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 11:03 UTC
Screener / 055922
A

Courtyard Health Care Center

snfCA
1850 E. 8th Street, Davis, CA 95616 · CCN 055922 · chain COVENANT CARE LLC
Composite
19.3 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
112
Model
v1.2
Reads as: riskier than 19.3% 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 signals5Components16CHOW radar1Distress radar1Staffing16Penalties0Deficiencies65Licensure0Ownership36Related party5Transactions0Comps12Market rent36

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk61.252.70.300.230814.12in index
billing conduct51.139.80.300.230811.79in index
chow risk45.221.20.150.11545.22in index
staffing risk12.312.40.250.19232.37in index
financial risk9.718.90.300.23082.24in 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

5
KindFindingSignalSubjectFirst seen
anomalyQuarter-over-quarter staffing cliff−30% QoQthis facility2026-07-29
connectionOwner spans multiple chains18 chainsENSIGN SERVICES INC 286 facilities
connectionOwner spans multiple chains17 chainsBURNAM SOON335 facilities
connectionOwner spans multiple chains17 chainsKEETCH CHAD283 facilities
connectionOwner spans multiple chains12 chainsDHUGGA GURPREET27 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 conduct39.8Bv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk35.0Bv0.1-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 risk7.3Av0.6default · in composite
financial risk18.9Av0.5default · 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 12m2.5—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 risk52.7Cv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk12.4Av0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk67.7Dv0.1supersededPre-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 risk47.7Cv0.2supersededPre-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 risk40.3Bv0.3supersededPre-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 risk24.6Av0.4supersededPre-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 risk12.4Av0.1supersededPre-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 risk12.4Av0.2supersededPre-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)
2.5%
model v0.1 · computed 2026-07-29
Percentile among SNFs
73.8
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Occupancy0.94-0.71
For-profit ownership1.00+0.69
Never sold on record1.00+0.62
Current owner tenure (years)25.00+0.57
No PBJ staffing report0.00+0.42
Chain size (log)3.40+0.32
Total nurse staffing (HPRD)4.23-0.24
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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
10.1
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Occupancy0.94-0.81
Chain size (log)3.40-0.78
For-profit ownership1.00-0.69
Total nurse staffing (HPRD)4.23-0.43
No PBJ staffing report0.00+0.39
Staffing trend, last 4 quarters0.60+0.26
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.

Staffing vs peers

16
2025Q4 HPRDThis facilityCA medianNational medianNational p25–p75
Total nurse4.233.953.282.90–3.77
RN0.760.380.390.25–0.58
Weekend total4.103.793.11—
Weekday total4.284.013.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q492105.44.230.760.692.784.100.0%
2025Q392108.42.780.520.401.862.780.0%
2025Q291108.83.970.600.682.693.820.0%
2025Q190111.13.670.440.652.573.650.0%
2024Q492107.83.620.500.652.473.630.0%
2024Q392105.33.780.520.692.583.714.1%
2024Q291108.03.820.380.892.553.659.8%
2024Q191104.93.510.470.742.303.130.0%
2023Q492106.83.030.330.741.962.650.0%
2023Q392104.03.440.370.802.283.180.0%
2023Q291106.03.300.380.752.162.990.0%
2023Q190108.93.290.340.712.243.1410.6%
2022Q492107.03.550.400.682.463.5213.6%
2022Q392105.13.380.340.692.353.267.8%
2022Q291101.43.560.360.712.493.374.9%
2022Q19093.03.590.440.702.443.409.4%
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

