Composite
14.3 / 100 percentile
Screener / 555542
A
PIONEER HOUSE
snfCA
415 P STREET, SACRAMENTO, CA 95814 · CCN 555542 · chain CYPRESS HEALTHCARE GROUP LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
50
Model
v1.2
Reads as: riskier than 14.3% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
Score model5ML signals1Components16CHOW radar1Distress radar1Staffing15Penalties0Deficiencies59Licensure0Ownership27Related party6Transactions1Comps12Market rent35
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 62.0 | 53.6 | 0.30 | 0.2308 | 14.31 | in index |
| chow risk | 61.9 | 61.0 | 0.15 | 0.1154 | 7.14 | in index |
| financial risk | 29.5 | 33.5 | 0.30 | 0.2308 | 6.81 | in index |
| staffing risk | 22.7 | 22.8 | 0.25 | 0.1923 | 4.37 | in index |
| billing conduct | 0.0 | 0.0 | 0.30 | 0.2308 | 0.00 | in index |
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
ML signals — parallel engine
1| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner spans multiple chains | 6 chains | SMITH KIMBERLY | 9 facilities |
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.
Component scores and registry models
16| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 0.0 | A | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 25.0 | B | v0.1-pos | default · in composite | Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure. |
| chow risk | 97.0 | F | v0.6 | default · in composite | |
| financial risk | 33.5 | B | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.0 | — | v0.1 | default · in composite | R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite. |
| p chow 12m | 0.0 | — | v0.1 | default · in composite | R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite. |
| regulatory risk | 53.6 | C | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 22.8 | A | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 95.4 | F | v0.1 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 75.4 | D | v0.2 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 41.3 | B | v0.3 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 39.0 | B | v0.4 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 53.6 | C | v0.1 | superseded | Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 53.6 | C | v0.2 | superseded | Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| staffing risk | 22.8 | A | v0.1 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| staffing risk | 22.8 | A | v0.2 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
CHOW radar — 12-month sale probability
full board →p(CHOW, 12m)
0.0%
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
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 3.10 | -1.54 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.93 | -0.67 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 2.64 | +0.16 | |
| Total nurse staffing (HPRD) | 3.83 | -0.16 |
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Distress radar — 12-month termination probability
full board →p(termination, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
0.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 12.00 | -0.80 | |
| Occupancy | 0.93 | -0.75 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Chain size (log) | 2.64 | -0.33 | |
| Never sold on record | 0.00 | -0.28 | |
| Total nurse staffing (HPRD) | 3.83 | -0.26 | |
| Current owner tenure (years) | 3.10 | -0.25 |
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
15| 2025Q4 HPRD | This facility | CA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.83 | 3.95 | 3.28 | 2.90–3.77 |
| RN | 0.59 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 3.58 | 3.79 | 3.11 | — |
| Weekday total | 3.94 | 4.01 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 46.4 | 3.83 | 0.59 | 0.67 | 2.57 | 3.58 | 4.8% |
| 2025Q3 | 92 | 46.2 | 3.75 | 0.53 | 0.66 | 2.56 | 3.63 | 1.1% |
| 2025Q2 | 91 | 45.1 | 3.78 | 0.51 | 0.68 | 2.58 | 3.74 | 1.5% |
| 2025Q1 | 90 | 46.1 | 3.81 | 0.50 | 0.71 | 2.61 | 3.73 | 3.4% |
| 2024Q4 | 92 | 45.7 | 3.85 | 0.46 | 0.81 | 2.58 | 3.79 | 9.8% |
| 2024Q3 | 92 | 44.8 | 3.95 | 0.40 | 1.00 | 2.56 | 3.93 | 9.2% |
| 2024Q2 | 91 | 46.4 | 3.69 | 0.38 | 0.97 | 2.35 | 3.66 | 11.2% |
| 2024Q1 | 91 | 45.5 | 3.78 | 0.35 | 1.06 | 2.37 | 3.71 | 6.0% |
| 2023Q4 | 92 | 44.0 | 3.80 | 0.36 | 0.99 | 2.44 | 3.79 | 15.5% |
| 2023Q3 | 92 | 39.6 | 3.71 | 0.25 | 1.13 | 2.33 | 3.57 | 27.3% |
| 2023Q2 | 91 | 29.1 | 3.73 | 0.33 | 0.99 | 2.42 | 3.61 | 15.7% |
| 2023Q1 | 90 | 32.6 | 3.77 | 0.31 | 0.85 | 2.61 | 3.76 | 28.8% |
| 2022Q4 | 92 | 26.9 | 3.62 | 0.13 | 1.27 | 2.22 | 3.71 | 11.7% |
| 2022Q3 | 92 | 28.5 | 3.60 | 0.11 | 1.18 | 2.31 | 3.47 | 7.6% |
| 2022Q1 | 90 | 28.3 | 3.34 | 0.42 | 0.81 | 2.11 | 3.12 | 0.7% |
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.
