CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT 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: 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 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 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)ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT 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: 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 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 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 22:05 UTC
Screener / 385237
B

FERNHILL REHABILITATION AND CARE

snfOR
5737 NE 37TH AVENUE, PORTLAND, OR 97211 · CCN 385237 · chain SAPPHIRE HEALTHCARE SRVS
Composite
48.1 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
63
Model
v1.2
Reads as: riskier than 48.1% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.

Composite explanation

4
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk75.972.30.300.300022.77in index
financial risk53.747.80.300.300016.11in index
chow risk39.844.10.150.15005.97in index
staffing risk11.611.70.250.25002.90in 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
KindFindingSignalSubjectFirst seen
connectionOwner fleet risk far above national+23.4 vs natlBHUMKAR NISHITA5 facilities
connectionOwner spans multiple chains5 chainsBHUMKAR NISHITA5 facilities
connectionOwner fleet enforcement cluster40% finedBHUMKAR NISHITA5 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

15
Score typeScoreGradeModelStatusRegistry model notes
chow risk24.1Av0.1-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 risk64.0Cv0.6default · in composite
financial risk47.8Cv0.5default · in compositeR18.
p adverse action 12m0.0v0.1default · in compositeR23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite.
p chow 12m0.0v0.1default · 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 risk72.3Dv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk11.7Av0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk70.4Dv0.1supersededPre-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 risk50.4Cv0.2supersededPre-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 risk34.5Bv0.3supersededPre-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 risk53.9Cv0.4supersededPre-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 risk72.2Dv0.1supersededPre-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 risk72.2Dv0.2supersededPre-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 risk11.7Av0.1supersededPre-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 risk11.7Av0.2supersededPre-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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
7.0
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)2.91-1.56
Ownership changes, last 5 years1.00-0.87
For-profit ownership1.00+0.69
No PBJ staffing report0.00+0.42
Total nurse staffing (HPRD)4.27-0.24
Deficiencies, last 12 months13.00+0.14
Occupancy0.71-0.04
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
DriverValuePull on odds
Deficiencies, last 12 months13.00-0.98
For-profit ownership1.00-0.69
Total nurse staffing (HPRD)4.27-0.44
No PBJ staffing report0.00+0.39
Never sold on record0.00-0.28
Current owner tenure (years)2.91-0.25
Ownership changes, last 5 years1.00+0.23
Fine amount, 12m (log)0.00+0.18
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 facilityOR medianNational medianNational p25–p75
Total nurse4.274.203.282.90–3.77
RN0.600.410.390.25–0.58
Weekend total4.133.993.11
Weekday total4.324.273.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49244.84.270.600.643.034.135.4%
2025Q39242.14.820.620.603.614.689.2%
2025Q29144.04.040.530.622.893.853.0%
2025Q19043.74.770.580.663.544.715.4%
2024Q49242.34.280.630.563.094.204.2%
2024Q39244.44.670.520.463.704.689.4%
2024Q29143.94.550.630.433.494.406.8%
2024Q19143.34.030.670.263.103.5317.1%
2023Q49241.24.090.630.243.213.8420.1%
2023Q39239.00.000.000.000.000.00
2023Q29136.63.600.760.102.733.3922.7%
2023Q19032.53.750.580.392.783.6722.1%
2022Q49226.03.300.540.542.223.1914.5%
2022Q39226.33.400.550.622.243.1725.3%
2022Q29129.43.420.460.662.313.0222.3%
2022Q19030.13.640.520.632.503.5431.8%
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

