CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)
AS OF 2026-08-04 20:09 UTC
Screener / 295044
B

HEARTHSTONE

snfNV
1950 BARING BLVD, SPARKS, NV 89434 · CCN 295044 · chain THE ENSIGN GROUP INC
Composite
57.5 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
125
Model
v1.2
Reads as: riskier than 57.5% 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 signals1Components16CHOW radar1Distress radar1Staffing16Penalties1Deficiencies59Licensure0Ownership18Related party5Transactions1Comps12Market rent35

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk89.987.50.300.230820.75in index
billing conduct49.439.10.300.230811.40in index
staffing risk47.347.40.250.19239.10in index
chow risk52.734.70.150.11546.08in index
financial risk16.424.50.300.23083.78in 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

1
KindFindingSignalSubjectFirst seen
connectionOwner spans multiple chains17 chainsBURNAM SOON335 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 conduct39.1Bv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk55.0Cv0.1-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.
chow risk14.4Av0.6default · in composite
financial risk24.5Av0.5default · in compositeR18.
p adverse action 12m0.0—v0.1default · in compositeR23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite.
p chow 12m0.0—v0.1default · in compositeR22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite.
regulatory risk87.5Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk47.4Cv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk69.6Dv0.1supersededPre-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 risk49.6Cv0.2supersededPre-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 risk41.4Bv0.3supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk30.0Bv0.4supersededPre-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 risk87.4Fv0.1supersededPre-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 risk87.4Fv0.2supersededPre-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 risk47.4Cv0.1supersededPre-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 risk47.4Cv0.2supersededPre-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
7.0
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)2.57-1.59
Ownership changes, last 5 years1.00-0.87
Chain size (log)5.46+0.76
For-profit ownership1.00+0.69
Occupancy0.90-0.58
No PBJ staffing report0.00+0.42
Contract staffing share0.00-0.10
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.

Distress radar — 12-month termination probability

full board →
p(termination, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
0.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Chain size (log)5.46-1.98
For-profit ownership1.00-0.69
Occupancy0.90-0.62
Deficiencies, last 12 months11.00-0.61
No PBJ staffing report0.00+0.39
Never sold on record0.00-0.28
Current owner tenure (years)2.57-0.26
Ownership changes, last 5 years1.00+0.23
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 nurse3.323.623.282.90–3.77
RN0.450.640.390.25–0.58
Weekend total3.093.463.11—
Weekday total3.413.683.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q492112.03.320.450.931.953.090.0%
2025Q392102.13.350.381.001.973.270.0%
2025Q291100.13.240.380.941.923.240.0%
2025Q190103.93.280.371.031.883.280.0%
2024Q492105.83.200.350.991.863.050.0%
2024Q392107.53.040.380.891.772.860.0%
2024Q291105.62.950.420.821.702.850.0%
2024Q191107.53.120.480.811.832.950.0%
2023Q492113.42.640.410.721.512.630.0%
2023Q392115.12.800.450.671.682.770.0%
2023Q291116.82.570.430.691.452.470.0%
2023Q190118.42.610.410.701.502.550.0%
2022Q492117.22.570.390.701.482.500.0%
2022Q392111.82.790.450.691.652.760.0%
2022Q291110.62.610.530.581.502.570.0%
2022Q190108.02.690.510.651.532.600.0%
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.

