Composite
75.4 / 100 percentile
Screener / 055201
C
OAK GROVE POST ACUTE
snfCASFF: SFF Candidate
4545 SHELLEY COURT, STOCKTON, CA 95207 · CCN 055201 · chain 9560 PICO LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
119
Model
v1.2
Reads as: riskier than 75.4% 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 model5Components16CHOW radar1Distress radar1Staffing16Penalties5Deficiencies136Licensure0Ownership15Related party6Transactions1Comps12Market rent35
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 93.3 | 91.0 | 0.30 | 0.2308 | 21.53 | in index |
| billing conduct | 63.4 | 44.8 | 0.30 | 0.2308 | 14.63 | in index |
| financial risk | 47.2 | 43.8 | 0.30 | 0.2308 | 10.89 | in index |
| chow risk | 50.6 | 30.1 | 0.15 | 0.1154 | 5.84 | in index |
| staffing risk | 28.3 | 28.4 | 0.25 | 0.1923 | 5.44 | 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.
Component scores and registry models
16| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 44.8 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 45.0 | C | 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 | 15.2 | A | v0.6 | default · in composite | |
| financial risk | 43.8 | 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 | 0.0 | — | 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 | 91.0 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 28.4 | B | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 87.5 | F | 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 | 67.5 | D | 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 | 59.0 | C | 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 | 46.1 | C | 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 | 91.0 | 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 | 91.0 | 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 | 28.4 | 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 | 28.4 | 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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
12.1
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Current owner tenure (years) | 1.91 | -1.66 | |
| Never sold on record | 0.00 | -1.62 | |
| Deficiencies, last 12 months | 46.00 | +0.95 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| Occupancy | 0.95 | -0.73 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 3.26 | +0.29 |
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
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 46.00 | -7.10 | |
| Occupancy | 0.95 | -0.84 | |
| Chain size (log) | 3.26 | -0.69 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 1.91 | -0.27 | |
| Ownership changes, last 5 years | 1.00 | +0.23 |
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 | CA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.70 | 3.95 | 3.28 | 2.90–3.77 |
| RN | 0.34 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 3.51 | 3.79 | 3.11 | — |
| Weekday total | 3.77 | 4.01 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 112.9 | 3.70 | 0.34 | 0.82 | 2.54 | 3.51 | 0.0% |
| 2025Q3 | 92 | 112.9 | 3.90 | 0.35 | 1.03 | 2.52 | 3.61 | 0.0% |
| 2025Q2 | 91 | 110.7 | 3.84 | 0.35 | 1.00 | 2.50 | 3.41 | 0.0% |
| 2025Q1 | 90 | 112.9 | 3.07 | 0.31 | 0.81 | 1.95 | 2.78 | 0.0% |
| 2024Q4 | 92 | 108.6 | 3.53 | 0.40 | 0.75 | 2.38 | 3.22 | 0.0% |
| 2024Q3 | 92 | 108.8 | 3.39 | 0.33 | 0.81 | 2.25 | 3.13 | 0.1% |
| 2024Q2 | 91 | 107.0 | 3.32 | 0.36 | 0.79 | 2.17 | 3.06 | 1.4% |
| 2024Q1 | 91 | 106.6 | 3.05 | 0.32 | 0.90 | 1.83 | 2.82 | 0.0% |
| 2023Q4 | 92 | 108.2 | 3.26 | 0.38 | 0.87 | 2.00 | 3.04 | 7.0% |
| 2023Q3 | 92 | 106.9 | 3.08 | 0.50 | 0.73 | 1.85 | 2.83 | 6.6% |
| 2023Q2 | 91 | 111.8 | 2.84 | 0.53 | 0.68 | 1.63 | 2.59 | 0.0% |
| 2023Q1 | 90 | 112.3 | 2.80 | 0.48 | 0.73 | 1.58 | 2.63 | 0.0% |
| 2022Q4 | 92 | 110.9 | 2.55 | 0.48 | 0.64 | 1.42 | 2.38 | 0.1% |
| 2022Q3 | 92 | 107.4 | 2.91 | 0.49 | 0.66 | 1.75 | 2.78 | 2.8% |
| 2022Q2 | 91 | 102.0 | 2.93 | 0.51 | 0.54 | 1.88 | 2.81 | 2.2% |
| 2022Q1 | 90 | 105.3 | 2.87 | 0.52 | 0.64 | 1.71 | 2.78 | 5.6% |
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
5fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-02-20 | Fine | $4,938 | CMS provider data |
| 2024-02-12 | Fine | $7,527 | CMS provider data |
| 2024-01-22 | Fine | $19,107 | CMS provider data |
| 2023-12-26 | Fine | $8,711 | CMS provider data |
| 2023-06-28 | Fine | $43,436 | CMS provider data |
Total fines on record: $83,719
Deficiencies
136C × 1D × 90E × 35F × 8G × 2
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-22 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | — |
| 2026-04-09 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2026-04-28 |
| 2026-04-09 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2026-04-28 |
| 2026-04-09 | Health · complaint | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2026-04-28 |
| 2026-04-09 | 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. | D | 2026-04-28 |
| 2026-04-09 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2026-04-28 |
| 2026-04-09 | Health | F0637 | Assess the resident when there is a significant change in condition | D | 2026-04-28 |
| 2026-04-09 | 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 | 2026-04-28 |
| 2026-04-09 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2026-04-28 |
| 2026-04-09 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2026-04-28 |
| 2026-04-09 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2026-04-28 |
| 2026-04-09 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2026-04-28 |
