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 22:33 UTC
Screener / 095022
B

CAPITOL CITY REHAB AND HEALTHCARE CENTER

snfDC
2425 25TH STREET SE, WASHINGTON, DC 20020 · CCN 095022
Composite
48.7 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
360
Model
v1.2
Reads as: riskier than 48.7% 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 radar1Staffing16Penalties5Deficiencies163Licensure0Ownership6Related party1Transactions1Comps4Market rent35

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk98.197.00.300.230822.64in index
billing conduct55.341.60.300.230812.76in index
financial risk29.833.70.300.23086.88in index
staffing risk26.426.50.250.19235.08in index
chow risk4.913.50.150.11540.57in 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 fleet enforcement cluster40% finedKARMEL JACOB5 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 conduct41.6Bv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk21.6Av0.1-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 risk5.4Av0.6default · in composite
financial risk33.7Bv0.5default · 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 12m0.1—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 risk97.0Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk26.5Bv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk63.1Cv0.1supersededPre-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 risk43.1Bv0.2supersededPre-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 risk44.0Bv0.3supersededPre-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 risk38.9Bv0.4supersededPre-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 risk97.0Fv0.1supersededPre-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 risk97.0Fv0.2supersededPre-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 risk26.5Bv0.1supersededPre-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 risk26.5Bv0.2supersededPre-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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
23.6
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)5.91-1.27
For-profit ownership1.00+0.69
Deficiencies, last 12 months32.00+0.61
No PBJ staffing report0.00+0.42
Chain size (log)0.00-0.40
Contract staffing share0.24+0.28
Facility size (log beds)5.89-0.24
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)
0.0%
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
Deficiencies, last 12 months32.00-4.51
Chain size (log)0.00+1.20
For-profit ownership1.00-0.69
No PBJ staffing report0.00+0.39
Facility size (log beds)5.89-0.32
Never sold on record0.00-0.28
Total nurse staffing (HPRD)3.75-0.22
Current owner tenure (years)5.91-0.21
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 facilityDC medianNational medianNational p25–p75
Total nurse3.754.453.282.90–3.77
RN0.621.020.390.25–0.58
Weekend total3.584.243.11—
Weekday total3.814.443.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q492278.73.750.620.662.473.5824.4%
2025Q392280.84.010.550.722.743.9217.8%
2025Q291286.63.880.520.712.653.7517.5%
2025Q190284.73.860.550.682.633.8314.3%
2024Q492287.13.980.540.702.733.9315.9%
2024Q392275.33.980.540.652.793.9613.3%
2024Q291282.34.010.570.652.793.9616.8%
2024Q191283.54.360.800.702.854.1221.6%
2023Q492292.04.180.730.772.684.0323.4%
2023Q392290.14.190.850.712.633.9825.6%
2023Q291304.83.680.840.662.183.2428.8%
2023Q190334.83.230.730.531.962.9027.8%
2022Q492335.72.930.680.481.772.8020.5%
2022Q392328.42.930.710.481.752.6318.3%
2022Q291333.72.900.730.461.722.5814.0%
2022Q190322.42.770.760.411.602.585.6%
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

5
fines by year
$121.6k$60.8k2324
DateTypeFineSource
2024-05-06Fine$121,632CMS provider data
2024-05-06Payment Denial—CMS provider data
2023-08-25Fine$14,908CMS provider data
2023-08-25Fine$47,860CMS provider data
2023-08-25Payment Denial—CMS provider data
Total fines on record: $184,400

