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 23:33 UTC
Screener / 055855
B

Arden Park Post Acute

snfCA
3400 Alta Arden Expressway, Sacramento, CA 95825 · CCN 055855 · chain PACS HOLDINGS LLC
Composite
55.7 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
177
Model
v1.2
Reads as: riskier than 55.7% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk86.784.00.300.230820.01in index
financial risk75.363.10.300.230817.38in index
staffing risk30.330.40.250.19235.83in index
chow risk34.633.20.150.11543.99in index
billing conduct13.813.70.300.23083.18in 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

4
KindFindingSignalSubjectFirst seen
connectionOwner spans multiple chains7 chainsJERGENSEN JOSHUA249 facilities
connectionOwner spans multiple chains7 chainsMITCHELL JOHN264 facilities
connectionOwner spans multiple chains6 chainsAPT FREDERICK254 facilities
connectionOwner spans multiple chains5 chainsHANCOCK MARK158 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 conduct13.7Av0.1-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 risk41.4Bv0.6default · in composite
financial risk63.1Cv0.5default · 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 risk84.0Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk30.4Bv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk72.5Dv0.1supersededPre-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 risk52.5Cv0.2supersededPre-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 risk64.5Cv0.3supersededPre-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 risk63.7Cv0.4supersededPre-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 risk83.9Fv0.1supersededPre-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 risk83.9Fv0.2supersededPre-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 risk30.4Bv0.1supersededPre-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 risk30.4Bv0.2supersededPre-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)3.99-1.46
Ownership changes, last 5 years1.00-0.87
Chain size (log)5.51+0.77
For-profit ownership1.00+0.69
No PBJ staffing report0.00+0.42
Occupancy0.84-0.41
Deficiencies, last 12 months0.00-0.17
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
10.1
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Chain size (log)5.51-2.01
Deficiencies, last 12 months0.00+1.43
For-profit ownership1.00-0.69
No PBJ staffing report0.00+0.39
Occupancy0.84-0.39
Never sold on record0.00-0.28
Current owner tenure (years)3.99-0.24
Ownership changes, last 5 years1.00+0.23
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 nurse3.653.953.282.90–3.77
RN0.520.380.390.25–0.58
Weekend total3.553.793.11
Weekday total3.694.013.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q492148.83.650.520.812.323.550.0%
2025Q392144.13.780.430.952.403.650.0%
2025Q291152.13.530.430.882.233.440.8%
2025Q190152.93.650.480.992.193.411.0%
2024Q492151.53.620.500.942.173.340.9%
2024Q392151.43.640.510.962.163.371.0%
2024Q291150.43.650.571.002.083.451.0%
2024Q191151.73.600.491.022.083.270.0%
2023Q492148.93.440.430.962.053.200.0%
2023Q392137.13.710.420.932.363.400.0%
2023Q291134.23.860.420.962.483.680.0%
2023Q190149.23.500.390.832.273.310.0%
2022Q492126.13.720.300.992.423.470.0%
2022Q392120.83.690.321.032.353.4811.6%
2022Q291110.43.720.371.052.313.4247.2%
2022Q190116.93.400.430.782.203.2637.1%
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
fines by year
$19.9k$10k2425
DateTypeFineSource
2025-02-21Fine$19,949CMS provider data
2024-12-05Fine$13,637CMS provider data
Total fines on record: $33,586

