CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT 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: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · 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 noticeENFFACO HEALTHCARE SERVICES INCTX · 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 noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · 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)ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT 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: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · 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 noticeENFFACO HEALTHCARE SERVICES INCTX · 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 noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · 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 2026-08-04 22:40 UTC
Screener / 055435
B

THE VILLAS AT SARATOGA SKILLED NSG & ASSISTED LVG

snfCA
20400 SARATOGA-LOS GATOS RD, SARATOGA, CA 95070 · CCN 055435 · chain KALESTA HEALTHCARE GROUP LLC
Composite
31.1 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
86
Model
v1.2
Reads as: riskier than 31.1% 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.

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk79.275.70.300.230818.28in index
billing conduct65.745.80.300.230815.16in index
financial risk13.222.00.300.23083.05in index
staffing risk14.314.40.250.19232.75in index
chow risk16.215.90.150.11541.87in 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 chains6 chainsWILLIAMS RYAN26 facilities
connectionOwner fleet enforcement cluster41% finedKALESTA HEALTHCARE GROUP LLC17 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 conduct45.8Cv0.1-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 risk6.8Av0.6default · in composite
financial risk22.0Av0.5default · in compositeR18.
p adverse action 12m0.0v0.1default · 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 12m0.1v0.1default · 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 risk75.7Dv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk14.4Av0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk66.6Dv0.1supersededPre-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 risk46.6Cv0.2supersededPre-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 risk32.9Bv0.3supersededPre-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 risk28.1Bv0.4supersededPre-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 risk75.5Dv0.1supersededPre-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 risk75.5Dv0.2supersededPre-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 risk14.4Av0.1supersededPre-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 risk14.4Av0.2supersededPre-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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
21.2
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Never sold on record0.00-1.62
Current owner tenure (years)7.91-1.08
For-profit ownership1.00+0.69
Occupancy0.93-0.68
No PBJ staffing report0.00+0.42
Total nurse staffing (HPRD)4.13-0.22
Ownership changes, last 5 years0.00+0.20
Chain size (log)2.77+0.19
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 months12.00-0.80
Occupancy0.93-0.78
For-profit ownership1.00-0.69
Fine amount, 12m (log)10.38-0.58
Chain size (log)2.77-0.41
No PBJ staffing report0.00+0.39
Total nurse staffing (HPRD)4.13-0.38
Never sold on record0.00-0.28
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 nurse4.133.953.282.90–3.77
RN0.370.380.390.25–0.58
Weekend total4.043.793.11
Weekday total4.164.013.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49280.34.130.371.092.674.040.0%
2025Q39280.54.080.450.912.733.960.0%
2025Q29182.74.040.490.852.693.890.0%
2025Q19083.63.990.500.862.633.910.0%
2024Q49283.54.330.491.052.794.060.0%
2024Q39283.14.340.471.112.763.940.0%
2024Q29182.24.270.451.212.613.960.0%
2024Q19182.94.340.471.182.694.090.0%
2023Q49281.74.240.421.232.593.950.0%
2023Q39285.54.120.391.182.553.810.0%
2023Q29186.84.180.321.172.693.900.0%
2023Q19092.24.200.331.192.673.820.0%
2022Q49288.64.380.351.232.794.050.0%
2022Q39290.64.160.351.152.663.882.2%
2022Q29188.04.170.451.082.643.583.8%
2022Q19084.93.390.370.802.232.711.1%
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

2
fines by year
$32.3k$16.1k2425
DateTypeFineSource
2025-11-25Fine$32,292CMS provider data
2024-08-22Fine$8,031CMS provider data
Total fines on record: $40,323

