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 14:32 UTC
Screener / 056220
C

BRIARCREST NURSING CENTER

snfCA
5648 EAST GOTHAM STREET, BELL GARDENS, CA 90201 · CCN 056220 · chain WIN WIN ENTERPRISES LLC
Composite
76.0 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
135
Model
v1.2
Reads as: riskier than 76.0% 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 signals2Components16CHOW radar1Distress radar1Staffing16Penalties4Deficiencies102Licensure0Ownership47Related party5Transactions0Comps12Market rent36

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk95.493.70.300.230822.02in index
billing conduct71.348.30.300.230816.45in index
financial risk65.856.20.300.230815.18in index
staffing risk13.813.90.250.19232.65in index
chow risk20.219.60.150.11542.33in 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 chains5 chainsWINTNER JACOB35 facilities
connectionOwner spans multiple chains5 chainsSMEDRA IRA30 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 conduct48.3Cv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk25.0Bv0.1-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 risk14.2Av0.6default · in composite
financial risk56.2Cv0.5default · 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 12m3.1—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 risk93.7Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk13.9Av0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk82.6Fv0.1supersededPre-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 risk62.6Cv0.2supersededPre-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 risk67.1Dv0.3supersededPre-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 risk56.1Cv0.4supersededPre-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 risk93.7Fv0.1supersededPre-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 risk93.7Fv0.2supersededPre-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 risk13.9Av0.1supersededPre-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 risk13.9Av0.2supersededPre-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)
3.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
78.0
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Occupancy0.94-0.69
For-profit ownership1.00+0.69
Never sold on record1.00+0.62
Current owner tenure (years)25.00+0.57
No PBJ staffing report0.00+0.42
Chain size (log)3.22+0.28
Deficiencies, last 12 months17.00+0.24
Total nurse staffing (HPRD)4.15-0.22
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 months17.00-1.72
Occupancy0.94-0.79
For-profit ownership1.00-0.69
Chain size (log)3.22-0.67
Total nurse staffing (HPRD)4.15-0.39
No PBJ staffing report0.00+0.39
Fine amount, 12m (log)0.00+0.18
Never sold on record1.00+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 HPRDThis facilityCA medianNational medianNational p25–p75
Total nurse4.153.953.282.90–3.77
RN0.510.380.390.25–0.58
Weekend total4.003.793.11—
Weekday total4.224.013.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q492126.44.150.511.172.474.000.0%
2025Q392126.44.160.451.262.454.000.0%
2025Q291125.84.150.491.152.504.010.0%
2025Q190126.94.120.451.232.444.010.0%
2024Q492126.34.070.461.212.403.910.0%
2024Q392118.94.120.461.252.413.960.0%
2024Q291116.74.090.441.232.423.940.0%
2024Q191120.74.040.471.102.463.920.1%
2023Q492122.94.080.471.112.503.960.1%
2023Q392121.44.030.451.152.433.902.5%
2023Q291122.43.910.411.102.403.790.9%
2023Q190121.43.860.421.082.353.717.0%
2022Q492122.43.820.401.052.373.7010.7%
2022Q392123.84.010.351.172.493.9119.0%
2022Q291123.83.250.300.991.962.9611.8%
2022Q190111.23.380.391.081.903.180.0%
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.

Penalties

4
fines by year
$44.6k$22.3k2425
DateTypeFineSource
2025-03-01Fine$44,623CMS provider data
2025-03-01Payment Denial—CMS provider data
2024-06-25Fine$34,061CMS provider data
2024-06-25Payment Denial—CMS provider data
Total fines on record: $78,684