65
D × 38E × 26G × 1
deficiencies by survey year
30152223242526
SurveyTypeTagDeficiencyScopeCorrected
2026-04-30Health · complaintF0610Respond appropriately to all alleged violations.D—
2026-02-10Health · complaintF0610Respond appropriately to all alleged violations.D2026-03-04
2026-02-02Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2026-02-28
2025-11-24Health · complaintF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.D2025-11-25
2025-11-24Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2025-11-25
2025-09-08Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2025-09-11
2025-08-26Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E2025-09-22
2025-07-31Health · complaintF0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.D2025-08-15
2025-07-10Health · complaintF0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.D2025-08-22
2025-07-10Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-08-22
2025-07-08Health · complaintF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.E2025-08-08
2025-07-08Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2025-08-08
2025-05-06Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2025-05-06
2025-04-18HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2025-05-22
2025-04-18HealthF0583Keep residents' personal and medical records private and confidential.E2025-05-22
2025-04-18HealthF0584Honor 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.D2025-05-22
2025-04-18HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.E2025-05-22
2025-04-18HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2025-05-22
2025-04-18HealthF0692Provide enough food/fluids to maintain a resident's health.D2025-05-22
2025-04-18HealthF0697Provide safe, appropriate pain management for a resident who requires such services.D2025-05-22
2025-04-18HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2025-05-22
2025-04-18HealthF0761Ensure 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.D2025-05-22
2025-04-18Health · complaintF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.E2025-05-22
2025-04-18Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2025-05-22
2025-04-18HealthF0838Conduct 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.E2025-05-22
2025-04-18HealthF0865Have a plan that describes the process for conducting QAPI and QAA activities.E2025-05-22
2025-04-18HealthF0880Provide and implement an infection prevention and control program.E2025-05-22
2025-04-18Health · complaintF0908Keep all essential equipment working safely.E2025-05-22
2025-03-27Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2025-03-26
2025-02-21Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2025-03-12
2025-01-22Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2025-02-12
2025-01-22Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D2025-02-12
2025-01-22Health · complaintF0908Keep all essential equipment working safely.D2025-02-12
2024-08-27Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2024-09-26
2024-08-27Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-09-26
2024-05-24HealthF0552Ensure that residents are fully informed and understand their health status, care and treatments.D2024-06-21
2024-05-24HealthF0583Keep residents' personal and medical records private and confidential.E2024-06-21
2024-05-24HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2024-06-21
2024-05-24HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2024-06-21
2024-05-24HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.D2024-06-21
2024-05-24HealthF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.G2024-06-21
2024-05-24HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2024-06-21
2024-05-24HealthF0758Implement 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.E2024-06-21
2024-05-24HealthF0759Ensure medication error rates are not 5 percent or greater.E2024-06-21
2024-05-24HealthF0761Ensure 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.E2024-06-21
2024-05-24HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.D2024-06-21
2024-05-24HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2024-06-21
2024-05-24HealthF0908Keep all essential equipment working safely.D2024-06-21
2024-02-27Health · complaintF0825Provide or get specialized rehabilitative services as required for a resident.E2024-03-14
2023-12-14Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2024-01-02
2023-12-11Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2023-12-27
2023-12-11Health · complaintF0610Respond appropriately to all alleged violations.D2023-12-27
2023-12-11Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2023-12-27
2023-10-30Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2023-11-28
2023-10-30Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2023-11-28
2023-07-20Health · complaintF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.D2023-07-25
2022-05-27HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2022-07-12
2022-05-27HealthF0693Ensure 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.D2022-07-12
2022-05-27HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2022-07-12
2022-05-27HealthF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.E2022-07-12
2022-05-27HealthF0760Ensure that residents are free from significant medication errors.D2022-07-12
2022-05-27HealthF0761Ensure 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.E2022-07-12
2022-05-27HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2022-07-12
2022-05-27HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2022-07-12
2022-05-27HealthF0880Provide and implement an infection prevention and control program.E2022-07-12
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

