Composite
94.8 / 100 percentile
Screener / 505322
D
SPOKANE HEALTH & REHABILITATION
snfWASFF: SFF Candidate
NORTH 6025 ASSEMBLY, SPOKANE, WA 99205 · CCN 505322 · chain SAESSY IRREVOCABLE TRUST
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
125
Model
v1.2
Reads as: riskier than 94.8% 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 signals2Components16CHOW radar1Distress radar1Staffing16Penalties4Deficiencies100Licensure0Ownership12Related party4Transactions1Comps12Market rent36
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 97.8 | 96.7 | 0.30 | 0.2308 | 22.57 | in index |
| financial risk | 80.5 | 67.4 | 0.30 | 0.2308 | 18.58 | in index |
| billing conduct | 56.4 | 42.1 | 0.30 | 0.2308 | 13.02 | in index |
| staffing risk | 57.0 | 57.0 | 0.25 | 0.1923 | 10.96 | in index |
| chow risk | 51.2 | 49.4 | 0.15 | 0.1154 | 5.91 | in index |
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
ML signals — parallel engine
2| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +22.7 vs natl | WASH 6 SNF OPERATIONS HOLDINGS LLC | 6 facilities |
| connection | Owner fleet enforcement cluster | 50% fined | WASH 6 SNF OPERATIONS HOLDINGS LLC | 6 facilities |
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.
Component scores and registry models
16| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 42.1 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 25.0 | B | v0.1-pos | default · in composite | Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure. |
| chow risk | 73.8 | D | v0.6 | default · in composite | |
| financial risk | 67.4 | D | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.0 | — | v0.1 | default · in composite | R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite. |
| p chow 12m | 0.0 | — | v0.1 | default · in composite | R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite. |
| regulatory risk | 96.7 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 57.0 | C | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 55.6 | C | v0.1 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 35.6 | B | v0.2 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 59.1 | C | v0.3 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 69.7 | D | v0.4 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 96.7 | F | v0.1 | superseded | Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 96.7 | F | v0.2 | superseded | Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| staffing risk | 57.0 | C | v0.1 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| staffing risk | 57.0 | C | v0.2 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
CHOW radar — 12-month sale probability
full board →p(CHOW, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
12.1
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 3.33 | -1.52 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.93 | -0.67 | |
| Contract staffing share | 0.34 | +0.43 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 3.85 | +0.41 |
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
20.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 2.00 | +1.06 | |
| Chain size (log) | 3.85 | -1.04 | |
| Occupancy | 0.93 | -0.76 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Contract staffing share | 0.34 | +0.29 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 3.33 | -0.25 |
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 | WA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.18 | 3.70 | 3.28 | 2.90–3.77 |
| RN | 0.37 | 0.62 | 0.39 | 0.25–0.58 |
| Weekend total | 3.05 | 3.51 | 3.11 | — |
| Weekday total | 3.23 | 3.79 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 116.2 | 3.18 | 0.37 | 0.68 | 2.13 | 3.05 | 34.0% |
| 2025Q3 | 92 | 113.4 | 3.25 | 0.43 | 0.69 | 2.13 | 3.19 | 35.4% |
| 2025Q2 | 91 | 105.4 | 3.22 | 0.39 | 0.77 | 2.06 | 3.23 | 25.1% |
| 2025Q1 | 90 | 108.3 | 3.26 | 0.51 | 0.61 | 2.14 | 3.37 | 21.8% |
| 2024Q4 | 92 | 106.9 | 3.18 | 0.48 | 0.60 | 2.10 | 3.23 | 17.5% |
| 2024Q3 | 92 | 101.1 | 3.11 | 0.48 | 0.69 | 1.94 | 3.04 | 39.6% |
| 2024Q2 | 91 | 97.0 | 3.24 | 0.59 | 0.61 | 2.04 | 3.16 | 43.6% |
| 2024Q1 | 91 | 80.9 | 2.90 | 0.53 | 0.68 | 1.70 | 2.52 | 13.1% |
| 2023Q4 | 92 | 84.6 | 3.54 | 0.54 | 0.86 | 2.15 | 3.44 | 21.8% |
| 2023Q3 | 92 | 80.3 | 3.50 | 0.68 | 0.64 | 2.19 | 3.37 | 29.5% |
| 2023Q2 | 91 | 76.1 | 3.28 | 0.67 | 0.70 | 1.91 | 3.14 | 36.5% |
| 2023Q1 | 90 | 80.5 | 3.27 | 0.54 | 0.74 | 2.00 | 3.12 | 44.3% |
| 2022Q4 | 92 | 91.2 | 2.73 | 0.54 | 0.66 | 1.52 | 2.50 | 27.4% |
| 2022Q3 | 92 | 87.4 | 2.65 | 0.62 | 0.58 | 1.45 | 2.50 | 23.2% |
| 2022Q2 | 91 | 80.6 | 3.11 | 0.61 | 0.68 | 1.82 | 3.00 | 34.2% |
| 2022Q1 | 90 | 74.7 | 3.00 | 0.50 | 0.78 | 1.73 | 2.87 | 30.7% |
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
4fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-07-25 | Fine | $59,670 | CMS provider data |
| 2025-01-23 | Fine | $54,581 | CMS provider data |
| 2025-01-23 | Payment Denial | — | CMS provider data |
