3900 PACIFIC AVENUE, FOREST GROVE, OR 97116 · CCN 385155 · chain PACS HOLDINGS LLC
Composite
8.0 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
114
Model
v1.2
Reads as: riskier than 8.0% 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.
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
ML signals — parallel engine
5
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
12 chains
TRUIST BANK
61 facilities
connection
Owner spans multiple chains
7 chains
JERGENSEN JOSHUA
249 facilities
connection
Owner spans multiple chains
7 chains
MITCHELL JOHN
264 facilities
connection
Owner spans multiple chains
6 chains
APT FREDERICK
254 facilities
connection
Owner spans multiple chains
5 chains
PROVIDENCE ADMINISTRATIVE CONSULTING SERVICES INC
62 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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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
OR median
National median
National p25–p75
Total nurse
4.16
4.20
3.28
2.90–3.77
RN
0.26
0.41
0.39
0.25–0.58
Weekend total
3.78
3.99
3.11
—
Weekday total
4.31
4.27
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
82.4
4.16
0.26
1.11
2.79
3.78
4.7%
2025Q3
92
79.3
4.22
0.29
1.15
2.79
3.85
3.8%
2025Q2
91
78.9
4.21
0.28
1.16
2.77
3.88
1.7%
2025Q1
90
77.8
4.24
0.38
1.08
2.77
3.89
3.9%
2024Q4
92
74.4
4.44
0.34
1.24
2.87
3.99
2.4%
2024Q3
92
70.6
4.82
0.29
1.15
3.38
4.37
1.2%
2024Q2
91
68.0
4.81
0.23
1.05
3.52
4.67
2.4%
2024Q1
91
70.0
4.34
0.23
1.05
3.06
4.07
0.0%
2023Q4
92
69.2
4.14
0.16
1.04
2.94
3.96
0.1%
2023Q3
92
69.7
3.77
0.25
0.89
2.63
3.61
0.1%
2023Q2
91
65.8
3.64
0.26
1.01
2.37
3.48
2.6%
2023Q1
90
63.1
3.37
0.23
0.96
2.18
3.06
2.7%
2022Q4
92
62.4
4.00
0.37
0.87
2.76
3.75
6.2%
2022Q3
92
65.5
4.36
0.28
1.13
2.94
4.05
7.0%
2022Q2
91
67.6
4.63
0.33
1.21
3.08
4.27
4.5%
2022Q1
90
65.8
4.21
0.35
1.16
2.71
3.99
3.4%
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.
Penalties
0
No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
21
D × 10E × 4F × 3G × 3J × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-07-25
Health
F0605
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
D
2025-08-27
2025-07-25
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2025-08-27
2024-12-18
Health · complaint
F0695
Provide safe and appropriate respiratory care for a resident when needed.
E
2025-01-07
2024-06-14
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-07-15
2024-06-14
Health · complaint
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2024-07-15
2024-06-14
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2024-07-15
2024-06-14
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2024-01-03
2024-06-14
Health · complaint
F0730
Observe each nurse aide's job performance and give regular training.
F
2024-07-15
2024-06-14
Health · complaint
F0732
Post nurse staffing information every day.
E
2024-07-15
2024-06-14
Health · complaint
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
2024-07-15
2023-10-06
Health · complaint
F0624
Prepare residents for a safe transfer or discharge from the nursing home.
D
2023-10-18
2019-07-16
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.
D
2019-08-29
2019-07-16
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
G
2019-08-29
2019-07-16
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2019-08-29
2019-07-16
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
2019-08-29
2019-07-16
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2019-08-29
2019-07-16
Health
F0741
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
J
2018-11-29
2019-07-16
Health
F0742
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
D
2019-08-29
2019-07-16
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2019-08-29
2019-07-16
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2019-08-29
2019-07-16
Health
F0921
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F
2019-08-29
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
27
Owner
Role
Pct
From
Status
Source
CAMELOT LLC
Individual has financial interest in both related organization and provider
42%
2023-09-01
current
hcris_a_8_1
CAMELOT LLC
Individual has financial interest in both related organization and provider
42%
2023-01-01
current
hcris_a_8_1
APT, FREDERICK
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-10
current
pecos_ownership
JERGENSEN, JOSHUA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-10
current
pecos_ownership
LARSON, DAVID
OPERATIONAL/MANAGERIAL CONTROL
—
2024-09-01
current
pecos_ownership
LARSON, DAVID
ADP OF THE SNF
—
2025-07-11
current
pecos_ownership
MITCHELL, JOHN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-10
current
pecos_ownership
NHI-REIT OF IDAHO LP
ADP OF THE SNF
—
2024-09-01
current
pecos_ownership
PROVIDENCE ADMINISTRATIVE CONSULTING SERVICES INC
ADP OF THE SNF
—
2024-09-01
current
pecos_ownership
ROEKEL, KAYLA
ADP OF THE SNF
—
2025-07-11
current
pecos_ownership
ROEKEL, KAYLA
OPERATIONAL/MANAGERIAL CONTROL
—
2024-09-01
current
pecos_ownership
TRUIST BANK
5% OR GREATER SECURITY INTEREST
—
2024-09-01
current
pecos_ownership
PACS GROUP, INC.
