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 21:46 UTC
Screener / 056351
C

CHATSWORTH PARK HEALTH CARE CENTER

snfCA
10610 OWENSMOUTH, CHATSWORTH, CA 91311 · CCN 056351 · chain THE ENSIGN GROUP INC
Composite
65.4 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
128
Model
v1.2
Reads as: riskier than 65.4% 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 risk90.488.00.300.230820.86in index
billing conduct88.158.20.300.230820.33in index
chow risk43.041.20.150.11544.96in index
financial risk17.725.40.300.23084.08in index
staffing risk20.420.50.250.19233.92in 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 spans multiple chains17 chainsBURNAM SOON335 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 conduct58.2Cv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk25.0Bv0.1-posdefault · in compositeChange-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure.
chow risk57.4Cv0.6default · in composite
financial risk25.4Bv0.5default · in compositeR18.
p adverse action 12m0.0v0.1default · 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 12m0.0v0.1default · 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 risk88.0Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk20.5Av0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk70.1Dv0.1supersededPre-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 risk50.1Cv0.2supersededPre-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 risk35.3Bv0.3supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk31.5Bv0.4supersededPre-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 risk87.9Fv0.1supersededPre-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 risk87.9Fv0.2supersededPre-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 risk20.5Av0.1supersededPre-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 risk20.5Av0.2supersededPre-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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
7.0
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)3.49-1.51
Ownership changes, last 5 years1.00-0.87
Chain size (log)5.46+0.76
For-profit ownership1.00+0.69
Occupancy0.86-0.48
No PBJ staffing report0.00+0.42
Total nurse staffing (HPRD)3.90-0.17
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
Chain size (log)5.46-1.98
For-profit ownership1.00-0.69
Deficiencies, last 12 months5.00+0.50
Occupancy0.86-0.49
No PBJ staffing report0.00+0.39
Total nurse staffing (HPRD)3.90-0.29
Never sold on record0.00-0.28
Current owner tenure (years)3.49-0.24
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 nurse3.903.953.282.90–3.77
RN0.290.380.390.25–0.58
Weekend total3.723.793.11
Weekday total3.974.013.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q492110.73.900.291.062.553.720.0%
2025Q392113.93.840.281.042.523.640.0%
2025Q291116.14.030.271.122.643.720.0%
2025Q190116.73.890.281.052.563.600.0%
2024Q492117.53.830.300.982.543.570.0%
2024Q392112.33.790.320.942.533.520.0%
2024Q291114.63.900.351.012.543.550.0%
2024Q191114.93.870.380.952.533.510.6%
2023Q492116.73.890.391.002.493.586.2%
2023Q392102.54.000.301.152.543.706.1%
2023Q291105.63.970.281.172.533.625.3%
2023Q190105.53.620.300.922.403.322.8%
2022Q49296.43.510.330.612.573.315.8%
2022Q39294.43.520.310.602.613.265.9%
2022Q291100.13.310.300.422.593.207.3%
2022Q19095.73.390.290.492.613.141.1%
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
2024-04-19Fine$46,280CMS provider data
2024-04-19Payment DenialCMS provider data
Total fines on record: $46,280