Deficiencies

74
D × 39E × 31F × 1G × 3
deficiencies by survey year
432222232425
SurveyTypeTagDeficiencyScopeCorrected
2025-03-28Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2025-04-02
2025-03-06Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G2025-03-21
2025-03-03Health · complaintF0880Provide and implement an infection prevention and control program.D2025-03-20
2025-02-21Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-03-05
2024-12-06HealthF0552Ensure that residents are fully informed and understand their health status, care and treatments.D2024-12-27
2024-12-06HealthF0584Honor 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.D2024-12-27
2024-12-06Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2024-12-27
2024-12-06HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2024-12-27
2024-12-06HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.D2024-12-27
2024-12-06HealthF0685Assist a resident in gaining access to vision and hearing services.D2024-12-27
2024-12-06HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2024-12-27
2024-12-06HealthF0688Provide 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.D2024-12-27
2024-12-06HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2024-12-27
2024-12-06HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2024-12-27
2024-12-06HealthF0758Implement 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.D2024-12-27
2024-12-06HealthF0759Ensure medication error rates are not 5 percent or greater.E2024-12-27
2024-12-06HealthF0760Ensure that residents are free from significant medication errors.E2024-12-27
2024-12-06HealthF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.E2024-12-27
2024-12-06HealthF0803Ensure 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.E2024-12-27
2024-12-06HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2024-12-27
2024-12-06HealthF0840Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.D2024-12-27
2024-12-06HealthF0880Provide and implement an infection prevention and control program.E2024-12-27
2024-12-06HealthF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.E2024-12-27
2024-12-05Health · complaintF0660Plan the resident's discharge to meet the resident's goals and needs.E2024-12-10
2024-11-13Health · complaintF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2024-11-21
2024-07-17Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2024-07-30
2024-07-03Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.E2024-07-26
2024-07-03Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E2024-07-26
2024-07-03Health · complaintF0610Respond appropriately to all alleged violations.D2024-07-26
2024-06-11Health · complaintF0576Ensure residents have reasonable access to and privacy in their use of communication methods.D2024-06-24
2024-05-08Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2024-05-22
2024-04-24Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2024-04-24
2024-04-24Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2024-04-24
2024-03-22Health · complaintF0641Ensure each resident receives an accurate assessment.D2024-04-05
2024-03-22Health · complaintF0697Provide safe, appropriate pain management for a resident who requires such services.E2024-04-05
2024-02-01Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2024-02-13
2024-01-26HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2024-02-29
2024-01-26HealthF0558Reasonably accommodate the needs and preferences of each resident.D2024-02-29
2024-01-26HealthF0583Keep residents' personal and medical records private and confidential.E2024-02-29
2024-01-26HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E2024-02-29
2024-01-26HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2024-02-29
2024-01-26HealthF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.D2024-02-29
2024-01-26HealthF0695Provide safe and appropriate respiratory care for a resident when needed.E2024-02-29
2024-01-26HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2024-02-29
2024-01-26HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2024-02-29
2024-01-26HealthF0880Provide and implement an infection prevention and control program.E2024-02-29
2024-01-26HealthF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.E2024-02-29
2023-12-12Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2023-12-22
2023-08-31Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2023-09-18
2023-07-31Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2023-08-09
2023-07-13Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2023-08-10
2023-07-13Health · complaintF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.D2023-08-10
2023-07-07Health · complaintF0926Have policies on smoking.E2023-08-04
2023-06-09Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2023-07-08
2023-06-09Health · complaintF0624Prepare residents for a safe transfer or discharge from the nursing home.D2023-07-08
2022-01-14HealthF0552Ensure that residents are fully informed and understand their health status, care and treatments.D2022-02-14
2022-01-14HealthF0558Reasonably accommodate the needs and preferences of each resident.D2022-02-14
2022-01-14HealthF0583Keep residents' personal and medical records private and confidential.E2022-02-14
2022-01-14HealthF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.E2022-02-14
2022-01-14HealthF0637Assess the resident when there is a significant change in conditionD2022-02-14
2022-01-14HealthF0638Assure that each resident’s assessment is updated at least once every 3 months.E2022-02-14
2022-01-14HealthF0641Ensure each resident receives an accurate assessment.E2022-02-14
2022-01-14HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2022-02-14
2022-01-14HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.E2022-02-14
2022-01-14HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2022-02-14
2022-01-14HealthF0697Provide safe, appropriate pain management for a resident who requires such services.E2022-02-14
2022-01-14HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2022-02-14
2022-01-14HealthF0758Implement 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.D2022-02-14
2022-01-14HealthF0761Ensure 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.E2022-02-14
2022-01-14HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2022-02-14
2022-01-14HealthF0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.D2022-02-14
2022-01-14HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2022-02-14
2022-01-14HealthF0880Provide and implement an infection prevention and control program.E2022-02-14
2022-01-14HealthF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.E2022-02-14
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
CAPITAL SNF HOLDING COMPANY, LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2023-06-30currentpecos_ownership
PROVIDENCE GROUP NH, LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2023-06-30currentpecos_ownership
APT, FREDERICKCORPORATE OFFICER2024-01-01currentpecos_ownership
CORBIN, RILEYW-2 MANAGING EMPLOYEE2023-10-02currentpecos_ownership
HANCOCK, MARKCORPORATE OFFICER2024-01-01currentpecos_ownership
JERGENSEN, JOSHUACORPORATE OFFICER2024-01-01currentpecos_ownership
MITCHELL, JOHNCORPORATE OFFICER2024-01-01currentpecos_ownership
SANDHU, HARKESHCONTRACTED MANAGING EMPLOYEE2022-10-16currentpecos_ownership
PACS GROUP, INC.5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2023-06-30ended 2026-05-18pecos_ownership
PACS HOLDINGS, LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2023-06-30ended 2026-05-18pecos_ownership
JASON MURRAY5% OR GREATER INDIRECT OWNERSHIP INTEREST50%2022-06-14ended 2026-05-18pecos_ownership
MARK HANCOCK5% OR GREATER INDIRECT OWNERSHIP INTEREST50%2022-06-14ended 2026-05-18pecos_ownership
FREDERICK APTCORPORATE OFFICER2024-01-01ended 2026-05-18pecos_ownership
HARKESH SANDHUCONTRACTED MANAGING EMPLOYEE2022-10-16ended 2026-05-18pecos_ownership
JOHN MITCHELLCORPORATE OFFICER2024-01-01ended 2026-05-18pecos_ownership
JOSHUA JERGENSENCORPORATE OFFICER2024-01-01ended 2026-05-18pecos_ownership
MARK HANCOCKCORPORATE OFFICER2024-01-01ended 2026-05-18pecos_ownership
RILEY CORBINW-2 MANAGING EMPLOYEE2023-10-02ended 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
2022-08-01ARDEN GLEN HEALTHCARE, LLCMEK ARDEN, LLCchow