| 2023-12-20 | Fine | $44,090 | CMS provider data |
Total fines on record: $158,341
Deficiencies
100D × 41E × 47F × 6G × 5L × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-05 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-03-24 |
| 2025-08-08 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2025-09-03 |
| 2025-07-25 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2025-08-01 |
| 2025-04-24 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | 2025-06-10 |
| 2025-04-24 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2025-06-10 |
| 2025-04-24 | Health · complaint | F0572 | Give residents a notice of rights, rules, services and charges. | E | 2025-06-10 |
| 2025-04-24 | Health | F0578 | Honor 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. | E | 2025-06-10 |
| 2025-04-24 | Health | F0579 | Provide information about how to apply for and use Medicare and Medicaid benefits. | E | 2025-06-10 |
| 2025-04-24 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | 2025-06-10 |
| 2025-04-24 | Health | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | 2025-06-10 |
| 2025-04-24 | Health | F0620 | Not 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. | F | 2025-06-10 |
| 2025-04-24 | Health | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | E | 2025-06-10 |
| 2025-04-24 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | F | 2025-06-10 |
| 2025-04-24 | Health | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E | 2025-06-10 |
| 2025-04-24 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2025-06-10 |
| 2025-04-24 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | 2025-06-10 |
| 2025-04-24 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2025-06-10 |
| 2025-04-24 | Health | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2025-06-10 |
| 2025-04-24 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2025-06-10 |
| 2025-04-24 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | L | 2025-06-10 |
| 2025-04-24 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-06-10 |
| 2025-04-24 | Health | F0696 | Provide appropriate care/assistance for a resident with a prosthesis. | D | 2025-06-10 |
| 2025-04-24 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2025-06-10 |
| 2025-04-24 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | 2025-06-10 |
| 2025-04-24 | Health | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | 2025-06-10 |
| 2025-04-24 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | E | 2025-06-10 |
| 2025-04-24 | Health | F0732 | Post nurse staffing information every day. | E | 2025-06-10 |
| 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. | E | 2025-06-10 |
| 2025-04-24 | Health | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | E | 2025-06-10 |
| 2025-04-24 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2025-06-10 |
| 2025-04-24 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2025-06-10 |
| 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. | E | 2025-06-10 |
| 2025-04-24 | Health | F0843 | Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. | F | 2025-06-10 |
| 2025-04-24 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2025-06-10 |
| 2025-04-24 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2025-06-10 |
| 2025-04-24 | Health | F0881 | Implement a program that monitors antibiotic use. | E | 2025-06-10 |
| 2025-04-24 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2025-06-10 |
| 2025-04-24 | Health | F0908 | Keep all essential equipment working safely. | D | 2025-06-10 |
| 2025-04-24 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | 2025-06-10 |
| 2025-04-24 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2025-06-10 |
| 2025-04-03 | Health · complaint | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | E | 2025-04-17 |
| 2025-04-03 | Health · complaint | 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 | 2025-06-10 |
| 2025-03-25 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2025-06-10 |
| 2025-02-10 | Health · complaint | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2025-06-10 |
| 2025-02-10 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2025-06-10 |
| 2025-02-10 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | 2025-03-14 |
| 2025-02-10 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-03-14 |
| 2025-02-10 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2025-06-10 |
| 2025-01-23 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2025-06-10 |
| 2025-01-23 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-06-10 |
| 2025-01-23 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | E | 2025-06-10 |
| 2024-11-18 | Health · complaint | F0688 | Provide 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. | D | 2024-12-12 |
| 2024-11-18 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2024-12-12 |
| 2024-10-08 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-10-25 |
