Composite
98.1 / 100 percentile
Screener / 505318
F
LIFE CARE CENTER OF SKAGIT VALLEY
snfWA
1462 WEST STATE ROUTE 20, SEDRO WOOLLEY, WA 98284 · CCN 505318 · chain LIFE CARE CENTERS OF AMERICA INC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
150
Model
v1.2
Reads as: riskier than 98.1% 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 signals4Components16CHOW radar1Distress radar1Staffing16Penalties2Deficiencies77Licensure0Ownership47Related party5Transactions0Comps12Market rent36
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 96.9 | 88.2 | 0.30 | 0.2308 | 22.36 | in index |
| regulatory risk | 94.8 | 92.9 | 0.30 | 0.2308 | 21.88 | in index |
| billing conduct | 89.5 | 59.4 | 0.30 | 0.2308 | 20.65 | in index |
| staffing risk | 35.0 | 35.1 | 0.25 | 0.1923 | 6.73 | in index |
| chow risk | 45.8 | 44.0 | 0.15 | 0.1154 | 5.28 | 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
4| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| anomaly | Federal penalty spike | 4.2x prior | this facility | 2026-07-29 |
| connection | Owner fleet risk far above national | +38.2 vs natl | DHALIWAL NAVDEEP | 11 facilities |
| connection | Owner spans multiple chains | 4 chains | DHALIWAL NAVDEEP | 7 facilities |
| connection | Owner fleet enforcement cluster | 91% fined | DHALIWAL NAVDEEP | 11 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 | 59.4 | C | 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 | 63.0 | C | v0.6 | default · in composite | |
| financial risk | 88.2 | F | 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 | 15.4 | — | 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 | 92.9 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 35.1 | B | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 61.2 | C | 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 | 41.2 | B | 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 | 70.1 | D | 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 | 87.3 | F | 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 | 92.8 | 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 | 92.8 | 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 | 35.1 | 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 | 35.1 | 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)
15.4%
model v0.1 · computed 2026-07-29
Percentile among SNFs
99.5
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 5.31 | +0.73 | |
| For-profit ownership | 1.00 | +0.69 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| Occupancy | 0.51 | +0.56 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| 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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
10.1
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 5.31 | -1.89 | |
| Occupancy | 0.51 | +1.02 | |
| For-profit ownership | 1.00 | -0.69 | |
| Fine amount, 12m (log) | 10.82 | -0.61 | |
| Deficiencies, last 12 months | 5.00 | +0.50 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Total nurse staffing (HPRD) | 3.55 | -0.14 | |
| Facility size (log beds) | 5.02 | -0.14 |
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 | WA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.55 | 3.70 | 3.28 | 2.90–3.77 |
| RN | 0.64 | 0.62 | 0.39 | 0.25–0.58 |
| Weekend total | 3.41 | 3.51 | 3.11 | — |
| Weekday total | 3.61 | 3.79 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 75.8 | 3.55 | 0.64 | 0.76 | 2.15 | 3.41 | 1.3% |
| 2025Q3 | 92 | 77.1 | 3.53 | 0.70 | 0.69 | 2.13 | 3.37 | 1.7% |
| 2025Q2 | 91 | 73.3 | 3.64 | 0.67 | 0.73 | 2.25 | 3.57 | 0.7% |
| 2025Q1 | 90 | 66.4 | 3.61 | 0.69 | 0.70 | 2.21 | 3.62 | 0.0% |
| 2024Q4 | 92 | 60.7 | 3.69 | 0.74 | 0.63 | 2.32 | 3.44 | 0.1% |
| 2024Q3 | 92 | 61.3 | 3.55 | 0.84 | 0.59 | 2.12 | 3.29 | 4.9% |
| 2024Q2 | 91 | 59.6 | 3.77 | 0.86 | 0.62 | 2.29 | 3.46 | 10.9% |
| 2024Q1 | 91 | 57.8 | 3.99 | 0.70 | 0.78 | 2.51 | 3.63 | 11.3% |
| 2023Q4 | 92 | 61.4 | 3.51 | 0.63 | 0.70 | 2.19 | 3.40 | 19.8% |
| 2023Q3 | 92 | 60.4 | 3.57 | 0.55 | 0.83 | 2.20 | 3.39 | 24.4% |
| 2023Q2 | 91 | 63.5 | 3.65 | 0.63 | 0.79 | 2.22 | 3.33 | 26.7% |
