Composite
81.2 / 100 percentile
Screener / 555286
C
NEW ORANGE HILLS
snfCA
5017 E. CHAPMAN AVENUE, ORANGE, CA 92869 · CCN 555286 · chain THE ENSIGN GROUP INC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
145
Model
v1.2
Reads as: riskier than 81.2% 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 model4ML signals3Components13CHOW radar1Distress radar1Staffing15Penalties2Deficiencies82Licensure0Ownership19Related party6Transactions1Comps12Market rent35
Composite explanation
4| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| billing conduct | 94.3 | 64.5 | 0.30 | 0.2857 | 26.94 | in index |
| regulatory risk | 83.3 | 80.3 | 0.30 | 0.2857 | 23.80 | in index |
| chow risk | 49.2 | 47.3 | 0.15 | 0.1429 | 7.03 | in index |
| financial risk | 11.6 | 20.5 | 0.30 | 0.2857 | 3.31 | 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
3| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner spans multiple chains | 18 chains | ENSIGN SERVICES INC | 286 facilities |
| connection | Owner spans multiple chains | 17 chains | BURNAM SOON | 335 facilities |
| connection | Owner spans multiple chains | 17 chains | KEETCH CHAD | 283 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
13| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 64.5 | C | 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 | 69.6 | D | v0.6 | default · in composite | |
| financial risk | 20.5 | A | 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 | 80.3 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| financial risk | 86.4 | F | 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 | 66.4 | D | 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 | 39.7 | B | 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 | 26.2 | B | 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 | 80.3 | 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 | 80.3 | 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. |
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) | 3.49 | -1.51 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| Chain size (log) | 5.46 | +0.76 | |
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.93 | -0.68 | |
| Deficiencies, last 12 months | 25.00 | +0.44 | |
| No PBJ staffing report | 0.00 | +0.42 |
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
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 25.00 | -3.21 | |
| Chain size (log) | 5.46 | -1.98 | |
| Occupancy | 0.93 | -0.77 | |
| For-profit ownership | 1.00 | -0.69 | |
| Total nurse staffing (HPRD) | 4.82 | -0.68 | |
| Fine amount, 12m (log) | 9.45 | -0.51 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 |
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
15| 2025Q3 HPRD | This facility | CA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 4.82 | 3.95 | 3.28 | 2.90–3.77 |
| RN | 0.40 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 4.51 | 3.79 | 3.11 | — |
| Weekday total | 4.94 | 4.01 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q3 | 92 | 135.1 | 4.82 | 0.40 | 2.03 | 2.39 | 4.51 | 0.0% |
| 2025Q2 | 91 | 132.7 | 4.81 | 0.42 | 2.03 | 2.36 | 4.53 | 0.0% |
| 2025Q1 | 90 | 133.0 | 4.75 | 0.41 | 1.98 | 2.36 | 4.52 | 2.6% |
| 2024Q4 | 92 | 133.3 | 4.76 | 0.40 | 2.00 | 2.37 | 4.57 | 4.0% |
| 2024Q3 | 92 | 136.0 | 4.81 | 0.42 | 2.02 | 2.37 | 4.60 | 7.1% |
| 2024Q2 | 91 | 134.3 | 4.69 | 0.40 | 2.01 | 2.28 | 4.46 | 9.0% |
| 2024Q1 | 91 | 131.7 | 4.75 | 0.40 | 2.06 | 2.30 | 4.45 | 6.2% |
| 2023Q4 | 92 | 132.4 | 4.82 | 0.41 | 2.13 | 2.29 | 4.41 | 10.4% |
| 2023Q3 | 92 | 135.6 | 4.80 | 0.40 | 2.05 | 2.36 | 4.41 | 17.7% |
| 2023Q2 | 91 | 130.1 | 4.95 | 0.42 | 2.17 | 2.37 | 4.51 | 23.0% |
| 2023Q1 | 90 | 135.4 | 4.08 | 0.38 | 1.89 | 1.82 | 3.54 | 19.1% |
| 2022Q4 | 92 | 122.0 | 4.10 | 0.34 | 1.70 | 2.06 | 3.31 | 17.6% |
| 2022Q3 | 92 | 125.0 | 4.97 | 0.45 | 1.96 | 2.56 | 4.67 | 29.4% |
| 2022Q2 | 91 | 122.1 | 4.72 | 0.43 | 1.89 | 2.40 | 4.30 | 17.8% |
| 2022Q1 | 90 | 122.0 | 4.83 | 0.43 | 2.00 | 2.39 | 4.53 | 21.8% |
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
2| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-11-10 | Fine | $12,735 | CMS provider data |
| 2025-11-10 | Payment Denial | — | CMS provider data |
Total fines on record: $12,735
Deficiencies
82B × 9D × 67E × 5G × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-02-18 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2026-03-13 |
