Composite
51.9 / 100 percentile
Screener / 505093
B
ORCHARD PARK HEALTH CARE & REHAB CENTER
snfWA
4755 SOUTH 48TH, TACOMA, WA 98409 · CCN 505093 · chain HCCF MANAGEMENT GROUP XI LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
147
Model
v1.2
Reads as: riskier than 51.9% 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 radar1Staffing16Penalties2Deficiencies102Licensure0Ownership30Related party5Transactions0Comps12Market rent35
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 97.7 | 96.5 | 0.30 | 0.2308 | 22.55 | in index |
| billing conduct | 37.6 | 34.8 | 0.30 | 0.2308 | 8.68 | in index |
| financial risk | 27.2 | 32.1 | 0.30 | 0.2308 | 6.28 | in index |
| staffing risk | 31.4 | 31.5 | 0.25 | 0.1923 | 6.04 | in index |
| chow risk | 48.1 | 46.2 | 0.15 | 0.1154 | 5.55 | 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
2| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet enforcement cluster | 40% fined | BOLD QUAIL HOLDINGS LLC | 20 facilities |
| connection | Owner fleet enforcement cluster | 40% fined | GEN BQ JV HOLDINGS LLC | 20 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 | 34.8 | 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 | 67.4 | D | v0.6 | default · in composite | |
| financial risk | 32.1 | 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 | 6.6 | — | 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 | 96.5 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 31.5 | B | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 68.4 | D | v0.1 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 48.4 | C | v0.2 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 36.0 | 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 | 38.1 | 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 | 96.5 | 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 | 96.5 | 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 | 31.5 | 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 | 31.5 | 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)
6.6%
model v0.1 · computed 2026-07-29
Percentile among SNFs
93.8
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 5.24 | +0.71 | |
| For-profit ownership | 1.00 | +0.69 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Occupancy | 0.76 | -0.18 | |
| Total nurse staffing (HPRD) | 3.62 | -0.12 |
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) | 5.24 | -1.84 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Total nurse staffing (HPRD) | 3.62 | -0.17 | |
| Facility size (log beds) | 5.00 | -0.13 | |
| Deficiencies, last 12 months | 7.00 | +0.13 | |
| Never sold on record | 1.00 | +0.12 |
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
16| 2025Q4 HPRD | This facility | WA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.62 | 3.70 | 3.28 | 2.90–3.77 |
| RN | 0.58 | 0.62 | 0.39 | 0.25–0.58 |
| Weekend total | 3.36 | 3.51 | 3.11 | — |
| Weekday total | 3.73 | 3.79 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 111.5 | 3.62 | 0.58 | 1.08 | 1.96 | 3.36 | 0.0% |
| 2025Q3 | 92 | 116.1 | 3.56 | 0.63 | 0.95 | 1.98 | 3.28 | 0.0% |
| 2025Q2 | 91 | 120.9 | 3.54 | 0.62 | 0.92 | 2.00 | 3.37 | 0.0% |
| 2025Q1 | 90 | 125.0 | 3.61 | 0.62 | 0.89 | 2.10 | 3.35 | 0.0% |
| 2024Q4 | 92 | 118.5 | 3.57 | 0.58 | 0.86 | 2.13 | 3.00 | 1.0% |
| 2024Q3 | 92 | 105.4 | 3.41 | 0.62 | 0.76 | 2.03 | 2.98 | 7.3% |
| 2024Q2 | 91 | 103.9 | 2.68 | 0.46 | 0.89 | 1.32 | 2.18 | 0.0% |
| 2024Q1 | 91 | 110.1 | 2.73 | 0.28 | 1.01 | 1.44 | 2.27 | 1.2% |
| 2023Q4 | 92 | 108.6 | 3.01 | 0.30 | 1.08 | 1.63 | 2.50 | 1.9% |
| 2023Q3 | 92 | 114.4 | 2.79 | 0.32 | 1.00 | 1.46 | 2.24 | 1.6% |
| 2023Q2 | 91 | 122.0 | 2.69 | 0.31 | 1.05 | 1.33 | 2.29 | 0.0% |
| 2023Q1 | 90 | 121.9 | 2.69 | 0.27 | 1.02 | 1.40 | 2.21 | 0.0% |
| 2022Q4 | 92 | 114.4 | 2.69 | 0.30 | 1.10 | 1.29 | 2.24 | 0.0% |
| 2022Q3 | 92 | 104.5 | 2.52 | 0.36 | 0.87 | 1.29 | 2.21 | 0.0% |
| 2022Q2 | 91 | 103.8 | 2.71 | 0.45 | 0.98 | 1.28 | 2.42 | 0.0% |
| 2022Q1 | 90 | 104.9 | 2.73 | 0.42 | 0.94 | 1.37 | 2.34 | 0.0% |
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
2fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-06-12 | Fine | $53,340 | CMS provider data |
| 2024-09-09 | Fine | $101,384 | CMS provider data |
Total fines on record: $154,724
Deficiencies
102C × 2D × 55E × 39F × 4G × 1H × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-26 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-04-15 |
| 2026-03-19 | Health · complaint | 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 | 2026-03-08 |
| 2026-01-12 | 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 | 2026-01-30 |
| 2026-01-12 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2026-01-30 |
| 2025-08-25 | Health · complaint | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | 2025-08-30 |
| 2025-08-08 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | 2025-08-09 |