| 2026-04-09 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2026-04-28 |
| 2026-04-09 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2026-04-28 |
| 2026-04-09 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2026-04-28 |
| 2026-04-09 | 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 | 2026-04-28 |
| 2026-04-09 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2026-04-28 |
| 2026-04-09 | Health | F0814 | Dispose of garbage and refuse properly. | F | 2026-04-28 |
| 2026-04-09 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2026-04-28 |
| 2026-04-09 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2026-04-28 |
| 2026-04-09 | Health | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | 2026-04-28 |
| 2026-03-11 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-03-13 |
| 2026-03-11 | Health · complaint | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | 2026-03-13 |
| 2026-03-04 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2026-03-06 |
| 2026-02-20 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2026-02-23 |
| 2026-02-11 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2026-02-12 |
| 2026-02-11 | Health · complaint | F0687 | Provide appropriate foot care. | D | 2026-02-12 |
| 2026-02-11 | Health · complaint | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | 2026-02-12 |
| 2026-01-16 | Health · complaint | 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 | 2026-01-19 |
| 2026-01-16 | Health · complaint | F0814 | Dispose of garbage and refuse properly. | F | 2026-01-19 |
| 2025-12-12 | 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 | 2025-12-16 |
| 2025-12-12 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | 2025-12-16 |
| 2025-12-08 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-12-12 |
| 2025-12-03 | 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 | 2025-12-05 |
| 2025-12-03 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-12-05 |
| 2025-12-02 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2025-12-05 |
| 2025-11-26 | Health · complaint | F0603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | D | 2025-12-02 |
| 2025-11-26 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-12-02 |
| 2025-11-26 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-12-02 |
| 2025-11-20 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-11-23 |
| 2025-11-20 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-11-23 |
| 2025-08-21 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-08-22 |
| 2025-08-21 | Health · complaint | F0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | D | 2025-08-22 |
| 2025-08-15 | Health · complaint | F0583 | Keep residents' personal and medical records private and confidential. | D | 2025-08-18 |
| 2025-08-15 | Health · complaint | 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 | 2025-08-18 |
| 2025-08-01 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2025-08-04 |
| 2025-07-22 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-07-24 |
| 2025-07-16 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-08-27 |
| 2025-06-24 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-06-24 |
| 2025-05-22 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | 2025-06-14 |
| 2025-05-19 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | 2025-05-20 |
| 2025-04-14 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-05-24 |
| 2025-03-13 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | 2025-03-17 |
| 2025-03-13 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-03-17 |
| 2025-02-13 | Health · complaint | F0603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | D | 2025-03-07 |
| 2025-01-06 | 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. | D | 2025-01-08 |
| 2025-01-06 | 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 | 2025-01-08 |
| 2024-12-12 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-01-03 |
| 2024-12-12 | Health | F0583 | Keep residents' personal and medical records private and confidential. | D | 2025-01-03 |
| 2024-12-12 | 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 | 2025-01-03 |
| 2024-12-12 | 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 | 2025-01-03 |
| 2024-12-12 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | 2025-01-03 |
| 2024-12-12 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-01-03 |
| 2024-12-12 | 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 | 2025-01-03 |
| 2024-12-12 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-01-03 |
| 2024-12-12 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-01-03 |
| 2024-12-12 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-01-03 |
| 2024-12-12 | 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 | 2025-01-03 |
| 2024-12-12 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-01-03 |
| 2024-12-12 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | E | 2025-01-03 |
| 2024-12-12 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-01-03 |
| 2024-12-12 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2025-01-03 |
| 2024-12-12 | Health | F0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | D | 2025-01-03 |
| 2024-12-12 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2025-01-03 |
| 2024-12-12 | 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 | 2025-01-03 |
| 2024-12-12 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2025-01-03 |
| 2024-12-12 | 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 | 2025-01-03 |
