Composite
98.8 / 100 percentile
Screener / 065248
F
OAKWOOD CARE AND REHABILITATION
snfCO
5301 W 1ST AVE, LAKEWOOD, CO 80226 · CCN 065248 · chain THE ENSIGN GROUP INC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
170
Model
v1.2
Reads as: riskier than 98.8% 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 signals8Components16CHOW radar1Distress radar1Staffing16Penalties5Deficiencies74Licensure0Ownership31Related party6Transactions1Comps12Market rent36
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 97.1 | 95.8 | 0.30 | 0.2308 | 22.41 | in index |
| financial risk | 93.2 | 81.7 | 0.30 | 0.2308 | 21.51 | in index |
| staffing risk | 80.1 | 80.1 | 0.25 | 0.1923 | 15.40 | in index |
| billing conduct | 63.6 | 44.9 | 0.30 | 0.2308 | 14.68 | in index |
| chow risk | 45.4 | 48.8 | 0.15 | 0.1154 | 5.24 | in 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
8| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner spans multiple chains | 18 chains | ENSIGN SERVICES INC | 286 facilities |
| connection | Owner spans multiple chains | 18 chains | CTR PARTNERSHIP LP | 99 facilities |
| connection | Owner spans multiple chains | 17 chains | BURNAM SOON | 335 facilities |
| connection | Owner spans multiple chains | 17 chains | KEETCH CHAD | 283 facilities |
| connection | Owner spans multiple chains | 15 chains | CARETRUST REIT INC | 96 facilities |
| connection | Owner spans multiple chains | 11 chains | CARETRUST GP LLC | 89 facilities |
| connection | Owner fleet enforcement cluster | 60% fined | KARE TECHNOLOGIES LLC | 10 facilities |
| connection | Owner fleet enforcement cluster | 40% fined | GAHM GREGORY | 5 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 type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 44.9 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 24.3 | A | v0.1-pos | default · in composite | Change-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 risk | 73.3 | D | v0.6 | default · in composite | |
| financial risk | 81.7 | F | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.0 | — | v0.1 | default · in composite | R23/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 12m | 0.1 | — | v0.1 | default · in composite | R22/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 risk | 95.8 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 80.1 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 85.2 | F | v0.1 | superseded | Pre-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 risk | 65.2 | D | v0.2 | superseded | Pre-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 risk | 72.0 | D | v0.3 | superseded | Pre-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 risk | 80.4 | F | v0.4 | superseded | Pre-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 risk | 95.8 | F | v0.1 | superseded | Pre-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 risk | 95.8 | F | v0.2 | superseded | Pre-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 risk | 80.1 | F | v0.1 | superseded | Pre-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 risk | 80.1 | F | v0.2 | superseded | Pre-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
19.6
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 2.41 | -1.61 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| Chain size (log) | 5.46 | +0.76 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Deficiencies, last 12 months | 16.00 | +0.22 | |
| Facility size (log beds) | 5.14 | -0.12 |
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
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 5.46 | -1.98 | |
| Deficiencies, last 12 months | 16.00 | -1.54 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 2.41 | -0.26 | |
| Ownership changes, last 5 years | 1.00 | +0.23 | |
| Occupancy | 0.70 | +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 HPRD | This facility | CO median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.80 | 3.19 | 3.28 | 2.90–3.77 |
| RN | 0.43 | 0.57 | 0.39 | 0.25–0.58 |
