Composite
72.9 / 100 percentile
Screener / 555118
C
ALMOND VISTA HEALTHCARE
snfCA
2030 EVERGREEN AVENUE, MODESTO, CA 95350 · CCN 555118 · chain KALESTA HEALTHCARE GROUP LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
175
Model
v1.2
Reads as: riskier than 72.9% 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 signals3Components16CHOW radar1Distress radar1Staffing16Penalties5Deficiencies63Licensure0Ownership45Related party6Transactions1Comps12Market rent35
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 81.8 | 78.6 | 0.30 | 0.2308 | 18.88 | in index |
| billing conduct | 68.3 | 46.9 | 0.30 | 0.2308 | 15.76 | in index |
| financial risk | 57.1 | 50.2 | 0.30 | 0.2308 | 13.18 | in index |
| chow risk | 52.6 | 50.8 | 0.15 | 0.1154 | 6.07 | in index |
| staffing risk | 17.3 | 17.4 | 0.25 | 0.1923 | 3.33 | 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
3| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner spans multiple chains | 8 chains | CAPITAL FUNDING LLC | 22 facilities |
| connection | Owner spans multiple chains | 6 chains | WILLIAMS RYAN | 26 facilities |
| connection | Owner fleet enforcement cluster | 41% fined | KALESTA HEALTHCARE GROUP LLC | 17 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 | 46.9 | C | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 25.0 | B | v0.1-pos | default · in composite | Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure. |
| chow risk | 76.5 | D | v0.6 | default · in composite | |
| financial risk | 50.2 | C | 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 | 78.6 | D | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 17.4 | A | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 92.5 | 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 | 72.5 | 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 | 60.9 | 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 | 51.9 | 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 | 78.6 | D | 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 | 78.6 | D | 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 | 17.4 | A | 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 | 17.4 | A | 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 | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 5.41 | -1.32 | |
| Occupancy | 0.95 | -0.72 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Total nurse staffing (HPRD) | 4.00 | -0.19 | |
| 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
10.1
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 | 2.00 | +1.06 | |
| Occupancy | 0.95 | -0.83 | |
| For-profit ownership | 1.00 | -0.69 | |
| Chain size (log) | 2.77 | -0.41 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Total nurse staffing (HPRD) | 4.00 | -0.33 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 5.41 | -0.21 |
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 | 4.00 | 3.95 | 3.28 | 2.90–3.77 |
| RN | 0.27 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 3.97 | 3.79 | 3.11 | — |
| Weekday total | 4.01 | 4.01 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 165.7 | 4.00 | 0.27 | 1.31 | 2.42 | 3.97 | 0.0% |
| 2025Q3 | 92 | 169.6 | 3.79 | 0.23 | 1.26 | 2.29 | 3.60 | 0.0% |
| 2025Q2 | 91 | 164.5 | 4.02 | 0.24 | 1.30 | 2.49 | 3.85 | 0.0% |
| 2025Q1 | 90 | 165.7 | 4.00 | 0.25 | 1.31 | 2.44 | 3.86 | 0.0% |
| 2024Q4 | 92 | 163.4 | 4.15 | 0.25 | 1.35 | 2.55 | 4.04 | 0.0% |
| 2024Q3 | 92 | 164.7 | 3.93 | 0.22 | 1.24 | 2.47 | 3.78 | 0.3% |
| 2024Q2 | 91 | 163.7 | 4.06 | 0.21 | 1.22 | 2.63 | 3.85 | 0.4% |
| 2024Q1 | 91 | 166.3 | 3.86 | 0.23 | 1.12 | 2.52 | 3.76 | 5.0% |
| 2023Q4 | 92 | 153.5 | 3.91 | 0.28 | 1.14 | 2.49 | 3.70 | 2.8% |
| 2023Q3 | 92 | 153.9 | 3.85 | 0.24 | 1.15 | 2.45 | 3.77 | 1.2% |
| 2023Q2 | 91 | 153.8 | 3.69 | 0.18 | 1.08 | 2.44 | 3.65 | 0.0% |
| 2023Q1 | 90 | 163.7 | 3.69 | 0.19 | 1.03 | 2.46 | 3.69 | 1.8% |
| 2022Q4 | 92 | 151.3 | 3.87 | 0.25 | 1.06 | 2.57 | 3.70 | 8.2% |
| 2022Q3 | 92 | 147.5 | 3.95 | 0.33 | 1.09 | 2.54 | 3.71 | 16.4% |
| 2022Q2 | 91 | 137.8 | 3.61 | 0.36 | 0.90 | 2.35 | 3.39 | 8.3% |
| 2022Q1 | 90 | 138.5 | 3.09 | 0.34 | 0.76 | 1.99 | 2.78 | 5.1% |
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
5fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-01-16 | Fine | $10,358 | CMS provider data |
| 2024-01-02 | Fine | $3,176 | CMS provider data |
| 2023-12-11 | Fine | $7,409 | CMS provider data |
| 2023-11-20 | Fine | $1,764 | CMS provider data |
| 2023-10-30 | Fine | $3,174 | CMS provider data |