| 2024-12-12 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-01-03 |
| 2024-12-12 | Health | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | 2025-01-03 |
| 2024-12-12 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2025-01-03 |
| 2024-12-12 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2025-01-03 |
| 2024-12-12 | Health | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | 2025-01-03 |
| 2024-12-12 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | 2025-01-03 |
| 2024-12-12 | Health | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | 2025-01-03 |
| 2024-12-02 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-12-20 |
| 2024-11-22 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-12-10 |
| 2024-10-23 | 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 | 2024-11-08 |
| 2024-10-23 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2024-11-08 |
| 2024-08-14 | Health · complaint | F0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | E | 2024-09-13 |
| 2024-07-21 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-09-12 |
| 2024-07-21 | Health · complaint | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | 2024-09-12 |
| 2024-07-02 | 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. | E | 2024-08-16 |
| 2024-06-10 | 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 | 2024-07-11 |
| 2024-01-29 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-02-02 |
| 2023-12-28 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-02-14 |
| 2023-12-19 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-02-14 |
| 2023-12-19 | Health · complaint | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | D | 2023-12-20 |
| 2023-12-19 | 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 | 2024-01-11 |
| 2023-11-18 | Health · complaint | F0908 | Keep all essential equipment working safely. | D | 2023-12-05 |
| 2023-11-16 | Health · complaint | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | 2024-02-14 |
| 2023-11-15 | Health · complaint | F0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D | 2023-11-27 |
| 2023-11-15 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-11-27 |
| 2023-09-25 | Health · complaint | F0641 | Ensure each resident receives an accurate assessment. | D | 2023-10-13 |
| 2023-09-25 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-10-13 |
| 2023-09-18 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-09-25 |
| 2023-08-22 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2023-09-24 |
| 2023-08-22 | Health · complaint | F0836 | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | E | 2023-09-24 |
| 2023-08-09 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2023-09-01 |
| 2023-08-02 | Health · complaint | 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. | D | 2023-08-17 |
| 2023-08-02 | Health · complaint | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2023-08-17 |
| 2023-08-01 | 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. | D | 2023-08-10 |
| 2023-07-25 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-08-10 |
| 2023-07-20 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-07-27 |
| 2023-07-17 | 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. | D | 2023-08-05 |
| 2023-07-12 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-08-07 |
| 2023-07-11 | Health · complaint | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | 2023-08-17 |
| 2023-07-11 | Health · complaint | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2023-08-17 |
| 2023-07-06 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2023-07-19 |
| 2023-06-28 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-07-20 |
| 2022-12-09 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-01-09 |
| 2022-12-09 | 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 | 2023-01-09 |
| 2022-12-09 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2023-01-09 |
| 2022-12-09 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-01-09 |
| 2022-12-09 | 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. | E | 2023-01-09 |
| 2022-12-09 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2023-01-09 |
| 2022-12-09 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | E | 2023-01-09 |
| 2022-12-09 | 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. | E | 2023-01-09 |
| 2022-12-09 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2023-01-09 |
| 2022-12-09 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2023-01-09 |
| 2022-12-09 | 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 | 2023-01-09 |
| 2022-12-09 | 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 | 2023-01-09 |
| 2022-12-09 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-01-09 |
| 2022-12-09 | 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. | C | 2023-01-09 |
| 2022-12-09 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2023-01-09 |
| 2022-12-09 | Health | F0881 | Implement a program that monitors antibiotic use. | F | 2023-01-09 |
| 2022-12-09 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | 2023-01-09 |
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
15| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| SAPPHIRE OPERATIONS, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2024-09-01 | current | pecos_ownership |
| 9560 PICO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-09-01 | current | pecos_ownership |
| GLAVAN-MARTINEZ, MARTHA | ADP OF THE SNF | — | 2013-10-21 | current | pecos_ownership |
