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 2026-08-05 02:51 UTC
Screener / 555438
D

KEI-AI LOS ANGELES HEALTHCARE CENTER

snfCA
2221 LINCOLN PARK AVE, LOS ANGELES, CA 90031 · CCN 555438 · chain ASPEN SKILLED HEALTHCARE INC
Composite
89.7 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
300
Model
v1.2
Reads as: riskier than 89.7% 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 radar1Staffing16Penalties2Deficiencies122Licensure0Ownership49Related party5Transactions1Comps12Market rent36

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk98.797.90.300.230822.78in index
financial risk83.770.40.300.230819.32in index
billing conduct67.246.40.300.230815.51in index
chow risk47.229.60.150.11545.45in index
staffing risk17.417.50.250.19233.35in 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 typeScoreGradeModelStatusRegistry model notes
billing conduct46.4Cv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk55.0Cv0.1-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 risk4.2Av0.6default · in composite
financial risk70.4Dv0.5default · in compositeR18.
p adverse action 12m0.0—v0.1default · 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 12m0.1—v0.1default · 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 risk97.9Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk17.5Av0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk76.7Dv0.1supersededPre-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 risk56.7Cv0.2supersededPre-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 risk73.8Dv0.3supersededPre-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 risk68.7Dv0.4supersededPre-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 risk97.9Fv0.1supersededPre-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 risk97.9Fv0.2supersededPre-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 risk17.5Av0.1supersededPre-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 risk17.5Av0.2supersededPre-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
23.6
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)10.49-0.83
Occupancy0.97-0.79
For-profit ownership1.00+0.69
Deficiencies, last 12 months26.00+0.46
No PBJ staffing report0.00+0.42
Chain size (log)3.40+0.32
Facility size (log beds)5.71-0.21
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 months26.00-3.39
Occupancy0.97-0.93
Chain size (log)3.40-0.78
For-profit ownership1.00-0.69
No PBJ staffing report0.00+0.39
Total nurse staffing (HPRD)4.00-0.33
Never sold on record0.00-0.28
Facility size (log beds)5.71-0.28
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 nurse4.003.953.282.90–3.77
RN0.280.380.390.25–0.58
Weekend total3.973.793.11—
Weekday total4.014.013.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q492291.04.000.281.032.683.970.6%
2025Q392289.64.040.331.012.713.860.0%
2025Q291289.24.130.321.102.713.961.9%
2025Q190293.14.020.331.052.643.903.1%
2024Q492290.24.370.401.102.874.235.3%
2024Q392299.04.070.341.082.653.898.1%
2024Q291301.53.940.311.052.573.6511.7%
2024Q191257.14.110.271.172.673.8711.1%
2023Q492270.14.050.281.232.543.849.3%
2023Q392246.34.020.241.232.543.827.4%
2023Q291225.54.460.311.332.824.179.0%
2023Q190274.33.950.261.112.583.7713.3%
2022Q492296.33.650.220.972.463.5415.4%
2022Q392295.83.650.270.922.473.5115.0%
2022Q291302.13.340.270.902.173.1311.0%
2022Q190299.43.460.260.862.333.2916.3%
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
$116.5k$58.3k2324
DateTypeFineSource
2024-05-31Fine$68,445CMS provider data
2023-11-28Fine$116,544CMS provider data
Total fines on record: $184,989

Deficiencies

122
B × 2D × 91E × 22F × 1G × 5J × 1
deficiencies by survey year
462323242526
SurveyTypeTagDeficiencyScopeCorrected
2026-03-24Health · complaintF0552Ensure that residents are fully informed and understand their health status, care and treatments.E2026-04-16
2026-03-24Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.E2026-04-16
2026-02-27Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2026-03-23
2026-02-27Health · complaintF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D2026-03-23
2026-02-20HealthF0552Ensure that residents are fully informed and understand their health status, care and treatments.D2026-03-13
2026-02-20HealthF0641Ensure each resident receives an accurate assessment.D2026-03-13
2026-02-20HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2026-03-13
2026-02-20HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2026-03-13
2026-02-20HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2026-03-13
2026-02-20HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2026-03-13
2026-02-20HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2026-03-13
2026-02-20HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2026-03-13