Deficiencies

59
B × 3D × 41E × 10F × 3G × 2
deficiencies by survey year
191020222426
SurveyTypeTagDeficiencyScopeCorrected
2026-03-16Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2026-04-10
2026-03-03Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2026-03-19
2026-03-03Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2026-03-19
2026-03-03Health · complaintF0880Provide and implement an infection prevention and control program.E2026-03-19
2026-03-03Health · complaintF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.D2026-03-19
2025-12-11Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2025-12-15
2025-11-25Health · 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.D2025-12-09
2025-11-25Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2025-12-09
2025-11-25Health · complaintF0761Ensure 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.D2025-12-09
2025-08-20Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-09-10
2025-08-12Health · complaintF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D2025-08-20
2025-08-12Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-08-20
2024-12-20HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2025-01-10
2024-12-20HealthF0578Honor 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.E2025-01-10
2024-12-20HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-01-10
2024-12-20HealthF0693Ensure 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.D2025-01-10
2024-12-20HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2025-01-10
2024-12-20HealthF0700Try 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.E2025-01-10
2024-12-20HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2025-01-10
2024-12-20HealthF0758Implement 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.D2025-01-10
2024-12-20HealthF0759Ensure medication error rates are not 5 percent or greater.D2025-01-10
2024-12-20HealthF0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.F2024-12-30
2024-12-20HealthF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.F2024-12-30
2024-12-20HealthF0803Ensure 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.E2024-12-30
2024-12-20HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2024-12-30
2024-12-20HealthF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.E2024-12-30
2024-12-20HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2024-12-30
2024-12-20HealthF0880Provide and implement an infection prevention and control program.D2025-01-10
2024-12-20HealthF0908Keep all essential equipment working safely.D2024-12-30
2024-12-20HealthF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.B
2024-08-22Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2024-09-10
2022-11-14HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2022-12-02
2022-11-14HealthF0554Allow residents to self-administer drugs if determined clinically appropriate.D2022-12-05
2022-11-14HealthF0558Reasonably accommodate the needs and preferences of each resident.D2022-11-14
2022-11-14HealthF0578Honor 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.D2022-11-14
2022-11-14HealthF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D2022-11-14
2022-11-14HealthF0625Notify 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.D2022-11-18
2022-11-14HealthF0637Assess the resident when there is a significant change in conditionD2022-11-14
2022-11-14HealthF0645PASARR screening for Mental disorders or Intellectual DisabilitiesD2022-11-14
2022-11-14HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.D2022-11-14
2022-11-14HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2022-11-14
2022-11-14HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2022-11-30
2022-11-14HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2022-11-14
2022-11-14HealthF0758Implement 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.D2022-11-18
2022-11-14HealthF0761Ensure 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.D2022-11-14
2022-11-14HealthF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.D2022-11-14
2022-11-14HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2022-12-14
2022-11-14HealthF0814Dispose of garbage and refuse properly.D2022-12-14
2022-11-14HealthF0880Provide and implement an infection prevention and control program.E2022-12-14
2022-11-14HealthF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.B2022-12-14
2020-01-17HealthF0584Honor 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.D2020-02-10
2020-01-17HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.D2020-02-10
2020-01-17HealthF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D2020-02-10
2020-01-17HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2020-02-10
2020-01-17HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2020-02-10
2020-01-17HealthF0758Implement 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.D2020-02-10
2020-01-17HealthF0759Ensure medication error rates are not 5 percent or greater.E2020-02-10
2020-01-17HealthF0761Ensure 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.E2020-02-10
2020-01-17HealthF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.B2020-02-10
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

27
OwnerRolePctFromStatusSource
KALESTA HEALTHCARE GROUP, LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2018-08-31currentpecos_ownership
CLAWSON, SCOTT5% OR GREATER INDIRECT OWNERSHIP INTEREST48%2018-08-31currentpecos_ownership
WILLIAMS, RYAN5% OR GREATER INDIRECT OWNERSHIP INTEREST48%2018-08-31currentpecos_ownership
CHEN, KAI SHINCORPORATE DIRECTOR2021-01-04currentpecos_ownership
DE OCAMPO, ANGELAOPERATIONAL/MANAGERIAL CONTROL2022-11-02currentpecos_ownership
DUENAS, JOSEOPERATIONAL/MANAGERIAL CONTROL2018-10-02currentpecos_ownership
FIELDS, DOMONIQUEOPERATIONAL/MANAGERIAL CONTROL2019-07-12currentpecos_ownership
FLAKE, ETHANCORPORATE DIRECTOR2024-10-07currentpecos_ownership
FRANCO, LIONEL RYANOPERATIONAL/MANAGERIAL CONTROL2024-01-08currentpecos_ownership
GANDHI, KAVITAOPERATIONAL/MANAGERIAL CONTROL2024-07-01currentpecos_ownership
HAGGERTY, KEVINADP OF THE SNF2022-01-03currentpecos_ownership
HINKLE, CORTNEYCORPORATE DIRECTOR2024-01-09currentpecos_ownership
JONES, STEVENOPERATIONAL/MANAGERIAL CONTROL2024-07-01currentpecos_ownership
LIMOSNERO, ANALIEOPERATIONAL/MANAGERIAL CONTROL2024-04-08currentpecos_ownership
LOPEZ, ELOYOPERATIONAL/MANAGERIAL CONTROL2021-12-01currentpecos_ownership
MODI, ISHANKUMAROPERATIONAL/MANAGERIAL CONTROL2019-11-04currentpecos_ownership
MOSHER, STEVENCORPORATE DIRECTOR2024-07-08currentpecos_ownership
MURRAY, JEFFREYOPERATIONAL/MANAGERIAL CONTROL2024-01-08currentpecos_ownership
RENALDO, MARIOPERATIONAL/MANAGERIAL CONTROL2022-03-23currentpecos_ownership
SOARES, MICHAELOPERATIONAL/MANAGERIAL CONTROL2021-03-01currentpecos_ownership
TEXAS CAPITAL BANK NA5% OR GREATER SECURITY INTEREST2025-04-17currentpecos_ownership
TUCKER, RILEYOPERATIONAL/MANAGERIAL CONTROL2024-07-01currentpecos_ownership
TUCKER, RILEYADP OF THE SNF2025-09-24currentpecos_ownership
RYAN WILLIAMS5% OR GREATER INDIRECT OWNERSHIP INTEREST45%2022-02-01ended 2026-05-18pecos_ownership
SCOTT CLAWSON5% OR GREATER INDIRECT OWNERSHIP INTEREST45%2022-02-01ended 2026-05-18pecos_ownership
MICAH PORTER5% OR GREATER INDIRECT OWNERSHIP INTEREST5%2022-02-01ended 2026-05-18pecos_ownership
SCOTT CLAWSONW-2 MANAGING EMPLOYEE2018-08-31ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