Penalties

1
DateTypeFineSource
2023-11-16Fine$48,721CMS provider data
Total fines on record: $48,721

Deficiencies

59
C × 2D × 46E × 3F × 7J × 1
deficiencies by survey year
251323242526
SurveyTypeTagDeficiencyScopeCorrected
2026-03-05HealthF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2026-04-17
2026-03-05HealthF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2026-04-17
2026-03-05HealthF0610Respond appropriately to all alleged violations.D2026-04-17
2026-03-05HealthF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.E2026-04-17
2026-03-05HealthF0641Ensure each resident receives an accurate assessment.D2026-04-17
2026-03-05HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2026-04-17
2026-03-05HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.D2026-04-17
2026-03-05HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2026-04-17
2026-03-05HealthF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2026-04-17
2026-03-05HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2026-04-17
2026-03-05HealthF0880Provide and implement an infection prevention and control program.D2026-04-17
2025-03-03Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2025-04-05
2025-03-03HealthF0641Ensure each resident receives an accurate assessment.D2025-04-05
2025-03-03HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-04-05
2025-03-03HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-04-05
2025-03-03HealthF0697Provide safe, appropriate pain management for a resident who requires such services.D2025-04-05
2025-03-03HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.F2025-04-05
2025-03-03HealthF0730Observe each nurse aide's job performance and give regular training.D2025-04-05
2025-03-03HealthF0732Post nurse staffing information every day.C2025-04-05
2025-03-03HealthF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.D2025-04-05
2025-03-03HealthF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.D2025-04-05
2025-03-03HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2025-04-05
2025-03-03HealthF0865Have a plan that describes the process for conducting QAPI and QAA activities.D2025-04-05
2025-03-03HealthF0942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.D2025-04-05
2025-03-03HealthF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.D2025-04-05
2025-03-03HealthF0946Provide training in compliance and ethics.D2025-04-05
2024-03-25HealthF0552Ensure that residents are fully informed and understand their health status, care and treatments.F2024-04-30
2024-03-25HealthF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.F2024-04-30
2024-03-25HealthF0583Keep residents' personal and medical records private and confidential.D2024-04-30
2024-03-25Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2024-04-30
2024-03-25HealthF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D2024-04-30
2024-03-25HealthF0625Notify 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.D2024-04-30
2024-03-25HealthF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD2024-04-30
2024-03-25HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2024-04-30
2024-03-25HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.E2024-04-30
2024-03-25HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-04-30
2024-03-25HealthF0688Provide 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.D2024-04-30
2024-03-25HealthF0697Provide safe, appropriate pain management for a resident who requires such services.D2024-04-30
2024-03-25HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2024-04-30
2024-03-25HealthF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.F2024-04-30
2024-03-25HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2024-04-30
2024-03-25HealthF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.D2024-04-30
2024-03-25HealthF0761Ensure 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.D2024-04-30
2024-03-25HealthF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D2024-04-30
2024-03-25HealthF0814Dispose of garbage and refuse properly.F2024-04-30
2024-03-25HealthF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.F2024-04-30
2024-03-25HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2024-04-30
2024-03-25HealthF0880Provide and implement an infection prevention and control program.F2024-04-30
2024-03-25HealthF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.D2024-04-30
2024-03-25HealthF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.D2024-04-30
2024-01-24Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2024-02-05
2023-11-16Health · complaintF0602Protect each resident from the wrongful use of the resident's belongings or money.D2023-12-22
2023-11-16Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2023-12-22
2023-11-16Health · complaintF0675Honor each resident's preferences, choices, values and beliefs.E2023-12-22
2023-11-16Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.J2024-01-08
2023-11-16Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2023-12-22
2023-11-16Health · complaintF0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.C2023-12-22
2023-11-16Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D2023-12-22
2023-11-16Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2023-12-22
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

18
OwnerRolePctFromStatusSource
MILESTONE HEALTHCARE LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2023-10-20currentpecos_ownership
BURNAM, SOONCORPORATE OFFICER—2023-10-20currentpecos_ownership
FARNSWORTH, STEPHENCORPORATE DIRECTOR—2024-01-01currentpecos_ownership
FITCH, CRAIGCORPORATE OFFICER—2023-10-20currentpecos_ownership
HOOPES, TYLERCORPORATE OFFICER—2024-01-01currentpecos_ownership
MAGLUILO, SUSANOPERATIONAL/MANAGERIAL CONTROL—2024-01-01currentpecos_ownership
MAGLUILO, SUSANADP OF THE SNF—2025-04-04currentpecos_ownership
MILLER, DENVERADP OF THE SNF—2025-04-04currentpecos_ownership
SATO, AMICORPORATE OFFICER—2024-09-09currentpecos_ownership
THE ENSIGN GROUP INC5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2023-10-20ended 2026-05-18pecos_ownership
CRAIG FITCHCORPORATE OFFICER0%2023-10-20ended 2026-05-18pecos_ownership
SOON BURNAMCORPORATE OFFICER0%2023-10-20ended 2026-05-18pecos_ownership
AMI SATOCORPORATE OFFICER—2024-09-09ended 2026-05-18pecos_ownership
DENVER MILLERADP OF THE SNF—2025-04-04ended 2026-05-18pecos_ownership
STEPHEN FARNSWORTHCORPORATE DIRECTOR—2024-01-01ended 2026-05-18pecos_ownership
SUSAN MAGLUILOOPERATIONAL/MANAGERIAL CONTROL—2024-01-01ended 2026-05-18pecos_ownership
SUSAN MAGLUILOADP OF THE SNF—2025-04-04ended 2026-05-18pecos_ownership
TYLER HOOPESCORPORATE OFFICER—2024-01-01ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