2026-02-20HealthF0759Ensure medication error rates are not 5 percent or greater.D2026-03-13
2026-02-20HealthF0760Ensure that residents are free from significant medication errors.E2026-03-13
2026-02-20HealthF0761Ensure 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.D2026-03-13
2026-02-20HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2026-03-13
2026-02-20HealthF0880Provide and implement an infection prevention and control program.D2026-03-13
2026-02-03Health · complaintF0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.D2026-03-04
2026-01-06Health · complaintF0585Honor 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.D2026-01-30
2025-11-18Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2025-11-27
2025-09-26Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E2025-10-15
2025-09-23Health · complaintF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.D2025-10-09
2025-09-23Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-10-09
2025-08-21Health · complaintF0880Provide and implement an infection prevention and control program.D2025-09-04
2025-08-01Health · complaintF0552Ensure that residents are fully informed and understand their health status, care and treatments.D2025-08-18
2025-08-01Health · complaintF0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.D2025-08-18
2025-07-16Health · complaintF0551Give the resident's representative the ability to exercise the resident's rights.D2025-08-15
2025-06-24Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-07-10
2025-06-24Health · complaintF0880Provide and implement an infection prevention and control program.D2025-07-10
2025-06-06Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2025-06-27
2025-05-21Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-06-06
2025-05-21Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2025-06-06
2025-05-14Health · complaintF0919Make sure that a working call system is available in each resident's bathroom and bathing area.E2025-06-10
2025-02-27Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-03-28
2025-02-27Health · complaintF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.D2025-03-29
2025-02-27Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-03-28
2025-02-27Health · complaintF0770Provide timely, quality laboratory services/tests to meet the needs of residents.D2025-03-28
2025-02-20Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2025-03-21
2025-02-11Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2025-02-28
2025-01-31Health · complaintF0552Ensure that residents are fully informed and understand their health status, care and treatments.D2025-02-28
2025-01-31Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2025-02-28
2025-01-10HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2025-02-07
2025-01-10HealthF0558Reasonably accommodate the needs and preferences of each resident.E2025-02-07
2025-01-10HealthF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.E2025-02-07
2025-01-10HealthF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.B2025-02-07
2025-01-10HealthF0638Assure that each resident’s assessment is updated at least once every 3 months.B2025-02-07
2025-01-10HealthF0641Ensure each resident receives an accurate assessment.E2025-02-07
2025-01-10HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E2025-02-07
2025-01-10HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2025-02-07
2025-01-10HealthF0679Provide activities to meet all resident's needs.E2025-02-07
2025-01-10HealthF0688Provide 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.E2025-02-07
2025-01-10HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-02-07
2025-01-10HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2025-02-07
2025-01-10HealthF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D2025-02-07
2025-01-10HealthF0730Observe each nurse aide's job performance and give regular training.D2025-02-07
2025-01-10HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2025-02-07
2025-01-10HealthF0759Ensure medication error rates are not 5 percent or greater.D2025-02-07
2025-01-10HealthF0760Ensure that residents are free from significant medication errors.D2025-02-07
2025-01-10HealthF0761Ensure 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.D2025-02-07
2025-01-10HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D2025-02-07
2025-01-10HealthF0814Dispose of garbage and refuse properly.D2025-02-07
2025-01-10HealthF0825Provide or get specialized rehabilitative services as required for a resident.E2025-02-07
2025-01-10HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E2025-02-07
2025-01-10HealthF0880Provide and implement an infection prevention and control program.D2025-02-07
2025-01-10HealthF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D2025-02-07
2024-12-31Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-01-31