Deficiencies

102
D × 74E × 16F × 4G × 2J × 3K × 2L × 1
deficiencies by survey year
3618212223242526
SurveyTypeTagDeficiencyScopeCorrected
2026-04-01Health · complaintF0583Keep residents' personal and medical records private and confidential.D2026-04-17
2026-03-26Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2026-04-17
2026-03-26Health · complaintF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D2026-04-17
2026-03-26Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2026-04-17
2026-01-21Health · complaintF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.D2026-02-13
2026-01-21Health · complaintF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D2026-02-13
2026-01-21Health · complaintF0645PASARR screening for Mental disorders or Intellectual DisabilitiesD2026-02-13
2026-01-21Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2026-02-13
2026-01-21Health · complaintF0700Try 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.D2026-02-13
2026-01-05Health · complaintF0583Keep residents' personal and medical records private and confidential.D2026-01-30
2026-01-05Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2026-01-30
2026-01-05Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2026-01-30
2025-11-14Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-12-10
2025-11-14Health · complaintF0610Respond appropriately to all alleged violations.D2025-12-10
2025-11-14Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-12-10
2025-08-19Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2025-09-15
2025-08-07Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-08-27
2025-06-25Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-07-14
2025-05-24Health · complaintF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D2025-06-10
2025-05-22Health · complaintF0880Provide and implement an infection prevention and control program.E2025-06-05
2025-05-06Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2025-05-20
2025-04-21Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-05-09
2025-03-13HealthF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.D2025-04-10
2025-03-13HealthF0558Reasonably accommodate the needs and preferences of each resident.D2025-04-10
2025-03-13HealthF0641Ensure each resident receives an accurate assessment.D2025-04-10
2025-03-13HealthF0645PASARR screening for Mental disorders or Intellectual DisabilitiesD2025-04-10
2025-03-13HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-04-10
2025-03-13HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2025-04-10
2025-03-13HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2025-04-10
2025-03-13HealthF0688Provide 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.D2025-04-10
2025-03-13HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2025-04-10
2025-03-13HealthF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.D2025-04-10
2025-03-13HealthF0697Provide safe, appropriate pain management for a resident who requires such services.D2025-04-10
2025-03-13HealthF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.F2025-04-10
2025-03-13HealthF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.D2025-04-10
2025-03-13HealthF0880Provide and implement an infection prevention and control program.F2025-04-10
2025-03-13HealthF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D2025-04-10
2025-03-01Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2025-04-28
2025-02-06Health · complaintF0880Provide and implement an infection prevention and control program.D2025-02-25
2024-12-30Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-01-24
2024-12-30Health · complaintF0610Respond appropriately to all alleged violations.D2025-01-24
2024-12-11Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-12-27
2024-12-11Health · complaintF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.D2024-12-27
2024-11-13Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2024-12-06
2024-11-13Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2024-12-06
2024-08-20Health · complaintF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.D2024-09-06
2024-08-13Health · complaintF0552Ensure that residents are fully informed and understand their health status, care and treatments.D2024-09-12
2024-08-13Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2024-09-12
2024-07-11Health · complaintF0675Honor each resident's preferences, choices, values and beliefs.D2024-07-30
2024-07-11Health · complaintF0695Provide safe and appropriate respiratory care for a resident when needed.D2024-07-30