| 2023Q1 | 90 | 66.7 | 3.60 | 0.56 | 0.74 | 2.31 | 3.28 | 49.5% |
| 2022Q4 | 92 | 63.5 | 3.63 | 0.61 | 0.68 | 2.34 | 3.52 | 41.3% |
| 2022Q3 | 92 | 65.8 | 3.30 | 0.53 | 0.69 | 2.08 | 3.15 | 23.9% |
| 2022Q2 | 91 | 68.8 | 3.09 | 0.42 | 0.85 | 1.81 | 2.81 | 19.6% |
| 2022Q1 | 90 | 71.0 | 2.83 | 0.34 | 0.87 | 1.62 | 2.54 | 9.1% |
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
2fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2026-02-23 | Fine | $50,225 | CMS provider data |
| 2023-08-22 | Fine | $35,997 | CMS provider data |
Total fines on record: $86,222
Deficiencies
77D × 48E × 22F × 4G × 3
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-02-23 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2026-03-26 |
| 2026-02-23 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2026-03-26 |
| 2025-12-23 | Health · complaint | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | 2026-01-22 |
| 2025-09-04 | Health · complaint | 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 | 2025-10-09 |
| 2025-09-04 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-10-09 |
| 2025-06-18 | Health · complaint | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | 2025-07-24 |
| 2025-06-18 | 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 | 2025-07-24 |
| 2025-06-18 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2025-07-24 |
| 2025-06-18 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2025-07-24 |
| 2025-06-18 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2025-07-24 |
| 2025-06-18 | 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 | 2025-07-24 |
| 2025-06-18 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2025-07-24 |
| 2025-06-18 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2025-07-24 |
| 2025-06-18 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2025-07-24 |
| 2025-06-18 | Health · complaint | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E | 2025-07-24 |
| 2025-06-18 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2025-07-24 |
| 2024-09-13 | 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 | 2024-10-16 |
| 2024-09-13 | 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 | 2024-10-16 |
| 2024-09-13 | 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. | E | 2024-10-16 |
| 2024-09-13 | Health | F0637 | Assess the resident when there is a significant change in condition | D | 2024-10-16 |
| 2024-09-13 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2024-10-16 |
| 2024-09-13 | 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. | E | 2024-10-16 |
| 2024-09-13 | Health | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | 2024-10-16 |
| 2024-09-13 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2024-10-16 |
| 2024-09-13 | 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 | 2024-10-16 |
| 2024-09-13 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-10-16 |
| 2024-09-13 | Health | F0693 | Ensure 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. | D | 2024-10-16 |
| 2024-09-13 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-10-16 |
| 2024-09-13 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2024-10-16 |
| 2024-09-13 | Health | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2024-10-16 |
| 2024-09-13 | Health | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | 2024-10-16 |
| 2024-09-13 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2024-10-16 |
| 2024-09-13 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-10-16 |
| 2024-09-13 | Health | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | 2024-10-16 |
| 2024-09-13 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-10-16 |
| 2024-09-13 | Health | F0881 | Implement a program that monitors antibiotic use. | D | 2024-10-16 |
| 2024-08-27 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-09-12 |
| 2024-07-02 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-07-30 |
| 2024-05-08 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-05-30 |
| 2024-03-12 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-04-04 |
| 2023-11-08 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2023-12-07 |