2024-12-31Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D2025-01-31
2024-11-06Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2024-11-30
2024-11-06Health · complaintF0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.D2024-11-30
2024-10-16Health · complaintF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D2024-11-05
2024-10-16Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2024-11-05
2024-09-30Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2024-10-09
2024-09-30Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-10-09
2024-09-30Health · complaintF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D2024-10-09
2024-09-17Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2024-10-07
2024-09-17Health · complaintF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.D2024-10-07
2024-09-12Health · complaintF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.G2024-10-03
2024-09-04Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2024-10-04
2024-07-31Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2024-08-28
2024-07-26Health · complaintF0552Ensure that residents are fully informed and understand their health status, care and treatments.D2024-08-25
2024-07-26Health · complaintF0660Plan the resident's discharge to meet the resident's goals and needs.D2024-08-25
2024-07-26Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2024-08-25
2024-07-12Health · complaintF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.D2024-08-11
2024-07-02Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2024-08-01
2024-05-31Health · complaintF0625Notify 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.D2024-06-30
2024-04-17Health · complaintF0620Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.D2024-05-17
2024-04-17Health · complaintF0839Employ staff that are licensed, certified, or registered in accordance with state laws.D2024-05-17
2024-04-17Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2024-05-17
2024-03-27Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2024-04-26
2024-03-27Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-04-26
2024-03-27Health · complaintF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D2024-04-26
2023-12-28HealthF0554Allow residents to self-administer drugs if determined clinically appropriate.D2024-01-23
2023-12-28HealthF0558Reasonably accommodate the needs and preferences of each resident.D2024-01-23
2023-12-28HealthF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D2024-01-23
2023-12-28HealthF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.D2024-01-23
2023-12-28HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2024-01-23
2023-12-28Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2024-01-23
2023-12-28HealthF0693Ensure 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.D2024-01-23
2023-12-28HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2024-01-23
2023-12-28HealthF0697Provide safe, appropriate pain management for a resident who requires such services.D2024-01-23
2023-12-28HealthF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.E2024-01-23
2023-12-28HealthF0730Observe each nurse aide's job performance and give regular training.E2024-01-23
2023-12-28HealthF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.D2024-01-23
2023-12-28HealthF0758Implement 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.D2024-01-23
2023-12-28HealthF0803Ensure 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.D2024-01-23
2023-12-28Health · complaintF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2024-01-23
2023-12-28HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2024-01-23
2023-12-28HealthF0880Provide and implement an infection prevention and control program.D2024-01-23
2023-12-18Health · complaintF0880Provide and implement an infection prevention and control program.E2024-01-17
2023-12-17Health · 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.F2024-01-09
2023-11-28Health · complaintF0638Assure that each resident’s assessment is updated at least once every 3 months.D2023-12-27
2023-08-18Health · complaintF0880Provide and implement an infection prevention and control program.E2023-09-17
2023-08-18Health · complaintF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.D2023-09-17
2023-08-15Health · complaintF0558Reasonably accommodate the needs and preferences of each resident.D2023-09-25
2023-08-15Health · complaintF0693Ensure 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.G2023-09-25
2023-07-27Health · complaintF0760Ensure that residents are free from significant medication errors.E2023-08-26
2023-07-27Health · complaintF0880Provide and implement an infection prevention and control program.D2023-08-26