2024-07-11Health · complaintF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D2024-07-30
2024-06-25Health · complaintF0584Honor 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.K2024-07-24
2024-06-25Health · complaintF0679Provide activities to meet all resident's needs.E2024-07-24
2024-06-25Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E2024-07-24
2024-06-25Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2024-07-24
2024-03-07HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2024-04-05
2024-03-07HealthF0558Reasonably accommodate the needs and preferences of each resident.D2024-04-05
2024-03-07HealthF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2024-04-05
2024-03-07HealthF0583Keep residents' personal and medical records private and confidential.E2024-04-05
2024-03-07HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2024-04-05
2024-03-07HealthF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D2024-04-05
2024-03-07HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.E2024-04-05
2024-03-07HealthF0688Provide 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.D2024-04-05
2024-03-07HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-04-05
2024-03-07HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2024-04-05
2024-03-07HealthF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E2024-04-05
2024-03-07HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2024-04-05
2024-03-07HealthF0759Ensure medication error rates are not 5 percent or greater.E2024-04-05
2024-03-07HealthF0761Ensure 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.E2024-04-05
2024-03-07HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2024-04-05
2024-03-07HealthF0880Provide and implement an infection prevention and control program.E2024-04-05
2024-03-07HealthF0908Keep all essential equipment working safely.E2024-04-05
2024-01-24Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-02-23
2024-01-24Health · complaintF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.D2024-02-23
2024-01-08Health · complaintF0880Provide and implement an infection prevention and control program.E2024-02-08
2023-11-09Health · complaintF0687Provide appropriate foot care.E2023-12-08
2023-10-17Health · complaintF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.D2023-11-08
2023-10-17Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D2023-11-08
2023-07-21Health · complaintF0880Provide and implement an infection prevention and control program.D2023-08-21
2021-12-22HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2022-02-07
2021-12-22HealthF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.E2022-02-07
2021-12-22HealthF0558Reasonably accommodate the needs and preferences of each resident.D2022-02-07
2021-12-22HealthF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D2022-01-21
2021-12-22HealthF0576Ensure residents have reasonable access to and privacy in their use of communication methods.D2022-02-07
2021-12-22HealthF0578Honor 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.D2022-02-07
2021-12-22HealthF0585Honor 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.D2022-02-07
2021-12-22HealthF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.J2022-02-07
2021-12-22HealthF0610Respond appropriately to all alleged violations.J2022-02-07
2021-12-22HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.D2022-02-07
2021-12-22HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E2022-02-07
2021-12-22HealthF0692Provide enough food/fluids to maintain a resident's health.D2022-02-07
2021-12-22HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2022-02-07
2021-12-22HealthF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F2022-02-07
2021-12-22HealthF0732Post nurse staffing information every day.D2022-02-07
2021-12-22HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2022-02-07
2021-12-22HealthF0761Ensure 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.D2022-02-07
2021-12-22HealthF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D2022-02-07
2021-12-22HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2022-02-07
2021-12-22HealthF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.D2022-02-07
2021-12-22HealthF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.D2022-02-07
2021-12-22HealthF0880Provide and implement an infection prevention and control program.K2022-02-07
2021-12-22HealthF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.L2022-02-07
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