| 2023-08-22 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-10-05 |
| 2023-08-22 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2023-10-05 |
| 2023-08-22 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2023-10-05 |
| 2023-08-22 | Health | F0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D | 2023-10-05 |
| 2023-08-22 | 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 | 2023-10-05 |
| 2023-08-22 | 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 | 2023-10-05 |
| 2023-08-22 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2023-10-05 |
| 2023-08-22 | Health | F0610 | Respond appropriately to all alleged violations. | E | 2023-10-05 |
| 2023-08-22 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | 2023-10-05 |
| 2023-08-22 | Health | F0637 | Assess the resident when there is a significant change in condition | D | 2023-10-05 |
| 2023-08-22 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2023-10-05 |
| 2023-08-22 | Health | F0646 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D | 2023-10-05 |
| 2023-08-22 | 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 | 2023-10-05 |
| 2023-08-22 | Health | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2023-10-05 |
| 2023-08-22 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-10-05 |
| 2023-08-22 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-10-05 |
| 2023-08-22 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-10-05 |
| 2023-08-22 | 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 | 2023-10-05 |
| 2023-08-22 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2023-10-05 |
| 2023-08-22 | Health | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2023-10-05 |
| 2023-08-22 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | G | 2023-10-05 |
| 2023-08-22 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2023-10-05 |
| 2023-08-22 | Health | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2023-10-05 |
| 2023-08-22 | Health | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2023-10-05 |
| 2023-08-22 | Health | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | 2023-10-05 |
| 2023-08-22 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2023-10-05 |
| 2023-08-22 | 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. | D | 2023-10-05 |
| 2023-08-22 | 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 | 2023-10-05 |
| 2023-08-22 | 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 | 2023-10-05 |
| 2023-08-22 | Health | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | 2023-10-05 |
| 2023-08-22 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-10-05 |
| 2023-08-22 | Health | F0837 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | F | 2023-10-05 |
| 2023-08-22 | Health | F0838 | Conduct 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. | F | 2023-10-05 |
| 2023-08-22 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2023-10-05 |
| 2023-08-22 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2023-10-05 |
| 2023-08-22 | 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. | D | 2023-10-05 |
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
47| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| SKAGIT VALLEY MED INV LLC | Individual has financial interest in both related organization and provider | 100% | 2023-01-01 | current | hcris_a_8_1 |
| SKAGIT VALLEY MED INV LLC | Individual has financial interest in both related organization and provider | 100% | 2024-01-01 | current | hcris_a_8_1 |
| BUTNER, NANCY | MANAGING CONTROL - GOVERNING BODY | — | 2018-09-16 | current | pecos_ownership |
| CROSS, CINDY | CORPORATE OFFICER | — | 1996-01-01 | current | pecos_ownership |
| DEVELOPERS INVESTMENT COMPANY INC | DIRECT OWNERSHIP INTEREST | — | 1995-10-25 | current | pecos_ownership |
| DEVELOPERS INVESTMENT COMPANY INC | OPERATIONAL/MANAGERIAL CONTROL | — | 2006-01-01 | current | pecos_ownership |
| DHALIWAL, NAVDEEP | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-12-14 | current | pecos_ownership |
| DHALIWAL, NAVDEEP | ADP OF THE SNF | — | 2025-03-20 | current | pecos_ownership |