| Weekend total | 2.67 | 3.02 | 3.11 | — |
| Weekday total | 2.85 | 3.27 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 118.6 | 2.80 | 0.43 | 0.56 | 1.80 | 2.67 | 4.0% |
| 2025Q3 | 92 | 108.2 | 2.99 | 0.47 | 0.58 | 1.95 | 2.85 | 1.7% |
| 2025Q2 | 91 | 108.2 | 3.09 | 0.40 | 0.67 | 2.02 | 2.88 | 8.3% |
| 2025Q1 | 90 | 108.6 | 2.91 | 0.41 | 0.55 | 1.95 | 2.84 | 13.5% |
| 2024Q4 | 92 | 113.7 | 2.85 | 0.37 | 0.55 | 1.94 | 2.83 | 10.0% |
| 2024Q3 | 92 | 111.5 | 2.99 | 0.38 | 0.60 | 2.00 | 3.00 | 7.3% |
| 2024Q2 | 91 | 103.1 | 3.17 | 0.46 | 0.58 | 2.14 | 3.08 | 6.3% |
| 2024Q1 | 91 | 95.5 | 2.80 | 0.50 | 0.27 | 2.03 | 2.67 | 2.0% |
| 2023Q4 | 92 | 106.1 | 2.42 | 0.50 | 0.20 | 1.72 | 2.30 | 2.9% |
| 2023Q3 | 92 | 111.0 | 2.56 | 0.49 | 0.23 | 1.84 | 2.62 | 3.8% |
| 2023Q2 | 91 | 114.2 | 2.59 | 0.38 | 0.38 | 1.83 | 2.66 | 11.1% |
| 2023Q1 | 90 | 113.8 | 2.71 | 0.37 | 0.44 | 1.90 | 2.72 | 8.0% |
| 2022Q4 | 92 | 106.1 | 2.94 | 0.36 | 0.47 | 2.10 | 2.92 | 12.8% |
| 2022Q3 | 92 | 106.4 | 2.93 | 0.45 | 0.52 | 1.96 | 2.88 | 43.8% |
| 2022Q2 | 91 | 109.2 | 2.90 | 0.47 | 0.55 | 1.88 | 2.79 | 51.5% |
| 2022Q1 | 90 | 114.6 | 2.90 | 0.44 | 0.63 | 1.83 | 2.58 | 46.7% |
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
5fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-01-29 | Fine | $53,151 | CMS provider data |
| 2025-01-29 | Payment Denial | — | CMS provider data |
| 2024-04-10 | Fine | $52,416 | CMS provider data |
| 2023-10-09 | Fine | $111,704 | CMS provider data |
| 2023-10-09 | Payment Denial | — | CMS provider data |
Total fines on record: $217,271
Deficiencies
74C × 1D × 37E × 20F × 6G × 9K × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-02-26 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | 2026-03-23 |
| 2026-02-26 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2026-03-23 |
| 2026-02-26 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2026-03-23 |
| 2026-02-26 | Health · complaint | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | E | 2026-03-23 |
| 2026-02-26 | Health · complaint | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2026-03-23 |
| 2026-02-26 | Health · complaint | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E | 2026-03-23 |
| 2025-12-18 | Health · complaint | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | 2025-12-31 |
| 2025-12-18 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2026-01-15 |
| 2025-12-18 | Health · complaint | F0584 | Honor 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. | E | 2025-12-23 |
| 2025-12-18 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2026-01-15 |
| 2025-09-11 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-10-10 |
| 2025-09-11 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2025-10-10 |
| 2025-09-11 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | D | 2025-10-10 |
| 2025-09-11 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-10-10 |
| 2025-09-11 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-10-10 |
| 2025-09-11 | Health | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | 2025-10-10 |
| 2025-06-12 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2025-07-04 |
| 2025-06-12 | Health · complaint | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2025-07-04 |
| 2025-06-12 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2025-07-04 |
| 2025-01-29 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2025-03-07 |
| 2025-01-29 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-03-07 |
| 2025-01-29 | Health · complaint | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | 2025-03-07 |
| 2025-01-29 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2025-03-07 |
| 2025-01-29 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-03-07 |
| 2025-01-29 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-03-07 |
| 2024-04-10 | Health · complaint | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2024-05-02 |
