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 2026-08-04 22:40 UTC
Screener / 095031
A

INSPIRE REHABILITATION AND HEALTH CENTER LLC

snfDC
2131 O STREET NW, WASHINGTON, DC 20037 · CCN 095031 · chain ENHANCE THERAPIES MASTER PAYCO
Composite
23.8 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
180
Model
v1.2
Reads as: riskier than 23.8% 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 signals5Components16CHOW radar1Distress radar1Staffing16Penalties1Deficiencies83Licensure0Ownership16Related party0Transactions1Comps4Market rent34

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk79.876.50.300.230818.42in index
billing conduct56.742.20.300.230813.08in index
staffing risk28.128.20.250.19235.40in index
chow risk8.315.70.150.11540.96in index
financial risk0.64.50.300.23080.14in 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

5
KindFindingSignalSubjectFirst seen
connectionOwner spans multiple chains5 chainsAPEX GLOBAL SOLUTIONS LLC7 facilities
connectionOwner spans multiple chains5 chainsSCHIAVI WALLACE ROWE PC10 facilities
connectionOwner spans multiple chains5 chainsRYTES COMPANY LLC7 facilities
connectionOwner fleet enforcement cluster50% finedAPEX GLOBAL SOLUTIONS LLC8 facilities
connectionOwner fleet enforcement cluster40% finedSCHIAVI WALLACE ROWE PC10 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 typeScoreGradeModelStatusRegistry model notes
billing conduct42.2Bv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk23.3Av0.1-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 risk8.2Av0.6default · in composite
financial risk4.5Av0.5default · 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 12m0.0—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 risk76.5Dv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk28.2Bv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk56.4Cv0.1supersededPre-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 risk36.4Bv0.2supersededPre-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 risk26.4Bv0.3supersededPre-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 risk9.4Av0.4supersededPre-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 risk76.4Dv0.1supersededPre-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 risk76.4Dv0.2supersededPre-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 risk28.2Bv0.1supersededPre-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 risk28.2Bv0.2supersededPre-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
15.3
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)8.24-1.05
Occupancy0.97-0.80
For-profit ownership1.00+0.69
No PBJ staffing report0.00+0.42
Deficiencies, last 12 months17.00+0.24
Ownership changes, last 5 years0.00+0.20
Facility size (log beds)5.20-0.13
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 months17.00-1.72
Occupancy0.97-0.94
For-profit ownership1.00-0.69
Chain size (log)1.39+0.39
No PBJ staffing report0.00+0.39
Never sold on record0.00-0.28
Total nurse staffing (HPRD)3.70-0.20
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 facilityDC medianNational medianNational p25–p75
Total nurse3.704.453.282.90–3.77
RN0.631.020.390.25–0.58
Weekend total3.534.243.11—
Weekday total3.774.443.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q492175.03.700.630.682.403.530.0%
2025Q392176.83.660.550.662.453.490.0%
2025Q291175.73.680.540.742.413.400.0%
2025Q190173.63.680.610.662.413.300.0%
2024Q492173.84.000.650.802.563.500.0%
2024Q392175.73.870.540.782.553.490.0%
2024Q291173.83.710.650.702.363.280.0%
2024Q191176.03.650.620.732.303.190.0%
2023Q492173.83.710.540.752.423.170.0%
2023Q392176.13.510.530.712.273.040.0%
2023Q291174.93.900.570.872.463.400.0%
2023Q190174.54.100.590.862.643.600.0%
2022Q492169.14.060.630.862.573.530.0%
2022Q392167.23.680.680.822.173.150.0%
2022Q291161.03.060.140.792.122.460.0%
2022Q190159.03.120.190.842.082.560.0%
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

