CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT 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: 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 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 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)ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT 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: 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 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 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 20:55 UTC
Chains / NEXT STEP HEALTHCARE LLC

NEXT STEP HEALTHCARE LLC

Facilities
14
14 scored
% D/F
21.4%
3 facilities
Mean pctl position
65.1
blunt across peer groups
Certified beds
1,667
Low evidence
0

Grade mix

A 1B 5C 5D 2F 1
Grades are peer-group percentiles, so the grade mix is the comparable statistic. mean_percentile_position averages percentile positions across peer groups and should be read as a rough central tendency, not a score.

Ownership graph

Showing 14 of 14 facilities · 29 of 29 owner nodes · 86 of 86 current edges
NEXT STEP HEALTHCARE LLC — ownership — OPERATIONAL/MANAGERIAL CONTROLNEXT STEP HEALTHCARE LLC — ownership — ADP OF THE SNFLOEW, MATTHEW — ownership — ADP OF THE SNFSTEPHAN, WILLIAM — ownership — CORPORATE OFFICERMAGANGA, ANDRICK — ownership — OPERATIONAL/MANAGERIAL CONTROLDELL'ANNO, DAMIAN — ownership — CORPORATE OFFICERNEXT STEP HEALTHCARE LLC — ownership — ADP OF THE SNFDELL'ANNO, DAMIAN — ownership — CORPORATE OFFICERNEXT STEP HEALTHCARE LLC — ownership — OPERATIONAL/MANAGERIAL CONTROLNGUYEN, NINA — ownership — ADP OF THE SNFSTEPHAN, WILLIAM — ownership — CORPORATE OFFICERRATTAN, ROHIT — ownership — OPERATIONAL/MANAGERIAL CONTROLNEXT STEP HEALTHCARE LLC — ownership — OPERATIONAL/MANAGERIAL CONTROLNEXT STEP HEALTHCARE LLC — ownership — ADP OF THE SNFSTEPHAN, WILLIAM — ownership — CORPORATE OFFICERWOOLFE, ELISABETH — ownership — ADP OF THE SNFGOWDA, SAVITHA — ownership — ADP OF THE SNFDELL'ANNO, DAMIAN — ownership — CORPORATE OFFICERDELL'ANNO, DAMIAN — ownership — INDIRECT OWNERSHIP INTERESTDELL'ANNO, DAMIAN — ownership — INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNEXT STEP HEALTHCARE LLC — ownership — ADP OF THE SNFNEXT STEP HEALTHCARE LLC — ownership — OPERATIONAL/MANAGERIAL CONTROLSTEPHAN, WILLIAM — ownership — INDIRECT OWNERSHIP INTERESTNEXT STEP MA MASTER SUBTENANT, LLC — ownership 100% — 5% OR GREATER DIRECT OWNERSHIP INTERESTMINTZ, JOSHUA — ownership — OPERATIONAL/MANAGERIAL CONTROLTHIMOT, FRANTZ — ownership — ADP OF THE SNFNEXT STEP HEALTHCARE LLC — ownership — ADP OF THE SNFNEXT STEP HEALTHCARE LLC — ownership — OPERATIONAL/MANAGERIAL CONTROLDELL'ANNO, DAMIAN — ownership — CORPORATE OFFICERRANK, DANE — ownership — ADP OF THE SNFSTEPHAN, WILLIAM — ownership — CORPORATE OFFICERRESTITUYO, IRVING — ownership — OPERATIONAL/MANAGERIAL CONTROLNEXT STEP HEALTHCARE LLC — ownership — OPERATIONAL/MANAGERIAL CONTROLNEXT STEP HEALTHCARE LLC — ownership — ADP OF THE SNFDELL'ANNO, DAMIAN — ownership — INDIRECT OWNERSHIP INTERESTWARD, KIMBERLY — ownership — ADP OF THE SNFSTEPHAN, WILLIAM — ownership — INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFKSHEERSAGAR, PANKAJ — ownership — ADP OF THE SNFNEXT STEP HEALTHCARE LLC — ownership — OPERATIONAL/MANAGERIAL CONTROLNEXT STEP HEALTHCARE LLC — ownership — ADP OF THE SNFSTEPHAN, WILLIAM — ownership — INDIRECT OWNERSHIP INTERESTDELL'ANNO, DAMIAN — ownership — CORPORATE OFFICERMARIOS, PAUL — ownership — OPERATIONAL/MANAGERIAL CONTROLMARIOS, PAUL — ownership — ADP OF THE SNFNEXT STEP MA MASTER SUBTENANT, LLC — ownership 100% — 5% OR GREATER DIRECT OWNERSHIP