Composite
60.0 / 100 percentile
Screener / 345006
B
Blumenthal Health and Rehabilitation Center
snfNCSFF: SFF Candidate
3724 Wireless Drive, Greensboro, NC 27455 · CCN 345006 · chain ML MILANO 2022 FAMILY TRUST
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
134
Model
v1.2
Reads as: riskier than 60.0% 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 model5ML signals5Components16CHOW radar1Distress radar1Staffing16Penalties5Deficiencies70Licensure0Ownership58Related party5Transactions1Comps12Market rent35
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 98.2 | 97.2 | 0.30 | 0.2308 | 22.66 | in index |
| staffing risk | 74.0 | 74.0 | 0.25 | 0.1923 | 14.23 | in index |
| billing conduct | 29.4 | 31.4 | 0.30 | 0.2308 | 6.78 | in index |
| financial risk | 21.2 | 27.9 | 0.30 | 0.2308 | 4.89 | in index |
| chow risk | 30.3 | 29.0 | 0.15 | 0.1154 | 3.50 | 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
5| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +21.1 vs natl | IB MIMI 2022 FAMILY TRUST | 5 facilities |
| connection | Owner spans multiple chains | 8 chains | ELLENBOGEN MOSS | 21 facilities |
| connection | Owner spans multiple chains | 7 chains | HEALTHCARE SERVICES GROUP INC | 15 facilities |
| connection | Owner fleet enforcement cluster | 57% fined | DIGACORE CONSULTING | 7 facilities |
| connection | Owner fleet enforcement cluster | 40% fined | IB MIMI 2022 FAMILY TRUST | 5 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 | 31.4 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 25.0 | B | 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 | 33.1 | B | v0.6 | default · in composite | |
| financial risk | 27.9 | B | 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 | 0.0 | — | 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 | 97.2 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 74.0 | D | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 90.5 | F | 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 | 70.5 | D | 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 | 28.1 | B | 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 | 33.3 | 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 | 97.2 | 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 | 97.2 | 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 | 74.0 | D | 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 | 74.0 | D | 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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
15.3
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Current owner tenure (years) | 2.16 | -1.64 | |
| Never sold on record | 0.00 | -1.62 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| Deficiencies, last 12 months | 31.00 | +0.58 | |
| Occupancy | 0.85 | -0.43 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Penalties, last 12 months | 3.00 | +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 | 31.00 | -4.32 | |
| For-profit ownership | 1.00 | -0.69 | |
| Fine amount, 12m (log) | 10.27 | -0.57 | |
| Occupancy | 0.85 | -0.41 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Penalties, last 12 months | 3.00 | -0.28 | |
| Current owner tenure (years) | 2.16 | -0.27 |
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 | NC median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.92 | 3.08 | 3.28 | 2.90–3.77 |
| RN | 0.32 | 0.30 | 0.39 | 0.25–0.58 |
| Weekend total | 2.63 | 2.93 | 3.11 | — |
| Weekday total | 3.04 | 3.14 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 113.3 | 2.92 | 0.32 | 0.52 | 2.09 | 2.63 | 12.5% |
| 2025Q3 | 92 | 129.7 | 2.62 | 0.36 | 0.52 | 1.74 | 2.37 | 10.7% |
| 2025Q2 | 91 | 126.8 | 2.74 | 0.32 | 0.79 | 1.63 | 2.50 | 6.5% |
| 2025Q1 | 90 | 126.8 | 2.72 | 0.23 | 0.78 | 1.70 | 2.53 | 34.0% |
| 2024Q4 | 92 | 131.6 | 3.02 | 0.25 | 0.81 | 1.96 | 2.91 | 29.1% |
| 2024Q3 | 92 | 123.6 | 2.99 | 0.41 | 0.86 | 1.73 | 2.84 | 35.9% |
| 2024Q2 | 91 | 115.0 | 1.02 | 0.08 | 0.16 | 0.77 | 1.00 | 5.1% |
| 2024Q1 | 91 | 118.7 | 1.78 | 0.25 | 0.24 | 1.30 | 1.77 | 0.0% |
| 2023Q4 | 92 | 114.7 | 2.02 | 0.24 | 0.34 | 1.44 | 1.89 | 0.0% |
| 2023Q3 | 92 | 112.5 | 2.04 | 0.26 | 0.34 | 1.44 | 1.99 | 0.0% |
| 2023Q2 | 91 | 117.6 | 1.90 | 0.22 | 0.34 | 1.34 | 1.89 | 0.0% |
