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 2026-08-05 05:23 UTC
Screener / 295082
D

GARDNERVILLE HEALTH & REHABILITATION CENTER

snfNV
1573 SOUTH MULLER PKWY, GARDNERVILLE, NV 89410 · CCN 295082 · chain COUVE FINANCIAL SERVICES LLC
Composite
89.9 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
60
Model
v1.2
Reads as: riskier than 89.9% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
financial risk96.888.00.300.230822.34in index
staffing risk76.876.80.250.192314.77in index
regulatory risk61.252.70.300.230814.12in index
billing conduct46.337.90.300.230810.68in index
chow risk39.838.20.150.11544.59in 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
KindFindingSignalSubjectFirst seen
connectionOwner fleet risk far above national+27.7 vs natlRIKER MICHELLE5 facilities
connectionOwner spans multiple chains8 chainsHERZKA YISROEL70 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 conduct37.9Bv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk25.0Bv0.1-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 risk51.3Cv0.6default · in composite
financial risk88.0Fv0.5default · in compositeR18.
p adverse action 12m0.1v0.1default · in compositeR23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite.
p chow 12m0.0v0.1default · in compositeR22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite.
regulatory risk52.7Cv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk76.8Dv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk71.8Dv0.1supersededPre-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 risk51.8Cv0.2supersededPre-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 risk75.4Dv0.3supersededPre-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 risk86.5Fv0.4supersededPre-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 risk52.6Cv0.1supersededPre-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 risk52.6Cv0.2supersededPre-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 risk76.8Dv0.1supersededPre-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 risk76.8Dv0.2supersededPre-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
12.1
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Never sold on record0.00-1.62
Current owner tenure (years)2.91-1.56
Ownership changes, last 5 years1.00-0.87
For-profit ownership1.00+0.69
No PBJ staffing report0.00+0.42
Chain size (log)3.71+0.39
Occupancy0.80-0.29
Contract staffing share0.21+0.24
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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
38.3
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Deficiencies, last 12 months1.00+1.24
Chain size (log)3.71-0.96
For-profit ownership1.00-0.69
No PBJ staffing report0.00+0.39
Never sold on record0.00-0.28
Current owner tenure (years)2.91-0.25
Ownership changes, last 5 years1.00+0.23
Occupancy0.80-0.20
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 facilityNV medianNational medianNational p25–p75
Total nurse2.873.623.282.90–3.77
RN0.640.640.390.25–0.58
Weekend total2.533.463.11
Weekday total3.003.683.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49247.82.870.640.381.842.5321.5%
2025Q39245.22.630.370.661.602.3410.5%
2025Q29143.62.720.370.491.852.7015.0%
2025Q19041.73.080.340.682.063.1030.1%
2024Q49245.92.940.370.671.902.8534.2%
2024Q39244.82.520.270.681.572.4719.5%
2024Q29141.22.480.150.841.492.3827.9%
2024Q19138.62.690.340.711.642.4334.4%
2023Q49235.62.670.380.671.622.4522.5%
2023Q39232.02.860.410.651.812.8725.7%
2023Q29131.73.060.430.701.933.0724.2%
2023Q19034.72.690.260.651.782.5828.1%
2022Q49234.92.660.250.711.712.4116.8%
2022Q39233.62.870.220.811.832.8326.4%
2022Q29135.02.670.190.811.662.3926.3%
2022Q19032.42.780.360.571.852.6518.6%
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.