36
OwnerRolePctFromStatusSource
BURNAM, SOONCORPORATE OFFICER—2024-09-20currentpecos_ownership
DHUGGA, GURPREETADP OF THE SNF—2025-08-01currentpecos_ownership
ENSIGN SERVICES INCADP OF THE SNF—2024-09-20currentpecos_ownership
JACKSON THERAPY PARTNERS LLCADP OF THE SNF—2025-09-08currentpecos_ownership
JACKSON THERAPY PARTNERS LLCOPERATIONAL/MANAGERIAL CONTROL—2025-08-01currentpecos_ownership
KEETCH, CHADCORPORATE OFFICER—2011-03-01currentpecos_ownership
MONETTE, CORYCORPORATE OFFICER—2024-09-20currentpecos_ownership
PORT, BARRYCORPORATE DIRECTOR—2018-07-26currentpecos_ownership
SATO, AMICORPORATE OFFICER—2024-09-20currentpecos_ownership
TAYLOR, KIMBERLEYADP OF THE SNF—2025-08-01currentpecos_ownership
WILLITS, ADAMCORPORATE OFFICER—2024-09-20currentpecos_ownership
COVENANT CARE CALIFORNIA, LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2009-07-01ended 2026-05-18pecos_ownership
COVENANT CARE, LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2009-07-01ended 2026-05-18pecos_ownership
COVENANT HOLDCO, LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2009-07-01ended 2026-05-18pecos_ownership
COVENANT SUBCO, LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2009-07-01ended 2026-05-18pecos_ownership
LANCE HASSELLOPERATIONAL/MANAGERIAL CONTROL100%2018-05-17ended 2026-05-18pecos_ownership
MIDCAP FUNDING IV TRUST5% OR GREATER SECURITY INTEREST25%2014-02-20ended 2026-05-18pecos_ownership
CENTRE COVENANT PURCHASER (B), LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST24%2009-07-01ended 2026-05-18pecos_ownership
CENTRE V SECONDARY FUND, L.P.5% OR GREATER INDIRECT OWNERSHIP INTEREST24%2009-07-01ended 2026-05-18pecos_ownership
ROBERT LEVIN5% OR GREATER INDIRECT OWNERSHIP INTEREST13%2009-07-01ended 2026-05-18pecos_ownership
CENTRE CAPITAL INVESTORS V, LP5% OR GREATER INDIRECT OWNERSHIP INTEREST12%2009-07-01ended 2026-05-18pecos_ownership
CENTRE COVENANT PURCHASER (Q), LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST12%2009-07-01ended 2026-05-18pecos_ownership
CENTRE COVENANT PURCHASER (S), LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST12%2009-07-01ended 2026-05-18pecos_ownership
STOCKWELL FUND II LP5% OR GREATER INDIRECT OWNERSHIP INTEREST12%2009-07-01ended 2026-05-18pecos_ownership
STATE TREASURER OF MICH CUSTODIAN OF PUBLIC SCHOOL EMPL RTMNT SYSTEMS5% OR GREATER INDIRECT OWNERSHIP INTEREST12%2009-07-01ended 2026-05-18pecos_ownership
ANDREW TOROK5% OR GREATER INDIRECT OWNERSHIP INTEREST11%2008-07-17ended 2026-05-18pecos_ownership
CHRISTINE SIMS5% OR GREATER INDIRECT OWNERSHIP INTEREST11%2009-07-01ended 2026-05-18pecos_ownership
MARY EVANS5% OR GREATER INDIRECT OWNERSHIP INTEREST11%2009-07-01ended 2026-05-18pecos_ownership
ANDREW TOROKCORPORATE OFFICER—1996-04-01ended 2026-05-18pecos_ownership
CAROL SPARKSW-2 MANAGING EMPLOYEE—2009-07-01ended 2026-05-18pecos_ownership
CHRISTINE SIMSCORPORATE OFFICER—2013-10-01ended 2026-05-18pecos_ownership
DAVA ASHLEYCORPORATE OFFICER—2018-05-17ended 2026-05-18pecos_ownership
KEVIN CARNEYCORPORATE OFFICER—2013-11-01ended 2026-05-18pecos_ownership
MARY EVANSCORPORATE OFFICER—1999-09-20ended 2026-05-18pecos_ownership
ROBERT LEVINCORPORATE OFFICER—1999-07-26ended 2026-05-18pecos_ownership
ROBERT LEVINOTHER—2000-10-05ended 2026-05-18pecos_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 — CA snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-08-01Turlock Nursing & Rehabilitation Center———144TRACY RIDGE HEALTHCARE, INC.
2025-04-01ALAMITOS WEST HEALTH & REHABILITATION———150MALCOLM HEALTHCARE, INC.
2025-04-01PACIFIC HAVEN SUBACUTE AND HEALTHCARE CENTER———99STRAWBERRY POND HEALTHCARE LLC
2025-01-16GOLDEN HARBOR HEALTHCARE CENTER———99CEYLON HOLDINGS LLC
2024-12-30GRASS VALLEY HEALTHCARE CENTER———86HEISMAN LLC
2024-10-01REDWOOD GROVE POST ACUTE———144SOQUEL CARE LLC
2024-09-01OAK GROVE POST ACUTE———1194545 SHELLEY COURT OPCO, LLC
2024-08-01WE CARE SKILLED NURSING - FREMONT———99WE CARE SKILLED NURSING-FREMONT, LLC
2024-05-01MAJESTIC MOUNTAIN CARE CENTER———66OAKHURST SKILLED CARE LLC
2024-04-01THE BRADLEY GARDENS———44GHC OF SAN JACINTO LLC
2024-04-01SANTA FE POST-ACUTE———187SKILLED BOBIER LLC
2024-04-01BAYSHIRE SAN DIMAS POST-ACUTE———45SKILLED 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