| 2024-04-10 | Health · complaint | F0584 | Honor 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. | D | 2024-05-05 |
| 2024-04-10 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2024-05-05 |
| 2024-04-10 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-05-05 |
| 2024-04-10 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-05-05 |
| 2024-04-10 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-05-05 |
| 2024-04-10 | Health | F0685 | Assist a resident in gaining access to vision and hearing services. | E | 2024-05-05 |
| 2024-04-10 | Health | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2024-05-02 |
| 2024-04-10 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2024-05-05 |
| 2024-04-10 | Health · complaint | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | E | 2024-05-05 |
| 2024-04-10 | Health | F0758 | Implement 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. | D | 2024-05-05 |
| 2024-04-10 | Health | F0761 | Ensure 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. | D | 2024-05-02 |
| 2024-04-10 | Health · complaint | F0791 | Provide or obtain dental services for each resident. | E | 2024-05-05 |
| 2024-04-10 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2024-05-02 |
| 2024-04-10 | Health · complaint | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2024-05-02 |
| 2024-04-10 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2024-05-05 |
| 2023-10-09 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | G | 2023-11-09 |
| 2023-10-09 | Health · complaint | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | 2023-11-09 |
| 2023-10-09 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | 2023-11-24 |
| 2023-10-09 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-11-28 |
| 2023-10-09 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2023-11-09 |
| 2023-10-09 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2023-11-09 |
| 2023-10-09 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | 2023-11-09 |
| 2023-10-09 | Health · complaint | F0730 | Observe each nurse aide's job performance and give regular training. | E | 2023-11-09 |
| 2023-10-09 | Health · complaint | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | G | 2023-11-09 |
| 2023-10-09 | Health · complaint | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | G | 2023-11-09 |
| 2023-10-09 | Health · complaint | F0838 | Conduct 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. | F | 2023-11-09 |
| 2023-10-09 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2023-11-09 |
| 2023-10-09 | Health · complaint | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2023-11-09 |
| 2023-07-20 | Health · complaint | F0814 | Dispose of garbage and refuse properly. | F | 2023-08-11 |
| 2023-07-20 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | F | 2023-08-11 |
| 2022-11-17 | Health | F0567 | Honor the resident's right to manage his or her financial affairs. | D | 2022-12-17 |
| 2022-11-17 | Health | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | D | 2022-12-17 |
| 2022-11-17 | Health | F0584 | Honor 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. | E | 2022-12-17 |
| 2022-11-17 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | 2022-12-17 |
| 2022-11-17 | Health | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | 2022-12-17 |
| 2022-11-17 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2022-12-17 |
| 2022-11-17 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2022-12-17 |
| 2022-11-17 | Health | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2022-12-17 |
| 2022-11-17 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2022-12-17 |
| 2022-11-17 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2022-12-23 |
| 2022-11-17 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2022-12-22 |
| 2022-11-17 | Health | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2022-12-17 |
| 2022-11-17 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2022-12-17 |
| 2022-11-17 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2022-12-17 |