| JIMENEZ, RAFILEIRY | ADP OF THE SNF | — | 2025-01-13 | current | pecos_ownership |
| NEWGEN ADMINISTRATIVE SERVICES, LLC | ADP OF THE SNF | — | 2024-09-01 | current | pecos_ownership |
| NEWGEN LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-09-01 | current | pecos_ownership |
| PICO AR LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-09-01 | current | pecos_ownership |
| ROBIN, AARON | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-09-01 | current | pecos_ownership |
| TRESS, AVROHOM | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-09-01 | current | pecos_ownership |
| VERMA, ATUL | ADP OF THE SNF | — | 2024-10-14 | current | pecos_ownership |
| AARON ROBIN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2024-09-01 | ended 2026-05-18 | pecos_ownership |
| AVROHOM TRESS | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2024-09-01 | ended 2026-05-18 | pecos_ownership |
| ATUL VERMA | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-10-14 | ended 2026-05-18 | pecos_ownership |
| MARTHA GLAVAN-MARTINEZ | OPERATIONAL/MANAGERIAL CONTROL | — | 2013-10-21 | ended 2026-05-18 | pecos_ownership |
| RAFILEIRY JIMENEZ | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-13 | 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
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2024-09-01 | — | 4545 SHELLEY COURT OPCO, LLC | STOCKTON NURSING AND REHAB CENTER, LLC | chow |
Comparable trades — CA snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-08-01 | Turlock Nursing & Rehabilitation Center | — | — | — | 144 | TRACY RIDGE HEALTHCARE, INC. |
| 2025-04-01 | ALAMITOS WEST HEALTH & REHABILITATION | — | — | — | 150 | MALCOLM HEALTHCARE, INC. |
| 2025-04-01 | PACIFIC HAVEN SUBACUTE AND HEALTHCARE CENTER | — | — | — | 99 | STRAWBERRY POND HEALTHCARE LLC |
| 2025-01-16 | GOLDEN HARBOR HEALTHCARE CENTER | — | — | — | 99 | CEYLON HOLDINGS LLC |
| 2024-12-30 | GRASS VALLEY HEALTHCARE CENTER | — | — | — | 86 | HEISMAN LLC |
| 2024-10-01 | REDWOOD GROVE POST ACUTE | — | — | — | 144 | SOQUEL CARE LLC |
| 2024-09-01 | OAK GROVE POST ACUTEthis facility | — | — | — | 119 | 4545 SHELLEY COURT OPCO, LLC |
| 2024-08-01 | WE CARE SKILLED NURSING - FREMONT | — | — | — | 99 | WE CARE SKILLED NURSING-FREMONT, LLC |
| 2024-05-01 | MAJESTIC MOUNTAIN CARE CENTER | — | — | — | 66 | OAKHURST SKILLED CARE LLC |
| 2024-04-01 | THE BRADLEY GARDENS | — | — | — | 44 | GHC OF SAN JACINTO LLC |
| 2024-04-01 | SANTA FE POST-ACUTE | — | — | — | 187 | SKILLED BOBIER LLC |
| 2024-04-01 | BAYSHIRE SAN DIMAS POST-ACUTE | — | — | — | 45 | SKILLED 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| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 06077 | acs median gross | 0 | $1,255 | 2024-12-31 | CENSUS_ACS5 |
| county 06077 | fmr | 0 | $1,288 | 2025-10-01 | HUD_USER_FMR |
| county 06077 | acs median gross | 1 | $1,299 | 2024-12-31 | CENSUS_ACS5 |
| county 06077 | fmr | 1 | $1,395 | 2025-10-01 | HUD_USER_FMR |
| county 06077 | acs median gross | 2 | $1,609 | 2024-12-31 | CENSUS_ACS5 |
| county 06077 | fmr | 2 | $1,742 | 2025-10-01 | HUD_USER_FMR |
| county 06077 | acs median gross | 3 | $1,983 | 2024-12-31 | CENSUS_ACS5 |
| county 06077 | fmr | 3 | $2,423 | 2025-10-01 | HUD_USER_FMR |
| county 06077 | acs median gross | 4 | $2,532 | 2024-12-31 | CENSUS_ACS5 |
| county 06077 | fmr | 4 | $2,922 | 2025-10-01 | HUD_USER_FMR |
| county 06077 | acs median gross | 5 | $3,190 | 2024-12-31 | CENSUS_ACS5 |
| county 06077 | acs median gross | $1,734 | 2024-12-31 | CENSUS_ACS5 | |
| county 06077 | acs recent mover gross | $2,130 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 95207 | acs median gross | 0 | $1,459 | 2024-12-31 | CENSUS_ACS5 |
| zcta 95207 | acs median gross | 1 | $1,397 | 2024-12-31 | CENSUS_ACS5 |
| zcta 95207 | acs median gross | 2 | $1,624 | 2024-12-31 | CENSUS_ACS5 |
| zcta 95207 | acs median gross | 3 | $2,044 | 2024-12-31 | CENSUS_ACS5 |
| zcta 95207 | acs median gross | 4 | $2,350 | 2024-12-31 | CENSUS_ACS5 |
| zcta 95207 | acs median gross | $1,648 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 95207 | acs recent mover gross | $1,709 | 2024-12-31 | CENSUS_ACS5 | |
| zip 95207 | payment standard 110 | 0 | $1,430 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95207 | payment standard 90 | 0 | $1,170 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95207 | safmr | 0 | $1,300 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95207 | payment standard 110 | 1 | $1,551 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95207 | payment standard 90 | 1 | $1,269 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95207 | safmr | 1 | $1,410 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95207 | payment standard 110 | 2 | $1,936 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95207 | payment standard 90 | 2 | $1,584 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95207 | safmr | 2 | $1,760 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95207 | payment standard 110 | 3 | $2,695 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95207 | payment standard 90 | 3 | $2,205 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95207 | safmr | 3 | $2,450 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95207 | payment standard 110 | 4 | $3,245 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95207 | payment standard 90 | 4 | $2,655 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95207 | safmr | 4 | $2,950 | 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.