| 2026-02-18 | Health | F0583 | Keep residents' personal and medical records private and confidential. | D | 2026-03-13 |
| 2026-02-18 | 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 | 2026-03-13 |
| 2026-02-18 | Health | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | 2026-03-13 |
| 2026-02-18 | 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 | 2026-03-13 |
| 2026-02-18 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | B | 2026-03-13 |
| 2026-02-18 | Health | F0687 | Provide appropriate foot care. | D | 2026-03-13 |
| 2026-02-18 | Health | 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 | 2026-03-13 |
| 2026-02-18 | Health | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2026-03-13 |
| 2026-02-18 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2026-03-13 |
| 2026-02-18 | Health | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | 2026-03-13 |
| 2026-02-18 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | B | 2026-03-13 |
| 2026-02-18 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2026-03-13 |
| 2026-02-18 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2026-03-13 |
| 2026-02-18 | Health | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | 2026-03-13 |
| 2026-02-18 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | 2026-03-13 |
| 2026-02-18 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2026-03-13 |
| 2026-02-18 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B | 2026-03-13 |
| 2026-02-18 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2026-03-13 |
| 2026-02-18 | Health | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | 2026-03-13 |
| 2025-11-26 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-12-08 |
| 2025-11-26 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B | 2025-12-08 |
| 2025-11-10 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2025-12-23 |
| 2025-09-18 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-10-10 |
| 2025-08-06 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-08-13 |
| 2025-07-10 | Health · complaint | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | 2025-07-30 |
| 2025-05-14 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-06-04 |
| 2025-05-14 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-06-04 |
| 2025-05-14 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B | 2025-06-04 |
| 2025-05-14 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-06-04 |
| 2025-02-28 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-03-20 |
| 2025-02-28 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-03-20 |
| 2025-01-07 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | B | 2025-01-28 |
| 2024-11-15 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | B | 2024-12-14 |
| 2024-11-15 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-12-14 |
| 2024-11-15 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-12-14 |
| 2024-11-15 | 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 | 2024-12-14 |
| 2024-11-15 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-12-14 |
| 2024-11-15 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-12-14 |
| 2024-11-15 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-12-14 |
| 2024-11-15 | Health | 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 | 2024-12-14 |
| 2024-11-15 | Health | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2024-12-14 |
| 2024-11-15 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-12-14 |
| 2024-11-15 | Health | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | 2024-12-14 |
| 2024-11-15 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-12-14 |
| 2024-11-15 | Health | 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 | 2024-12-14 |
| 2024-11-15 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2024-12-14 |
| 2024-11-15 | Health | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | 2024-12-14 |
| 2024-11-15 | Health | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | 2024-12-14 |
| 2024-11-15 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-12-14 |
| 2024-11-15 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-12-14 |
| 2024-11-15 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2024-12-14 |