INTERESTNEXT STEP HEALTHCARE LLC — ownership — ADP OF THE SNFSTEPHAN, WILLIAM — ownership — CORPORATE OFFICERDELL'ANNO, DAMIAN — ownership — CORPORATE OFFICERLIKHI, RISHI — ownership — OPERATIONAL/MANAGERIAL CONTROLWEISS, ALEXIS — ownership — OPERATIONAL/MANAGERIAL CONTROLNEXT STEP HEALTHCARE LLC — ownership — ADP OF THE SNFNEXT STEP HEALTHCARE LLC — ownership — INDIRECT OWNERSHIP INTERESTSTEPHAN, WILLIAM — ownership — INDIRECT OWNERSHIP INTERESTNEXT STEP MA NH GEN MASTER TENANT,LLC — ownership — DIRECT OWNERSHIP INTERESTMALIK, FAISAL — ownership — OPERATIONAL/MANAGERIAL CONTROLDELL'ANNO, DAMIAN — ownership — CORPORATE OFFICERGOVONI, RICHARD — ownership — ADP OF THE SNFDELL'ANNO, DAMIAN — ownership — CORPORATE OFFICERNEXT STEP HEALTHCARE LLC — ownership — OPERATIONAL/MANAGERIAL CONTROLNEXT STEP HEALTHCARE LLC — ownership — ADP OF THE SNFSTEPHAN, WILLIAM — ownership — CORPORATE OFFICERBERDZENISHVILI, MAYA — ownership — ADP OF THE SNFSAUVE, JOANNE — ownership — ADP OF THE SNFNEXT STEP HEALTHCARE LLC — ownership — OPERATIONAL/MANAGERIAL CONTROLNEXT STEP HEALTHCARE LLC — ownership — ADP OF THE SNFSTEPHAN, WILLIAM — ownership — CORPORATE OFFICERDIMOV, GUEORGUI — ownership — ADP OF THE SNFDELL'ANNO, DAMIAN — ownership — CORPORATE OFFICERDELL'ANNO, DAMION — ownership — OPERATIONAL/MANAGERIAL CONTROLNEXT STEP HEALTHCARE LLC — ownership — OPERATIONAL/MANAGERIAL CONTROLNEXT STEP HEALTHCARE LLC — ownership — ADP OF THE SNFRESTITUYO, IRVING — ownership — OPERATIONAL/MANAGERIAL CONTROLDELL'ANNO, DAMIAN — ownership — CORPORATE OFFICERSOARES, KYLE — ownership — ADP OF THE SNFSTEPHAN, WILLIAM — ownership — CORPORATE OFFICERNEXT STEP HEALTHCARE LLC — ownership — OPERATIONAL/MANAGERIAL CONTROLNEXT STEP HEALTHCARE LLC — ownership — ADP OF THE SNFDELL'ANNO, DAMIAN — ownership — CORPORATE OFFICERLIKHI, RISHI — ownership — OPERATIONAL/MANAGERIAL CONTROLSTEPHAN, WILLIAM — ownership — CORPORATE OFFICERWADDELL, ROBERT — ownership — ADP OF THE SNFNEXT STEP HEALTHCARE LLC — ownership — ADP OF THE SNFLIKHI, RISHI — ownership — ADP OF THE SNFSTEPHAN, WILLIAM — ownership — CORPORATE OFFICERDELL'ANNO, DAMIAN — ownership — CORPORATE OFFICERMUBIRU, HENRY — ownership — ADP OF THE SNFNEXT STEP HEALTHCARE LLCchain · 14 facilitiesPLYMOUTH HARBORSIDE HEALTHCARE (MA snf) — score 97.7FPLYMOUTH HARBORSIDE HEALTHCARE97.7LEE HEALTHCARE (MA snf) — score 92.5DLEE HEALTHCARE92.5WEDGEMERE HEALTHCARE (MA snf) — score 88.5DWEDGEMERE HEALTHCARE88.5NORWOOD HEALTHCARE (MA snf) — score 83.9CNORWOOD HEALTHCARE83.9FALL RIVER HEALTHCARE (MA snf) — score 81.2CFALL RIVER HEALTHCARE81.2WEST NEWTON HEALTHCARE (MA snf) — score 75.9CWEST NEWTON HEALTHCARE75.9MELROSE HEALTHCARE (MA snf) — score 74.7CMELROSE HEALTHCARE74.7OAKHILL HEALTHCARE (MA snf) — score 73.1COAKHILL HEALTHCARE73.1GARDEN PLACE HEALTHCARE (MA snf) — score 58BGARDEN PLACE HEALTHCARE58.0FITCHBURG HEALTHCARE (MA snf) — score 51.4BFITCHBURG HEALTHCARE51.4WESTBOROUGH HEALTHCARE (MA snf) — score 50.6BWESTBOROUGH HEALTHCARE50.6ELMHURST HEALTHCARE (THE) (MA snf) — score 38.7BELMHURST HEALTHCARE (THE)38.7DEXTER HOUSE HEALTHCARE (MA snf) — score 35.6BDEXTER HOUSE HEALTHCARE35.6HERMITAGE HEALTHCARE (THE) (MA snf) — score 9.2AHERMITAGE HEALTHCARE (THE)9.2DELL'ANNO, DAMIAN — ownership on 14 shown-chain facilities CORPORATE OFFICER; INDIRECT OWNERSHIP INTEREST; INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFDELL'ANNO, DAMIANownership · 14 fac.NEXT STEP HEALTHCARE LLC — ownership on 14 shown-chain facilities ADP OF THE SNF; INDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROLNEXT STEP HEALTHCARE LLCownership · 14 fac.STEPHAN, WILLIAM — ownership on 14 shown-chain facilities