CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,950 facilities
LIVE SIGNALS
ENFELITE PERSONALIZED CARE OF TEXAS LLCTX · 2026-08-08 · HHSC: ENFORCEMENT ACTION PENDENFWE 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 PENDMOVECrouse 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)ENFELITE PERSONALIZED CARE OF TEXAS LLCTX · 2026-08-08 · HHSC: ENFORCEMENT ACTION PENDENFWE 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 PENDMOVECrouse 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 2026-08-08 09:28 UTC
Screener / 056458
C

GREENFIELD CARE CENTER OF SOUTH GATE

snfCA
8455 STATE STREET, SOUTH GATE, CA 90280 · CCN 056458
Composite
61.9 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
99
Model
v1.2
Reads as: riskier than 61.9% 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.

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk93.290.90.300.230821.51in index
billing conduct71.548.40.300.230816.50in index
financial risk39.239.10.300.23089.05in index
staffing risk19.920.00.250.19233.83in index
chow risk17.219.90.150.11541.98in 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.

Component scores and registry models

16
Score typeScoreGradeModelStatusRegistry model notes
billing conduct48.4Cv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk24.6Av0.1-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 risk15.3Av0.6default · in composite
financial risk39.1Bv0.5default · in compositeR18.
p adverse action 12m0.1v0.1default · 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 12m3.0v0.1default · 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 risk90.9Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk20.0Av0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk71.4Dv0.1supersededPre-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 risk51.4Cv0.2supersededPre-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 risk50.6Cv0.3supersededPre-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 risk43.3Bv0.4supersededPre-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 risk90.9Fv0.1supersededPre-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 risk90.9Fv0.2supersededPre-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 risk20.0Av0.1supersededPre-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 risk20.0Av0.2supersededPre-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)
3.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
77.4
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
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)0.00-0.40
Ownership changes, last 5 years0.00+0.20
Total nurse staffing (HPRD)3.92-0.17
Occupancy0.74-0.12
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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
49.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Chain size (log)0.00+1.20
For-profit ownership1.00-0.69
Deficiencies, last 12 months10.00-0.43
No PBJ staffing report0.00+0.39
Total nurse staffing (HPRD)3.92-0.29
Fine amount, 12m (log)0.00+0.18
Never sold on record1.00+0.12
Current owner tenure (years)25.00+0.11
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 nurse3.923.953.282.90–3.77
RN0.440.380.390.25–0.58
Weekend total3.873.793.11
Weekday total3.944.013.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49273.33.920.440.862.623.8710.3%
2025Q39277.03.930.450.842.633.8111.6%
2025Q29174.74.010.510.812.683.8311.8%
2025Q19077.13.930.550.772.613.8814.9%
2024Q49278.03.900.460.802.643.8211.9%
2024Q39269.53.900.510.742.653.8211.1%
2024Q29172.44.080.380.942.763.976.7%
2024Q19178.84.390.201.053.144.225.7%
2023Q49281.34.800.380.823.604.588.7%
2023Q39286.24.350.360.833.164.218.3%
2023Q29188.04.190.440.772.994.009.4%
2023Q19090.54.070.510.672.893.9311.6%
2022Q49286.64.250.510.683.064.1412.8%
2022Q39284.04.240.400.932.924.0715.4%
2022Q29186.13.810.320.942.553.6910.2%
2022Q19074.04.040.291.022.723.869.4%
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

2
DateTypeFineSource
2024-05-31Fine$57,906CMS provider data
2024-05-31Payment DenialCMS provider data
Total fines on record: $57,906