Deficiencies

163
D × 107E × 34F × 9G × 5J × 6K × 2
deficiencies by survey year
422120222426
SurveyTypeTagDeficiencyScopeCorrected
2026-02-13Health · complaintF0576Ensure residents have reasonable access to and privacy in their use of communication methods.D2026-04-15
2026-02-13Health · complaintF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.F2026-04-15
2026-02-13Health · complaintF0584Honor 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.D2026-04-15
2026-02-13Health · complaintF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D2026-04-15
2026-02-13Health · complaintF0637Assess the resident when there is a significant change in conditionD2026-04-15
2026-02-13Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E2026-04-15
2026-02-13Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2026-04-15
2026-02-13Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2026-04-15
2026-02-13Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2026-04-15
2026-02-13Health · complaintF0685Assist a resident in gaining access to vision and hearing services.D2026-04-15
2026-02-13Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2026-04-15
2026-02-13Health · complaintF0695Provide safe and appropriate respiratory care for a resident when needed.D2026-04-15
2026-02-13Health · complaintF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D2026-04-15
2026-02-13Health · complaintF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D2026-04-15
2026-02-13Health · complaintF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D2026-04-15
2026-02-13Health · 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.D2026-04-15
2026-02-13Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D2026-04-15
2026-02-13Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2026-04-15
2026-02-13Health · complaintF0880Provide and implement an infection prevention and control program.D2026-04-15
2026-02-13Health · complaintF0908Keep all essential equipment working safely.D2026-04-15
2026-02-13Health · complaintF0919Make sure that a working call system is available in each resident's bathroom and bathing area.D2026-04-15
2026-02-13Health · complaintF0924Put firmly secured handrails on each side of hallways.D2026-04-15
2026-02-13Health · complaintF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.D2026-04-15
2025-11-13Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-12-29
2025-11-13Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D—
2025-08-26Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2025-10-06
2025-08-26Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-10-06
2025-08-26Health · complaintF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.D2025-10-06
2025-08-26Health · complaintF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D2025-10-06
2025-08-26Health · complaintF0759Ensure medication error rates are not 5 percent or greater.D2025-10-06
2025-08-26Health · complaintF0880Provide and implement an infection prevention and control program.D2025-10-06
2025-08-26Health · complaintF0887Educate 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.D2025-10-06
2025-04-17Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-05-20
2025-04-17Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-05-20
2024-06-20Health · complaintF0558Reasonably accommodate the needs and preferences of each resident.D2024-08-15
2024-06-20Health · complaintF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.D2024-08-15
2024-06-20Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J2024-08-15
2024-06-20Health · complaintF0693Ensure 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.D2024-08-15
2024-06-20Health · complaintF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D2024-08-15
2024-05-06Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2024-07-25
2024-05-06Health · complaintF0583Keep residents' personal and medical records private and confidential.D2024-07-25
2024-05-06Health · complaintF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D2024-07-25
2024-05-06Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2024-07-25
2024-05-06Health · complaintF0610Respond appropriately to all alleged violations.D2024-07-25
2024-05-06Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2024-07-25
2024-05-06Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E2024-07-25
2024-05-06Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2024-07-25
2024-05-06Health · complaintF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.D2024-07-25
2024-05-06Health · complaintF0837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.D2024-07-25
2024-05-06Health · complaintF0838Conduct 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.D2024-07-25
2024-05-06Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2024-07-25
2024-05-06Health · complaintF0865Have a plan that describes the process for conducting QAPI and QAA activities.D2024-07-25
2024-05-06Health · complaintF0908Keep all essential equipment working safely.D2024-07-25
2023-08-25Health · complaintF0610Respond appropriately to all alleged violations.J2023-12-12
2023-08-25Health · complaintF0625Notify 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.D2023-10-10
2023-08-25Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2023-10-10
2023-08-25Health · complaintF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.J2023-12-12
2023-08-25Health · complaintF0760Ensure that residents are free from significant medication errors.G2023-10-10
2023-08-25Health · complaintF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.F2023-12-12
2023-08-25Health · complaintF0836Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.E2023-12-12
2023-08-25Health · complaintF0837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.F2023-12-12
2023-08-25Health · complaintF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.F2023-12-12
2023-03-10HealthF0552Ensure that residents are fully informed and understand their health status, care and treatments.D2023-06-09
2023-03-10HealthF0564Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges.D2023-06-09
2023-03-10HealthF0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.E2023-06-09
2023-03-10HealthF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.E2023-06-09
2023-03-10HealthF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2023-06-09
2023-03-10HealthF0584Honor 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.E2023-06-09
2023-03-10HealthF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.E2023-06-09
2023-03-10HealthF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G2023-07-06
2023-03-10HealthF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D2023-07-06
2023-03-10HealthF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2023-07-06
2023-03-10HealthF0624Prepare residents for a safe transfer or discharge from the nursing home.J2023-06-09
2023-03-10HealthF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD2023-06-09
2023-03-10HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2023-07-06
2023-03-10HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E2023-06-09
2023-03-10HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E2023-07-06
2023-03-10HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2023-06-09
2023-03-10HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2023-07-06
2023-03-10HealthF0692Provide enough food/fluids to maintain a resident's health.D2023-06-09