47
OwnerRolePctFromStatusSource
WIN WIN ENTERPRISES, LLC5% OR GREATER DIRECT OWNERSHIP INTEREST40%2002-12-10currentpecos_ownership
BH ALLIANCEDIRECT OWNERSHIP INTEREST—2002-12-10currentpecos_ownership
BUENO, LIBERTYOPERATIONAL/MANAGERIAL CONTROL—2025-06-04currentpecos_ownership
BUTENKO, JULIEADP OF THE SNF—2023-07-24currentpecos_ownership
CAMBRIDGE HEALTHCARE SERVICES LLCOPERATIONAL/MANAGERIAL CONTROL—2018-06-11currentpecos_ownership
CAMBRIDGE HEALTHCARE SERVICES LLCADP OF THE SNF—2025-06-20currentpecos_ownership
CAPELA, HEIDIOPERATIONAL/MANAGERIAL CONTROL—2023-04-03currentpecos_ownership
GOTHAM STREET REAL ESTATE COMPOther (financial or non-financial)—2023-01-01currenthcris_a_8_1
GOTHAM STREET REAL ESTATE COMPOther (financial or non-financial)—2024-01-01currenthcris_a_8_1
GURON, JOELOPERATIONAL/MANAGERIAL CONTROL—2024-08-30currentpecos_ownership
HASSELL, LANCEINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF—2025-10-09currentpecos_ownership
HASSELL, LANCEADP OF THE SNF—2022-04-25currentpecos_ownership
JOHNSONBAUGH, JUNEADP OF THE SNF—2024-04-23currentpecos_ownership
KRIEGER, LEODIRECT OWNERSHIP INTEREST—2002-12-10currentpecos_ownership
KUIZON, KRISTINAOPERATIONAL/MANAGERIAL CONTROL—2025-04-01currentpecos_ownership
LAZAR, MARKDIRECT OWNERSHIP INTEREST—2002-12-10currentpecos_ownership
LUTZ, LINDAOPERATIONAL/MANAGERIAL CONTROL—2012-02-01currentpecos_ownership
MANHATTAN FIVE PARTNERS LLCDIRECT OWNERSHIP INTEREST—2002-12-10currentpecos_ownership
MISSION INVESTMENTS, INC.DIRECT OWNERSHIP INTEREST—2024-03-04currentpecos_ownership
PALANA, CESARADP OF THE SNF—2025-06-02currentpecos_ownership
PROFESSIONAL DIRECTIONS FOR HEALTH CAREADP OF THE SNF—2025-08-14currentpecos_ownership
PROFESSIONAL DIRECTIONS FOR HEALTH CAREOPERATIONAL/MANAGERIAL CONTROL—2013-05-23currentpecos_ownership
SALAZAR, PAULINAOPERATIONAL/MANAGERIAL CONTROL—2020-12-14currentpecos_ownership
SIRIUS BILLINGADP OF THE SNF—2024-04-01currentpecos_ownership
SMEDRA, IRAOPERATIONAL/MANAGERIAL CONTROL—2002-12-10currentpecos_ownership
WINTNER, DANIELDIRECT OWNERSHIP INTEREST—2002-12-10currentpecos_ownership
WINTNER, JACOBOPERATIONAL/MANAGERIAL CONTROL—2002-12-10currentpecos_ownership
SHERSHER LP5% OR GREATER DIRECT OWNERSHIP INTEREST23%2002-12-10ended 2026-05-18pecos_ownership
IRA E SMEDRA LIVING TRUST5% OR GREATER DIRECT OWNERSHIP INTEREST22%2002-12-10ended 2026-05-18pecos_ownership
IRA SMEDRA5% OR GREATER INDIRECT OWNERSHIP INTEREST22%2002-12-10ended 2026-05-18pecos_ownership
JACOB WINTNERCORPORATE OFFICER1%2002-12-10ended 2026-05-18pecos_ownership
DANIEL WINTNERDIRECT OWNERSHIP INTEREST0%2002-12-10ended 2026-05-18pecos_ownership
LEO KRIEGERDIRECT OWNERSHIP INTEREST0%2002-12-10ended 2026-05-18pecos_ownership
MARK LAZARDIRECT OWNERSHIP INTEREST0%2002-12-10ended 2026-05-18pecos_ownership
CESAR PALANAADP OF THE SNF—2025-06-02ended 2026-05-18pecos_ownership
GOTHAM STREET REAL ESTATE COMPOther (financial or non-financial)—2020-01-01ended 2020-12-31hcris_a_8_1
GOTHAM STREET REAL ESTATE COMPOther (financial or non-financial)—2021-01-01ended 2021-12-31hcris_a_8_1
GOTHAM STREET REAL ESTATE COMPOther (financial or non-financial)—2022-01-01ended 2022-12-31hcris_a_8_1
HEIDI CAPELAOPERATIONAL/MANAGERIAL CONTROL—2023-04-03ended 2026-05-18pecos_ownership
JOEL GURONADP OF THE SNF—2024-08-30ended 2026-05-18pecos_ownership
JULIE BUTENKOOPERATIONAL/MANAGERIAL CONTROL—2023-07-24ended 2026-05-18pecos_ownership
JUNE JOHNSONBAUGHADP OF THE SNF—2024-04-23ended 2026-05-18pecos_ownership
KRISTINA KUIZONADP OF THE SNF—2025-04-01ended 2026-05-18pecos_ownership
LANCE HASSELLOPERATIONAL/MANAGERIAL CONTROL—2022-04-25ended 2026-05-18pecos_ownership
LIBERTY BUENOOPERATIONAL/MANAGERIAL CONTROL—2025-06-04ended 2026-05-18pecos_ownership
LINDA LUTZADP OF THE SNF—2012-02-01ended 2026-05-18pecos_ownership
PAULINA SALAZARADP OF THE SNF—2020-12-14ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