| FLETCHER, TODD | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-13 | current | pecos_ownership |
| HENRY, TERRY | CORPORATE OFFICER | — | 1999-08-16 | current | pecos_ownership |
| LAY, LISA | CORPORATE OFFICER | — | 2018-02-09 | current | pecos_ownership |
| LAY, LISA | CORPORATE DIRECTOR | — | 2017-04-24 | current | pecos_ownership |
| LIFE CARE CENTERS OF AMERICA, INC. | ADP OF THE SNF | — | 2025-03-20 | current | pecos_ownership |
| LIFE CARE CENTERS OF AMERICA, INC. | OPERATIONAL/MANAGERIAL CONTROL | — | 1996-01-01 | current | pecos_ownership |
| NEKUDA, VANESSA | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-05-03 | current | pecos_ownership |
| PRESTON, AUBREY | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-13 | current | pecos_ownership |
| PRESTON, FORREST | INDIRECT OWNERSHIP INTEREST | — | 1995-10-25 | current | pecos_ownership |
| PRESTON, FORREST | ADP OF THE SNF | — | 2000-08-31 | current | pecos_ownership |
| SAVELA, HEATHER | ADP OF THE SNF | — | 2025-03-20 | current | pecos_ownership |
| SAVELA, HEATHER | MANAGING CONTROL - GOVERNING BODY | — | 2023-08-01 | current | pecos_ownership |
| SKAGIT VALLEY OPERATIONS, LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 1996-01-01 | current | pecos_ownership |
| SKAGIT VALLEY OPERATIONS, LLC | ADP OF THE SNF | — | 2000-08-31 | current | pecos_ownership |
| SWANKER, RICHARD | CORPORATE DIRECTOR | — | 2022-01-01 | current | pecos_ownership |
| SWANKER, RICHARD | CORPORATE OFFICER | — | 2011-04-01 | current | pecos_ownership |
| THURMOND, JOAN | CORPORATE OFFICER | — | 2000-09-22 | current | pecos_ownership |
| ZIEGLER, JAMES | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-13 | current | pecos_ownership |
| SKAGIT VALLEY MED INV LLC | Individual has financial interest in both related organization and provider | 100% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| SKAGIT VALLEY MED INV LLC | Individual has financial interest in both related organization and provider | 100% | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| SKAGIT VALLEY MED INV LLC | Individual has financial interest in both related organization and provider | 100% | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| FORREST PRESTON | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 99% | 1995-10-25 | ended 2026-05-18 | pecos_ownership |
| AUBREY PRESTON | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-13 | ended 2026-05-18 | pecos_ownership |
| CINDY CROSS | CORPORATE OFFICER | — | 1996-01-01 | ended 2026-05-18 | pecos_ownership |
| FORREST PRESTON | ADP OF THE SNF | — | 2000-08-31 | ended 2026-05-18 | pecos_ownership |
| HEATHER SAVELA | ADP OF THE SNF | — | 2025-03-20 | ended 2026-05-18 | pecos_ownership |
| HEATHER SAVELA | MANAGING CONTROL - GOVERNING BODY | — | 2023-08-01 | ended 2026-05-18 | pecos_ownership |
| JAMES ZIEGLER | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-13 | ended 2026-05-18 | pecos_ownership |
| JOAN THURMOND | CORPORATE OFFICER | — | 2000-09-22 | ended 2026-05-18 | pecos_ownership |
| LISA LAY | CORPORATE DIRECTOR | — | 2017-04-24 | ended 2026-05-18 | pecos_ownership |
| LISA LAY | CORPORATE OFFICER | — | 2018-02-09 | ended 2026-05-18 | pecos_ownership |
| NANCY BUTNER | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-09-16 | ended 2026-05-18 | pecos_ownership |
| NAVDEEP DHALIWAL | ADP OF THE SNF | — | 2025-03-20 | ended 2026-05-18 | pecos_ownership |
| NAVDEEP DHALIWAL | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-12-14 | ended 2026-05-18 | pecos_ownership |
| RICHARD SWANKER | CORPORATE OFFICER | — | 2011-04-01 | ended 2026-05-18 | pecos_ownership |
| RICHARD SWANKER | CORPORATE DIRECTOR | — | 2022-01-01 | ended 2026-05-18 | pecos_ownership |
| TERRY HENRY | CORPORATE OFFICER | — | 1999-08-16 | ended 2026-05-18 | pecos_ownership |
| TODD FLETCHER | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-13 | ended 2026-05-18 | pecos_ownership |
| VANESSA NEKUDA | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-05-03 | 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 — WA snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-06-01 | Bremerton Trails Post Acute | — | — | — | 125 | RINCON BEACH, LLC |
