CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)
AS OF 2026-08-05 06:19 UTC
Screener / 125070

DANIEL K AKAKA STATE VETERANS HOME

snfHI
91-1204 KEALANANI AVE, KAPOLEI, HI 96707 · CCN 125070 · chain HAWAII HEALTH SYSTEMS CORPORATION
Composite
/ 100 percentile
Peer group
n =
Evidence depth
Certified beds
0
Model
Unscored — below_component_floor. This facility is in scope and served with its evidence; a null composite means not measured, never low risk.

Composite explanation

0
ComponentPercentileRawWeightWeight shareContributionCounts
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

1
KindFindingSignalSubjectFirst seen
connectionOwner spans multiple chains4 chainsPHARMACY CORPORATION OF AMERICA5 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

3
Score typeScoreGradeModelStatusRegistry model notes
chow risk45.0Cv0.1-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.
p adverse action 12m0.2v0.1default · 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 12m0.3v0.1default · 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.
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)
0.3%
model v0.1 · computed 2026-07-29
Percentile among SNFs
46.8
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
No PBJ staffing report1.00-3.61
Occupancy0.00+2.02
For-profit ownership0.00-1.24
Facility size (log beds)0.00+0.65
Never sold on record1.00+0.62
Total nurse staffing (HPRD)0.00+0.60
Current owner tenure (years)25.00+0.57
Ownership changes, last 5 years0.00+0.20
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)
0.2%
model v0.1 · computed 2026-07-29
Percentile among SNFs
61.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
No PBJ staffing report1.00-7.43
Occupancy0.00+3.15
For-profit ownership0.00+1.62
Deficiencies, last 12 months0.00+1.43
Total nurse staffing (HPRD)0.00+1.35
Facility size (log beds)0.00+0.90
Fine amount, 12m (log)0.00+0.18
Never sold on record1.00+0.12
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.

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

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

22
OwnerRolePctFromStatusSource
HAWAII HEALTH SYSTEMS CORPORATION5% OR GREATER DIRECT OWNERSHIP INTEREST100%2024-08-01currentpecos_ownership
ARNOLD KOPOPERATIONAL/MANAGERIAL CONTROL2024-11-01currentpecos_ownership
BRADLEY CHUNCORPORATE DIRECTOR2024-08-01currentpecos_ownership
BRANDON TOMITACORPORATE DIRECTOR2024-08-01currentpecos_ownership
CHEREE WEEADP OF THE SNF2024-11-01currentpecos_ownership
CHEREE WEEOPERATIONAL/MANAGERIAL CONTROL2024-08-01currentpecos_ownership
DANIEL CHENCORPORATE DIRECTOR2024-08-01currentpecos_ownership
DEREK AKIYOSHICORPORATE OFFICER2024-08-01currentpecos_ownership
HAWAII HEALTH SYSTEMS CORPORATIONOPERATIONAL/MANAGERIAL CONTROL2025-08-01currentpecos_ownership
HAWAII HOUSING FINANCE AND DEVELOPMENT CORPORATIONADP OF THE SNF2023-06-30currentpecos_ownership
KEN WALKERCORPORATE DIRECTOR2024-07-01currentpecos_ownership
LANI TSUNEISHICORPORATE DIRECTOR2024-08-01currentpecos_ownership
MELANIE KELLYCORPORATE DIRECTOR2024-08-01currentpecos_ownership
MICHAEL HAMAMOTOCORPORATE OFFICER2024-08-01currentpecos_ownership
OHANA PACIFIC MANAGEMENT SERVICES, LLCADP OF THE SNF2025-03-24currentpecos_ownership
OHANA PACIFIC MANAGEMENT SERVICES, LLCOPERATIONAL/MANAGERIAL CONTROL2024-08-01currentpecos_ownership
OHANA PACIFIC OAHU SVH, LLCOPERATIONAL/MANAGERIAL CONTROL2024-08-01currentpecos_ownership
OHANA PACIFIC OAHU SVH, LLCADP OF THE SNF2025-03-24currentpecos_ownership
PHARMACY CORPORATION OF AMERICAOPERATIONAL/MANAGERIAL CONTROL2025-02-04currentpecos_ownership
RICHARD KISHABAOPERATIONAL/MANAGERIAL CONTROL2024-11-01currentpecos_ownership
SEAN SANADAADP OF THE SNF2024-08-01currentpecos_ownership
WENDELL ODACORPORATE DIRECTOR2024-08-01currentpecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