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2024-09-01
ended 2026-05-18
pecos_ownership
PACS HOLDINGS, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2024-05-10
ended 2026-05-18
pecos_ownership
PROVIDENCE GROUP NH, LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2024-09-01
ended 2026-05-18
pecos_ownership
CAMELOT LLC
Individual has financial interest in both related organization and provider
42%
2020-01-01
ended 2020-12-31
hcris_a_8_1
CAMELOT LLC
Individual has financial interest in both related organization and provider
42%
2021-01-01
ended 2021-12-31
hcris_a_8_1
CAMELOT LLC
Individual has financial interest in both related organization and provider
42%
2022-01-01
ended 2022-12-31
hcris_a_8_1
JASON MURRAY
5% OR GREATER INDIRECT OWNERSHIP INTEREST
35%
2024-05-10
ended 2026-05-18
pecos_ownership
MARK HANCOCK
5% OR GREATER INDIRECT OWNERSHIP INTEREST
35%
2024-05-10
ended 2026-05-18
pecos_ownership
DAVID LARSON
OPERATIONAL/MANAGERIAL CONTROL
—
2024-09-01
ended 2026-05-18
pecos_ownership
DAVID LARSON
ADP OF THE SNF
—
2025-07-11
ended 2026-05-18
pecos_ownership
FREDERICK APT
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-10
ended 2026-05-18
pecos_ownership
JOHN MITCHELL
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-10
ended 2026-05-18
pecos_ownership
JOSHUA JERGENSEN
OPERATIONAL/MANAGERIAL CONTROL
—
2024-05-10
ended 2026-05-18
pecos_ownership
KAYLA ROEKEL
ADP OF THE SNF
—
2025-07-11
ended 2026-05-18
pecos_ownership
KAYLA ROEKEL
OPERATIONAL/MANAGERIAL CONTROL
—
2024-09-01
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.
Related-party costs
6
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$256,595
—
$256,595
—
—
1
—
2024-08-31
$996,039
—
$627,123
$368,916
—
9
propco
2023-12-31
$1,506,701
—
$940,685
$566,016
—
9
propco
2022-12-31
$1,398,405
—
$910,467
$487,938
—
9
propco
2021-12-31
$2,607,904
$1,179,454
$545,638
$570,358
$22,716
9
propco
2020-12-31
$2,275,318
$1,176,743
$475,272
$430,197
$16,761
12
propco
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
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 41067
acs median gross
0
$1,606
2024-12-31
CENSUS_ACS5
county 41067
fmr
0
$1,570
2025-10-01
HUD_USER_FMR
county 41067
acs median gross
1
$1,607
2024-12-31
CENSUS_ACS5
county 41067
fmr
1
$1,677
2025-10-01
HUD_USER_FMR
county 41067
acs median gross
2
$1,825
2024-12-31
CENSUS_ACS5
county 41067
fmr
2
$1,922
2025-10-01
HUD_USER_FMR
county 41067
acs median gross
3
$2,273
2024-12-31
CENSUS_ACS5
county 41067
fmr
3
$2,619
2025-10-01
HUD_USER_FMR
county 41067
acs median gross
4
$2,791
2024-12-31
CENSUS_ACS5
county 41067
fmr
4
$3,109
2025-10-01
HUD_USER_FMR
county 41067
acs median gross
5
$2,727
2024-12-31
CENSUS_ACS5
county 41067
acs median gross
$1,849
2024-12-31
CENSUS_ACS5
county 41067
acs recent mover gross
$1,992
2024-12-31
CENSUS_ACS5
zcta 97116
acs median gross
0
$1,579
2024-12-31
CENSUS_ACS5
zcta 97116
acs median gross
1
$1,235
2024-12-31
CENSUS_ACS5
zcta 97116
acs median gross
2
$1,446
2024-12-31
CENSUS_ACS5
zcta 97116
acs median gross
3
$1,818
2024-12-31
CENSUS_ACS5
zcta 97116
acs median gross
4
$1,793
2024-12-31
CENSUS_ACS5
zcta 97116
acs median gross
5
$1,619
2024-12-31
CENSUS_ACS5
zcta 97116
acs median gross
$1,463
2024-12-31
CENSUS_ACS5
zcta 97116
acs recent mover gross
$1,769
2024-12-31
CENSUS_ACS5
zip 97116
payment standard 110
0
$1,617
2025-10-01
HUD_USER_SAFMR
zip 97116
payment standard 90
0
$1,323
2025-10-01
HUD_USER_SAFMR
zip 97116
safmr
0
$1,470
2025-10-01
HUD_USER_SAFMR
zip 97116
payment standard 110
1
$1,738
2025-10-01
HUD_USER_SAFMR
zip 97116
payment standard 90
1
$1,422
2025-10-01
HUD_USER_SAFMR
zip 97116
safmr
1
$1,580
2025-10-01
HUD_USER_SAFMR
zip 97116
payment standard 110
2
$1,980
2025-10-01
HUD_USER_SAFMR
zip 97116
payment standard 90
2
$1,620
2025-10-01
HUD_USER_SAFMR
zip 97116
safmr
2
$1,800
2025-10-01
HUD_USER_SAFMR
zip 97116
payment standard 110
3
$2,717
2025-10-01
HUD_USER_SAFMR
zip 97116
payment standard 90
3
$2,223
2025-10-01
HUD_USER_SAFMR
zip 97116
safmr
3
$2,470
2025-10-01
HUD_USER_SAFMR
zip 97116
payment standard 110
4
$3,190
2025-10-01
HUD_USER_SAFMR
zip 97116
payment standard 90
4
$2,610
2025-10-01
HUD_USER_SAFMR
zip 97116
safmr
4
$2,900
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.