| 2025-07-30 | Health · complaint | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | 2025-07-31 |
| 2025-06-12 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2025-07-03 |
| 2025-06-12 | Health | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | 2025-07-03 |
| 2025-06-12 | Health | F0610 | Respond appropriately to all alleged violations. | E | 2025-07-03 |
| 2025-06-12 | Health | F0641 | Ensure each resident receives an accurate assessment. | E | 2025-07-03 |
| 2025-06-12 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2025-07-03 |
| 2025-06-12 | 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 | 2025-07-03 |
| 2025-06-12 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-07-03 |
| 2025-06-12 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2025-07-03 |
| 2025-06-12 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-07-03 |
| 2025-06-12 | Health | F0685 | Assist a resident in gaining access to vision and hearing services. | D | 2025-07-03 |
| 2025-06-12 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | H | 2025-07-03 |
| 2025-06-12 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2025-07-03 |
| 2025-06-12 | Health | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | 2025-07-03 |
| 2025-06-12 | Health | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | 2025-07-03 |
| 2025-06-12 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2025-07-03 |
| 2025-06-12 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | 2025-07-03 |
| 2025-06-12 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2025-07-03 |
| 2025-06-12 | Health | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | 2025-07-03 |
| 2025-04-23 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-05-07 |
| 2024-09-19 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-10-14 |
| 2024-09-19 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2024-10-14 |
| 2024-09-09 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2024-10-14 |
| 2024-09-09 | Health | F0583 | Keep residents' personal and medical records private and confidential. | D | 2024-10-14 |
| 2024-09-09 | 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 | 2024-10-14 |
| 2024-09-09 | Health | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | 2024-10-14 |
| 2024-09-09 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | E | 2024-10-14 |
| 2024-09-09 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2024-10-14 |
| 2024-09-09 | Health | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | 2024-10-14 |
| 2024-09-09 | Health | F0641 | Ensure each resident receives an accurate assessment. | E | 2024-10-14 |
| 2024-09-09 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | 2024-10-14 |
| 2024-09-09 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2024-10-14 |
| 2024-09-09 | 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. | E | 2024-10-14 |
| 2024-09-09 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-10-14 |
| 2024-09-09 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2024-10-14 |
| 2024-09-09 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-10-14 |
| 2024-09-09 | 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. | G | 2024-10-14 |
| 2024-09-09 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-10-14 |
| 2024-09-09 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-10-14 |
| 2024-09-09 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-10-14 |
| 2024-09-09 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | 2024-10-14 |
| 2024-09-09 | 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 | 2024-10-14 |
| 2024-09-09 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | 2024-10-14 |
| 2024-09-09 | 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. | E | 2024-10-14 |
| 2024-09-09 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2024-10-14 |
| 2024-09-09 | Health | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | 2024-10-14 |
| 2024-09-09 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2024-10-14 |
| 2024-09-09 | Health | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | 2024-10-14 |
| 2024-09-09 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2024-10-14 |
| 2024-09-09 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2024-10-14 |
| 2024-09-09 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-10-14 |
| 2024-09-09 | Health | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | 2024-10-14 |
| 2024-09-09 | Health | F0843 | Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. | F | 2024-10-14 |
| 2024-09-09 | Health | F0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | F | 2024-10-14 |
| 2024-09-09 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | E | 2024-10-14 |
| 2024-09-09 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-10-14 |
| 2024-07-11 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2024-08-08 |
| 2024-07-11 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2024-08-08 |