CORPORATE OFFICER; INDIRECT OWNERSHIP INTEREST; INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFSTEPHAN, WILLIAMownership · 14 fac.LIKHI, RISHI — ownership on 3 shown-chain facilities ADP OF THE SNF; OPERATIONAL/MANAGERIAL CONTROLLIKHI, RISHIownership · 3 fac.NEXT STEP MA MASTER SUBTENANT, LLC — ownership on 2 shown-chain facilities — up to 100% 5% OR GREATER DIRECT OWNERSHIP INTERESTNEXT STEP MA MASTER SUBTENANT…ownership · 2 fac. · ≤100%RESTITUYO, IRVING — ownership on 2 shown-chain facilities OPERATIONAL/MANAGERIAL CONTROLRESTITUYO, IRVINGownership · 2 fac.BERDZENISHVILI, MAYA — ownership on 1 shown-chain facilities ADP OF THE SNFBERDZENISHVILI, MAYAownership · 1 fac.DELL'ANNO, DAMION — ownership on 1 shown-chain facilities OPERATIONAL/MANAGERIAL CONTROLDELL'ANNO, DAMIONownership · 1 fac.DIMOV, GUEORGUI — ownership on 1 shown-chain facilities ADP OF THE SNFDIMOV, GUEORGUIownership · 1 fac.GOVONI, RICHARD — ownership on 1 shown-chain facilities ADP OF THE SNFGOVONI, RICHARDownership · 1 fac.GOWDA, SAVITHA — ownership on 1 shown-chain facilities ADP OF THE SNFGOWDA, SAVITHAownership · 1 fac.KSHEERSAGAR, PANKAJ — ownership on 1 shown-chain facilities ADP OF THE SNFKSHEERSAGAR, PANKAJownership · 1 fac.LOEW, MATTHEW — ownership on 1 shown-chain facilities ADP OF THE SNFLOEW, MATTHEWownership · 1 fac.MAGANGA, ANDRICK — ownership on 1 shown-chain facilities OPERATIONAL/MANAGERIAL CONTROLMAGANGA, ANDRICKownership · 1 fac.MALIK, FAISAL — ownership on 1 shown-chain facilities OPERATIONAL/MANAGERIAL CONTROLMALIK, FAISALownership · 1 fac.MARIOS, PAUL — ownership on 1 shown-chain facilities ADP OF THE SNF; OPERATIONAL/MANAGERIAL CONTROLMARIOS, PAULownership · 1 fac.MINTZ, JOSHUA — ownership on 1 shown-chain facilities OPERATIONAL/MANAGERIAL CONTROLMINTZ, JOSHUAownership · 1 fac.MUBIRU, HENRY — ownership on 1 shown-chain facilities ADP OF THE SNFMUBIRU, HENRYownership · 1 fac.NEXT STEP MA NH GEN MASTER TENANT,LLC — ownership on 1 shown-chain facilities DIRECT OWNERSHIP INTERESTNEXT STEP MA NH GEN MASTER TE…ownership · 1 fac.NGUYEN, NINA — ownership on 1 shown-chain facilities ADP OF THE SNFNGUYEN, NINAownership · 1 fac.RANK, DANE — ownership on 1 shown-chain facilities ADP OF THE SNFRANK, DANEownership · 1 fac.RATTAN, ROHIT — ownership on 1 shown-chain facilities OPERATIONAL/MANAGERIAL CONTROLRATTAN, ROHITownership · 1 fac.SAUVE, JOANNE — ownership on 1 shown-chain facilities ADP OF THE SNFSAUVE, JOANNEownership · 1 fac.SOARES, KYLE — ownership on 1 shown-chain facilities ADP OF THE SNFSOARES, KYLEownership · 1 fac.THIMOT, FRANTZ — ownership on 1 shown-chain facilities ADP OF THE SNFTHIMOT, FRANTZownership · 1 fac.WADDELL, ROBERT — ownership on 1 shown-chain facilities ADP OF THE SNFWADDELL, ROBERTownership · 1 fac.WARD, KIMBERLY — ownership on 1 shown-chain facilities ADP OF THE SNFWARD, KIMBERLYownership · 1 fac.WEISS, ALEXIS — ownership on 1 shown-chain facilities OPERATIONAL/MANAGERIAL CONTROLWEISS, ALEXISownership · 1 fac.WOOLFE, ELISABETH — ownership on 1 shown-chain facilities ADP OF THE SNFWOOLFE, ELISABETHownership · 1 fac.
registered ownership operator / lease / managerP related-party real estate in cost reportdrag to pan · scroll to zoom · click a facility for its dossier
Owner nodes group ownership edges by the exact registered owner name; the same person or company filed under two spellings appears as two nodes, because merging them would be an editorial claim the registry does not make. Facility and owner lists are capped; caps and totals travel together so a partial graph cannot pass as a complete one. Facilities are prioritized riskiest-first by composite score.