2023-03-10HealthF0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.D2023-06-09
2023-03-10HealthF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D2023-06-09
2023-03-10HealthF0760Ensure that residents are free from significant medication errors.K2023-07-06
2023-03-10HealthF0761Ensure 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.K2023-07-06
2023-03-10HealthF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.J2023-06-09
2023-03-10HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2023-06-09
2023-03-10HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2023-06-09
2023-03-10HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E2023-06-09
2023-03-10HealthF0865Have a plan that describes the process for conducting QAPI and QAA activities.F2023-07-06
2023-03-10HealthF0880Provide and implement an infection prevention and control program.E2023-06-09
2023-03-10HealthF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.E2023-06-09
2023-03-10HealthF0887Educate 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.E2023-06-09
2023-03-10HealthF0919Make sure that a working call system is available in each resident's bathroom and bathing area.D2023-06-09
2021-12-23HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2022-02-23
2021-12-23HealthF0558Reasonably accommodate the needs and preferences of each resident.D2022-02-23
2021-12-23HealthF0576Ensure residents have reasonable access to and privacy in their use of communication methods.D2022-02-23
2021-12-23HealthF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.D2022-02-23
2021-12-23HealthF0584Honor 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.E2022-02-23
2021-12-23HealthF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2022-02-23
2021-12-23HealthF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D2022-02-23
2021-12-23HealthF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2022-02-23
2021-12-23HealthF0610Respond appropriately to all alleged violations.D2022-02-23
2021-12-23HealthF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.D2022-02-23
2021-12-23HealthF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D2022-02-23
2021-12-23HealthF0625Notify 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.D2022-02-23
2021-12-23HealthF0641Ensure each resident receives an accurate assessment.D2022-02-23
2021-12-23HealthF0645PASARR screening for Mental disorders or Intellectual DisabilitiesD2022-02-23
2021-12-23HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E2022-02-23
2021-12-23HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2022-02-23
2021-12-23HealthF0660Plan the resident's discharge to meet the resident's goals and needs.D2022-02-23
2021-12-23HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2022-02-23
2021-12-23HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E2022-02-23
2021-12-23HealthF0685Assist a resident in gaining access to vision and hearing services.D2022-02-23
2021-12-23HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.E2022-02-23
2021-12-23HealthF0688Provide 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.E2022-02-23
2021-12-23HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E2022-02-23
2021-12-23HealthF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2022-02-23
2021-12-23HealthF0692Provide enough food/fluids to maintain a resident's health.D2022-02-23
2021-12-23HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2022-02-23
2021-12-23HealthF0697Provide safe, appropriate pain management for a resident who requires such services.E2022-02-23
2021-12-23HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2022-02-23
2021-12-23HealthF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.F2022-02-23
2021-12-23HealthF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.E2022-02-23
2021-12-23HealthF0761Ensure 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.D2022-02-23
2021-12-23HealthF0790Provide routine and 24-hour emergency dental care for each resident.E2022-02-23
2021-12-23HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.D2022-02-23
2021-12-23HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2022-02-23
2021-12-23HealthF0825Provide or get specialized rehabilitative services as required for a resident.D2022-02-23
2021-12-23HealthF0838Conduct 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.F2022-02-23
2021-12-23HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E2022-02-23
2021-12-23HealthF0880Provide and implement an infection prevention and control program.F2022-02-23
2021-12-23HealthF0886Perform COVID19 testing on residents and staff.D2022-02-23
2021-12-23HealthF0887Educate 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.E2022-02-23
2021-12-23HealthF0908Keep all essential equipment working safely.D2022-02-23
2021-12-23HealthF0919Make sure that a working call system is available in each resident's bathroom and bathing area.D2022-02-23
2020-02-20HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2020-04-08
2020-02-20HealthF0558Reasonably accommodate the needs and preferences of each resident.D2020-04-08
2020-02-20HealthF0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.E2020-04-08
2020-02-20HealthF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.D2020-04-08
2020-02-20HealthF0584Honor 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.E2020-04-08
2020-02-20HealthF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G2020-04-08
2020-02-20HealthF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D2020-04-08
2020-02-20HealthF0610Respond appropriately to all alleged violations.D2020-04-08
2020-02-20HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2020-04-08
2020-02-20HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E2020-04-08
2020-02-20HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2020-04-08
2020-02-20HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2020-04-08
2020-02-20HealthF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2020-04-08
2020-02-20HealthF0692Provide enough food/fluids to maintain a resident's health.D2020-04-08
2020-02-20HealthF0693Ensure 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.D2020-04-08
2020-02-20HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2020-04-08
2020-02-20HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2020-04-08
2020-02-20HealthF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D2020-04-08
2020-02-20HealthF0732Post nurse staffing information every day.D2020-04-08
2020-02-20HealthF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D2020-04-08
2020-02-20HealthF0758Implement 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.D2020-04-08
2020-02-20HealthF0760Ensure that residents are free from significant medication errors.E2020-04-08
2020-02-20HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.D2020-04-08
2020-02-20HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2020-04-08
2020-02-20HealthF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.D2020-04-08
2020-02-20HealthF0880Provide and implement an infection prevention and control program.E2020-04-08
2020-02-20HealthF0908Keep all essential equipment working safely.E2020-04-08
2020-02-20HealthF0919Make sure that a working call system is available in each resident's bathroom and bathing area.E2020-04-08
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