| 2022-11-17 | Health | F0761 | Ensure 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. | E | 2022-12-17 |
| 2022-11-17 | Health | F0803 | Ensure 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. | D | 2022-12-17 |
| 2022-11-17 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2022-12-17 |
| 2022-11-17 | Health | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | 2022-12-17 |
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
0No 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
31| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| BIJOU HEALTH HOLDING LLC | Corporation, partnership or other organization has financial interest in provider | — | 2024-01-01 | current | hcris_a_8_1 |
| BOYLES, EDDY | ADP OF THE SNF | — | 2025-07-15 | current | pecos_ownership |
| BOYLES, EDDY | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-12-18 | current | pecos_ownership |
| BURNAM, SOON | ADP OF THE SNF | — | 2025-07-15 | current | pecos_ownership |
| BURNAM, SOON | CORPORATE OFFICER | — | 2023-12-18 | current | pecos_ownership |
| CARETRUST GP LLC | ADP OF THE SNF | — | 2024-03-01 | current | pecos_ownership |
| CARETRUST REIT INC | ADP OF THE SNF | — | 2024-03-01 | current | pecos_ownership |
| CTR PARTNERSHIP LP | ADP OF THE SNF | — | 2024-03-01 | current | pecos_ownership |
| DUNYON, DAVID | CORPORATE OFFICER | — | 2024-03-01 | current | pecos_ownership |
| ENSIGN SERVICES INC | ADP OF THE SNF | — | 2023-12-18 | current | pecos_ownership |
| GAHM, GREGORY | MANAGING CONTROL - GOVERNING BODY | — | 2024-06-26 | current | pecos_ownership |
| GAHM, GREGORY | ADP OF THE SNF | — | 2025-07-15 | current | pecos_ownership |
| JORGENSEN, DAVID | CORPORATE DIRECTOR | — | 2024-09-09 | current | pecos_ownership |
| KARE TECHNOLOGIES LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-01 | current | pecos_ownership |
| KEETCH, CHAD | CORPORATE OFFICER | — | 2011-03-01 | current | pecos_ownership |
| ONSHIFT INC | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-01 | current | pecos_ownership |
| PORT, BARRY | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-07-15 | current | pecos_ownership |
| SATO, AMI | CORPORATE OFFICER | — | 2024-09-09 | current | pecos_ownership |
| SOS NURSING SERVICES, INC | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-01 | current | pecos_ownership |
| ENDURA HEALTHCARE LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2023-12-18 | ended 2026-05-18 | pecos_ownership |
| THE ENSIGN GROUP INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2006-01-30 | ended 2026-05-18 | pecos_ownership |
| SOON BURNAM | CORPORATE OFFICER | 0% | 2023-12-18 | ended 2026-05-18 | pecos_ownership |
| AMI SATO | CORPORATE OFFICER | — | 2024-09-09 | ended 2026-05-18 | pecos_ownership |
| CHAD KEETCH | CORPORATE OFFICER | — | 2011-03-01 | ended 2026-05-18 | pecos_ownership |
| DAVID DUNYON | CORPORATE OFFICER | — | 2024-03-01 | ended 2026-05-18 | pecos_ownership |
| DAVID JORGENSEN | CORPORATE DIRECTOR | — | 2024-09-09 | ended 2026-05-18 | pecos_ownership |
| EDDY BOYLES | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-12-18 | ended 2026-05-18 | pecos_ownership |
| EDDY BOYLES | ADP OF THE SNF | — | 2025-07-15 | ended 2026-05-18 | pecos_ownership |
| GREGORY GAHM | MANAGING CONTROL - GOVERNING BODY | — | 2024-06-26 | ended 2026-05-18 | pecos_ownership |
| GREGORY GAHM | ADP OF THE SNF | — | 2025-07-15 | ended 2026-05-18 | pecos_ownership |
| SOON BURNAM | ADP OF THE SNF | — | 2025-07-15 | ended 2026-05-18 | pecos_ownership |
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Transactions
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2024-03-01 | — | FOX HOLLOW HEALTHCARE INC | BETHANY NURSING & REHAB CENTER LLC | chow |
Comparable trades — CO snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-09-01 | FALCON HEIGHTS REHABILITATION AND NURSING LLC | — | — | — | 107 | FALCON HEIGHTS REHABILITATION AND NURSING LLC |
