1676 MEDICAL CTR DR., SAN BERNARDINO, CA 92411 · CCN 056107 · chain COMMONSPIRIT HEALTH
Composite
0.5 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
moderate
Certified beds
84
Model
v1.2
Reads as: riskier than 0.5% 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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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
9.73
3.95
3.28
2.90–3.77
RN
1.86
0.38
0.39
0.25–0.58
Weekend total
9.62
3.79
3.11
—
Weekday total
9.77
4.01
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
13.4
9.73
1.86
3.82
4.05
9.62
0.0%
2025Q3
92
15.9
8.68
1.58
3.34
3.76
8.66
0.0%
2025Q2
91
15.4
9.21
1.66
3.69
3.87
9.09
0.0%
2025Q1
90
12.8
9.80
1.94
3.85
4.00
9.74
0.0%
2024Q4
92
13.8
10.18
1.97
3.96
4.25
9.75
0.0%
2024Q3
92
16.5
9.83
1.63
4.02
4.19
9.42
0.0%
2024Q2
91
18.5
9.91
1.45
4.25
4.21
9.40
0.0%
2024Q1
91
20.9
9.17
1.32
4.01
3.85
8.77
0.0%
2023Q4
92
21.6
9.69
1.30
4.28
4.11
9.15
0.0%
2023Q3
92
25.6
3.23
0.40
1.53
1.29
2.68
0.0%
2023Q2
91
27.4
9.59
1.45
4.19
3.96
9.05
0.0%
2023Q1
90
28.6
10.02
1.15
4.70
4.17
9.57
0.0%
2022Q4
92
27.1
10.65
1.11
4.94
4.60
9.81
0.0%
2022Q3
92
28.9
10.74
1.15
4.75
4.84
10.04
0.0%
2022Q2
91
28.7
10.83
1.28
4.75
4.80
10.37
0.0%
2022Q1
90
31.5
10.06
1.14
4.70
4.22
9.36
0.0%
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.
Penalties
0
No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
13
D × 7E × 3F × 3
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-04-24
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
2025-05-13
2025-04-24
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2025-05-13
2025-04-24
Health
F0880
Provide and implement an infection prevention and control program.
F
2025-05-13
2025-04-24
Health
F0881
Implement a program that monitors antibiotic use.
E
2025-05-13
2024-05-29
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2024-06-29
2024-04-17
Health
F0880
Provide and implement an infection prevention and control program.
F
2024-05-22
2023-06-01
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2023-07-07
2022-10-20
Health
F0692
Provide enough food/fluids to maintain a resident's health.
D
2022-11-17
2022-10-20
Health
F0693
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
2022-11-17
2022-10-20
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.
F
2022-11-17
2022-10-20
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2022-11-17
2022-10-20
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
2022-11-17
2022-10-20
Health
F0880
Provide and implement an infection prevention and control program.
E
2022-11-17
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
36
Owner
Role
Pct
From
Status
Source
COLLISON, JUNE
CORPORATE OFFICER
—
2012-02-27
current
pecos_ownership
COMMONSPIRIT HEALTH
OPERATIONAL/MANAGERIAL CONTROL
—
2019-02-01
current
pecos_ownership
COMMUNITY HOSPITAL OF SAN BERNARDINO
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2020-03-01
current
pecos_ownership
DALY, GAIL
CORPORATE DIRECTOR
—
2018-01-01
current
pecos_ownership
DAVIS, CLAUDIA
CORPORATE DIRECTOR
—
2017-02-14
current
pecos_ownership
DIGNITY COMMUNITY CARE
5% OR GREATER DIRECT OWNERSHIP INTEREST
—
2019-02-01
current
pecos_ownership
EVANS, DAVID
W-2 MANAGING EMPLOYEE
—
2015-02-01
current
pecos_ownership
GONZALEZ, RICHARD
CORPORATE DIRECTOR
—
2017-02-14
current
pecos_ownership
HENLEY, NICOLE
CORPORATE DIRECTOR
—
2019-09-01
current
pecos_ownership
LEE, VICKI
CORPORATE DIRECTOR
—
2017-02-14
current
pecos_ownership
MAWAD, JOSEPH
CORPORATE DIRECTOR
—
2017-02-14
current
pecos_ownership
MYRELL, ANTONIO
CORPORATE DIRECTOR
—
2017-02-14
current
pecos_ownership
NEGUSSE, JOHNNY
CORPORATE DIRECTOR
—
2018-01-01
current
pecos_ownership
O'QUINN, MARVIN
OPERATIONAL/MANAGERIAL CONTROL
—
2021-01-01
current
pecos_ownership
PETERSDORF, JOHN
CORPORATE OFFICER
—
2019-02-01
current
pecos_ownership
RAMIREZ, GABRIEL
CORPORATE DIRECTOR
—
2017-02-14
current
pecos_ownership