6
OwnerRolePctFromStatusSource
KARMEL, JACOB5% OR GREATER DIRECT OWNERSHIP INTEREST90%2020-09-01currentpecos_ownership
STERN, MOSHE5% OR GREATER DIRECT OWNERSHIP INTEREST10%2020-09-01currentpecos_ownership
BRICE, JOHNW-2 MANAGING EMPLOYEE—2020-09-01currentpecos_ownership
JACOB KARMEL5% OR GREATER DIRECT OWNERSHIP INTEREST90%2020-09-01ended 2026-05-18pecos_ownership
MOSHE STERN5% OR GREATER DIRECT OWNERSHIP INTEREST10%2020-09-01ended 2026-05-18pecos_ownership
JOHN BRICEW-2 MANAGING EMPLOYEE—2020-09-01ended 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
2020-09-01—CAPITOL CITY SNF LLCTRANSITIONS HEALTHCARE CAPITOL CITY, LLCchow

Comparable trades — DC snf

4
CloseFacilityPrice$/bedCap rateBedsBuyer
2020-09-01CAPITOL CITY REHAB AND HEALTHCARE CENTERthis facility———360CAPITOL CITY SNF LLC
2019-07-01ASCENSION LIVING CARROLL MANOR———252CARROLL MANOR
2018-05-01INSPIRE REHABILITATION AND HEALTH CENTER LLC———180INSPIRE REHABILITATION AND HEALTH CENTER LLC
2018-02-01SERENITY REHABILITATION AND HEALTH CENTER LLC———183SERENITY REHABILITATION AND HEALTH CENTER 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 11001acs median gross0$1,7502024-12-31CENSUS_ACS5
county 11001fmr0$1,9532025-10-01HUD_USER_FMR
county 11001acs median gross1$1,9442024-12-31CENSUS_ACS5
county 11001fmr1$2,0152025-10-01HUD_USER_FMR
county 11001acs median gross2$2,0832024-12-31CENSUS_ACS5
county 11001fmr2$2,2462025-10-01HUD_USER_FMR
county 11001acs median gross3$2,5032024-12-31CENSUS_ACS5
county 11001fmr3$2,8352025-10-01HUD_USER_FMR
county 11001acs median gross4$3,3692024-12-31CENSUS_ACS5
county 11001fmr4$3,3322025-10-01HUD_USER_FMR
county 11001acs median gross5$3,0752024-12-31CENSUS_ACS5
county 11001acs median gross$1,9542024-12-31CENSUS_ACS5
county 11001acs recent mover gross$2,2522024-12-31CENSUS_ACS5
zcta 20020acs median gross0$1,1602024-12-31CENSUS_ACS5
zcta 20020acs median gross1$1,1792024-12-31CENSUS_ACS5
zcta 20020acs median gross2$1,3632024-12-31CENSUS_ACS5
zcta 20020acs median gross3$1,6872024-12-31CENSUS_ACS5
zcta 20020acs median gross4$9942024-12-31CENSUS_ACS5
zcta 20020acs median gross$1,3062024-12-31CENSUS_ACS5
zcta 20020acs recent mover gross$1,1302024-12-31CENSUS_ACS5
zip 20020payment standard 1100$1,5622025-10-01HUD_USER_SAFMR
zip 20020payment standard 900$1,2782025-10-01HUD_USER_SAFMR
zip 20020safmr0$1,4202025-10-01HUD_USER_SAFMR
zip 20020payment standard 1101$1,6062025-10-01HUD_USER_SAFMR
zip 20020payment standard 901$1,3142025-10-01HUD_USER_SAFMR
zip 20020safmr1$1,4602025-10-01HUD_USER_SAFMR
zip 20020payment standard 1102$1,7932025-10-01HUD_USER_SAFMR
zip 20020payment standard 902$1,4672025-10-01HUD_USER_SAFMR
zip 20020safmr2$1,6302025-10-01HUD_USER_SAFMR
zip 20020payment standard 1103$2,2662025-10-01HUD_USER_SAFMR
zip 20020payment standard 903$1,8542025-10-01HUD_USER_SAFMR
zip 20020safmr3$2,0602025-10-01HUD_USER_SAFMR
zip 20020payment standard 1104$2,6622025-10-01HUD_USER_SAFMR
zip 20020payment standard 904$2,1782025-10-01HUD_USER_SAFMR
zip 20020safmr4$2,4202025-10-01HUD_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 · CAPITOL CITY REHAB AND HEALTHCARE CENTER (095022) · 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