| 2025-07-11 | Pueblo Heights Nursing and Rehabilitation | — | — | — | 120 | CONSTITUTION OPERATIONS LLC |
| 2025-05-16 | CITY SCAPE REHABILITATION & CARE CENTER LLC | — | — | — | 60 | CITY SCAPE REHABILITATION & CARE CENTER LLC |
| 2024-10-16 | STORYBROOK CARE & REHABILITATION | — | — | — | 60 | STORYBROOK CARE & REHABILITATION LLC |
| 2024-10-01 | CASEY'S POND SENIOR LIVING | — | — | — | 66 | NORTHWEST COLORADO VISITING NURSE ASSOCIATION |
| 2024-09-01 | POUDRE CANYON REHABILITATION AND NURSING, LLC | — | — | — | 83 | POUDRE CANYON REHABILITATION AND NURSING LLC |
| 2024-09-01 | WELLSPRINGS CARE CENTER | — | — | — | 81 | WELLSPRINGS CARE CENTER LLC |
| 2024-09-01 | SOUTH PLATTE REHABILITATION AND NURSING LLC | — | — | — | 78 | SOUTH PLATTE REHABILITATION AND NURSING LLC |
| 2024-09-01 | WESTLAKE HEALTH AND REHABILITATION CENTER | — | — | — | 107 | LATHAM RIVER HEALTHCARE, INC. |
| 2024-09-01 | THORNTON CARE CENTER | — | — | — | 101 | THORNTON CARE CENTER LLC |
| 2024-09-01 | DURANGO HEALTH AND REHABILITATION | — | — | — | 133 | CHIMNEY ROCK HEALTHCARE INC |
| 2024-09-01 | STERLING REHABILITATION AND NURSING, LLC | — | — | — | 63 | STERLING REHABILITATION AND NURSING 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| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 08059 | acs median gross | 0 | $1,624 | 2024-12-31 | CENSUS_ACS5 |
| county 08059 | fmr | 0 | $1,643 | 2025-10-01 | HUD_USER_FMR |
| county 08059 | acs median gross | 1 | $1,653 | 2024-12-31 | CENSUS_ACS5 |
| county 08059 | fmr | 1 | $1,754 | 2025-10-01 | HUD_USER_FMR |
| county 08059 | acs median gross | 2 | $1,863 | 2024-12-31 | CENSUS_ACS5 |
| county 08059 | fmr | 2 | $2,089 | 2025-10-01 | HUD_USER_FMR |
| county 08059 | acs median gross | 3 | $2,301 | 2024-12-31 | CENSUS_ACS5 |
| county 08059 | fmr | 3 | $2,734 | 2025-10-01 | HUD_USER_FMR |
| county 08059 | acs median gross | 4 | $2,560 | 2024-12-31 | CENSUS_ACS5 |
| county 08059 | fmr | 4 | $3,049 | 2025-10-01 | HUD_USER_FMR |
| county 08059 | acs median gross | 5 | $2,753 | 2024-12-31 | CENSUS_ACS5 |
| county 08059 | acs median gross | $1,861 | 2024-12-31 | CENSUS_ACS5 | |
| county 08059 | acs recent mover gross | $1,996 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 80226 | acs median gross | 0 | $1,654 | 2024-12-31 | CENSUS_ACS5 |
| zcta 80226 | acs median gross | 1 | $1,667 | 2024-12-31 | CENSUS_ACS5 |
| zcta 80226 | acs median gross | 2 | $1,757 | 2024-12-31 | CENSUS_ACS5 |
| zcta 80226 | acs median gross | 3 | $2,145 | 2024-12-31 | CENSUS_ACS5 |
| zcta 80226 | acs median gross | 4 | $2,332 | 2024-12-31 | CENSUS_ACS5 |
| zcta 80226 | acs median gross | 5 | $3,500 | 2024-12-31 | CENSUS_ACS5 |
| zcta 80226 | acs median gross | $1,775 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 80226 | acs recent mover gross | $1,992 | 2024-12-31 | CENSUS_ACS5 | |
| zip 80226 | payment standard 110 | 0 | $1,661 | 2025-10-01 | HUD_USER_SAFMR |
| zip 80226 | payment standard 90 | 0 | $1,359 | 2025-10-01 | HUD_USER_SAFMR |
| zip 80226 | safmr | 0 | $1,510 | 2025-10-01 | HUD_USER_SAFMR |
| zip 80226 | payment standard 110 | 1 | $1,782 | 2025-10-01 | HUD_USER_SAFMR |
| zip 80226 | payment standard 90 | 1 | $1,458 | 2025-10-01 | HUD_USER_SAFMR |
| zip 80226 | safmr | 1 | $1,620 | 2025-10-01 | HUD_USER_SAFMR |
| zip 80226 | payment standard 110 | 2 | $2,123 | 2025-10-01 | HUD_USER_SAFMR |
| zip 80226 | payment standard 90 | 2 | $1,737 | 2025-10-01 | HUD_USER_SAFMR |
| zip 80226 | safmr | 2 | $1,930 | 2025-10-01 | HUD_USER_SAFMR |
| zip 80226 | payment standard 110 | 3 | $2,772 | 2025-10-01 | HUD_USER_SAFMR |
| zip 80226 | payment standard 90 | 3 | $2,268 | 2025-10-01 | HUD_USER_SAFMR |
| zip 80226 | safmr | 3 | $2,520 | 2025-10-01 | HUD_USER_SAFMR |
| zip 80226 | payment standard 110 | 4 | $3,102 | 2025-10-01 | HUD_USER_SAFMR |
| zip 80226 | payment standard 90 | 4 | $2,538 | 2025-10-01 | HUD_USER_SAFMR |
| zip 80226 | safmr | 4 | $2,820 | 2025-10-01 | HUD_USER_SAFMR |
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.