| 2023Q1 | 90 | 114.6 | 1.63 | 0.18 | 0.33 | 1.12 | 1.68 | 0.0% |
| 2022Q4 | 92 | 109.2 | 1.58 | 0.17 | 0.29 | 1.12 | 1.61 | 0.0% |
| 2022Q3 | 92 | 114.6 | 1.50 | 0.21 | 0.32 | 0.98 | 1.46 | 3.6% |
| 2022Q2 | 91 | 118.5 | 1.50 | 0.21 | 0.31 | 0.99 | 1.43 | 5.0% |
| 2022Q1 | 90 | 117.3 | 1.34 | 0.19 | 0.36 | 0.79 | 1.31 | 0.1% |
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
5fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-09-13 | Fine | $11,512 | CMS provider data |
| 2025-09-13 | Fine | $17,345 | CMS provider data |
| 2025-09-13 | Payment Denial | — | CMS provider data |
| 2024-11-01 | Fine | $181,468 | CMS provider data |
| 2024-11-01 | Payment Denial | — | CMS provider data |
Total fines on record: $210,325
Deficiencies
70B × 6C × 1D × 40E × 10F × 5G × 3J × 4K × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-12-09 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-12-16 |
| 2025-12-09 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2025-12-16 |
| 2025-12-09 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | E | 2025-12-16 |
| 2025-09-13 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2025-12-09 |
| 2025-09-13 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2025-12-09 |
| 2025-09-13 | Health · complaint | 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 | 2025-12-09 |
| 2025-09-13 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-12-09 |
| 2025-09-13 | Health | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | B | 2025-11-11 |
| 2025-09-13 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2025-12-09 |
| 2025-09-13 | Health | F0637 | Assess the resident when there is a significant change in condition | D | 2025-12-09 |
| 2025-09-13 | Health | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | B | 2025-10-20 |
| 2025-09-13 | Health | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | B | 2025-10-20 |
| 2025-09-13 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2025-12-09 |
| 2025-09-13 | 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 | 2025-12-09 |
| 2025-09-13 | 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 | 2025-12-09 |
| 2025-09-13 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2025-12-09 |
| 2025-09-13 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2025-12-09 |
| 2025-09-13 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-12-16 |
| 2025-09-13 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2025-12-16 |
| 2025-09-13 | Health | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | 2025-12-09 |
| 2025-09-13 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-12-09 |
| 2025-09-13 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | 2025-12-09 |
| 2025-09-13 | 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. | D | 2025-12-09 |
| 2025-09-13 | Health | F0732 | Post nurse staffing information every day. | B | 2025-10-20 |
| 2025-09-13 | 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 | 2025-12-09 |
| 2025-09-13 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-12-09 |
| 2025-09-13 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2025-12-16 |
| 2025-09-13 | Health | F0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | C | 2025-10-20 |
| 2025-09-13 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-12-09 |
| 2025-09-13 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2025-12-09 |
| 2025-09-13 | 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 | 2025-12-09 |
| 2025-05-30 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-06-26 |
| 2025-05-30 | Health · complaint | F0777 | Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | D | 2025-06-26 |
| 2025-01-09 | 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. | J | 2025-01-09 |
| 2025-01-09 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2025-01-09 |
| 2025-01-09 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-01-09 |
| 2025-01-09 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | 2025-01-09 |
| 2025-01-09 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | 2025-01-09 |
| 2025-01-09 | Health · complaint | F0714 | Ensure the physician properly assigns and delegates tasks to a physician assistant, nurse practitioner or clinical nurse specialist. | J | 2025-01-09 |