Deficiencies

97
D × 64E × 29F × 2G × 2
deficiencies by survey year
38192223242526
SurveyTypeTagDeficiencyScopeCorrected
2026-03-19Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2026-04-02
2026-03-10Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2026-04-10
2026-03-10Health · complaintF0880Provide and implement an infection prevention and control program.D2026-04-10
2026-02-19Health · complaintF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.D2026-03-05
2025-12-04Health · complaintF0552Ensure that residents are fully informed and understand their health status, care and treatments.D2025-12-09
2025-11-12Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.E2025-12-12
2025-11-12Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-12-12
2025-11-12Health · complaintF0610Respond appropriately to all alleged violations.D2025-12-12
2025-09-12Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2025-09-13
2025-09-12Health · 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.E2025-09-13
2025-07-18HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2025-08-11
2025-07-18HealthF0552Ensure that residents are fully informed and understand their health status, care and treatments.D2025-08-11
2025-07-18HealthF0558Reasonably accommodate the needs and preferences of each resident.D2025-08-11
2025-07-18HealthF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2025-08-11
2025-07-18HealthF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D2025-08-11
2025-07-18HealthF0641Ensure each resident receives an accurate assessment.D2025-08-11
2025-07-18HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E2025-08-11
2025-07-18HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2025-08-11
2025-07-18HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E2025-08-11
2025-07-18HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2025-08-11
2025-07-18HealthF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2025-08-11
2025-07-18HealthF0692Provide enough food/fluids to maintain a resident's health.D2025-08-11
2025-07-18HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2025-08-11
2025-07-18HealthF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.D2025-08-11
2025-07-18HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2025-08-11
2025-07-18HealthF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.D2025-08-11
2025-07-18HealthF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D2025-08-11
2025-07-18HealthF0880Provide and implement an infection prevention and control program.F2025-08-11
2025-07-09Health · complaintF0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.D2025-07-29
2025-07-09Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-07-29
2025-07-09Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-07-29
2025-07-09Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-07-29
2025-07-09Health · 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.D2025-07-29
2025-06-12Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2025-07-08
2025-06-12Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-07-08
2025-06-03Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-06-27
2025-06-03Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-06-27
2025-04-14Health · complaintF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.D2025-04-29
2025-04-14Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-04-29
2025-04-08Health · complaintF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2025-05-09
2025-02-03Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-02-21
2025-02-03Health · complaintF0610Respond appropriately to all alleged violations.D2025-02-21
2024-12-27Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-01-09
2024-11-13Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-12-07
2024-10-22Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2024-11-07
2024-10-22Health · complaintF0760Ensure that residents are free from significant medication errors.D2024-11-07
2024-07-24Health · complaintF0675Honor each resident's preferences, choices, values and beliefs.D2024-07-31
2024-07-24Health · complaintF0880Provide and implement an infection prevention and control program.E2024-07-31
2024-05-31HealthF0552Ensure that residents are fully informed and understand their health status, care and treatments.D2024-06-30
2024-05-31HealthF0558Reasonably accommodate the needs and preferences of each resident.D2024-06-30
2024-05-31HealthF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2024-06-30
2024-05-31HealthF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.D2024-06-30
2024-05-31HealthF0642Ensure a qualified health professional conducts resident assessments.E2024-06-30
2024-05-31HealthF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D2024-06-30
2024-05-31HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E2024-06-30
2024-05-31HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E2024-06-30
2024-05-31HealthF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D2024-06-30
2024-05-31HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2024-06-30
2024-05-31HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E2024-06-30
2024-05-31HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.E2024-06-30
2024-05-31HealthF0688Provide 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.G2024-06-30
2024-05-31HealthF0693Ensure 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.E2024-06-30
2024-05-31HealthF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.E2024-06-30
2024-05-31HealthF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.E2024-06-30
2024-05-31HealthF0758Implement 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.D2024-06-30
2024-05-31HealthF0759Ensure medication error rates are not 5 percent or greater.D2024-06-30
2024-05-31HealthF0803Ensure 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.E2024-06-30
2024-05-31HealthF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.D2024-06-30
2024-05-31HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2024-06-30
2024-05-31HealthF0825Provide or get specialized rehabilitative services as required for a resident.G2024-06-30
2024-05-31HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E2024-06-30
2024-05-31HealthF0865Have a plan that describes the process for conducting QAPI and QAA activities.E2024-06-30
2024-05-31HealthF0880Provide and implement an infection prevention and control program.E2024-06-30
2024-05-31HealthF0919Make sure that a working call system is available in each resident's bathroom and bathing area.E2024-06-30
2023-12-07Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2023-12-21
2023-12-07Health · complaintF0880Provide and implement an infection prevention and control program.E2023-12-21
2023-11-21Health · complaintF0620Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.D2023-12-11
2023-11-21Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2023-12-11
2023-08-03Health · complaintF0880Provide and implement an infection prevention and control program.D2023-09-02
2022-03-17HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2022-04-13
2022-03-17HealthF0583Keep residents' personal and medical records private and confidential.D2022-04-13
2022-03-17HealthF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.D2022-04-13
2022-03-17HealthF0637Assess the resident when there is a significant change in conditionD2022-04-13
2022-03-17HealthF0641Ensure each resident receives an accurate assessment.E2022-04-13
2022-03-17HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2022-04-13
2022-03-17HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.E2022-04-13
2022-03-17HealthF0688Provide 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.E2022-04-13
2022-03-17HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E2022-04-13
2022-03-17HealthF0697Provide safe, appropriate pain management for a resident who requires such services.D2022-04-13
2022-03-17HealthF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.D2022-04-13
2022-03-17HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2022-04-13
2022-03-17HealthF0759Ensure medication error rates are not 5 percent or greater.D2022-04-13
2022-03-17HealthF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.E2022-04-13
2022-03-17HealthF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.E2022-04-13
2022-03-17HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2022-04-13
2022-03-17HealthF0880Provide and implement an infection prevention and control program.D2022-04-13
2022-03-17HealthF0909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.E2022-04-13
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.