1
DateTypeFineSource
2025-04-28Fine$8,278CMS provider data
Total fines on record: $8,278

Deficiencies

61
B × 1D × 47E × 11F × 1G × 1
deficiencies by survey year
271422232425
SurveyTypeTagDeficiencyScopeCorrected
2025-08-08Health · complaintF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.D2025-09-09
2025-08-08HealthF0565Honor the resident's right to organize and participate in resident/family groups in the facility.E2025-09-09
2025-08-08HealthF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.D2025-09-09
2025-08-08HealthF0585Honor 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.E2025-09-09
2025-08-08Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2025-09-09
2025-08-08Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-09-09
2025-08-08HealthF0641Ensure each resident receives an accurate assessment.D2025-09-09
2025-08-08HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-09-09
2025-08-08HealthF0679Provide activities to meet all resident's needs.D2025-09-09
2025-08-08HealthF0685Assist a resident in gaining access to vision and hearing services.D2025-09-09
2025-08-08Health · complaintF0732Post nurse staffing information every day.B2025-09-09
2025-08-08HealthF0791Provide or obtain dental services for each resident.D2025-09-09
2025-08-08HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2025-09-09
2025-06-17Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-06-09
2025-04-28Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2025-05-14
2025-04-28Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2025-05-14
2025-04-28Health · complaintF0760Ensure that residents are free from significant medication errors.D2025-05-14
2024-12-05Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-01-06
2024-12-05Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-01-06
2024-03-22HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2024-05-08
2024-03-22HealthF0554Allow residents to self-administer drugs if determined clinically appropriate.D2024-05-08
2024-03-22HealthF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D2024-05-08
2024-03-22Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2024-05-08
2024-03-22HealthF0583Keep residents' personal and medical records private and confidential.D2024-05-08
2024-03-22HealthF0584Honor 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.E2024-05-08
2024-03-22Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2024-05-08
2024-03-22Health · complaintF0602Protect each resident from the wrongful use of the resident's belongings or money.D2024-05-08
2024-03-22HealthF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.D2024-05-08
2024-03-22HealthF0641Ensure each resident receives an accurate assessment.D2024-05-08
2024-03-22HealthF0645PASARR screening for Mental disorders or Intellectual DisabilitiesE2024-05-08
2024-03-22HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2024-05-08
2024-03-22HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2024-05-08
2024-03-22HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2024-05-08
2024-03-22HealthF0679Provide activities to meet all resident's needs.E2024-05-08
2024-03-22Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-05-08
2024-03-22HealthF0688Provide 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.D2024-05-08
2024-03-22HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-05-08
2024-03-22HealthF0697Provide safe, appropriate pain management for a resident who requires such services.D2024-05-08
2024-03-22HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2024-05-08
2024-03-22HealthF0759Ensure medication error rates are not 5 percent or greater.D2024-05-08
2024-03-22Health · complaintF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2024-05-08
2024-03-22HealthF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.E2024-05-08
2024-03-22HealthF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.E2024-05-08
2024-03-22HealthF0880Provide and implement an infection prevention and control program.D2024-05-08
2023-06-01HealthF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.E2023-06-20
2022-12-20HealthF0552Ensure that residents are fully informed and understand their health status, care and treatments.D2023-01-09
2022-12-20HealthF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.D2023-01-09
2022-12-20HealthF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2023-01-09
2022-12-20HealthF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.D2023-01-09
2022-12-20HealthF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.D2023-01-09
2022-12-20HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2023-01-09
2022-12-20HealthF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D2023-01-09
2022-12-20HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2023-01-09
2022-12-20HealthF0679Provide activities to meet all resident's needs.D2023-01-09
2022-12-20HealthF0688Provide 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.D2023-01-09
2022-12-20HealthF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.D2023-01-09
2022-12-20HealthF0759Ensure medication error rates are not 5 percent or greater.D2023-01-09
2022-12-20HealthF0825Provide or get specialized rehabilitative services as required for a resident.D2023-01-09
2022-12-20HealthF0880Provide and implement an infection prevention and control program.D2023-01-09
2022-12-20HealthF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F2023-01-09
2022-12-20HealthF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.D2023-01-09
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

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

20
OwnerRolePctFromStatusSource
RICKER, KEVIN5% OR GREATER DIRECT OWNERSHIP INTEREST40%2023-09-01currentpecos_ownership
BECKER, ANDREW5% OR GREATER DIRECT OWNERSHIP INTEREST30%2023-09-01currentpecos_ownership
HILTY, LISA5% OR GREATER DIRECT OWNERSHIP INTEREST25%2023-09-01currentpecos_ownership
MORRIS, BRYAN5% OR GREATER DIRECT OWNERSHIP INTEREST5%2023-09-01currentpecos_ownership
BHUMKAR, NISHITAOPERATIONAL/MANAGERIAL CONTROL2025-01-01currentpecos_ownership
MCKAY, ALEXADP OF THE SNF2024-07-23currentpecos_ownership
SAPPHIRE HEALTHCARE SRVS.ADP OF THE SNF2025-06-30currentpecos_ownership
SAPPHIRE HEALTHCARE SRVS.OPERATIONAL/MANAGERIAL CONTROL2023-11-28currentpecos_ownership
ANDY BECKEROPERATIONAL/MANAGERIAL CONTROL100%2023-06-01ended 2026-04-01pecos_ownership
KEVIN RICKER5% OR GREATER DIRECT OWNERSHIP INTEREST40%2023-09-01ended 2026-05-18pecos_ownership
KEVIN RICKER5% OR GREATER DIRECT OWNERSHIP INTEREST40%2023-11-28ended 2026-04-01pecos_ownership
ANDY BECKER5% OR GREATER DIRECT OWNERSHIP INTEREST30%2023-09-01ended 2026-05-18pecos_ownership
ANDY BECKER5% OR GREATER DIRECT OWNERSHIP INTEREST25%2023-11-28ended 2026-04-01pecos_ownership
LISA HILTY5% OR GREATER DIRECT OWNERSHIP INTEREST25%2023-09-01ended 2026-05-18pecos_ownership
LISA HILTY5% OR GREATER DIRECT OWNERSHIP INTEREST25%2023-11-28ended 2026-04-01pecos_ownership
BRYAN MORRIS5% OR GREATER DIRECT OWNERSHIP INTEREST5%2023-09-01ended 2026-05-18pecos_ownership
BRYAN MORRIS5% OR GREATER DIRECT OWNERSHIP INTEREST5%2023-11-28ended 2026-04-01pecos_ownership
TYLER NELSONCORPORATE OFFICER0%2022-11-28ended 2026-04-01pecos_ownership
ALEX MCKAYADP OF THE SNF2024-07-23ended 2026-05-18pecos_ownership
NISHITA BHUMKAROPERATIONAL/MANAGERIAL CONTROL2025-01-01ended 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
2023-09-01SAPPHIRE AT FERNHILL LLCFERNHILL ESTATES LLCchow