| 2024-10-08 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2024-10-25 |
| 2024-10-08 | Health · complaint | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | 2024-10-25 |
| 2024-08-29 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-09-20 |
| 2024-08-29 | Health · complaint | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | E | 2024-09-20 |
| 2024-08-29 | Health · complaint | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | 2024-09-20 |
| 2024-07-25 | Health · complaint | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | E | 2024-08-14 |
| 2024-07-25 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2024-08-14 |
| 2024-07-25 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2024-08-14 |
| 2024-07-25 | Health · complaint | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | 2024-08-14 |
| 2024-07-25 | Health · complaint | F0881 | Implement a program that monitors antibiotic use. | E | 2024-08-14 |
| 2024-05-29 | Health · complaint | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2024-06-28 |
| 2024-05-29 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-06-28 |
| 2024-05-29 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-06-28 |
| 2024-05-29 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | E | 2024-06-28 |
| 2024-05-29 | Health · complaint | 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 | 2024-04-05 |
| 2024-05-29 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-06-28 |
| 2024-01-19 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-02-15 |
| 2024-01-19 | Health · complaint | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | 2024-02-15 |
| 2024-01-19 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2024-02-15 |
| 2024-01-19 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-02-15 |
| 2024-01-19 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-02-15 |
| 2024-01-19 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-02-15 |
| 2024-01-19 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2024-02-15 |
| 2024-01-19 | Health · complaint | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2024-02-15 |
| 2024-01-19 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | G | 2024-02-15 |
| 2024-01-19 | Health · complaint | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | 2024-02-15 |
| 2024-01-19 | Health · complaint | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2024-02-15 |
| 2024-01-19 | Health · complaint | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | 2024-02-15 |
| 2024-01-19 | Health · complaint | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2024-02-15 |
| 2024-01-19 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2024-02-15 |
| 2024-01-19 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2024-02-15 |
| 2023-12-20 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-02-15 |
| 2023-12-20 | Health · complaint | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2024-02-15 |
| 2023-09-11 | Health · complaint | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | 2023-09-14 |
| 2023-07-20 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | 2023-08-25 |
| 2023-06-14 | Health · complaint | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | 2023-07-20 |
| 2023-06-14 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2023-07-20 |
| 2022-09-23 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2022-11-04 |
| 2022-09-23 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2022-11-04 |
| 2022-09-23 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2022-11-04 |
| 2022-09-23 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2022-11-04 |
| 2022-09-23 | Health | F0688 | Provide 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. | D | 2022-11-04 |
| 2022-09-23 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2022-11-04 |
| 2022-09-23 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2022-11-04 |
| 2022-09-23 | Health | F0881 | Implement a program that monitors antibiotic use. | E | 2022-11-04 |
| 2022-09-23 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2022-11-04 |
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.
Licensure actions
0No licensure actions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Ownership
12| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| WASH 6 SNF OPERATIONS HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2023-02-08 | current | pecos_ownership |
| IDELS, SHIMON | CORPORATE OFFICER | — | 2023-04-01 | current | pecos_ownership |
| SCHWARTZ, STEVEN | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-04-01 | current | pecos_ownership |
| SHIMON IDELS | CORPORATE OFFICER | 100% | 2023-04-01 | ended 2026-05-18 | pecos_ownership |
| STEVEN SCHWARTZ | CORPORATE OFFICER | 100% | 2023-04-01 | ended 2026-05-18 | pecos_ownership |
| WINSTON SNF OPERATIONS MANAGER LLC | OTHER | 100% | 2023-02-08 | ended 2026-05-18 | pecos_ownership |