| 2025-01-09 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-01-09 |
| 2024-11-01 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2025-01-09 |
| 2024-11-01 | 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. | B | 2024-11-27 |
| 2024-11-01 | 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. | B | 2024-11-27 |
| 2024-11-01 | Health | F0637 | Assess the resident when there is a significant change in condition | D | 2025-01-09 |
| 2024-11-01 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2025-01-09 |
| 2024-11-01 | 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 | 2025-01-09 |
| 2024-11-01 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-01-09 |
| 2024-11-01 | 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. | F | 2025-01-09 |
| 2024-11-01 | Health | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | E | 2025-01-09 |
| 2024-11-01 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | E | 2025-01-09 |
| 2024-11-01 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-01-09 |
| 2024-11-01 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | K | 2025-01-09 |
| 2023-09-07 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-10-01 |
| 2023-06-14 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2023-07-14 |
| 2023-05-25 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-07-14 |
| 2023-05-25 | Health | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | 2023-07-14 |
| 2023-05-25 | 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 | 2023-07-14 |
| 2023-05-25 | 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 | 2023-07-14 |
| 2023-05-25 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2023-07-14 |
| 2023-05-25 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2023-07-14 |
| 2023-05-25 | 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 | 2023-07-14 |
| 2023-05-25 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-07-14 |
| 2023-05-25 | 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 | 2023-07-14 |
| 2023-05-25 | 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 | 2023-07-14 |
| 2023-05-25 | 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 | 2023-07-14 |
| 2023-05-25 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2023-07-14 |
| 2023-05-25 | 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. | F | 2023-07-14 |
| 2023-05-25 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-07-14 |
| 2023-05-25 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2023-07-14 |
| 2023-05-25 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2023-07-14 |
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
58| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| BLUMENTHAL HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2024-06-01 | current | pecos_ownership |
| IB MIMI 2022 FAMILY TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 22% | 2024-06-01 | current | pecos_ownership |
| 3724 WIRELESS DRIVE LLC | ADP OF THE SNF | — | 2024-06-01 | current | pecos_ownership |
| ACS PRO GLOBAL SOLUTIONS | ADP OF THE SNF | — | 2024-06-01 | current | pecos_ownership |
| AHMED, TASRIF | ADP OF THE SNF | — | 2025-10-08 | current | pecos_ownership |
| BURTON, NOAH | TRUSTEE OF THE SNF | — | 2024-06-01 | current | pecos_ownership |
| CRUZ, LASARO | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-06-01 | current | pecos_ownership |
| CYOP CYBER SECURITY LLC | ADP OF THE SNF | — | 2024-06-01 | current | pecos_ownership |
| DIGACORE CONSULTING | ADP OF THE SNF | — | 2024-06-01 | current | pecos_ownership |
| DRAPER, RHONDA | CORPORATE OFFICER | — | 2024-06-01 | current | pecos_ownership |
| ELLENBOGEN, MOSS | TRUSTEE OF THE SNF | — | 2024-06-01 | current | pecos_ownership |
| HEALTHCARE SERVICES GROUP INC | ADP OF THE SNF | — | 2024-06-01 | current | pecos_ownership |
| IB MIMI 2022 FAMILY GRANTOR TRUST | TRUSTEE OF THE SNF | — | 2024-06-01 | current | pecos_ownership |
| IB MIMI 2022 FAMILY GRANTOR TRUST | ADP OF THE SNF | — | 2025-10-08 | current | pecos_ownership |
| JAMES, JADA | CORPORATE OFFICER | — | 2024-06-01 | current | pecos_ownership |
| JOHNSON, CHRISTOPHER | CORPORATE OFFICER | — | 2024-06-01 | current | pecos_ownership |