1
Close datePriceBuyerSellerEvidence
2024-01-01—TRUCKEE MEADOWS HEALTHCARE, INC.THI OF NEVADA AT HEARTHSTONE, LLCchow

Comparable trades — NV snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-04-17OASIS NURSING & REHAB OF GREEN VALLEY———242HENDERSON DELMAR NV OPCO LLC
2024-08-01NORTHERN NEVADA STATE VETERANS HOME———96DIMENSIONS MANAGEMENT OF NORTHERN NEVADA LLC
2024-04-18HIGHLAND MANOR OF ELKO REHABILITATION LLC———146HIGHLAND MANOR OF ELKO REHABILITATION LLC
2024-04-18HIGHLAND MANOR OF FALLON REHABILITATION LLC———102HIGHLAND MANOR OF FALLON REHABILITATION LLC
2024-04-18HIGHLAND MANOR OF MESQUITE REHABILITATION LLC———112HIGHLAND MANOR OF MESQUITE REHABILITATION LLC
2024-01-01HEARTHSTONEthis facility———125TRUCKEE MEADOWS HEALTHCARE, INC.
2023-09-07TLC CARE CENTER———255TLC SNF OPERATIONS LLC
2023-08-31PAHRUMP HEALTH AND REHABILITATION CENTER———120PAHRUMP SNF OPERATIONS, LLC
2023-08-31MOUNTAIN VIEW HEALTH AND REHABILITATION———146MV SNF OPERATIONS LLC
2023-08-31GARDNERVILLE HEALTH & REHABILITATION CENTER———60GARDNERVILLE SNF OPERATIONS LLC
2023-08-31ORMSBY POST ACUTE REHABILITATION———120ORMSBY SNF OPERATIONS LLC
2023-06-01MOUNTAIN VIEW CARE CENTER———87BOULDER 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 32031acs median gross0$1,0832024-12-31CENSUS_ACS5
county 32031fmr0$1,2892025-10-01HUD_USER_FMR
county 32031acs median gross1$1,3352024-12-31CENSUS_ACS5
county 32031fmr1$1,4892025-10-01HUD_USER_FMR
county 32031acs median gross2$1,6612024-12-31CENSUS_ACS5
county 32031fmr2$1,8702025-10-01HUD_USER_FMR
county 32031acs median gross3$2,0132024-12-31CENSUS_ACS5
county 32031fmr3$2,5392025-10-01HUD_USER_FMR
county 32031acs median gross4$2,3472024-12-31CENSUS_ACS5
county 32031fmr4$2,9492025-10-01HUD_USER_FMR
county 32031acs median gross5$2,4852024-12-31CENSUS_ACS5
county 32031acs median gross$1,6082024-12-31CENSUS_ACS5
county 32031acs recent mover gross$1,7042024-12-31CENSUS_ACS5
zcta 89434acs median gross0$2,7222024-12-31CENSUS_ACS5
zcta 89434acs median gross1$1,6482024-12-31CENSUS_ACS5
zcta 89434acs median gross2$1,9032024-12-31CENSUS_ACS5
zcta 89434acs median gross3$2,1242024-12-31CENSUS_ACS5
zcta 89434acs median gross4$2,1482024-12-31CENSUS_ACS5
zcta 89434acs median gross$1,9142024-12-31CENSUS_ACS5
zcta 89434acs recent mover gross$1,9072024-12-31CENSUS_ACS5
zip 89434payment standard 1100$1,6502025-10-01HUD_USER_SAFMR
zip 89434payment standard 900$1,3502025-10-01HUD_USER_SAFMR
zip 89434safmr0$1,5002025-10-01HUD_USER_SAFMR
zip 89434payment standard 1101$1,9142025-10-01HUD_USER_SAFMR
zip 89434payment standard 901$1,5662025-10-01HUD_USER_SAFMR
zip 89434safmr1$1,7402025-10-01HUD_USER_SAFMR
zip 89434payment standard 1102$2,3982025-10-01HUD_USER_SAFMR
zip 89434payment standard 902$1,9622025-10-01HUD_USER_SAFMR
zip 89434safmr2$2,1802025-10-01HUD_USER_SAFMR
zip 89434payment standard 1103$3,2562025-10-01HUD_USER_SAFMR
zip 89434payment standard 903$2,6642025-10-01HUD_USER_SAFMR
zip 89434safmr3$2,9602025-10-01HUD_USER_SAFMR
zip 89434payment standard 1104$3,7842025-10-01HUD_USER_SAFMR
zip 89434payment standard 904$3,0962025-10-01HUD_USER_SAFMR
zip 89434safmr4$3,4402025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.
CII Terminal tearsheet · HEARTHSTONE (295044) · generated 2026-08-04 · every number derives from public records (CMS Care Compare, PBJ, POS, penalty and survey files, state licensure registers) · scores are published model outputs with holdout metrics disclosed at cii-terminal.vercel.app/transparency