1
DateTypeFineSource
2023-08-09Fine$11,921CMS provider data
Total fines on record: $11,921

Deficiencies

83
D × 73E × 7F × 1G × 1J × 1
deficiencies by survey year
31161921232526
SurveyTypeTagDeficiencyScopeCorrected
2026-03-12Health · complaintF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.D2026-04-01
2026-03-12Health · 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.D2026-04-01
2026-03-12Health · complaintF0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.D2026-04-01
2026-03-12Health · complaintF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D2026-04-01
2026-03-12Health · complaintF0641Ensure each resident receives an accurate assessment.D2026-04-01
2026-03-12Health · complaintF0645PASARR screening for Mental disorders or Intellectual DisabilitiesD2026-04-01
2026-03-12Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2026-04-01
2026-03-12Health · complaintF0679Provide activities to meet all resident's needs.D2026-04-01
2026-03-12Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2026-04-01
2026-03-12Health · complaintF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D2026-04-01
2026-03-12Health · complaintF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.D2026-04-01
2026-03-12Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D2026-04-01
2026-03-12Health · complaintF0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.D2026-04-01
2026-03-12Health · complaintF0848Provide a neutral and fair arbitration process and agree to arbitrator and venue.D2026-04-01
2026-03-12Health · complaintF0880Provide and implement an infection prevention and control program.D2026-04-01
2026-03-12Health · complaintF0908Keep all essential equipment working safely.D2026-04-01
2026-03-12Health · complaintF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.D2026-04-01
2025-07-01Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-08-29
2025-07-01Health · complaintF0760Ensure that residents are free from significant medication errors.D2025-08-29
2025-07-01Health · complaintF0880Provide and implement an infection prevention and control program.D2025-08-29
2023-12-04Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2023-12-28
2023-12-04Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2023-12-28
2023-12-04Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2023-12-28
2023-12-04Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2023-12-28
2023-11-14Health · 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.D2023-12-08
2023-11-14Health · complaintF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D2023-12-08
2023-11-14Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2023-12-08
2023-11-14Health · complaintF0610Respond appropriately to all alleged violations.D2023-12-08
2023-11-14Health · 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.D2023-12-08
2023-11-14Health · complaintF0641Ensure each resident receives an accurate assessment.D2023-12-08
2023-11-14Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2023-12-08
2023-11-14Health · complaintF0688Provide 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.D2023-12-08
2023-11-14Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2023-12-08
2023-11-14Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2023-12-08
2023-11-14Health · complaintF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D2023-12-08
2023-11-14Health · complaintF0761Ensure 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.D2023-12-08
2023-11-14Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D2023-12-08
2023-11-14Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2023-12-08
2023-11-14Health · complaintF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D2023-12-08
2023-08-09Health · complaintF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD2023-09-05
2023-08-09Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2023-09-05
2023-08-09Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2023-09-05
2023-08-09Health · complaintF0761Ensure 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.D2023-09-05
2023-08-09Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2023-09-05
2022-08-05HealthF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.E2022-10-21
2022-08-05HealthF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.E2022-12-02
2022-08-05HealthF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2022-10-21
2022-08-05HealthF0610Respond appropriately to all alleged violations.E2022-12-02
2022-08-05HealthF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.D2022-10-21
2022-08-05HealthF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D2022-10-21
2022-08-05HealthF0625Notify 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.E2022-10-21
2022-08-05HealthF0635Provide doctor's orders for the resident's immediate care at the time the resident was admitted.D2022-10-21
2022-08-05HealthF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD2022-10-21
2022-08-05HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E2022-10-21
2022-08-05HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2022-10-21
2022-08-05HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2022-10-21
2022-08-05HealthF0679Provide activities to meet all resident's needs.D2022-10-21
2022-08-05HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G2022-10-21
2022-08-05HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2022-10-21
2022-08-05HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2022-12-02
2022-08-05HealthF0697Provide safe, appropriate pain management for a resident who requires such services.D2022-12-02
2022-08-05HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2022-10-21
2022-08-05HealthF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D2022-10-21
2022-08-05HealthF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.D2022-10-21
2022-08-05HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2022-12-02
2022-08-05HealthF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D2022-10-21
2022-08-05HealthF0761Ensure 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.D2022-10-21
2022-08-05HealthF0791Provide or obtain dental services for each resident.D2022-10-21
2022-08-05HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.D2022-10-21
2022-08-05HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D2022-12-02
2022-08-05HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2022-10-21
2022-08-05HealthF0880Provide and implement an infection prevention and control program.E2022-10-21
2022-08-05HealthF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F2022-10-21
2022-08-05HealthF0908Keep all essential equipment working safely.D2022-10-21
2022-08-05HealthF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D2022-10-21
2019-12-09HealthF0584Honor 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.E2020-01-26
2019-12-09HealthF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.D2020-01-26
2019-12-09HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2020-01-26
2019-12-09HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2020-01-26
2019-12-09HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2020-01-26
2019-12-09HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2020-01-26
2019-12-09HealthF0919Make sure that a working call system is available in each resident's bathroom and bathing area.D2020-01-26
2019-12-09HealthF0924Put firmly secured handrails on each side of hallways.D2020-01-26
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