| KELLEY, TRAVISHA | CORPORATE OFFICER | — | 2024-06-01 | current | pecos_ownership |
| LIVE WELL PLUS LLC | ADP OF THE SNF | — | 2024-06-01 | current | pecos_ownership |
| MAHER, CINDY | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-06-01 | current | pecos_ownership |
| MEDICAL FACILITIES OF AMERICA ADMINISTRATIVE CONSULTING SERVICES LLC | ADP OF THE SNF | — | 2024-06-01 | current | pecos_ownership |
| MEDLINE INDUSTRIES | ADP OF THE SNF | — | 2024-06-01 | current | pecos_ownership |
| MFA CLINICAL CONSULTING LLC | ADP OF THE SNF | — | 2024-06-01 | current | pecos_ownership |
| MFA HERITAGE CONSULTING LLC | ADP OF THE SNF | — | 2024-06-01 | current | pecos_ownership |
| MUSTAIN, BROOKE | CORPORATE OFFICER | — | 2024-06-01 | current | pecos_ownership |
| RODRIGUEZ, CATHERINE | CORPORATE OFFICER | — | 2024-06-01 | current | pecos_ownership |
| SHAW, VERA | CORPORATE OFFICER | — | 2025-06-01 | current | pecos_ownership |
| SHAYO, JULIUS | CORPORATE OFFICER | — | 2024-06-01 | current | pecos_ownership |
| SUMMER, MEGAN | CORPORATE OFFICER | — | 2024-06-01 | current | pecos_ownership |
| TURNING POINT CONSULTING LLC | ADP OF THE SNF | — | 2024-06-01 | current | pecos_ownership |
| WEISS, HILLEL | TRUSTEE OF THE SNF | — | 2024-06-01 | current | pecos_ownership |
| WILSON, HORACE | MANAGING CONTROL - GOVERNING BODY | — | 2024-06-01 | current | pecos_ownership |
| UH CAROLINA SNF OPERATIONS HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2024-06-01 | ended 2026-05-18 | pecos_ownership |
| UNIVERSAL OPERATIONS HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 70% | 2024-06-01 | ended 2026-05-18 | pecos_ownership |
| BRIDGEWATER NC HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 23% | 2024-06-01 | ended 2026-05-18 | pecos_ownership |
| JK 2022 GRANTOR FAMILY TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 23% | 2024-06-01 | ended 2026-05-18 | pecos_ownership |
| MILANO FAMILY HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 23% | 2024-06-01 | ended 2026-05-18 | pecos_ownership |
| TOL OPCO INVESTCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 23% | 2024-06-01 | ended 2026-05-18 | pecos_ownership |
| ML MILANO 2022 FAMILY TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 22% | 2024-06-01 | ended 2026-05-18 | pecos_ownership |
| HL FAMILY TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 9% | 2024-06-01 | ended 2026-05-18 | pecos_ownership |
| TJ FAMILY TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 9% | 2024-06-01 | ended 2026-05-18 | pecos_ownership |
| WILL FAMILY 2016 TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | 2024-06-01 | ended 2026-05-18 | pecos_ownership |
| ML MILANO 2022 FAMILY GRANTOR TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 1% | 2024-06-01 | ended 2026-05-18 | pecos_ownership |
| BROOKE MUSTAIN | CORPORATE OFFICER | — | 2024-06-01 | ended 2026-05-18 | pecos_ownership |
| CATHERINE RODRIGUEZ | CORPORATE OFFICER | — | 2024-06-01 | ended 2026-05-18 | pecos_ownership |
| CHRISTOPHER JOHNSON | CORPORATE OFFICER | — | 2024-06-01 | ended 2026-05-18 | pecos_ownership |
| CINDY MAHER | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-06-01 | ended 2026-05-18 | pecos_ownership |
| HILLEL WEISS | TRUSTEE OF THE SNF | — | 2024-06-01 | ended 2026-05-18 | pecos_ownership |
| HORACE WILSON | MANAGING CONTROL - GOVERNING BODY | — | 2024-06-01 | ended 2026-05-18 | pecos_ownership |
| JADA JAMES | CORPORATE OFFICER | — | 2024-06-01 | ended 2026-05-18 | pecos_ownership |
| JULIUS SHAYO | CORPORATE OFFICER | — | 2024-06-01 | ended 2026-05-18 | pecos_ownership |
| LASARO CRUZ | ADP OF THE SNF | — | 2024-06-01 | ended 2026-05-18 | pecos_ownership |
| MEGAN SUMMER | CORPORATE OFFICER | — | 2024-06-01 | ended 2026-05-18 | pecos_ownership |
| MOSS ELLENBOGEN | TRUSTEE OF THE SNF | — | 2024-06-01 | ended 2026-05-18 | pecos_ownership |
| NOAH BURTON | TRUSTEE OF THE SNF | — | 2024-06-01 | ended 2026-05-18 | pecos_ownership |
| RHONDA DRAPER | CORPORATE OFFICER | — | 2024-06-01 | ended 2026-05-18 | pecos_ownership |
| TASRIF AHMED | ADP OF THE SNF | — | 2025-10-08 | ended 2026-05-18 | pecos_ownership |
| TRAVISHA KELLEY | CORPORATE OFFICER | — | 2024-06-01 | ended 2026-05-18 | pecos_ownership |