2023-07-20Health · complaintF0880Provide and implement an infection prevention and control program.D2023-08-19
2023-07-06Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2023-08-06
2023-07-06Health · complaintF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D2023-08-06
2023-07-05Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G2023-08-17
2023-07-05Health · complaintF0776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.D2023-08-17
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

49
OwnerRolePctFromStatusSource
ALAL LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2015-01-09currentpecos_ownership
CLAL INCCorporation, partnership or other organization has financial interest in provider100%2023-01-01currenthcris_a_8_1
CLAL INCCorporation, partnership or other organization has financial interest in provider100%2024-01-01currenthcris_a_8_1
ALAL LLCADP OF THE SNF—2016-04-21currentpecos_ownership
ASPEN HEALTHCARE SERVICES LLCADP OF THE SNF—2023-01-01currentpecos_ownership
ASPEN SKILLED HEALTHCARE INCADP OF THE SNF—2021-05-04currentpecos_ownership
BRADSHAW, JEFFREYADP OF THE SNF—2021-05-04currentpecos_ownership
BRADSHAW, JEFFREYINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF—2026-01-29currentpecos_ownership
BRADSHAW, PETERINDIRECT OWNERSHIP INTEREST—2023-07-07currentpecos_ownership
BRADY, VERNADP OF THE SNF—2021-05-04currentpecos_ownership
CASE, RYANADP OF THE SNF—2021-05-04currentpecos_ownership
CASLMON, TIMOTHYMANAGING CONTROL - GOVERNING BODY—2023-01-01currentpecos_ownership
CLAL, LLCADP OF THE SNF—2021-05-04currentpecos_ownership
COLLINS, MICHAELOPERATIONAL/MANAGERIAL CONTROL—2024-11-18currentpecos_ownership
ELSNER, ERICINDIRECT OWNERSHIP INTEREST—2016-04-21currentpecos_ownership
HEAP, JAMESOPERATIONAL/MANAGERIAL CONTROL—2025-02-16currentpecos_ownership
JACARANDA HEALTHCARE GROUP LLCADP OF THE SNF—2023-01-01currentpecos_ownership
JURADO, FRANKADP OF THE SNF—2023-01-01currentpecos_ownership
KIRKWOOD, JAREDINDIRECT OWNERSHIP INTEREST—2019-01-01currentpecos_ownership
MA, LISAADP OF THE SNF—2001-10-01currentpecos_ownership
ORGILL, CRAIGINDIRECT OWNERSHIP INTEREST—2019-01-01currentpecos_ownership
PARTI, RAJESHINDIRECT OWNERSHIP INTEREST—2016-04-21currentpecos_ownership
PARTI, SHRUTYINDIRECT OWNERSHIP INTEREST—2016-04-21currentpecos_ownership
PAXMAN, MARCUSINDIRECT OWNERSHIP INTEREST—2022-04-01currentpecos_ownership
PAXMAN, MARCUSADP OF THE SNF—2023-01-01currentpecos_ownership
THOMPSON, STEPHENADP OF THE SNF—2023-01-01currentpecos_ownership
ASPEN SKILLED HEALTHCARE INC5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2015-01-09ended 2026-05-18pecos_ownership
CLAL INCCorporation, partnership or other organization has financial interest in provider100%2022-01-01ended 2022-12-31hcris_a_8_1
CLAL INCCorporation, partnership or other organization has financial interest in provider100%2021-01-01ended 2021-12-31hcris_a_8_1
VERN BRADY5% OR GREATER INDIRECT OWNERSHIP INTEREST32%2015-01-09ended 2026-05-18pecos_ownership
RYAN CASE5% OR GREATER INDIRECT OWNERSHIP INTEREST32%2015-01-09ended 2026-05-18pecos_ownership
JEFFREY BRADSHAW5% OR GREATER INDIRECT OWNERSHIP INTEREST22%2015-01-09ended 2026-05-18pecos_ownership
ERIC ELSNERINDIRECT OWNERSHIP INTEREST4%2016-04-21ended 2026-05-18pecos_ownership
RAJESH PARTIINDIRECT OWNERSHIP INTEREST4%2016-04-21ended 2026-05-18pecos_ownership
SHRUTY PARTIINDIRECT OWNERSHIP INTEREST4%2016-04-21ended 2026-05-18pecos_ownership
CRAIG ORGILLINDIRECT OWNERSHIP INTEREST1%2019-01-01ended 2026-05-18pecos_ownership
JARED KIRKWOODINDIRECT OWNERSHIP INTEREST0%2019-01-01ended 2026-05-18pecos_ownership
PETER BRADSHAWINDIRECT OWNERSHIP INTEREST0%2023-07-07ended 2026-05-18pecos_ownership
MARCUS PAXMANINDIRECT OWNERSHIP INTEREST0%2022-04-01ended 2026-05-18pecos_ownership
FRANK JURADOADP OF THE SNF—2023-01-01ended 2026-05-18pecos_ownership
JAMES HEAPOPERATIONAL/MANAGERIAL CONTROL—2025-02-16ended 2026-05-18pecos_ownership
JEFFREY BRADSHAWADP OF THE SNF—2021-05-04ended 2026-05-18pecos_ownership
LISA MAADP OF THE SNF—2001-10-01ended 2026-05-18pecos_ownership
MARCUS PAXMANADP OF THE SNF—2023-01-01ended 2026-05-18pecos_ownership
MICHAEL COLLINSOPERATIONAL/MANAGERIAL CONTROL—2024-11-18ended 2026-05-18pecos_ownership
RYAN CASEADP OF THE SNF—2021-05-04ended 2026-05-18pecos_ownership
STEPHEN THOMPSONOPERATIONAL/MANAGERIAL CONTROL—2023-01-01ended 2026-05-18pecos_ownership
TIMOTHY CASLMONOPERATIONAL/MANAGERIAL CONTROL—2023-01-01ended 2026-05-18pecos_ownership
VERN BRADYADP OF THE SNF—2021-05-04ended 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
2016-02-01—ALAL LLCKEIRO NURSING HOMEchow

Comparable trades — CA snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-08-01Turlock Nursing & Rehabilitation Center———144TRACY RIDGE HEALTHCARE, INC.
2025-04-01ALAMITOS WEST HEALTH & REHABILITATION———150MALCOLM HEALTHCARE, INC.
