 24.9% |
| 2023Q1 | 90 | 141.3 | 3.60 | 0.92 | 0.65 | 2.03 | 3.30 | 29.0% |
| 2022Q4 | 92 | 141.0 | 3.48 | 0.87 | 0.72 | 1.89 | 3.27 | 29.1% |
| 2022Q3 | 92 | 130.9 | 3.48 | 0.82 | 0.75 | 1.91 | 3.16 | 20.1% |
| 2022Q2 | 91 | 129.5 | 3.42 | 0.84 | 0.68 | 1.91 | 3.19 | 8.6% |
| 2022Q1 | 90 | 128.6 | 3.38 | 0.82 | 0.70 | 1.86 | 3.21 | 12.6% |
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.
Penalties
1| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-07-24 | Fine | $20,251 | CMS provider data |
Total fines on record: $20,251
Deficiencies
74C × 1D × 50E × 20F × 2K × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-07-24 | Health | F0551 | Give the resident's representative the ability to exercise the resident's rights. | D | 2025-09-04 |
| 2025-07-24 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-09-04 |
| 2025-07-24 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-09-04 |
| 2025-07-24 | Health | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2025-09-04 |
| 2025-07-24 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2025-09-04 |
| 2025-07-24 | Health · complaint | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2025-09-04 |
| 2025-07-24 | 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 | 2025-09-04 |
| 2025-07-24 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-09-04 |
| 2025-07-24 | 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 | 2025-09-04 |
| 2025-07-24 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2025-09-04 |
| 2025-07-24 | Health | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | 2025-09-04 |
| 2025-07-24 | Health · complaint | F0841 | Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | D | 2025-09-04 |
| 2025-07-24 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-09-04 |
| 2025-07-24 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2025-09-04 |
| 2025-07-24 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2025-09-04 |
| 2025-07-24 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | K | 2025-09-04 |
| 2023-02-16 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2023-04-02 |
| 2023-02-16 | Health | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2023-04-02 |
| 2023-02-16 | 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 | 2023-04-02 |
| 2023-02-16 | Health | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | 2023-04-02 |
| 2023-02-16 | Health | F0585 | Honor 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. | D | 2023-04-02 |
| 2023-02-16 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2020-02-26 |
| 2023-02-16 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-04-02 |
| 2023-02-16 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2023-04-02 |
| 2023-02-16 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2023-04-02 |
| 2023-02-16 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2023-04-02 |
| 2023-02-16 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2023-04-02 |
| 2023-02-16 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2023-04-02 |
| 2023-02-16 | 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 | 2023-04-02 |
| 2023-02-16 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-04-02 |
| 2023-02-16 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2023-04-02 |
| 2023-02-16 | Health | F0685 | Assist a resident in gaining access to vision and hearing services. | D | 2023-04-02 |
| 2023-02-16 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-04-02 |
| 2023-02-16 | Health | F0687 | Provide appropriate foot care. | D | 2023-04-02 |
| 2023-02-16 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2023-04-02 |
| 2023-02-16 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2023-04-02 |
| 2023-02-16 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | 2023-04-02 |
| 2023-02-16 | 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 | 2023-04-02 |
| 2023-02-16 | Health | F0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | E | 2023-04-02 |
| 2023-02-16 | Health | F0732 | Post nurse staffing information every day. | C | 2023-04-02 |
| 2023-02-16 | Health | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | 2023-04-02 |
| 2023-02-16 | 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. | E | 2023-04-02 |
| 2023-02-16 | 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 | 2023-04-02 |