Penalties

0
No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.

Deficiencies

56
D × 46E × 2F × 7G × 1
deficiencies by survey year
211123242526
SurveyTypeTagDeficiencyScopeCorrected
2026-03-17Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2026-04-03
2025-05-01Health · complaintF0552Ensure that residents are fully informed and understand their health status, care and treatments.D2025-05-23
2025-05-01Health · complaintF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.D2025-05-23
2025-05-01Health · complaintF0603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).D2025-05-23
2025-05-01Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E2025-05-23
2025-05-01HealthF0641Ensure each resident receives an accurate assessment.D2025-05-23
2025-05-01HealthF0645PASARR screening for Mental disorders or Intellectual DisabilitiesD2025-05-23
2025-05-01HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-05-23
2025-05-01HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2025-05-23
2025-05-01HealthF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.G2025-05-23
2025-05-01HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2025-05-23
2025-05-01HealthF0730Observe each nurse aide's job performance and give regular training.D2025-05-23
2025-05-01HealthF0759Ensure medication error rates are not 5 percent or greater.D2025-05-23
2025-05-01HealthF0761Ensure 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.D2025-05-23
2025-05-01HealthF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.D2025-05-23
2025-05-01HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2025-05-23
2025-05-01HealthF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.D2025-05-23
2025-05-01HealthF0880Provide and implement an infection prevention and control program.F2025-05-23
2025-05-01HealthF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.D2025-05-23
2025-05-01HealthF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.D2025-05-23
2025-05-01Health · complaintF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.D2025-05-23
2024-06-26HealthF0552Ensure that residents are fully informed and understand their health status, care and treatments.D2024-08-07
2024-06-26HealthF0641Ensure each resident receives an accurate assessment.D2024-08-07
2024-06-26HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2024-08-07
2024-06-26HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.D2024-08-07
2024-06-26HealthF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.D2024-08-07
2024-06-26HealthF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.D2024-08-07
2024-06-26HealthF0758Implement 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.D2024-08-07
2024-06-26Health · 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.F2024-08-07
2024-06-26HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2024-08-07
2024-06-26HealthF0880Provide and implement an infection prevention and control program.F2024-08-07
2024-06-26HealthF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.D2024-08-07
2024-06-26HealthF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.D2024-08-07
2024-06-26HealthF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D2024-08-07
2024-06-26HealthF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.D2024-08-07
2023-08-31HealthF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.D2023-10-15
2023-08-31HealthF0558Reasonably accommodate the needs and preferences of each resident.D2023-10-15
2023-08-31HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E2023-10-15
2023-08-31HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2023-10-15
2023-08-31HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2023-10-15
2023-08-31HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2023-10-15
2023-08-31HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2023-10-15
2023-08-31HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2023-10-15
2023-08-31HealthF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F2023-10-15
2023-08-31HealthF0730Observe each nurse aide's job performance and give regular training.D2023-10-15
2023-08-31HealthF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D2023-10-15
2023-08-31HealthF0759Ensure medication error rates are not 5 percent or greater.D2023-10-15
2023-08-31HealthF0761Ensure 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.D2023-10-15
2023-08-31HealthF0814Dispose of garbage and refuse properly.D2023-10-15
2023-08-31HealthF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.D2023-10-15
2023-08-31Health · complaintF0865Have a plan that describes the process for conducting QAPI and QAA activities.D2023-10-15
2023-08-31HealthF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyD2023-10-15
2023-08-31HealthF0881Implement a program that monitors antibiotic use.F2023-10-15
2023-08-31HealthF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F2023-10-15
2023-08-31HealthF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.D2023-10-15
2023-06-08Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2023-06-10
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

28
OwnerRolePctFromStatusSource
CH PNW 12 HOLDINGS LLCINDIRECT OWNERSHIP INTEREST2023-08-31currentpecos_ownership
COUVE FINANCIAL SERVICES LLCADP OF THE SNF2025-04-11currentpecos_ownership
COUVE FINANCIAL SERVICES LLCOPERATIONAL/MANAGERIAL CONTROL2023-08-31currentpecos_ownership
COUVE HEALTHCARE CONSULTING LLCADP OF THE SNF2025-04-14currentpecos_ownership
COUVE HEALTHCARE CONSULTING LLCOPERATIONAL/MANAGERIAL CONTROL2023-08-31currentpecos_ownership
EARL, STEVENADP OF THE SNF2023-08-31currentpecos_ownership
GARCIA, MELANIEADP OF THE SNF2023-08-31currentpecos_ownership
HERZKA, YISROELINDIRECT OWNERSHIP INTEREST2023-08-31currentpecos_ownership
PACIFIC NORTHWEST 12 LEASED OPERATIONS HOLDINGS LLCDIRECT OWNERSHIP INTEREST2023-08-31currentpecos_ownership
PNW 12 OPCO MANAGEMENT LLCADP OF THE SNF2025-04-11currentpecos_ownership
PNW 12 OPCO MANAGEMENT LLCOPERATIONAL/MANAGERIAL CONTROL2023-08-31currentpecos_ownership
PNW 12 SNF CONSULTING LLCADP OF THE SNF2025-04-14currentpecos_ownership
PNW 12 SNF CONSULTING LLCOPERATIONAL/MANAGERIAL CONTROL2023-08-31currentpecos_ownership
RANCE, AARONADP OF THE SNF2023-08-31currentpecos_ownership
RIKER, MICHELLEMANAGING CONTROL - GOVERNING BODY2023-08-31currentpecos_ownership
ROJAS, ALELIOPERATIONAL/MANAGERIAL CONTROL2023-08-31currentpecos_ownership
SPIELMAN, SHIMONADP OF THE SNF2023-08-31currentpecos_ownership
WITZCORP PNW 12 LLCINDIRECT OWNERSHIP INTEREST2023-08-31currentpecos_ownership
YENOWITZ, YITZCHOKCORPORATE OFFICER2023-08-31currentpecos_ownership
YITZCHOK YENOWITZOPERATIONAL/MANAGERIAL CONTROL100%2023-08-31ended 2026-05-18pecos_ownership
YISROEL HERZKAINDIRECT OWNERSHIP INTEREST67%2023-08-31ended 2026-05-18pecos_ownership
AARON RANCEOPERATIONAL/MANAGERIAL CONTROL2023-08-31ended 2026-05-18pecos_ownership
ALELI ROJASOPERATIONAL/MANAGERIAL CONTROL2023-08-31ended 2026-05-18pecos_ownership
HAROLD PERLMANOPERATIONAL/MANAGERIAL CONTROL2023-08-31ended 2026-04-01pecos_ownership
MELANIE GARCIAOPERATIONAL/MANAGERIAL CONTROL2023-08-31ended 2026-05-18pecos_ownership
MICHELLE RIKERMANAGING CONTROL - GOVERNING BODY2023-08-31ended 2026-05-18pecos_ownership
SHIMON SPIELMANCORPORATE OFFICER2023-08-31ended 2026-05-18pecos_ownership
STEVEN EARLMANAGING CONTROL - GOVERNING BODY2023-08-31ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