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 06067acs median gross0$1,4462024-12-31CENSUS_ACS5
county 06067fmr0$1,7482025-10-01HUD_USER_FMR
county 06067acs median gross1$1,4922024-12-31CENSUS_ACS5
county 06067fmr1$1,8322025-10-01HUD_USER_FMR
county 06067acs median gross2$1,7832024-12-31CENSUS_ACS5
county 06067fmr2$2,2552025-10-01HUD_USER_FMR
county 06067acs median gross3$2,1192024-12-31CENSUS_ACS5
county 06067fmr3$3,0022025-10-01HUD_USER_FMR
county 06067acs median gross4$2,3962024-12-31CENSUS_ACS5
county 06067fmr4$3,4602025-10-01HUD_USER_FMR
county 06067acs median gross5$2,8722024-12-31CENSUS_ACS5
county 06067acs median gross$1,7902024-12-31CENSUS_ACS5
county 06067acs recent mover gross$2,0062024-12-31CENSUS_ACS5
zcta 95825acs median gross0$1,4102024-12-31CENSUS_ACS5
zcta 95825acs median gross1$1,4552024-12-31CENSUS_ACS5
zcta 95825acs median gross2$1,8492024-12-31CENSUS_ACS5
zcta 95825acs median gross3$2,0922024-12-31CENSUS_ACS5
zcta 95825acs median gross4$1,8692024-12-31CENSUS_ACS5
zcta 95825acs median gross$1,6922024-12-31CENSUS_ACS5
zcta 95825acs recent mover gross$1,8432024-12-31CENSUS_ACS5
zip 95825payment standard 1100$1,9252025-10-01HUD_USER_SAFMR
zip 95825payment standard 900$1,5752025-10-01HUD_USER_SAFMR
zip 95825safmr0$1,7502025-10-01HUD_USER_SAFMR
zip 95825payment standard 1101$2,0242025-10-01HUD_USER_SAFMR
zip 95825payment standard 901$1,6562025-10-01HUD_USER_SAFMR
zip 95825safmr1$1,8402025-10-01HUD_USER_SAFMR
zip 95825payment standard 1102$2,4862025-10-01HUD_USER_SAFMR
zip 95825payment standard 902$2,0342025-10-01HUD_USER_SAFMR
zip 95825safmr2$2,2602025-10-01HUD_USER_SAFMR
zip 95825payment standard 1103$3,3112025-10-01HUD_USER_SAFMR
zip 95825payment standard 903$2,7092025-10-01HUD_USER_SAFMR
zip 95825safmr3$3,0102025-10-01HUD_USER_SAFMR
zip 95825payment standard 1104$3,8172025-10-01HUD_USER_SAFMR
zip 95825payment standard 904$3,1232025-10-01HUD_USER_SAFMR
zip 95825safmr4$3,4702025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.