1
Close datePriceBuyerSellerEvidence
2018-08-31THREE ARCH LLCOUR LADY OF FATIMA VILLAchow

Comparable trades — CA snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-08-01Turlock Nursing & Rehabilitation Center144TRACY RIDGE HEALTHCARE, INC.
2025-04-01ALAMITOS WEST HEALTH & REHABILITATION150MALCOLM HEALTHCARE, INC.
2025-04-01PACIFIC HAVEN SUBACUTE AND HEALTHCARE CENTER99STRAWBERRY POND HEALTHCARE LLC
2025-01-16GOLDEN HARBOR HEALTHCARE CENTER99CEYLON HOLDINGS LLC
2024-12-30GRASS VALLEY HEALTHCARE CENTER86HEISMAN LLC
2024-10-01REDWOOD GROVE POST ACUTE144SOQUEL CARE LLC
2024-09-01OAK GROVE POST ACUTE1194545 SHELLEY COURT OPCO, LLC
2024-08-01WE CARE SKILLED NURSING - FREMONT99WE CARE SKILLED NURSING-FREMONT, LLC
2024-05-01MAJESTIC MOUNTAIN CARE CENTER66OAKHURST SKILLED CARE LLC
2024-04-01THE BRADLEY GARDENS44GHC OF SAN JACINTO LLC
2024-04-01SANTA FE POST-ACUTE187SKILLED BOBIER LLC
2024-04-01BAYSHIRE SAN DIMAS POST-ACUTE45SKILLED 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

35
GeoKindBRAmountAs ofSource
county 06085acs median gross0$2,2052024-12-31CENSUS_ACS5
county 06085fmr0$2,6212025-10-01HUD_USER_FMR
county 06085acs median gross1$2,4872024-12-31CENSUS_ACS5
county 06085fmr1$2,9822025-10-01HUD_USER_FMR
county 06085acs median gross2$2,9502024-12-31CENSUS_ACS5
county 06085fmr2$3,4832025-10-01HUD_USER_FMR
county 06085acs median gross3$3,5012024-12-31CENSUS_ACS5
county 06085fmr3$4,6022025-10-01HUD_USER_FMR
county 06085acs median gross4$3,5012024-12-31CENSUS_ACS5
county 06085fmr4$5,0102025-10-01HUD_USER_FMR
county 06085acs median gross5$3,5012024-12-31CENSUS_ACS5
county 06085acs median gross$2,8572024-12-31CENSUS_ACS5
county 06085acs recent mover gross$3,0162024-12-31CENSUS_ACS5
zcta 95070acs median gross0$2,1862024-12-31CENSUS_ACS5
zcta 95070acs median gross2$2,9112024-12-31CENSUS_ACS5
zcta 95070acs median gross3$3,5012024-12-31CENSUS_ACS5
zcta 95070acs median gross4$3,5012024-12-31CENSUS_ACS5
zcta 95070acs median gross5$3,5012024-12-31CENSUS_ACS5
zcta 95070acs median gross$3,5012024-12-31CENSUS_ACS5
zcta 95070acs recent mover gross$3,5012024-12-31CENSUS_ACS5
zip 95070payment standard 1100$3,2562025-10-01HUD_USER_SAFMR
zip 95070payment standard 900$2,6642025-10-01HUD_USER_SAFMR
zip 95070safmr0$2,9602025-10-01HUD_USER_SAFMR
zip 95070payment standard 1101$3,6412025-10-01HUD_USER_SAFMR
zip 95070payment standard 901$2,9792025-10-01HUD_USER_SAFMR
zip 95070safmr1$3,3102025-10-01HUD_USER_SAFMR
zip 95070payment standard 1102$4,3342025-10-01HUD_USER_SAFMR
zip 95070payment standard 902$3,5462025-10-01HUD_USER_SAFMR
zip 95070safmr2$3,9402025-10-01HUD_USER_SAFMR
zip 95070payment standard 1103$5,6872025-10-01HUD_USER_SAFMR
zip 95070payment standard 903$4,6532025-10-01HUD_USER_SAFMR
zip 95070safmr3$5,1702025-10-01HUD_USER_SAFMR
zip 95070payment standard 1104$6,1492025-10-01HUD_USER_SAFMR
zip 95070payment standard 904$5,0312025-10-01HUD_USER_SAFMR
zip 95070safmr4$5,5902025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.