| 2023-02-16 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2023-04-02 |
| 2023-02-16 | 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 | 2023-04-02 |
| 2023-02-16 | Health | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | 2023-04-02 |
| 2023-02-16 | Health | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | D | 2023-04-02 |
| 2023-02-16 | Health | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | 2023-04-02 |
| 2023-02-16 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2023-04-02 |
| 2023-02-16 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-04-02 |
| 2023-02-16 | Health | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | 2023-04-02 |
| 2023-02-16 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2023-04-02 |
| 2023-02-16 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2023-04-02 |
| 2023-02-16 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2023-04-02 |
| 2023-02-16 | 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 | 2023-04-02 |
| 2023-02-16 | 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. | E | 2023-04-02 |
| 2018-12-18 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2019-02-01 |
| 2018-12-18 | Health | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2019-02-01 |
| 2018-12-18 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2019-02-01 |
| 2018-12-18 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | 2019-02-01 |
| 2018-12-18 | 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 | 2019-02-01 |
| 2018-12-18 | Health | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | 2019-02-01 |
| 2018-12-18 | Health | F0641 | Ensure each resident receives an accurate assessment. | E | 2019-02-01 |
| 2018-12-18 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2019-02-01 |
| 2018-12-18 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2019-02-01 |
| 2018-12-18 | 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 | 2019-02-01 |
| 2018-12-18 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2019-02-01 |
| 2018-12-18 | 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 | 2019-02-01 |
| 2018-12-18 | Health | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | E | 2019-02-01 |
| 2018-12-18 | Health | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | 2019-02-01 |
| 2018-12-18 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2019-02-01 |
| 2018-12-18 | Health | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | 2019-02-01 |
| 2018-12-18 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2019-02-01 |
| 2018-12-18 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2019-02-01 |
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
27| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| LIFEBRIDGE INVESTMENTS, INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 49% | 2016-03-01 | current | pecos_ownership |
| PRACTICE DYNAMICS, INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 49% | 2016-03-01 | current | pecos_ownership |
| COURTLAND OPERATING LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 24% | 2014-09-01 | current | pecos_ownership |
| GINGER CAT LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 17% | 2014-09-01 | current | pecos_ownership |
| NJM794, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% | 2014-09-01 | current | pecos_ownership |
| ATTMAN, GARY | OPERATIONAL/MANAGERIAL CONTROL | — | 2014-09-01 | current | pecos_ownership |
| ATTMAN, LEONARD | CORPORATE OFFICER | — | 2014-09-01 | current | pecos_ownership |
| FC OF COURTLAND INC | OPERATIONAL/MANAGERIAL CONTROL | — | 2014-09-01 | current | pecos_ownership |
| FINGLASS, BRIAN | CORPORATE OFFICER | — | 2014-09-01 | current | pecos_ownership |
| MUSA, VICTOR | W-2 MANAGING EMPLOYEE | — | 2020-12-16 | current | pecos_ownership |
| SPADARO, JOHN | CORPORATE OFFICER | — | 2014-09-01 | current | pecos_ownership |
| VICTOR MUSA | W-2 MANAGING EMPLOYEE | 100% | 2020-12-16 | ended 2026-05-18 | pecos_ownership |
| LIFEBRIDGE HEALTH INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 49% | 2016-03-01 | ended 2026-05-18 | pecos_ownership |
| SHELLYE ATTMAN GILDEN 2005 TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 11% | 2014-09-01 | ended 2026-05-18 | pecos_ownership |