By setting

1
SettingFacilitiesGrade mixMean pctl
snf14
65.1

By state

1
StateFacilitiesD/F count
MA143

Facilities

14
FacilityGradeScoreSettingStateCityBeds
PLYMOUTH HARBORSIDE HEALTHCAREF97.7snfMAPLYMOUTH101
LEE HEALTHCARED92.5snfMALEE88
WEDGEMERE HEALTHCARED88.5snfMATAUNTON94
NORWOOD HEALTHCAREC83.9snfMANORWOOD170
FALL RIVER HEALTHCAREC81.2snfMAFALL RIVER176
WEST NEWTON HEALTHCAREC75.9snfMAWEST NEWTON123
MELROSE HEALTHCAREC74.7snfMAMELROSE106
OAKHILL HEALTHCAREC73.1snfMAMIDDLEBORO123
GARDEN PLACE HEALTHCAREB58.0snfMAATTLEBORO133
FITCHBURG HEALTHCAREB51.4snfMAFITCHBURG160
WESTBOROUGH HEALTHCAREB50.6snfMAWESTBOROUGH117
ELMHURST HEALTHCARE (THE)B38.7snfMAMELROSE45
DEXTER HOUSE HEALTHCAREB35.6snfMAMALDEN130
HERMITAGE HEALTHCARE (THE)A9.2snfMAWORCESTER101