2025-04-01PACIFIC HAVEN SUBACUTE AND HEALTHCARE CENTER———99STRAWBERRY POND HEALTHCARE LLC
2025-01-16GOLDEN HARBOR HEALTHCARE CENTER———99CEYLON HOLDINGS LLC
2024-12-30GRASS VALLEY HEALTHCARE CENTER———86HEISMAN LLC
2024-10-01REDWOOD GROVE POST ACUTE———144SOQUEL CARE LLC
2024-09-01OAK GROVE POST ACUTE———1194545 SHELLEY COURT OPCO, LLC
2024-08-01WE CARE SKILLED NURSING - FREMONT———99WE CARE SKILLED NURSING-FREMONT, LLC
2024-05-01MAJESTIC MOUNTAIN CARE CENTER———66OAKHURST SKILLED CARE LLC
2024-04-01THE BRADLEY GARDENS———44GHC OF SAN JACINTO LLC
2024-04-01SANTA FE POST-ACUTE———187SKILLED BOBIER LLC
2024-04-01BAYSHIRE SAN DIMAS POST-ACUTE———45SKILLED 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

36
GeoKindBRAmountAs ofSource
county 06037acs median gross0$1,5232024-12-31CENSUS_ACS5
county 06037fmr0$1,8632025-10-01HUD_USER_FMR
county 06037acs median gross1$1,7242024-12-31CENSUS_ACS5
county 06037fmr1$2,0852025-10-01HUD_USER_FMR
county 06037acs median gross2$2,1272024-12-31CENSUS_ACS5
county 06037fmr2$2,6012025-10-01HUD_USER_FMR
county 06037acs median gross3$2,4842024-12-31CENSUS_ACS5
county 06037fmr3$3,2982025-10-01HUD_USER_FMR
county 06037acs median gross4$2,8662024-12-31CENSUS_ACS5
county 06037fmr4$3,6722025-10-01HUD_USER_FMR
county 06037acs median gross5$2,7672024-12-31CENSUS_ACS5
county 06037acs median gross$1,9542024-12-31CENSUS_ACS5
county 06037acs recent mover gross$2,3582024-12-31CENSUS_ACS5
zcta 90031acs median gross0$1,1682024-12-31CENSUS_ACS5
zcta 90031acs median gross1$1,2142024-12-31CENSUS_ACS5
zcta 90031acs median gross2$1,5532024-12-31CENSUS_ACS5
zcta 90031acs median gross3$2,0602024-12-31CENSUS_ACS5
zcta 90031acs median gross4$1,8782024-12-31CENSUS_ACS5
zcta 90031acs median gross5$2,9422024-12-31CENSUS_ACS5
zcta 90031acs median gross$1,5312024-12-31CENSUS_ACS5
zcta 90031acs recent mover gross$1,8722024-12-31CENSUS_ACS5
zip 90031payment standard 1100$1,6832025-10-01HUD_USER_SAFMR
zip 90031payment standard 900$1,3772025-10-01HUD_USER_SAFMR
zip 90031safmr0$1,5302025-10-01HUD_USER_SAFMR
zip 90031payment standard 1101$1,8922025-10-01HUD_USER_SAFMR
zip 90031payment standard 901$1,5482025-10-01HUD_USER_SAFMR
zip 90031safmr1$1,7202025-10-01HUD_USER_SAFMR
zip 90031payment standard 1102$2,3542025-10-01HUD_USER_SAFMR
zip 90031payment standard 902$1,9262025-10-01HUD_USER_SAFMR
zip 90031safmr2$2,1402025-10-01HUD_USER_SAFMR
zip 90031payment standard 1103$2,9812025-10-01HUD_USER_SAFMR
zip 90031payment standard 903$2,4392025-10-01HUD_USER_SAFMR
zip 90031safmr3$2,7102025-10-01HUD_USER_SAFMR
zip 90031payment standard 1104$3,3222025-10-01HUD_USER_SAFMR
zip 90031payment standard 904$2,7182025-10-01HUD_USER_SAFMR
zip 90031safmr4$3,0202025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.
CII Terminal tearsheet · KEI-AI LOS ANGELES HEALTHCARE CENTER (555438) · generated 2026-08-05 · every number derives from public records (CMS Care Compare, PBJ, POS, penalty and survey files, state licensure registers) · scores are published model outputs with holdout metrics disclosed at cii-terminal.vercel.app/transparency