| 2024-07-11 | Health · complaint | 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. | E | 2024-08-08 |
| 2024-06-07 | 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. | E | 2024-06-28 |
| 2024-06-07 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-06-24 |
| 2024-05-20 | 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. | E | 2024-06-12 |
| 2024-04-02 | 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. | D | 2024-04-23 |
| 2024-04-02 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-04-23 |
| 2024-04-02 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | 2024-04-23 |
| 2024-01-31 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2024-03-08 |
| 2023-10-27 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2023-12-08 |
| 2023-10-27 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2023-12-08 |
| 2023-10-27 | 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. | E | 2023-12-08 |
| 2023-10-27 | 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. | E | 2023-12-08 |
| 2023-10-27 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | E | 2023-12-08 |
| 2023-10-27 | Health | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | 2023-12-08 |
| 2023-10-27 | Health | F0641 | Ensure each resident receives an accurate assessment. | E | 2023-12-08 |
| 2023-10-27 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2023-12-08 |
| 2023-10-27 | 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 | 2023-12-08 |
| 2023-10-27 | 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 | 2023-12-08 |
| 2023-10-27 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2023-12-08 |
| 2023-10-27 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2023-12-08 |
| 2023-10-27 | Health | F0679 | Provide activities to meet all resident's needs. | E | 2023-12-08 |
| 2023-10-27 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-12-08 |
| 2023-10-27 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-12-08 |
| 2023-10-27 | Health · complaint | 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 | 2023-12-08 |
| 2023-10-27 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2023-12-08 |
| 2023-10-27 | 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 | 2023-12-08 |
| 2023-10-27 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2023-12-08 |
| 2023-10-27 | 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 | 2023-12-08 |
| 2023-10-27 | 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. | E | 2023-12-08 |
| 2023-10-27 | Health | F0732 | Post nurse staffing information every day. | C | 2023-12-08 |
| 2023-10-27 | 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 | 2023-12-08 |
| 2023-10-27 | Health · complaint | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2023-12-08 |
| 2023-10-27 | 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 | 2023-12-08 |
| 2023-10-27 | Health · complaint | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2023-12-08 |
| 2023-10-27 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2023-12-08 |
| 2023-10-27 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-12-08 |
| 2023-10-27 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | C | 2023-12-08 |
| 2023-09-19 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2023-10-11 |
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
30| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| BQ OPERATIONS HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2020-01-01 | current | pecos_ownership |
| BERG, MICHAEL | OPERATIONAL/MANAGERIAL CONTROL | — | 2015-12-01 | current | pecos_ownership |
| BERG, MICHAEL | CONTRACTED MANAGING EMPLOYEE | — | 2020-01-01 | current | pecos_ownership |
| BOLD QUAIL HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2020-01-01 | current | pecos_ownership |
| GEN BQ JV HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2020-01-01 | current | pecos_ownership |
| GEN OPERATIONS I LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2015-12-06 | current | pecos_ownership |
| GEN OPERATIONS II LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2015-07-06 | current | pecos_ownership |
| GENESIS HEALTHCARE INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2015-07-06 | current | pecos_ownership |
| GENESIS HEALTHCARE LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2015-07-06 | current | pecos_ownership |
| GENESIS HEALTHCARE LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2015-12-01 | current | pecos_ownership |
| GENESIS HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2020-01-01 | current | pecos_ownership |
| GHC JV HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2020-01-01 | current | pecos_ownership |
| MORRIS, DIANE | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-09-30 | current | pecos_ownership |
| NEWGEN LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2019-01-01 | current | pecos_ownership |