Total fines on record: $25,881
Deficiencies
63D × 28E × 21F × 8G × 4K × 1L × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-16 | Health · complaint | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2026-04-07 |
| 2026-03-16 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2026-04-07 |
| 2025-05-06 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2025-05-16 |
| 2025-05-06 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | 2025-05-16 |
| 2025-05-06 | Health | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | 2025-05-16 |
| 2025-05-06 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | F | 2025-05-16 |
| 2025-05-06 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2025-05-16 |
| 2025-05-06 | Health | F0687 | Provide appropriate foot care. | D | 2025-05-16 |
| 2025-05-06 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2025-05-16 |
| 2025-05-06 | Health | F0732 | Post nurse staffing information every day. | F | 2025-05-16 |
| 2025-05-06 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2025-05-16 |
| 2025-05-06 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2025-05-16 |
| 2025-05-06 | 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 | 2025-05-16 |
| 2025-05-06 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-05-16 |
| 2025-05-06 | Health | F0814 | Dispose of garbage and refuse properly. | F | 2025-05-16 |
| 2025-05-06 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2025-05-16 |
| 2025-05-06 | Health | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | 2025-05-16 |
| 2025-05-06 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2025-05-16 |
| 2025-04-15 | 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 | 2025-05-01 |
| 2025-01-16 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2025-02-07 |
| 2024-12-03 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2025-01-10 |
| 2024-08-02 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2024-08-23 |
| 2024-08-02 | Health | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2024-08-23 |
| 2024-08-02 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | 2024-08-23 |
| 2024-08-02 | 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. | E | 2024-08-23 |
| 2024-08-02 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2024-08-23 |
| 2024-08-02 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2024-08-23 |
| 2024-08-02 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-08-23 |
| 2024-08-02 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-08-23 |
| 2024-08-02 | 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 | 2024-08-23 |
| 2024-08-02 | Health | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | 2024-08-23 |
| 2024-08-02 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | 2024-08-23 |
| 2024-08-02 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | 2024-08-23 |
| 2024-08-02 | Health | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | 2024-08-23 |
| 2024-08-02 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2024-08-23 |
| 2024-01-25 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2024-04-05 |
| 2024-01-25 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-04-05 |
| 2023-11-09 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-02-28 |
| 2019-07-17 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2019-11-06 |
| 2019-07-17 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2019-11-06 |
| 2019-07-17 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2019-11-06 |
| 2019-07-17 | 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 | 2019-11-06 |
| 2019-07-17 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2019-11-06 |
| 2019-07-17 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | 2019-11-06 |
| 2019-07-17 | Health | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | 2019-11-06 |
| 2019-07-17 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2019-11-06 |
| 2019-07-17 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2019-11-06 |
| 2019-07-17 | 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 | 2019-11-06 |
| 2019-07-17 | 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 | 2019-11-06 |
| 2019-07-17 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2019-11-06 |
| 2019-07-17 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2019-11-06 |
| 2019-07-17 | 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 | 2019-11-06 |