16
OwnerRolePctFromStatusSource
ROOZ, EFRAIM5% OR GREATER DIRECT OWNERSHIP INTEREST80%2018-05-01currentpecos_ownership
ACTUALMEDS CORPORATIONOPERATIONAL/MANAGERIAL CONTROL—2025-04-01currentpecos_ownership
APEX GLOBAL SOLUTIONS LLCADP OF THE SNF—2025-04-01currentpecos_ownership
DYNAMIC FISCAL SERVICES, INC.ADP OF THE SNF—2025-04-01currentpecos_ownership
ENHANCE THERAPIES MASTER PAYCOADP OF THE SNF—2025-04-01currentpecos_ownership
HEALTH CONSULTING SERVICESADP OF THE SNF—2025-04-01currentpecos_ownership
HORWITZ, STUARTOPERATIONAL/MANAGERIAL CONTROL—2025-04-01currentpecos_ownership
MARSALLE CENTER ASSOCIATES INCADP OF THE SNF—2025-04-01currentpecos_ownership
MATTHEWS, EVETTEOPERATIONAL/MANAGERIAL CONTROL—2025-04-01currentpecos_ownership
RYTES COMPANY LLCADP OF THE SNF—2025-04-01currentpecos_ownership
SCHIAVI WALLACE & ROWE PCADP OF THE SNF—2025-04-01currentpecos_ownership
SMITH, DANIKAOPERATIONAL/MANAGERIAL CONTROL—2025-04-01currentpecos_ownership
EFRAIM ROOZ5% OR GREATER DIRECT OWNERSHIP INTEREST80%2018-05-01ended 2026-05-18pecos_ownership
DANIKA SMITHADP OF THE SNF—2025-04-01ended 2026-05-18pecos_ownership
EVETTE MATTHEWSMANAGING CONTROL - GOVERNING BODY—2025-04-01ended 2026-05-18pecos_ownership
STUART HORWITZOPERATIONAL/MANAGERIAL CONTROL—2025-04-01ended 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
2018-05-01—INSPIRE REHABILITATION AND HEALTH CENTER LLCBRINTON WOODS OF ROCK CREEK LLCchow

Comparable trades — DC snf

4
CloseFacilityPrice$/bedCap rateBedsBuyer
2020-09-01CAPITOL CITY REHAB AND HEALTHCARE CENTER———360CAPITOL CITY SNF LLC
2019-07-01ASCENSION LIVING CARROLL MANOR———252CARROLL MANOR
2018-05-01INSPIRE REHABILITATION AND HEALTH CENTER LLCthis facility———180INSPIRE REHABILITATION AND HEALTH CENTER LLC
2018-02-01SERENITY REHABILITATION AND HEALTH CENTER LLC———183SERENITY REHABILITATION AND HEALTH CENTER 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

34
GeoKindBRAmountAs ofSource
county 11001acs median gross0$1,7502024-12-31CENSUS_ACS5
county 11001fmr0$1,9532025-10-01HUD_USER_FMR
county 11001acs median gross1$1,9442024-12-31CENSUS_ACS5
county 11001fmr1$2,0152025-10-01HUD_USER_FMR
county 11001acs median gross2$2,0832024-12-31CENSUS_ACS5
county 11001fmr2$2,2462025-10-01HUD_USER_FMR
county 11001acs median gross3$2,5032024-12-31CENSUS_ACS5
county 11001fmr3$2,8352025-10-01HUD_USER_FMR
county 11001acs median gross4$3,3692024-12-31CENSUS_ACS5
county 11001fmr4$3,3322025-10-01HUD_USER_FMR
county 11001acs median gross5$3,0752024-12-31CENSUS_ACS5
county 11001acs median gross$1,9542024-12-31CENSUS_ACS5
county 11001acs recent mover gross$2,2522024-12-31CENSUS_ACS5
zcta 20037acs median gross0$1,9472024-12-31CENSUS_ACS5
zcta 20037acs median gross1$2,6392024-12-31CENSUS_ACS5
zcta 20037acs median gross2$3,5012024-12-31CENSUS_ACS5
zcta 20037acs median gross3$3,3832024-12-31CENSUS_ACS5
zcta 20037acs median gross$2,5382024-12-31CENSUS_ACS5
zcta 20037acs recent mover gross$2,3442024-12-31CENSUS_ACS5
zip 20037payment standard 1100$3,0802025-10-01HUD_USER_SAFMR
zip 20037payment standard 900$2,5202025-10-01HUD_USER_SAFMR
zip 20037safmr0$2,8002025-10-01HUD_USER_SAFMR
zip 20037payment standard 1101$3,1792025-10-01HUD_USER_SAFMR
zip 20037payment standard 901$2,6012025-10-01HUD_USER_SAFMR
zip 20037safmr1$2,8902025-10-01HUD_USER_SAFMR
zip 20037payment standard 1102$3,5422025-10-01HUD_USER_SAFMR
zip 20037payment standard 902$2,8982025-10-01HUD_USER_SAFMR
zip 20037safmr2$3,2202025-10-01HUD_USER_SAFMR
zip 20037payment standard 1103$4,4662025-10-01HUD_USER_SAFMR
zip 20037payment standard 903$3,6542025-10-01HUD_USER_SAFMR
zip 20037safmr3$4,0602025-10-01HUD_USER_SAFMR
zip 20037payment standard 1104$5,2582025-10-01HUD_USER_SAFMR
zip 20037payment standard 904$4,3022025-10-01HUD_USER_SAFMR
zip 20037safmr4$4,7802025-10-01HUD_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 · INSPIRE REHABILITATION AND HEALTH CENTER LLC (095031) · generated 2026-08-04 · 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