0
No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.

Comparable trades — CA snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-08-01Turlock Nursing & Rehabilitation Center———144TRACY RIDGE HEALTHCARE, INC.
2025-04-01ALAMITOS WEST HEALTH & REHABILITATION———150MALCOLM HEALTHCARE, INC.
2025-04-01PACIFIC HAVEN SUBACUTE AND HEALTHCARE CENTER———99STRAWBERRY POND HEALTHCARE LLC
2025-01-16GOLDEN HARBOR HEALTHCARE CENTER———99CEYLON HOLDINGS LLC
2024-12-30GRASS VALLEY HEALTHCARE CENTER———86HEISMAN LLC
2024-10-01REDWOOD GROVE POST ACUTE———144SOQUEL CARE LLC
2024-09-01OAK GROVE POST ACUTE———1194545 SHELLEY COURT OPCO, LLC
2024-08-01WE CARE SKILLED NURSING - FREMONT———99WE CARE SKILLED NURSING-FREMONT, LLC
2024-05-01MAJESTIC MOUNTAIN CARE CENTER———66OAKHURST SKILLED CARE LLC
2024-04-01THE BRADLEY GARDENS———44GHC OF SAN JACINTO LLC
2024-04-01SANTA FE POST-ACUTE———187SKILLED BOBIER LLC
2024-04-01BAYSHIRE SAN DIMAS POST-ACUTE———45SKILLED SAN DIMAS 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

36
GeoKindBRAmountAs ofSource
county 06037acs median gross0$1,5232024-12-31CENSUS_ACS5
county 06037fmr0$1,8632025-10-01HUD_USER_FMR
county 06037acs median gross1$1,7242024-12-31CENSUS_ACS5
county 06037fmr1$2,0852025-10-01HUD_USER_FMR
county 06037acs median gross2$2,1272024-12-31CENSUS_ACS5
county 06037fmr2$2,6012025-10-01HUD_USER_FMR
county 06037acs median gross3$2,4842024-12-31CENSUS_ACS5
county 06037fmr3$3,2982025-10-01HUD_USER_FMR
county 06037acs median gross4$2,8662024-12-31CENSUS_ACS5
county 06037fmr4$3,6722025-10-01HUD_USER_FMR
county 06037acs median gross5$2,7672024-12-31CENSUS_ACS5
county 06037acs median gross$1,9542024-12-31CENSUS_ACS5
county 06037acs recent mover gross$2,3582024-12-31CENSUS_ACS5
zcta 90201acs median gross0$1,1932024-12-31CENSUS_ACS5
zcta 90201acs median gross1$1,2842024-12-31CENSUS_ACS5
zcta 90201acs median gross2$1,7252024-12-31CENSUS_ACS5
zcta 90201acs median gross3$2,1352024-12-31CENSUS_ACS5
zcta 90201acs median gross4$2,3022024-12-31CENSUS_ACS5
zcta 90201acs median gross5$3,5012024-12-31CENSUS_ACS5
zcta 90201acs median gross$1,6582024-12-31CENSUS_ACS5
zcta 90201acs recent mover gross$1,8302024-12-31CENSUS_ACS5
zip 90201payment standard 1100$1,9142025-10-01HUD_USER_SAFMR
zip 90201payment standard 900$1,5662025-10-01HUD_USER_SAFMR
zip 90201safmr0$1,7402025-10-01HUD_USER_SAFMR
zip 90201payment standard 1101$2,1452025-10-01HUD_USER_SAFMR
zip 90201payment standard 901$1,7552025-10-01HUD_USER_SAFMR
zip 90201safmr1$1,9502025-10-01HUD_USER_SAFMR
zip 90201payment standard 1102$2,6732025-10-01HUD_USER_SAFMR
zip 90201payment standard 902$2,1872025-10-01HUD_USER_SAFMR
zip 90201safmr2$2,4302025-10-01HUD_USER_SAFMR
zip 90201payment standard 1103$3,3882025-10-01HUD_USER_SAFMR
zip 90201payment standard 903$2,7722025-10-01HUD_USER_SAFMR
zip 90201safmr3$3,0802025-10-01HUD_USER_SAFMR
zip 90201payment standard 1104$3,7732025-10-01HUD_USER_SAFMR
zip 90201payment standard 904$3,0872025-10-01HUD_USER_SAFMR
zip 90201safmr4$3,4302025-10-01HUD_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 · BRIARCREST NURSING CENTER (056220) · 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