| 2025-06-01 | Othello Post Acute | — | — | — | 39 | DOHENY BEACH, LLC |
| 2025-06-01 | Edmonds Post Acute | — | — | — | 128 | SALT CREEK BEACH, LLC |
| 2025-05-21 | AURORA VALLEY CARE | — | — | — | 124 | AURORA VALLEY CARE LLC |
| 2025-05-21 | THREE RIVERS CARE | — | — | — | 83 | THREE RIVERS CARE LLC |
| 2025-05-21 | FIR LANE CARE | — | — | — | 135 | FIR LANE CARE LLC |
| 2025-05-21 | SPOKANE FALLS CARE | — | — | — | 100 | SPOKANE FALLS CARE LLC |
| 2025-05-01 | MARIANWOOD HEALTH AND REHABILITATION | — | — | — | 117 | LUNA VEGA HEALTHCARE LLC |
| 2025-04-01 | WOODARD CREEK HEALTH & REHABILITATION | — | — | — | 152 | WOODARD SNF OPERATIONS LLC |
| 2025-03-12 | Avalon Healthcare - Tacoma | — | — | — | 81 | AVALON HEALTHCARE-TACOMA LLC |
| 2025-03-01 | SOUTH HILL REHABILITATION AND CARE CENTER | — | — | — | 113 | LAST EMPIRE HEALTHCARE LLC |
| 2024-08-01 | PINE RIDGE POST ACUTE | — | — | — | 80 | PINE RIDGE SNF HEALTHCARE 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| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 53057 | acs median gross | 0 | $886 | 2024-12-31 | CENSUS_ACS5 |
| county 53057 | fmr | 0 | $1,186 | 2025-10-01 | HUD_USER_FMR |
| county 53057 | acs median gross | 1 | $1,074 | 2024-12-31 | CENSUS_ACS5 |
| county 53057 | fmr | 1 | $1,311 | 2025-10-01 | HUD_USER_FMR |
| county 53057 | acs median gross | 2 | $1,471 | 2024-12-31 | CENSUS_ACS5 |
| county 53057 | fmr | 2 | $1,720 | 2025-10-01 | HUD_USER_FMR |
| county 53057 | acs median gross | 3 | $1,967 | 2024-12-31 | CENSUS_ACS5 |
| county 53057 | fmr | 3 | $2,392 | 2025-10-01 | HUD_USER_FMR |
| county 53057 | acs median gross | 4 | $2,053 | 2024-12-31 | CENSUS_ACS5 |
| county 53057 | fmr | 4 | $2,599 | 2025-10-01 | HUD_USER_FMR |
| county 53057 | acs median gross | 5 | $2,891 | 2024-12-31 | CENSUS_ACS5 |
| county 53057 | acs median gross | $1,536 | 2024-12-31 | CENSUS_ACS5 | |
| county 53057 | acs recent mover gross | $2,069 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 98284 | acs median gross | 0 | $1,054 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98284 | acs median gross | 1 | $1,074 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98284 | acs median gross | 2 | $1,498 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98284 | acs median gross | 3 | $1,772 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98284 | acs median gross | 4 | $2,547 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98284 | acs median gross | 5 | $2,306 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98284 | acs median gross | $1,556 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 98284 | acs recent mover gross | $1,948 | 2024-12-31 | CENSUS_ACS5 | |
| zip 98284 | payment standard 110 | 0 | $1,364 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98284 | payment standard 90 | 0 | $1,116 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98284 | safmr | 0 | $1,240 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98284 | payment standard 110 | 1 | $1,496 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98284 | payment standard 90 | 1 | $1,224 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98284 | safmr | 1 | $1,360 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98284 | payment standard 110 | 2 | $1,947 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98284 | payment standard 90 | 2 | $1,593 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98284 | safmr | 2 | $1,770 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98284 | payment standard 110 | 3 | $2,706 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98284 | payment standard 90 | 3 | $2,214 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98284 | safmr | 3 | $2,460 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98284 | payment standard 110 | 4 | $2,970 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98284 | payment standard 90 | 4 | $2,430 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98284 | safmr | 4 | $2,700 | 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.