| 2024-11-15 | Health · complaint | F0881 | Implement a program that monitors antibiotic use. | D | 2024-12-14 |
| 2024-08-01 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | B | 2024-08-12 |
| 2024-05-30 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | B | 2024-06-14 |
| 2024-03-21 | 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. | D | 2024-04-13 |
| 2024-03-21 | Health · complaint | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2024-04-13 |
| 2024-03-21 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-04-12 |
| 2024-03-12 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-03-27 |
| 2024-01-24 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-02-15 |
| 2024-01-24 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-02-15 |
| 2024-01-24 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-02-15 |
| 2023-12-13 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-12-29 |
| 2023-12-13 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2023-12-29 |
| 2023-11-17 | Health · complaint | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2023-12-05 |
| 2023-10-23 | Health · complaint | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | 2023-11-07 |
| 2023-08-30 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2023-09-12 |
| 2023-08-30 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2023-09-12 |
| 2023-08-30 | Health · complaint | F0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | D | 2023-09-12 |
| 2022-05-16 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2022-06-16 |
| 2022-05-16 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2022-06-16 |
| 2022-05-16 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2022-06-16 |
| 2022-05-16 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2022-06-16 |
| 2022-05-16 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2022-06-16 |
| 2022-05-16 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2022-06-16 |
| 2022-05-16 | Health | 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 | 2022-06-16 |
| 2022-05-16 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2022-06-16 |
| 2022-05-16 | Health | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | 2022-06-16 |
| 2022-05-16 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2022-06-16 |
| 2022-05-16 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2022-06-16 |
| 2022-05-16 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2022-06-16 |
| 2022-05-16 | Health | F0908 | Keep all essential equipment working safely. | D | 2022-06-16 |
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
19| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| BABU, JOOBY | ADP OF THE SNF | — | 2023-02-01 | current | pecos_ownership |
| BURNAM, SOON | CORPORATE OFFICER | — | 2022-11-08 | current | pecos_ownership |
| ENSIGN SERVICES INC | ADP OF THE SNF | — | 2022-11-01 | current | pecos_ownership |
| KEETCH, CHAD | CORPORATE OFFICER | — | 2011-03-01 | current | pecos_ownership |
| LOOPER, WILLIAM | CORPORATE OFFICER | — | 2023-02-01 | current | pecos_ownership |
| PORT, BARRY | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-06-27 | current | pecos_ownership |
| SATO, AMI | CORPORATE OFFICER | — | 2024-09-09 | current | pecos_ownership |
| VILLAFANIA, JAMES | MANAGING CONTROL - GOVERNING BODY | — | 2023-02-01 | current | pecos_ownership |
| WILLITS, ADAM | CORPORATE DIRECTOR | — | 2023-02-01 | current | pecos_ownership |
| FLAGSTONE HEALTHCARE SOUTH LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-11-08 | ended 2026-05-18 | pecos_ownership |
| THE ENSIGN GROUP INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2023-02-01 | ended 2026-05-18 | pecos_ownership |
| ADAM WILLITS | CORPORATE DIRECTOR | 0% | 2023-02-01 | ended 2026-05-18 | pecos_ownership |
| CRAIG FITCH | CORPORATE OFFICER | 0% | 2023-02-01 | ended 2026-04-01 | pecos_ownership |
| JAMES VILLAFANIA | OPERATIONAL/MANAGERIAL CONTROL | 0% | 2023-02-01 | ended 2026-05-18 | pecos_ownership |
| SOON BURNAM | CORPORATE OFFICER | 0% | 2022-11-08 | ended 2026-05-18 | pecos_ownership |
| WILLIAM LOOPER | CORPORATE OFFICER | 0% | 2023-02-01 | ended 2026-05-18 | pecos_ownership |
| AMI SATO | CORPORATE OFFICER | — | 2024-09-09 | ended 2026-05-18 | pecos_ownership |
| CHAD KEETCH | CORPORATE OFFICER | — | 2011-03-01 | ended 2026-05-18 | pecos_ownership |