| ROBIN, AARON | CORPORATE OFFICER | — | 2020-01-01 | current | pecos_ownership |
| SHERMAN, MICHAEL | CORPORATE OFFICER | — | 2015-12-01 | current | pecos_ownership |
| SUMMIT CARE PARENT LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2015-07-06 | current | pecos_ownership |
| SUN HEALTHCARE GROUP INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2015-07-06 | current | pecos_ownership |
| TRESS, AVROHOM | CORPORATE OFFICER | — | 2020-01-01 | current | pecos_ownership |
| AARON ROBIN | CORPORATE OFFICER | 100% | 2020-01-01 | ended 2026-05-18 | pecos_ownership |
| AVROHOM TRESS | CORPORATE OFFICER | 100% | 2020-01-01 | ended 2026-05-18 | pecos_ownership |
| DIANE MORRIS | OPERATIONAL/MANAGERIAL CONTROL | 100% | 2021-09-30 | ended 2026-05-18 | pecos_ownership |
| FC-GEN OPERATIONS INVESTMENT LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2015-07-06 | ended 2026-05-18 | pecos_ownership |
| MICHAEL BERG | CONTRACTED MANAGING EMPLOYEE | 100% | 2020-01-01 | ended 2026-05-18 | pecos_ownership |
| MICHAEL BERG | OPERATIONAL/MANAGERIAL CONTROL | 100% | 2015-12-01 | ended 2026-05-18 | pecos_ownership |
| MICHAEL SHERMAN | CORPORATE OFFICER | 100% | 2015-12-01 | ended 2026-05-18 | pecos_ownership |
| HCCF MANAGEMENT GROUP XI LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 14% | 2015-07-06 | ended 2026-05-18 | pecos_ownership |
| ZAC PROPERTIES XI LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 8% | 2015-07-06 | ended 2026-05-18 | pecos_ownership |
| WELLTOWER INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6% | 2020-01-01 | ended 2026-05-18 | pecos_ownership |
| SUNDANCE REHABILITATION HOLDCO INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6% | 2020-01-01 | ended 2026-05-18 | pecos_ownership |
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Transactions
0No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Comparable trades — 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
35| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 53053 | acs median gross | 0 | $1,289 | 2024-12-31 | CENSUS_ACS5 |
| county 53053 | fmr | 0 | $1,428 | 2025-10-01 | HUD_USER_FMR |
| county 53053 | acs median gross | 1 | $1,465 | 2024-12-31 | CENSUS_ACS5 |
| county 53053 | fmr | 1 | $1,605 | 2025-10-01 | HUD_USER_FMR |
| county 53053 | acs median gross | 2 | $1,794 | 2024-12-31 | CENSUS_ACS5 |
| county 53053 | fmr | 2 | $1,971 | 2025-10-01 | HUD_USER_FMR |
| county 53053 | acs median gross | 3 | $2,233 | 2024-12-31 | CENSUS_ACS5 |
| county 53053 | fmr | 3 | $2,733 | 2025-10-01 | HUD_USER_FMR |
| county 53053 | acs median gross | 4 | $2,564 | 2024-12-31 | CENSUS_ACS5 |
| county 53053 | fmr | 4 | $3,102 | 2025-10-01 | HUD_USER_FMR |
| county 53053 | acs median gross | 5 | $2,810 | 2024-12-31 | CENSUS_ACS5 |
| county 53053 | acs median gross | $1,806 | 2024-12-31 | CENSUS_ACS5 | |
| county 53053 | acs recent mover gross | $1,963 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 98409 | acs median gross | 0 | $1,490 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98409 | acs median gross | 1 | $1,467 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98409 | acs median gross | 2 | $1,688 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98409 | acs median gross | 3 | $2,128 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98409 | acs median gross | 4 | $1,206 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98409 | acs median gross | $1,645 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 98409 | acs recent mover gross | $1,763 | 2024-12-31 | CENSUS_ACS5 | |
| zip 98409 | payment standard 110 | 0 | $1,518 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98409 | payment standard 90 | 0 | $1,242 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98409 | safmr | 0 | $1,380 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98409 | payment standard 110 | 1 | $1,716 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98409 | payment standard 90 | 1 | $1,404 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98409 | safmr | 1 | $1,560 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98409 | payment standard 110 | 2 | $2,101 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98409 | payment standard 90 | 2 | $1,719 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98409 | safmr | 2 | $1,910 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98409 | payment standard 110 | 3 | $2,915 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98409 | payment standard 90 | 3 | $2,385 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98409 | safmr | 3 | $2,650 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98409 | payment standard 110 | 4 | $3,311 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98409 | payment standard 90 | 4 | $2,709 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98409 | safmr | 4 | $3,010 | 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.