| LION 26 HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 49% | 2023-02-08 | ended 2026-05-18 | pecos_ownership |
| SABRINA 1818 HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 49% | 2023-02-08 | ended 2026-05-18 | pecos_ownership |
| SAESSY IRREVOCABLE TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 46% | 2023-02-08 | ended 2026-05-18 | pecos_ownership |
| TATIRIQ IRREVOCABLE TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 46% | 2023-02-08 | ended 2026-05-18 | pecos_ownership |
| HEATHER BENNET-IDELS | OTHER | 0% | 2023-02-08 | ended 2026-05-18 | pecos_ownership |
| DANIEL GOTTESMAN | OTHER | — | 2023-02-08 | ended 2026-05-18 | pecos_ownership |
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Transactions
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2023-04-01 | — | WINSTON SNF OPERATIONS LLC | MANOR CARE OF SPOKANE WA, ASSOCIATION | chow |
Comparable trades — WA snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-06-01 | Bremerton Trails Post Acute | — | — | — | 125 | RINCON BEACH, LLC |
| 2025-06-01 | Othello Post Acute | — | — | — | 39 | DOHENY BEACH, LLC |
| 2025-06-01 | Edmonds Post Acute | — | — | — | 128 | SALT CREEK BEACH, LLC |
| 2025-05-21 | AURORA VALLEY CARE | — | — | — | 124 | AURORA VALLEY CARE LLC |
| 2025-05-21 | THREE RIVERS CARE | — | — | — | 83 | THREE RIVERS CARE LLC |
| 2025-05-21 | FIR LANE CARE | — | — | — | 135 | FIR LANE CARE LLC |
| 2025-05-21 | SPOKANE FALLS CARE | — | — | — | 100 | SPOKANE FALLS CARE LLC |
| 2025-05-01 | MARIANWOOD HEALTH AND REHABILITATION | — | — | — | 117 | LUNA VEGA HEALTHCARE LLC |
| 2025-04-01 | WOODARD CREEK HEALTH & REHABILITATION | — | — | — | 152 | WOODARD SNF OPERATIONS LLC |
| 2025-03-12 | Avalon Healthcare - Tacoma | — | — | — | 81 | AVALON HEALTHCARE-TACOMA LLC |
| 2025-03-01 | SOUTH HILL REHABILITATION AND CARE CENTER | — | — | — | 113 | LAST EMPIRE HEALTHCARE LLC |
| 2024-08-01 | PINE RIDGE POST ACUTE | — | — | — | 80 | PINE RIDGE 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| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 53063 | acs median gross | 0 | $1,049 | 2024-12-31 | CENSUS_ACS5 |
| county 53063 | fmr | 0 | $1,103 | 2025-10-01 | HUD_USER_FMR |
| county 53063 | acs median gross | 1 | $1,019 | 2024-12-31 | CENSUS_ACS5 |
| county 53063 | fmr | 1 | $1,193 | 2025-10-01 | HUD_USER_FMR |
| county 53063 | acs median gross | 2 | $1,299 | 2024-12-31 | CENSUS_ACS5 |
| county 53063 | fmr | 2 | $1,531 | 2025-10-01 | HUD_USER_FMR |
| county 53063 | acs median gross | 3 | $1,593 | 2024-12-31 | CENSUS_ACS5 |
| county 53063 | fmr | 3 | $2,088 | 2025-10-01 | HUD_USER_FMR |
| county 53063 | acs median gross | 4 | $1,963 | 2024-12-31 | CENSUS_ACS5 |
| county 53063 | fmr | 4 | $2,506 | 2025-10-01 | HUD_USER_FMR |
| county 53063 | acs median gross | 5 | $1,673 | 2024-12-31 | CENSUS_ACS5 |
| county 53063 | acs median gross | $1,283 | 2024-12-31 | CENSUS_ACS5 | |
| county 53063 | acs recent mover gross | $1,529 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 99205 | acs median gross | 0 | $968 | 2024-12-31 | CENSUS_ACS5 |
| zcta 99205 | acs median gross | 1 | $879 | 2024-12-31 | CENSUS_ACS5 |
| zcta 99205 | acs median gross | 2 | $1,278 | 2024-12-31 | CENSUS_ACS5 |
| zcta 99205 | acs median gross | 3 | $1,510 | 2024-12-31 | CENSUS_ACS5 |
| zcta 99205 | acs median gross | 4 | $1,954 | 2024-12-31 | CENSUS_ACS5 |
| zcta 99205 | acs median gross | 5 | $1,668 | 2024-12-31 | CENSUS_ACS5 |
| zcta 99205 | acs median gross | $1,316 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 99205 | acs recent mover gross | $1,504 | 2024-12-31 | CENSUS_ACS5 | |
| zip 99205 | payment standard 110 | 0 | $1,232 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99205 | payment standard 90 | 0 | $1,008 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99205 | safmr | 0 | $1,120 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99205 | payment standard 110 | 1 | $1,342 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99205 | payment standard 90 | 1 | $1,098 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99205 | safmr | 1 | $1,220 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99205 | payment standard 110 | 2 | $1,716 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99205 | payment standard 90 | 2 | $1,404 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99205 | safmr | 2 | $1,560 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99205 | payment standard 110 | 3 | $2,343 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99205 | payment standard 90 | 3 | $1,917 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99205 | safmr | 3 | $2,130 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99205 | payment standard 110 | 4 | $2,805 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99205 | payment standard 90 | 4 | $2,295 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99205 | safmr | 4 | $2,550 | 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.