| VERA SHAW | CORPORATE OFFICER | — | 2025-06-01 | 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 |
|---|---|---|---|---|
| 2024-06-01 | — | BLUMENTHAL OPERATOR LLC | UNIVERSAL HEALTH CARE / BLUMENTHAL, INC. | chow |
Comparable trades — NC snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-07-15 | Juniper Gardens Center for Nursing and Rehabilitat | — | — | — | 50 | WILKINSON BLVD OPERATING COMPANY, LLC |
| 2025-07-01 | Warsaw Rehabilitation and Healthcare Center | — | — | — | 100 | WARSAW OPCO LLC |
| 2025-06-01 | Walnut Cove Health and Rehabilitation | — | — | — | 90 | 511 WINDMILL STREET OPCO LLC |
| 2025-06-01 | Wilora Lake Healthcare | — | — | — | 70 | 6001 WILORA LAKE ROAD OPCO LLC |
| 2025-06-01 | Clay County Health and Rehabilitation | — | — | — | 90 | 86 VALLEY HIDEAWAY DRIVE OPCO LLC |
| 2025-06-01 | Emerald Ridge Health and Rehabilitation | — | — | — | 100 | 25 REYNOLDS MOUNTAIN BOULEVARD OPCO LLC |
| 2025-06-01 | Willowbrook Rehabilitation and Care | — | — | — | 76 | 333 EAST LEE AVENUE OPCO LLC |
| 2025-06-01 | Westwood Health and Rehabilitation | — | — | — | 68 | 625 ASHLAND STREET OPCO LLC |
| 2025-06-01 | Hibriten Mountain Nursing and Rehabilitation | — | — | — | 100 | 2030 HARPER AVENUE OPCO LLC |
| 2025-06-01 | Forrest Oakes Healthcare | — | — | — | 60 | 620 HEATHWOOD DRIVE OPCO LLC |
| 2025-06-01 | Cardinal Healthcare and Rehabilitation | — | — | — | 63 | 931 NORTH ASPEN STREET OPCO LLC |
| 2025-06-01 | Valley View Care and Rehabilitation | — | — | — | 76 | 551 KENT STREET OPCO 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 37081 | acs median gross | 0 | $1,077 | 2024-12-31 | CENSUS_ACS5 |
| county 37081 | fmr | 0 | $1,159 | 2025-10-01 | HUD_USER_FMR |
| county 37081 | acs median gross | 1 | $1,040 | 2024-12-31 | CENSUS_ACS5 |
| county 37081 | fmr | 1 | $1,213 | 2025-10-01 | HUD_USER_FMR |
| county 37081 | acs median gross | 2 | $1,122 | 2024-12-31 | CENSUS_ACS5 |
| county 37081 | fmr | 2 | $1,330 | 2025-10-01 | HUD_USER_FMR |
| county 37081 | acs median gross | 3 | $1,358 | 2024-12-31 | CENSUS_ACS5 |
| county 37081 | fmr | 3 | $1,703 | 2025-10-01 | HUD_USER_FMR |
| county 37081 | acs median gross | 4 | $1,655 | 2024-12-31 | CENSUS_ACS5 |
| county 37081 | fmr | 4 | $1,960 | 2025-10-01 | HUD_USER_FMR |
| county 37081 | acs median gross | 5 | $2,116 | 2024-12-31 | CENSUS_ACS5 |
| county 37081 | acs median gross | $1,163 | 2024-12-31 | CENSUS_ACS5 | |
| county 37081 | acs recent mover gross | $1,374 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 27455 | acs median gross | 0 | $1,107 | 2024-12-31 | CENSUS_ACS5 |
| zcta 27455 | acs median gross | 1 | $1,110 | 2024-12-31 | CENSUS_ACS5 |
| zcta 27455 | acs median gross | 2 | $1,339 | 2024-12-31 | CENSUS_ACS5 |
| zcta 27455 | acs median gross | 3 | $1,670 | 2024-12-31 | CENSUS_ACS5 |
| zcta 27455 | acs median gross | 4 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| zcta 27455 | acs median gross | $1,336 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 27455 | acs recent mover gross | $1,340 | 2024-12-31 | CENSUS_ACS5 | |
| zip 27455 | payment standard 110 | 0 | $1,441 | 2025-10-01 | HUD_USER_SAFMR |
| zip 27455 | payment standard 90 | 0 | $1,179 | 2025-10-01 | HUD_USER_SAFMR |
| zip 27455 | safmr | 0 | $1,310 | 2025-10-01 | HUD_USER_SAFMR |
| zip 27455 | payment standard 110 | 1 | $1,507 | 2025-10-01 | HUD_USER_SAFMR |
| zip 27455 | payment standard 90 | 1 | $1,233 | 2025-10-01 | HUD_USER_SAFMR |
| zip 27455 | safmr | 1 | $1,370 | 2025-10-01 | HUD_USER_SAFMR |
| zip 27455 | payment standard 110 | 2 | $1,650 | 2025-10-01 | HUD_USER_SAFMR |
| zip 27455 | payment standard 90 | 2 | $1,350 | 2025-10-01 | HUD_USER_SAFMR |
| zip 27455 | safmr | 2 | $1,500 | 2025-10-01 | HUD_USER_SAFMR |
| zip 27455 | payment standard 110 | 3 | $2,112 | 2025-10-01 | HUD_USER_SAFMR |
| zip 27455 | payment standard 90 | 3 | $1,728 | 2025-10-01 | HUD_USER_SAFMR |
| zip 27455 | safmr | 3 | $1,920 | 2025-10-01 | HUD_USER_SAFMR |
| zip 27455 | payment standard 110 | 4 | $2,431 | 2025-10-01 | HUD_USER_SAFMR |
| zip 27455 | payment standard 90 | 4 | $1,989 | 2025-10-01 | HUD_USER_SAFMR |
| zip 27455 | safmr | 4 | $2,210 | 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.