| JOOBY BABU | ADP OF THE SNF | — | 2023-02-01 | 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 |
|---|---|---|---|---|
| 2023-02-01 | — | HOLLYLEAF HEALTHCARE, INC. | ORANGE COAST CARE, INC. | chow |
Comparable trades — CA snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-08-01 | Turlock Nursing & Rehabilitation Center | — | — | — | 144 | TRACY RIDGE HEALTHCARE, INC. |
| 2025-04-01 | ALAMITOS WEST HEALTH & REHABILITATION | — | — | — | 150 | MALCOLM HEALTHCARE, INC. |
| 2025-04-01 | PACIFIC HAVEN SUBACUTE AND HEALTHCARE CENTER | — | — | — | 99 | STRAWBERRY POND HEALTHCARE LLC |
| 2025-01-16 | GOLDEN HARBOR HEALTHCARE CENTER | — | — | — | 99 | CEYLON HOLDINGS LLC |
| 2024-12-30 | GRASS VALLEY HEALTHCARE CENTER | — | — | — | 86 | HEISMAN LLC |
| 2024-10-01 | REDWOOD GROVE POST ACUTE | — | — | — | 144 | SOQUEL CARE LLC |
| 2024-09-01 | OAK GROVE POST ACUTE | — | — | — | 119 | 4545 SHELLEY COURT OPCO, LLC |
| 2024-08-01 | WE CARE SKILLED NURSING - FREMONT | — | — | — | 99 | WE CARE SKILLED NURSING-FREMONT, LLC |
| 2024-05-01 | MAJESTIC MOUNTAIN CARE CENTER | — | — | — | 66 | OAKHURST SKILLED CARE LLC |
| 2024-04-01 | THE BRADLEY GARDENS | — | — | — | 44 | GHC OF SAN JACINTO LLC |
| 2024-04-01 | SANTA FE POST-ACUTE | — | — | — | 187 | SKILLED BOBIER LLC |
| 2024-04-01 | BAYSHIRE SAN DIMAS POST-ACUTE | — | — | — | 45 | SKILLED SAN DIMAS LLC |
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
35| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 06059 | acs median gross | 0 | $2,100 | 2024-12-31 | CENSUS_ACS5 |
| county 06059 | fmr | 0 | $2,682 | 2025-10-01 | HUD_USER_FMR |
| county 06059 | acs median gross | 1 | $2,115 | 2024-12-31 | CENSUS_ACS5 |
| county 06059 | fmr | 1 | $2,746 | 2025-10-01 | HUD_USER_FMR |
| county 06059 | acs median gross | 2 | $2,460 | 2024-12-31 | CENSUS_ACS5 |
| county 06059 | fmr | 2 | $3,236 | 2025-10-01 | HUD_USER_FMR |
| county 06059 | acs median gross | 3 | $3,107 | 2024-12-31 | CENSUS_ACS5 |
| county 06059 | fmr | 3 | $4,393 | 2025-10-01 | HUD_USER_FMR |
| county 06059 | acs median gross | 4 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| county 06059 | fmr | 4 | $5,246 | 2025-10-01 | HUD_USER_FMR |
| county 06059 | acs median gross | 5 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| county 06059 | acs median gross | $2,434 | 2024-12-31 | CENSUS_ACS5 | |
| county 06059 | acs recent mover gross | $2,814 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 92869 | acs median gross | 0 | $2,302 | 2024-12-31 | CENSUS_ACS5 |
| zcta 92869 | acs median gross | 1 | $2,108 | 2024-12-31 | CENSUS_ACS5 |
| zcta 92869 | acs median gross | 2 | $2,235 | 2024-12-31 | CENSUS_ACS5 |
| zcta 92869 | acs median gross | 3 | $2,750 | 2024-12-31 | CENSUS_ACS5 |
| zcta 92869 | acs median gross | 4 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| zcta 92869 | acs median gross | $2,361 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 92869 | acs recent mover gross | $3,050 | 2024-12-31 | CENSUS_ACS5 | |
| zip 92869 | payment standard 110 | 0 | $2,904 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92869 | payment standard 90 | 0 | $2,376 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92869 | safmr | 0 | $2,640 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92869 | payment standard 110 | 1 | $2,970 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92869 | payment standard 90 | 1 | $2,430 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92869 | safmr | 1 | $2,700 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92869 | payment standard 110 | 2 | $3,498 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92869 | payment standard 90 | 2 | $2,862 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92869 | safmr | 2 | $3,180 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92869 | payment standard 110 | 3 | $4,752 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92869 | payment standard 90 | 3 | $3,888 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92869 | safmr | 3 | $4,320 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92869 | payment standard 110 | 4 | $5,676 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92869 | payment standard 90 | 4 | $4,644 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92869 | safmr | 4 | $5,160 | 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.