Deficiencies

87
B × 5D × 58E × 23G × 1
deficiencies by survey year
3518212223242526
SurveyTypeTagDeficiencyScopeCorrected
2026-03-31Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2026-04-21
2026-02-24Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2026-03-20
2026-02-24Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2026-03-20
2026-02-24Health · complaintF0880Provide and implement an infection prevention and control program.D2026-03-20
2025-08-01Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-08-22
2025-04-24HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E2025-05-20
2025-04-24HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2025-05-20
2025-04-24HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-05-20
2025-04-24HealthF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2025-05-20
2025-04-24HealthF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.D2025-05-20
2025-04-24HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2025-05-20
2025-04-24HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2025-05-20
2025-04-24HealthF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.D2025-05-20
2025-04-24HealthF0760Ensure that residents are free from significant medication errors.D2025-05-20
2025-04-24HealthF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D2025-05-20
2025-04-24HealthF0880Provide and implement an infection prevention and control program.D2025-05-20
2025-04-24HealthF0881Implement a program that monitors antibiotic use.D2025-05-20
2025-04-24HealthF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.B2025-05-20
2025-01-16Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2025-02-07
2025-01-16Health · complaintF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.D2025-02-07
2025-01-16Health · complaintF0697Provide safe, appropriate pain management for a resident who requires such services.D2025-02-07
2025-01-16Health · complaintF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.E2025-02-07
2025-01-16Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2025-02-07
2025-01-10Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2025-02-04
2024-12-16Health · complaintF0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.D2025-01-07
2024-12-11Health · complaintF0558Reasonably accommodate the needs and preferences of each resident.D2024-12-31
2024-12-11Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2024-12-31
2024-11-18Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-12-04
2024-11-18Health · complaintF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2024-12-04
2024-10-11Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2024-11-06
2024-10-08Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-10-31
2024-09-20Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-10-14
2024-09-10Health · complaintF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2024-10-04
2024-09-10Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2024-10-04
2024-09-10Health · complaintF0880Provide and implement an infection prevention and control program.D2024-10-04
2024-07-18Health · complaintF0826Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor.D2024-08-02
2024-06-27Health · complaintF0880Provide and implement an infection prevention and control program.D2024-07-08
2024-04-19HealthF0552Ensure that residents are fully informed and understand their health status, care and treatments.D2024-05-13
2024-04-19HealthF0574The resident has the right to receive notices in a format and a language he or she understands.E2024-05-13
2024-04-19Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G2024-05-13
2024-04-19HealthF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD2024-05-13
2024-04-19HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2024-06-24
2024-04-19HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.E2024-05-13
2024-04-19HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-06-24
2024-04-19HealthF0697Provide safe, appropriate pain management for a resident who requires such services.D2024-05-13
2024-04-19HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2024-05-13
2024-04-19HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2024-05-13
2024-04-19HealthF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D2024-05-13
2024-04-19HealthF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.E2024-06-24
2024-04-19HealthF0760Ensure that residents are free from significant medication errors.D2024-05-13
2024-04-19HealthF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.E2024-05-13
2024-04-19HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D2024-06-24
2024-04-19HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E2024-06-24
2024-04-19HealthF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.B2024-05-13
2024-04-03Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-04-26
2024-03-04Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-03-26
2024-02-15Health · complaintF0552Ensure that residents are fully informed and understand their health status, care and treatments.D2024-03-07
2024-01-05Health · complaintF0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.D2024-02-01
2024-01-05Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2024-02-01
2023-12-22Health · complaintF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.E2024-01-17
2023-12-22Health · complaintF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.D2024-01-17
2023-12-22Health · 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.D2024-01-17
2023-09-29Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E2023-10-25
2023-09-29Health · complaintF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.D2023-10-25
2023-09-29Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2023-10-25
2023-09-29Health · complaintF0880Provide and implement an infection prevention and control program.E2023-10-25
2023-09-15Health · complaintF0880Provide and implement an infection prevention and control program.E2023-10-09
2023-08-14Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2023-09-14
2023-08-14Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2023-09-14
2023-06-02Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2023-06-13
2021-12-03HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2021-12-15
2021-12-03HealthF0554Allow residents to self-administer drugs if determined clinically appropriate.E2021-12-15
2021-12-03HealthF0558Reasonably accommodate the needs and preferences of each resident.D2021-12-15
2021-12-03HealthF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.B2021-12-15
2021-12-03HealthF0641Ensure each resident receives an accurate assessment.B2021-12-15
2021-12-03HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2021-12-15
2021-12-03HealthF0685Assist a resident in gaining access to vision and hearing services.E2021-12-15
2021-12-03HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.E2021-12-15
2021-12-03HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2021-12-15
2021-12-03HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2021-12-15
2021-12-03HealthF0760Ensure that residents are free from significant medication errors.E2021-12-15
2021-12-03HealthF0761Ensure 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.D2021-12-15
2021-12-03HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2021-12-15
2021-12-03HealthF0880Provide and implement an infection prevention and control program.E2021-12-15
2021-12-03HealthF0908Keep all essential equipment working safely.D2021-12-15
2021-12-03HealthF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.B
2021-12-03HealthF0919Make sure that a working call system is available in each resident's bathroom and bathing area.D2021-12-15
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.