Licensure actions

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

Ownership

18
OwnerRolePctFromStatusSource
CHEN, JENQ5% OR GREATER DIRECT OWNERSHIP INTEREST50%2002-10-10currentpecos_ownership
CHEN, TZE-YUN5% OR GREATER DIRECT OWNERSHIP INTEREST50%2002-10-10currentpecos_ownership
CHEN, JENQCORPORATE DIRECTOR2003-03-31currentpecos_ownership
CHEN, TZE-YUNCORPORATE DIRECTOR2003-03-31currentpecos_ownership
PADAMA, ANTHONYADP OF THE SNF2025-06-06currentpecos_ownership
PADAMA, ANTHONYOPERATIONAL/MANAGERIAL CONTROL2024-03-11currentpecos_ownership
PADAMA, JOHNMANAGING CONTROL - GOVERNING BODY2017-08-02currentpecos_ownership
TSENG, TONYADP OF THE SNF2025-06-06currentpecos_ownership
TSENG, TONYOPERATIONAL/MANAGERIAL CONTROL2021-10-01currentpecos_ownership
JENQ CHEN5% OR GREATER DIRECT OWNERSHIP INTEREST50%2002-10-10ended 2026-05-18pecos_ownership
TZE-YUN CHEN5% OR GREATER DIRECT OWNERSHIP INTEREST50%2002-10-10ended 2026-05-18pecos_ownership
ANTHONY PADAMAADP OF THE SNF2025-06-06ended 2026-05-18pecos_ownership
ANTHONY PADAMAOPERATIONAL/MANAGERIAL CONTROL2024-03-11ended 2026-05-18pecos_ownership
JENQ CHENCORPORATE DIRECTOR2003-03-31ended 2026-05-18pecos_ownership
JOHN PADAMAMANAGING CONTROL - GOVERNING BODY2017-08-02ended 2026-05-18pecos_ownership
TONY TSENGOPERATIONAL/MANAGERIAL CONTROL2021-10-01ended 2026-05-18pecos_ownership
TONY TSENGADP OF THE SNF2025-06-06ended 2026-05-18pecos_ownership
TZE-YUN CHENCORPORATE DIRECTOR2003-03-31ended 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 Center144TRACY RIDGE HEALTHCARE, INC.
2025-04-01ALAMITOS WEST HEALTH & REHABILITATION150MALCOLM HEALTHCARE, INC.
2025-04-01PACIFIC HAVEN SUBACUTE AND HEALTHCARE CENTER99STRAWBERRY POND HEALTHCARE LLC
2025-01-16GOLDEN HARBOR HEALTHCARE CENTER99CEYLON HOLDINGS LLC
2024-12-30GRASS VALLEY HEALTHCARE CENTER86HEISMAN LLC
2024-10-01REDWOOD GROVE POST ACUTE144SOQUEL CARE LLC
2024-09-01OAK GROVE POST ACUTE1194545 SHELLEY COURT OPCO, LLC
2024-08-01WE CARE SKILLED NURSING - FREMONT99WE CARE SKILLED NURSING-FREMONT, LLC
2024-05-01MAJESTIC MOUNTAIN CARE CENTER66OAKHURST SKILLED CARE LLC
2024-04-01THE BRADLEY GARDENS44GHC OF SAN JACINTO LLC