| 2019-07-17 | Health | 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. | K | 2019-11-06 |
| 2019-07-17 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | E | 2019-11-06 |
| 2019-07-17 | 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 | 2019-11-06 |
| 2019-07-17 | 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 | 2019-11-06 |
| 2019-07-17 | Health | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D | 2019-11-06 |
| 2019-07-17 | Health | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | 2019-11-06 |
| 2019-07-17 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2019-11-06 |
| 2019-07-17 | 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. | E | 2019-11-06 |
| 2019-07-17 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2019-11-06 |
| 2019-07-17 | Health | F0880 | Provide and implement an infection prevention and control program. | L | 2019-11-06 |
| 2019-07-17 | Health | F0908 | Keep all essential equipment working safely. | E | 2019-11-06 |
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
45| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| KALESTA HEALTHCARE GROUP, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2021-03-01 | current | pecos_ownership |
| CLAWSON, SCOTT | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 48% | 2021-03-01 | current | pecos_ownership |
| WILLIAMS, RYAN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 48% | 2021-03-01 | current | pecos_ownership |
| CABALLERO, DIANA | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-01 | current | pecos_ownership |
| CAPITAL FUNDING LLC | 5% OR GREATER SECURITY INTEREST | — | 2021-03-08 | current | pecos_ownership |
| CHEN, KAI SHIN | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-03-01 | current | pecos_ownership |
| FIELDS, DOMONIQUE | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-03-01 | current | pecos_ownership |
| FLAKE, ETHAN | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-10-07 | current | pecos_ownership |
| HINKLE, CORTNEY | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-09 | current | pecos_ownership |
| JAVAN, MOJDEH | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-14 | current | pecos_ownership |
| JONES, STEVEN | CORPORATE OFFICER | — | 2024-07-01 | current | pecos_ownership |
| KALESTA HEALTHCARE GROUP, LLC | ADP OF THE SNF | — | 2025-12-18 | current | pecos_ownership |
| KAYAKOKU, SEVINC | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-03-01 | current | pecos_ownership |
| LACHANCE, HARRIS | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-03 | current | pecos_ownership |
| MODI, ISHANKUMAR | CORPORATE DIRECTOR | — | 2021-03-01 | current | pecos_ownership |
| MOSHER, STEVEN | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-07-08 | current | pecos_ownership |
| MURRAY, JEFFREY | CORPORATE DIRECTOR | — | 2024-01-08 | current | pecos_ownership |
| RAINES, TERRY | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-07-15 | current | pecos_ownership |
| SIMMS, DEBORAH | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-04-06 | current | pecos_ownership |
| SINGH, RACHANDEEP | ADP OF THE SNF | — | 2021-03-01 | current | pecos_ownership |
| SINGH, VISHAAL | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-04-26 | current | pecos_ownership |
| SOARES, MICHAEL | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-03-01 | current | pecos_ownership |
| RYAN WILLIAMS | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 48% | 2021-03-01 | ended 2026-05-18 | pecos_ownership |
| SCOTT CLAWSON | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 48% | 2021-03-01 | ended 2026-05-18 | pecos_ownership |
| RYAN WILLIAMS | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 45% | 2022-02-01 | ended 2026-04-01 | pecos_ownership |
| SCOTT CLAWSON | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 45% | 2022-02-01 | ended 2026-04-01 | pecos_ownership |
| MICAH PORTER | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | 2022-02-01 | ended 2026-04-01 | pecos_ownership |
| CORTNEY HINKLE | CORPORATE DIRECTOR | — | 2024-01-09 | ended 2026-05-18 | pecos_ownership |
| DEBORAH SIMMS | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-04-06 | ended 2026-05-18 | pecos_ownership |
| DIANA CABALLERO | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-01 | ended 2026-05-18 | pecos_ownership |
| DOMONIQUE FIELDS | CORPORATE DIRECTOR | — | 2021-03-01 | ended 2026-05-18 | pecos_ownership |
| ETHAN FLAKE | CORPORATE DIRECTOR | — | 2024-10-07 | ended 2026-05-18 | pecos_ownership |