1
Close datePriceBuyerSellerEvidence
2023-08-31GARDNERVILLE SNF OPERATIONS LLCEVERGREEN AT GARDNERVILLE LLCchow

Comparable trades — NV snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-04-17OASIS NURSING & REHAB OF GREEN VALLEY242HENDERSON DELMAR NV OPCO LLC
2024-08-01NORTHERN NEVADA STATE VETERANS HOME96DIMENSIONS MANAGEMENT OF NORTHERN NEVADA LLC
2024-04-18HIGHLAND MANOR OF ELKO REHABILITATION LLC146HIGHLAND MANOR OF ELKO REHABILITATION LLC
2024-04-18HIGHLAND MANOR OF FALLON REHABILITATION LLC102HIGHLAND MANOR OF FALLON REHABILITATION LLC
2024-04-18HIGHLAND MANOR OF MESQUITE REHABILITATION LLC112HIGHLAND MANOR OF MESQUITE REHABILITATION LLC
2024-01-01HEARTHSTONE125TRUCKEE MEADOWS HEALTHCARE, INC.
2023-09-07TLC CARE CENTER255TLC SNF OPERATIONS LLC
2023-08-31PAHRUMP HEALTH AND REHABILITATION CENTER120PAHRUMP SNF OPERATIONS, LLC
2023-08-31MOUNTAIN VIEW HEALTH AND REHABILITATION146MV SNF OPERATIONS LLC
2023-08-31GARDNERVILLE HEALTH & REHABILITATION CENTERthis facility60GARDNERVILLE SNF OPERATIONS LLC
2023-08-31ORMSBY POST ACUTE REHABILITATION120ORMSBY SNF OPERATIONS LLC
2023-06-01MOUNTAIN VIEW CARE CENTER87BOULDER CITY NV OPCO 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
GeoKindBRAmountAs ofSource
county 32005acs median gross0$1,0482024-12-31CENSUS_ACS5
county 32005fmr0$1,1072025-10-01HUD_USER_FMR
county 32005acs median gross1$9642024-12-31CENSUS_ACS5
county 32005fmr1$1,2912025-10-01HUD_USER_FMR
county 32005acs median gross2$1,4952024-12-31CENSUS_ACS5
county 32005fmr2$1,6052025-10-01HUD_USER_FMR
county 32005acs median gross3$1,8432024-12-31CENSUS_ACS5
county 32005fmr3$2,2322025-10-01HUD_USER_FMR
county 32005acs median gross4$1,6792024-12-31CENSUS_ACS5
county 32005fmr4$2,6922025-10-01HUD_USER_FMR
county 32005acs median gross5$1,7632024-12-31CENSUS_ACS5
county 32005acs median gross$1,5932024-12-31CENSUS_ACS5
county 32005acs recent mover gross$1,9602024-12-31CENSUS_ACS5
zcta 89410acs median gross1$8772024-12-31CENSUS_ACS5
zcta 89410acs median gross2$1,1472024-12-31CENSUS_ACS5
zcta 89410acs median gross3$2,0222024-12-31CENSUS_ACS5
zcta 89410acs median gross4$7732024-12-31CENSUS_ACS5
zcta 89410acs median gross5$1,7752024-12-31CENSUS_ACS5
zcta 89410acs median gross$1,2702024-12-31CENSUS_ACS5
zcta 89410acs recent mover gross$7702024-12-31CENSUS_ACS5
zip 89410payment standard 1100$1,1882025-10-01HUD_USER_SAFMR
zip 89410payment standard 900$9722025-10-01HUD_USER_SAFMR
zip 89410safmr0$1,0802025-10-01HUD_USER_SAFMR
zip 89410payment standard 1101$1,3862025-10-01HUD_USER_SAFMR
zip 89410payment standard 901$1,1342025-10-01HUD_USER_SAFMR
zip 89410safmr1$1,2602025-10-01HUD_USER_SAFMR
zip 89410payment standard 1102$1,7272025-10-01HUD_USER_SAFMR
zip 89410payment standard 902$1,4132025-10-01HUD_USER_SAFMR
zip 89410safmr2$1,5702025-10-01HUD_USER_SAFMR
zip 89410payment standard 1103$2,3982025-10-01HUD_USER_SAFMR
zip 89410payment standard 903$1,9622025-10-01HUD_USER_SAFMR
zip 89410safmr3$2,1802025-10-01HUD_USER_SAFMR
zip 89410payment standard 1104$2,8932025-10-01HUD_USER_SAFMR
zip 89410payment standard 904$2,3672025-10-01HUD_USER_SAFMR
zip 89410safmr4$2,6302025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.