2024-04-01SANTA FE POST-ACUTE187SKILLED BOBIER LLC
2024-04-01BAYSHIRE SAN DIMAS POST-ACUTE45SKILLED 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 06037acs median gross0$1,5232024-12-31CENSUS_ACS5
county 06037fmr0$1,8632025-10-01HUD_USER_FMR
county 06037acs median gross1$1,7242024-12-31CENSUS_ACS5
county 06037fmr1$2,0852025-10-01HUD_USER_FMR
county 06037acs median gross2$2,1272024-12-31CENSUS_ACS5
county 06037fmr2$2,6012025-10-01HUD_USER_FMR
county 06037acs median gross3$2,4842024-12-31CENSUS_ACS5
county 06037fmr3$3,2982025-10-01HUD_USER_FMR
county 06037acs median gross4$2,8662024-12-31CENSUS_ACS5
county 06037fmr4$3,6722025-10-01HUD_USER_FMR
county 06037acs median gross5$2,7672024-12-31CENSUS_ACS5
county 06037acs median gross$1,9542024-12-31CENSUS_ACS5
county 06037acs recent mover gross$2,3582024-12-31CENSUS_ACS5
zcta 90280acs median gross0$1,2062024-12-31CENSUS_ACS5
zcta 90280acs median gross1$1,3462024-12-31CENSUS_ACS5
zcta 90280acs median gross2$1,6722024-12-31CENSUS_ACS5
zcta 90280acs median gross3$2,1232024-12-31CENSUS_ACS5
zcta 90280acs median gross4$2,2882024-12-31CENSUS_ACS5
zcta 90280acs median gross5$1,7082024-12-31CENSUS_ACS5
zcta 90280acs median gross$1,5312024-12-31CENSUS_ACS5
zcta 90280acs recent mover gross$1,7442024-12-31CENSUS_ACS5
zip 90280payment standard 1100$1,8372025-10-01HUD_USER_SAFMR
zip 90280payment standard 900$1,5032025-10-01HUD_USER_SAFMR
zip 90280safmr0$1,6702025-10-01HUD_USER_SAFMR
zip 90280payment standard 1101$2,0572025-10-01HUD_USER_SAFMR
zip 90280payment standard 901$1,6832025-10-01HUD_USER_SAFMR
zip 90280safmr1$1,8702025-10-01HUD_USER_SAFMR
zip 90280payment standard 1102$2,5632025-10-01HUD_USER_SAFMR
zip 90280payment standard 902$2,0972025-10-01HUD_USER_SAFMR
zip 90280safmr2$2,3302025-10-01HUD_USER_SAFMR
zip 90280payment standard 1103$3,2452025-10-01HUD_USER_SAFMR
zip 90280payment standard 903$2,6552025-10-01HUD_USER_SAFMR
zip 90280safmr3$2,9502025-10-01HUD_USER_SAFMR
zip 90280payment standard 1104$3,6192025-10-01HUD_USER_SAFMR
zip 90280payment standard 904$2,9612025-10-01HUD_USER_SAFMR
zip 90280safmr4$3,2902025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.