SCHARMANN, STEVEN
CORPORATE OFFICER
—
2019-02-01
current
pecos_ownership
TESTA, NICHOLAS
CORPORATE DIRECTOR
—
2021-09-01
current
pecos_ownership
WENGER, RACHELLE
CORPORATE DIRECTOR
—
2017-02-14
current
pecos_ownership
JUNE COLLISON
W-2 MANAGING EMPLOYEE
100%
2012-02-27
ended 2026-05-18
pecos_ownership
DAVID EVANS
CORPORATE OFFICER
0%
2015-02-01
ended 2026-05-18
pecos_ownership
DIGNITY HEALTH
OTHER
0%
2019-02-01
ended 2026-05-18
pecos_ownership
JOHN PETERSDORF
CORPORATE OFFICER
0%
2019-02-01
ended 2026-05-18
pecos_ownership
MARVIN O'QUINN
OPERATIONAL/MANAGERIAL CONTROL
0%
2021-01-01
ended 2026-05-18
pecos_ownership
NICHOLAS TESTA
CORPORATE DIRECTOR
0%
2021-09-01
ended 2026-05-18
pecos_ownership
STEVEN SCHARMANN
CORPORATE OFFICER
0%
2019-02-01
ended 2026-05-18
pecos_ownership
ANTONIO MYRELL
CORPORATE DIRECTOR
—
2017-02-14
ended 2026-05-18
pecos_ownership
CLAUDIA DAVIS
CORPORATE DIRECTOR
—
2017-02-14
ended 2026-05-18
pecos_ownership
GABRIEL RAMIREZ
CORPORATE DIRECTOR
—
2017-02-14
ended 2026-05-18
pecos_ownership
GAIL DALY
CORPORATE DIRECTOR
—
2018-01-01
ended 2026-05-18
pecos_ownership
JOHNNY NEGUSSE
CORPORATE DIRECTOR
—
2018-01-01
ended 2026-05-18
pecos_ownership
JOSEPH MAWAD
CORPORATE DIRECTOR
—
2017-02-14
ended 2026-05-18
pecos_ownership
NICOLE HENLEY
CORPORATE DIRECTOR
—
2019-09-01
ended 2026-05-18
pecos_ownership
RACHELLE WENGER
CORPORATE DIRECTOR
—
2017-02-14
ended 2026-05-18
pecos_ownership
RICHARD GONZALEZ
CORPORATE DIRECTOR
—
2017-02-14
ended 2026-05-18
pecos_ownership
VICKI LEE
CORPORATE DIRECTOR
—
2017-02-14
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.
Related-party costs
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
Transactions
0
No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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 06071
acs median gross
0
$1,374
2024-12-31
CENSUS_ACS5
county 06071
fmr
0
$1,692
2025-10-01
HUD_USER_FMR
county 06071
acs median gross
1
$1,432
2024-12-31
CENSUS_ACS5
county 06071
fmr
1
$1,777
2025-10-01
HUD_USER_FMR
county 06071
acs median gross
2
$1,717
2024-12-31
CENSUS_ACS5
county 06071
fmr
2
$2,201
2025-10-01
HUD_USER_FMR
county 06071
acs median gross
3
$2,050
2024-12-31
CENSUS_ACS5
county 06071
fmr
3
$2,912
2025-10-01
HUD_USER_FMR
county 06071
acs median gross
4
$2,471
2024-12-31
CENSUS_ACS5
county 06071
fmr
4
$3,514
2025-10-01
HUD_USER_FMR
county 06071
acs median gross
5
$2,796
2024-12-31
CENSUS_ACS5
county 06071
acs median gross
$1,801
2024-12-31
CENSUS_ACS5
county 06071
acs recent mover gross
$2,184
2024-12-31
CENSUS_ACS5
zcta 92411
acs median gross
0
$1,510
2024-12-31
CENSUS_ACS5
zcta 92411
acs median gross
1
$876
2024-12-31
CENSUS_ACS5
zcta 92411
acs median gross
2
$1,372
2024-12-31
CENSUS_ACS5
zcta 92411
acs median gross
3
$1,679
2024-12-31
CENSUS_ACS5
zcta 92411
acs median gross
4
$2,178
2024-12-31
CENSUS_ACS5
zcta 92411
acs median gross
$1,415
2024-12-31
CENSUS_ACS5
zcta 92411
acs recent mover gross
$1,668
2024-12-31
CENSUS_ACS5
zip 92411
payment standard 110
0
$1,760
2025-10-01
HUD_USER_SAFMR
zip 92411
payment standard 90
0
$1,440
2025-10-01
HUD_USER_SAFMR
zip 92411
safmr
0
$1,600
2025-10-01
HUD_USER_SAFMR
zip 92411
payment standard 110
1
$1,837
2025-10-01
HUD_USER_SAFMR
zip 92411
payment standard 90
1
$1,503
2025-10-01
HUD_USER_SAFMR
zip 92411
safmr
1
$1,670
2025-10-01
HUD_USER_SAFMR
zip 92411
payment standard 110
2
$2,288
2025-10-01
HUD_USER_SAFMR
zip 92411
payment standard 90
2
$1,872
2025-10-01
HUD_USER_SAFMR
zip 92411
safmr
2
$2,080
2025-10-01
HUD_USER_SAFMR
zip 92411
payment standard 110
3
$3,058
2025-10-01
HUD_USER_SAFMR
zip 92411
payment standard 90
3
$2,502
2025-10-01
HUD_USER_SAFMR
zip 92411
safmr
3
$2,780
2025-10-01
HUD_USER_SAFMR
zip 92411
payment standard 110
4
$3,718
2025-10-01
HUD_USER_SAFMR
zip 92411
payment standard 90
4
$3,042
2025-10-01
HUD_USER_SAFMR
zip 92411
safmr
4
$3,380
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.