Comparable trades — OR snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-08-04Mt. Tabor Health & Rehabilitation120MT TABOR SNF OPERATIONS LLC
2025-08-01LAURELHURST POST ACUTE & REHABILITATION159LAURELHURST SNF OPERATIONS LLC
2025-06-01SAINT HELENS POST ACUTE92MAVERICKS BEACH, LLC
2025-04-01MT ANGEL HEALTH AND REHABILITATION93REX ROAD HEALTHCARE LLC
2024-12-01VILLAGE HEALTH CARE106VILLAGE SNF OPERATIONS LLC
2024-10-01ROBISON JEWISH HEALTH CENTER92BOUNDARY STREET SNF, LLC
2024-09-01WILLOWBROOK POST ACUTE59WILLOWBROOK SNF HEALTHCARE LLC
2024-09-01REEDWOOD POST ACUTE64CRESTON SNF HEALTHCARE LLC
2024-09-01COTTAGE GROVE POST ACUTE80COTTAGE GROVE SNF HEALTHCARE LLC
2024-09-01FOREST GROVE POST ACUTE114FOREST GROVE SNF HEALTHCARE LLC
2024-09-01EVERGREEN POST ACUTE55EVERGREEN SNF HEALTHCARE LLC
2024-09-01HOOD RIVER POST ACUTE100HOOD RIVER SNF HEALTHCARE 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 41051acs median gross0$1,3262024-12-31CENSUS_ACS5
county 41051fmr0$1,5702025-10-01HUD_USER_FMR
county 41051acs median gross1$1,4812024-12-31CENSUS_ACS5
county 41051fmr1$1,6772025-10-01HUD_USER_FMR
county 41051acs median gross2$1,7512024-12-31CENSUS_ACS5
county 41051fmr2$1,9222025-10-01HUD_USER_FMR
county 41051acs median gross3$2,1332024-12-31CENSUS_ACS5
county 41051fmr3$2,6192025-10-01HUD_USER_FMR
county 41051acs median gross4$2,4452024-12-31CENSUS_ACS5
county 41051fmr4$3,1092025-10-01HUD_USER_FMR
county 41051acs median gross5$2,4512024-12-31CENSUS_ACS5
county 41051acs median gross$1,6462024-12-31CENSUS_ACS5
county 41051acs recent mover gross$1,7552024-12-31CENSUS_ACS5
zcta 97211acs median gross0$1,1152024-12-31CENSUS_ACS5
zcta 97211acs median gross1$1,6272024-12-31CENSUS_ACS5
zcta 97211acs median gross2$2,0302024-12-31CENSUS_ACS5
zcta 97211acs median gross3$2,4042024-12-31CENSUS_ACS5
zcta 97211acs median gross4$2,6362024-12-31CENSUS_ACS5
zcta 97211acs median gross5$1,8642024-12-31CENSUS_ACS5
zcta 97211acs median gross$1,8632024-12-31CENSUS_ACS5
zcta 97211acs recent mover gross$1,9622024-12-31CENSUS_ACS5
zip 97211payment standard 1100$1,9582025-10-01HUD_USER_SAFMR
zip 97211payment standard 900$1,6022025-10-01HUD_USER_SAFMR
zip 97211safmr0$1,7802025-10-01HUD_USER_SAFMR
zip 97211payment standard 1101$2,0902025-10-01HUD_USER_SAFMR
zip 97211payment standard 901$1,7102025-10-01HUD_USER_SAFMR
zip 97211safmr1$1,9002025-10-01HUD_USER_SAFMR
zip 97211payment standard 1102$2,3982025-10-01HUD_USER_SAFMR
zip 97211payment standard 902$1,9622025-10-01HUD_USER_SAFMR
zip 97211safmr2$2,1802025-10-01HUD_USER_SAFMR
zip 97211payment standard 1103$3,2672025-10-01HUD_USER_SAFMR
zip 97211payment standard 903$2,6732025-10-01HUD_USER_SAFMR
zip 97211safmr3$2,9702025-10-01HUD_USER_SAFMR
zip 97211payment standard 1104$3,8832025-10-01HUD_USER_SAFMR
zip 97211payment standard 904$3,1772025-10-01HUD_USER_SAFMR
zip 97211safmr4$3,5302025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.