| HARRIS LACHANCE | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-03 | ended 2026-05-18 | pecos_ownership |
| ISHANKUMAR MODI | CORPORATE DIRECTOR | — | 2021-03-01 | ended 2026-05-18 | pecos_ownership |
| JEFFREY MURRAY | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-08 | ended 2026-05-18 | pecos_ownership |
| KAI SHIN CHEN | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-03-01 | ended 2026-05-18 | pecos_ownership |
| MICHAEL SOARES | CORPORATE DIRECTOR | — | 2021-03-01 | ended 2026-05-18 | pecos_ownership |
| MOJDEH JAVAN | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-14 | ended 2026-05-18 | pecos_ownership |
| RACHANDEEP SINGH | ADP OF THE SNF | — | 2021-03-01 | ended 2026-05-18 | pecos_ownership |
| SEVINC KAYAKOKU | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-03-01 | ended 2026-05-18 | pecos_ownership |
| STEVEN JONES | CORPORATE OFFICER | — | 2024-07-01 | ended 2026-05-18 | pecos_ownership |
| STEVEN MOSHER | CORPORATE DIRECTOR | — | 2024-07-08 | ended 2026-05-18 | pecos_ownership |
| TERRY RAINES | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-07-15 | ended 2026-05-18 | pecos_ownership |
| TRAVIS DEVASHRAYEE | W-2 MANAGING EMPLOYEE | — | 2021-03-01 | ended 2026-04-01 | pecos_ownership |
| VISHAAL SINGH | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-04-26 | 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 |
|---|---|---|---|---|
| 2021-03-01 | — | NEWPORT LLC | WINDSOR MODESTO HEALTHCARE 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 ACUTE | — | — | — | 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 06099 | acs median gross | 0 | $1,042 | 2024-12-31 | CENSUS_ACS5 |
| county 06099 | fmr | 0 | $1,255 | 2025-10-01 | HUD_USER_FMR |
| county 06099 | acs median gross | 1 | $1,167 | 2024-12-31 | CENSUS_ACS5 |
| county 06099 | fmr | 1 | $1,356 | 2025-10-01 | HUD_USER_FMR |
| county 06099 | acs median gross | 2 | $1,554 | 2024-12-31 | CENSUS_ACS5 |
| county 06099 | fmr | 2 | $1,758 | 2025-10-01 | HUD_USER_FMR |
| county 06099 | acs median gross | 3 | $1,802 | 2024-12-31 | CENSUS_ACS5 |
| county 06099 | fmr | 3 | $2,442 | 2025-10-01 | HUD_USER_FMR |
| county 06099 | acs median gross | 4 | $2,192 | 2024-12-31 | CENSUS_ACS5 |
| county 06099 | fmr | 4 | $2,823 | 2025-10-01 | HUD_USER_FMR |
| county 06099 | acs median gross | 5 | $2,674 | 2024-12-31 | CENSUS_ACS5 |
| county 06099 | acs median gross | $1,623 | 2024-12-31 | CENSUS_ACS5 | |
| county 06099 | acs recent mover gross | $1,834 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 95350 | acs median gross | 0 | $1,127 | 2024-12-31 | CENSUS_ACS5 |
| zcta 95350 | acs median gross | 1 | $1,299 | 2024-12-31 | CENSUS_ACS5 |
| zcta 95350 | acs median gross | 2 | $1,578 | 2024-12-31 | CENSUS_ACS5 |
| zcta 95350 | acs median gross | 3 | $1,803 | 2024-12-31 | CENSUS_ACS5 |
| zcta 95350 | acs median gross | 4 | $2,236 | 2024-12-31 | CENSUS_ACS5 |
| zcta 95350 | acs median gross | $1,596 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 95350 | acs recent mover gross | $1,652 | 2024-12-31 | CENSUS_ACS5 | |
| zip 95350 | payment standard 110 | 0 | $1,375 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95350 | payment standard 90 | 0 | $1,125 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95350 | safmr | 0 | $1,250 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95350 | payment standard 110 | 1 | $1,485 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95350 | payment standard 90 | 1 | $1,215 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95350 | safmr | 1 | $1,350 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95350 | payment standard 110 | 2 | $1,925 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95350 | payment standard 90 | 2 | $1,575 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95350 | safmr | 2 | $1,750 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95350 | payment standard 110 | 3 | $2,673 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95350 | payment standard 90 | 3 | $2,187 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95350 | safmr | 3 | $2,430 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95350 | payment standard 110 | 4 | $3,091 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95350 | payment standard 90 | 4 | $2,529 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95350 | safmr | 4 | $2,810 | 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.