36
GeoKindBRAmountAs ofSource
county 06113acs median gross0$1,4752024-12-31CENSUS_ACS5
county 06113fmr0$1,6042025-10-01HUD_USER_FMR
county 06113acs median gross1$1,4442024-12-31CENSUS_ACS5
county 06113fmr1$1,6152025-10-01HUD_USER_FMR
county 06113acs median gross2$1,8622024-12-31CENSUS_ACS5
county 06113fmr2$2,1042025-10-01HUD_USER_FMR
county 06113acs median gross3$2,3132024-12-31CENSUS_ACS5
county 06113fmr3$2,9172025-10-01HUD_USER_FMR
county 06113acs median gross4$2,3472024-12-31CENSUS_ACS5
county 06113fmr4$3,1782025-10-01HUD_USER_FMR
county 06113acs median gross5$2,9962024-12-31CENSUS_ACS5
county 06113acs median gross$1,8572024-12-31CENSUS_ACS5
county 06113acs recent mover gross$2,1622024-12-31CENSUS_ACS5
zcta 95616acs median gross0$1,7782024-12-31CENSUS_ACS5
zcta 95616acs median gross1$1,7332024-12-31CENSUS_ACS5
zcta 95616acs median gross2$2,1702024-12-31CENSUS_ACS5
zcta 95616acs median gross3$2,5152024-12-31CENSUS_ACS5
zcta 95616acs median gross4$2,2042024-12-31CENSUS_ACS5
zcta 95616acs median gross5$2,9692024-12-31CENSUS_ACS5
zcta 95616acs median gross$2,0872024-12-31CENSUS_ACS5
zcta 95616acs recent mover gross$2,2132024-12-31CENSUS_ACS5
zip 95616payment standard 1100$2,1012025-10-01HUD_USER_SAFMR
zip 95616payment standard 900$1,7192025-10-01HUD_USER_SAFMR
zip 95616safmr0$1,9102025-10-01HUD_USER_SAFMR
zip 95616payment standard 1101$2,1232025-10-01HUD_USER_SAFMR
zip 95616payment standard 901$1,7372025-10-01HUD_USER_SAFMR
zip 95616safmr1$1,9302025-10-01HUD_USER_SAFMR
zip 95616payment standard 1102$2,7612025-10-01HUD_USER_SAFMR
zip 95616payment standard 902$2,2592025-10-01HUD_USER_SAFMR
zip 95616safmr2$2,5102025-10-01HUD_USER_SAFMR
zip 95616payment standard 1103$3,8282025-10-01HUD_USER_SAFMR
zip 95616payment standard 903$3,1322025-10-01HUD_USER_SAFMR
zip 95616safmr3$3,4802025-10-01HUD_USER_SAFMR
zip 95616payment standard 1104$4,1692025-10-01HUD_USER_SAFMR
zip 95616payment standard 904$3,4112025-10-01HUD_USER_SAFMR
zip 95616safmr4$3,7902025-10-01HUD_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 · Courtyard Health Care Center (055922) · generated 2026-08-05 · 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