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

Comparable trades — HI snf

8
CloseFacilityPrice$/bedCap rateBedsBuyer
2023-03-01HALE NANI REHABILITATION AND NURSING CENTER288HALE NANI REHAB & NURSING CENTER LLC
2023-02-01PEARL CITY POST ACUTE122PSH PEARL CITY LLC
2023-02-01Kulana Malama33PSH KM LLC
2023-02-01OAHU CARE FACILITY82PSH OAHU LLC
2020-12-18NUUANU HALE75NUUANU HALE, INC
2019-12-31LEGACY HILO REHABILITATION & NURSING CENTER100HILO SNF LLC
2017-07-01LANAI COMMUNITY HOSPITAL10MAUI HEALTH SYSTEM A KAISER FOUNDATION HOSPITALS LLC
2017-07-01KULA HOSPITAL105MAUI HEALTH SYSTEM A KAISER FOUNDATION HOSPITALS 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 15003acs median gross0$1,4582024-12-31CENSUS_ACS5
county 15003fmr0$1,8772025-10-01HUD_USER_FMR
county 15003acs median gross1$1,6052024-12-31CENSUS_ACS5
county 15003fmr1$2,0162025-10-01HUD_USER_FMR
county 15003acs median gross2$2,0862024-12-31CENSUS_ACS5
county 15003fmr2$2,6422025-10-01HUD_USER_FMR
county 15003acs median gross3$2,9482024-12-31CENSUS_ACS5
county 15003fmr3$3,6742025-10-01HUD_USER_FMR
county 15003acs median gross4$3,4432024-12-31CENSUS_ACS5
county 15003fmr4$4,4322025-10-01HUD_USER_FMR
county 15003acs median gross5$3,0572024-12-31CENSUS_ACS5
county 15003acs median gross$2,0832024-12-31CENSUS_ACS5
county 15003acs recent mover gross$2,4572024-12-31CENSUS_ACS5
zcta 96707acs median gross1$1,3052024-12-31CENSUS_ACS5
zcta 96707acs median gross2$2,2992024-12-31CENSUS_ACS5
zcta 96707acs median gross3$3,3702024-12-31CENSUS_ACS5
zcta 96707acs median gross4$3,5012024-12-31CENSUS_ACS5
zcta 96707acs median gross5$1,2082024-12-31CENSUS_ACS5
zcta 96707acs median gross$2,4342024-12-31CENSUS_ACS5
zcta 96707acs recent mover gross$2,9352024-12-31CENSUS_ACS5
zip 96707payment standard 1100$2,5302025-10-01HUD_USER_SAFMR
zip 96707payment standard 900$2,0702025-10-01HUD_USER_SAFMR
zip 96707safmr0$2,3002025-10-01HUD_USER_SAFMR
zip 96707payment standard 1101$2,7172025-10-01HUD_USER_SAFMR
zip 96707payment standard 901$2,2232025-10-01HUD_USER_SAFMR
zip 96707safmr1$2,4702025-10-01HUD_USER_SAFMR
zip 96707payment standard 1102$3,5642025-10-01HUD_USER_SAFMR
zip 96707payment standard 902$2,9162025-10-01HUD_USER_SAFMR
zip 96707safmr2$3,2402025-10-01HUD_USER_SAFMR
zip 96707payment standard 1103$4,9612025-10-01HUD_USER_SAFMR
zip 96707payment standard 903$4,0592025-10-01HUD_USER_SAFMR
zip 96707safmr3$4,5102025-10-01HUD_USER_SAFMR
zip 96707payment standard 1104$5,9842025-10-01HUD_USER_SAFMR
zip 96707payment standard 904$4,8962025-10-01HUD_USER_SAFMR
zip 96707safmr4$5,4402025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.