Licensure actions

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

Ownership

36
OwnerRolePctFromStatusSource
ABBOTT, SWATICORPORATE DIRECTOR2022-11-01currentpecos_ownership
AGWUNOBI, JOHNCORPORATE DIRECTOR2022-11-01currentpecos_ownership
BLOUIN, ANNCORPORATE DIRECTOR2022-11-01currentpecos_ownership
BURNAM, SOONCORPORATE OFFICER2023-10-17currentpecos_ownership
BURTON, SPENCERCORPORATE OFFICER2022-11-01currentpecos_ownership
CHRISTENSEN, CHRISTOPHERCORPORATE DIRECTOR2022-11-01currentpecos_ownership
FITCH, CRAIGCORPORATE OFFICER2022-11-08currentpecos_ownership
GAMERO, ALICIACORPORATE OFFICER2022-11-01currentpecos_ownership
LY, SONIAOPERATIONAL/MANAGERIAL CONTROL2023-02-01currentpecos_ownership
LY, SONIAADP OF THE SNF2025-03-19currentpecos_ownership
PARKINSON, MARKCORPORATE DIRECTOR2024-10-21currentpecos_ownership
PORT, BARRYCORPORATE OFFICER2022-11-01currentpecos_ownership
SATO, AMICORPORATE OFFICER2024-09-09currentpecos_ownership
SHAW, DARENCORPORATE DIRECTOR2022-11-01currentpecos_ownership
SMITH, BARRYCORPORATE DIRECTOR2022-11-01currentpecos_ownership
SNAPPER, SUZANNECORPORATE OFFICER2022-11-01currentpecos_ownership
WILLITS, ADAMCORPORATE DIRECTOR2022-11-01currentpecos_ownership
FLAGSTONE HEALTHCARE SOUTH LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2022-11-08ended 2026-05-18pecos_ownership
THE ENSIGN GROUP INC5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2023-02-01ended 2026-05-18pecos_ownership
ADAM WILLITSCORPORATE DIRECTOR0%2022-11-01ended 2026-05-18pecos_ownership
ALICIA GAMEROCORPORATE OFFICER0%2022-11-01ended 2026-05-18pecos_ownership
CRAIG FITCHCORPORATE OFFICER0%2022-11-08ended 2026-05-18pecos_ownership
SOON BURNAMCORPORATE OFFICER0%2023-10-17ended 2026-05-18pecos_ownership
AMI SATOCORPORATE OFFICER2024-09-09ended 2026-05-18pecos_ownership
ANN BLOUINCORPORATE DIRECTOR2022-11-01ended 2026-05-18pecos_ownership
BARRY PORTCORPORATE OFFICER2022-11-01ended 2026-05-18pecos_ownership
BARRY SMITHCORPORATE DIRECTOR2022-11-01ended 2026-05-18pecos_ownership
CHRISTOPHER CHRISTENSENCORPORATE DIRECTOR2022-11-01ended 2026-05-18pecos_ownership
DAREN SHAWCORPORATE DIRECTOR2022-11-01ended 2026-05-18pecos_ownership
JOHN AGWUNOBICORPORATE DIRECTOR2022-11-01ended 2026-05-18pecos_ownership
MARK PARKINSONCORPORATE DIRECTOR2024-10-21ended 2026-05-18pecos_ownership
SONIA LYOPERATIONAL/MANAGERIAL CONTROL2023-02-01ended 2026-05-18pecos_ownership
SONIA LYADP OF THE SNF2025-03-19ended 2026-05-18pecos_ownership
SPENCER BURTONCORPORATE OFFICER2022-11-01ended 2026-05-18pecos_ownership
SUZANNE SNAPPERCORPORATE OFFICER2022-11-01ended 2026-05-18pecos_ownership
SWATI ABBOTTCORPORATE DIRECTOR2022-11-01ended 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
2023-02-01STARBURST HEALTHCARE INCC.P.C.H. INC.chow

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

35
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 91311acs median gross0$1,5072024-12-31CENSUS_ACS5
zcta 91311acs median gross1$1,9542024-12-31CENSUS_ACS5
zcta 91311acs median gross2$2,3502024-12-31CENSUS_ACS5
zcta 91311acs median gross3$3,1572024-12-31CENSUS_ACS5
zcta 91311acs median gross4$3,4382024-12-31CENSUS_ACS5
zcta 91311acs median gross$2,3112024-12-31CENSUS_ACS5
zcta 91311acs recent mover gross$2,4472024-12-31CENSUS_ACS5
zip 91311payment standard 1100$2,6732025-10-01HUD_USER_SAFMR
zip 91311payment standard 900$2,1872025-10-01HUD_USER_SAFMR
zip 91311safmr0$2,4302025-10-01HUD_USER_SAFMR
zip 91311payment standard 1101$2,9922025-10-01HUD_USER_SAFMR
zip 91311payment standard 901$2,4482025-10-01HUD_USER_SAFMR
zip 91311safmr1$2,7202025-10-01HUD_USER_SAFMR
zip 91311payment standard 1102$3,7292025-10-01HUD_USER_SAFMR
zip 91311payment standard 902$3,0512025-10-01HUD_USER_SAFMR
zip 91311safmr2$3,3902025-10-01HUD_USER_SAFMR
zip 91311payment standard 1103$4,7302025-10-01HUD_USER_SAFMR
zip 91311payment standard 903$3,8702025-10-01HUD_USER_SAFMR
zip 91311safmr3$4,3002025-10-01HUD_USER_SAFMR
zip 91311payment standard 1104$5,2802025-10-01HUD_USER_SAFMR
zip 91311payment standard 904$4,3202025-10-01HUD_USER_SAFMR
zip 91311safmr4$4,8002025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.