| SHELLYE GILDEN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 11% | 2014-09-01 | ended 2026-05-18 | pecos_ownership |
| WENDE ATTMAN LEVITAS 2005 TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 11% | 2014-09-01 | ended 2026-05-18 | pecos_ownership |
| WENDE LEVITAS | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 11% | 2014-09-01 | ended 2026-05-18 | pecos_ownership |
| JEFFREY ATTMAN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | 2014-09-01 | ended 2026-05-18 | pecos_ownership |
| CARLYN ALEXANDRA ATTMAN 2005 TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 8% | 2014-09-01 | ended 2026-05-18 | pecos_ownership |
| CARLYN ATTMAN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 8% | 2014-09-01 | ended 2026-05-18 | pecos_ownership |
| SARAH ATTMAN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 8% | 2014-09-01 | ended 2026-05-18 | pecos_ownership |
| SARAH ROSE ATTMAN 2005 TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 8% | 2014-09-01 | ended 2026-05-18 | pecos_ownership |
| GARY ATTMAN | OPERATIONAL/MANAGERIAL CONTROL | 3% | 2014-09-01 | ended 2026-05-18 | pecos_ownership |
| LEONARD ATTMAN | CORPORATE OFFICER | 2% | 2014-09-01 | ended 2026-05-18 | pecos_ownership |
| BRIAN FINGLASS | CORPORATE OFFICER | 0% | 2014-09-01 | ended 2026-05-18 | pecos_ownership |
| FUTURE CARE HEALTH AND MANAGEMENT CORPORATION | OTHER | 0% | 2014-09-01 | ended 2026-05-18 | pecos_ownership |
| JOHN SPADARO | CORPORATE OFFICER | 0% | 2014-09-01 | 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
0No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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
35| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 24005 | acs median gross | 0 | $1,403 | 2024-12-31 | CENSUS_ACS5 |
| county 24005 | fmr | 0 | $1,362 | 2025-10-01 | HUD_USER_FMR |
| county 24005 | acs median gross | 1 | $1,360 | 2024-12-31 | CENSUS_ACS5 |
| county 24005 | fmr | 1 | $1,511 | 2025-10-01 | HUD_USER_FMR |
| county 24005 | acs median gross | 2 | $1,664 | 2024-12-31 | CENSUS_ACS5 |
| county 24005 | fmr | 2 | $1,857 | 2025-10-01 | HUD_USER_FMR |
| county 24005 | acs median gross | 3 | $1,948 | 2024-12-31 | CENSUS_ACS5 |
| county 24005 | fmr | 3 | $2,358 | 2025-10-01 | HUD_USER_FMR |
| county 24005 | acs median gross | 4 | $2,180 | 2024-12-31 | CENSUS_ACS5 |
| county 24005 | fmr | 4 | $2,611 | 2025-10-01 | HUD_USER_FMR |
| county 24005 | acs median gross | 5 | $2,076 | 2024-12-31 | CENSUS_ACS5 |
| county 24005 | acs median gross | $1,627 | 2024-12-31 | CENSUS_ACS5 | |
| county 24005 | acs recent mover gross | $1,814 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 21208 | acs median gross | 0 | $1,847 | 2024-12-31 | CENSUS_ACS5 |
| zcta 21208 | acs median gross | 1 | $1,446 | 2024-12-31 | CENSUS_ACS5 |
| zcta 21208 | acs median gross | 2 | $1,802 | 2024-12-31 | CENSUS_ACS5 |
| zcta 21208 | acs median gross | 3 | $1,555 | 2024-12-31 | CENSUS_ACS5 |
| zcta 21208 | acs median gross | 4 | $2,190 | 2024-12-31 | CENSUS_ACS5 |
| zcta 21208 | acs median gross | $1,720 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 21208 | acs recent mover gross | $2,018 | 2024-12-31 | CENSUS_ACS5 | |
| zip 21208 | payment standard 110 | 0 | $1,694 | 2025-10-01 | HUD_USER_SAFMR |
| zip 21208 | payment standard 90 | 0 | $1,386 | 2025-10-01 | HUD_USER_SAFMR |
| zip 21208 | safmr | 0 | $1,540 | 2025-10-01 | HUD_USER_SAFMR |
| zip 21208 | payment standard 110 | 1 | $1,881 | 2025-10-01 | HUD_USER_SAFMR |
| zip 21208 | payment standard 90 | 1 | $1,539 | 2025-10-01 | HUD_USER_SAFMR |
| zip 21208 | safmr | 1 | $1,710 | 2025-10-01 | HUD_USER_SAFMR |
| zip 21208 | payment standard 110 | 2 | $2,310 | 2025-10-01 | HUD_USER_SAFMR |
| zip 21208 | payment standard 90 | 2 | $1,890 | 2025-10-01 | HUD_USER_SAFMR |
| zip 21208 | safmr | 2 | $2,100 | 2025-10-01 | HUD_USER_SAFMR |
| zip 21208 | payment standard 110 | 3 | $2,937 | 2025-10-01 | HUD_USER_SAFMR |
| zip 21208 | payment standard 90 | 3 | $2,403 | 2025-10-01 | HUD_USER_SAFMR |
| zip 21208 | safmr | 3 | $2,670 | 2025-10-01 | HUD_USER_SAFMR |
| zip 21208 | payment standard 110 | 4 | $3,245 | 2025-10-01 | HUD_USER_SAFMR |
| zip 21208 | payment standard 90 | 4 | $2,655 | 2025-10-01 | HUD_USER_SAFMR |
| zip 21208 | safmr | 4 | $2,950 | 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.