Penalties
0No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
59D × 34E × 21F × 3G × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-02-10 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2026-02-23 |
| 2025-12-09 | Health · complaint | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | 2026-01-12 |
| 2025-12-04 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2025-12-12 |
| 2025-12-04 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2025-12-12 |
| 2025-12-04 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | E | 2025-12-12 |
| 2025-12-04 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-12-12 |
| 2025-12-04 | Health | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | 2025-12-12 |
| 2025-12-04 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-12-12 |
| 2025-12-04 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2025-12-12 |
| 2025-12-04 | Health | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | 2025-12-12 |
| 2025-11-24 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2025-11-25 |
| 2025-09-05 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-09-23 |
| 2025-02-18 | Health · complaint | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | 2025-02-25 |
| 2025-01-24 | Health · complaint | F0624 | Prepare residents for a safe transfer or discharge from the nursing home. | D | 2025-02-26 |
| 2024-12-26 | Health · complaint | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2025-01-08 |
| 2024-12-19 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | 2025-01-12 |
| 2024-11-29 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-12-05 |
| 2024-11-29 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-12-05 |
| 2024-11-15 | Health | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2024-12-15 |
| 2024-11-15 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-12-15 |
| 2024-11-15 | Health | F0675 | Honor each resident's preferences, choices, values and beliefs. | D | 2024-12-15 |
| 2024-11-15 | Health | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | 2024-12-15 |
| 2024-11-15 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-12-15 |
| 2024-11-15 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-12-15 |
| 2024-07-18 | Health · complaint | F0924 | Put firmly secured handrails on each side of hallways. | E | 2024-07-26 |
| 2024-04-02 | Health · complaint | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2024-05-07 |
| 2024-02-23 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-03-11 |
| 2024-01-17 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-02-02 |
| 2023-11-08 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-12-11 |
| 2023-11-08 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-12-11 |
| 2023-11-08 | Health · complaint | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | 2023-12-11 |
| 2023-10-12 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2023-11-07 |
| 2023-10-12 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2023-11-07 |
| 2023-10-12 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | 2023-11-07 |
| 2023-10-12 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2023-11-07 |
| 2023-10-12 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2023-11-07 |
| 2023-10-12 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2023-11-07 |
| 2023-10-12 | Health | F0637 | Assess the resident when there is a significant change in condition | D | 2023-11-07 |
| 2023-10-12 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2023-11-07 |
| 2023-10-12 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2023-11-07 |
| 2023-10-12 | Health | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2023-11-07 |
| 2023-10-12 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2023-11-07 |
| 2023-10-12 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-11-07 |
| 2023-10-12 | Health | F0700 | Try 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. | D | 2023-11-07 |
| 2023-10-12 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2023-11-07 |
| 2023-10-12 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2023-11-07 |
| 2023-10-12 | Health | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | 2023-11-07 |
| 2023-10-12 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2023-11-07 |
| 2023-10-12 | Health | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | 2023-11-07 |
| 2023-10-12 | Health | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | 2023-11-07 |
| 2023-10-12 | Health | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | 2023-11-07 |
| 2023-10-12 | Health | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | 2023-11-07 |
| 2023-10-12 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-11-07 |
| 2023-10-12 | Health | F0814 | Dispose of garbage and refuse properly. | F | 2023-11-07 |
| 2023-10-12 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2023-11-07 |
| 2023-10-12 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2023-11-07 |
| 2023-10-12 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2023-11-07 |
| 2023-09-26 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-10-15 |
| 2023-08-21 | Health · complaint | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2023-09-21 |
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.
Licensure actions
0No licensure actions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Ownership
27| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| ARMAAN, FNU | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-06-24 | current | pecos_ownership |
| CHEEMA, CHANDANDEEP | ADP OF THE SNF | — | 2024-01-01 | current | pecos_ownership |
| COSTELLO, DANIEL | ADP OF THE SNF | — | 2024-09-09 | current | pecos_ownership |
| CYPRESS HEALTHCARE GROUP LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-06-24 | current | pecos_ownership |
| FRAMO, FELIPE | ADP OF THE SNF | — | 2024-01-04 | current | pecos_ownership |
| JACKSON, MATTHEW | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-06-24 | current | pecos_ownership |
| JACKSON, ROBERT | ADP OF THE SNF | — | 2023-06-24 | current | pecos_ownership |
| MALA, SANDHYA | ADP OF THE SNF | — | 2024-11-25 | current | pecos_ownership |
| SANOFSKY, JACK | ADP OF THE SNF | — | 2023-06-24 | current | pecos_ownership |
| SINGSON, RAMON | ADP OF THE SNF | — | 2024-10-15 | current | pecos_ownership |
| SMITH, KIMBERLE | ADP OF THE SNF | — | 2023-06-24 | current | pecos_ownership |
| WHITE, ZEKAIA | ADP OF THE SNF | — | 2024-10-15 | current | pecos_ownership |
| CYPRESS HEALTHCARE GROUP LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2023-06-23 | ended 2026-05-18 | pecos_ownership |
| JACK SANOFSKY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33% | 2023-06-23 | ended 2026-05-18 | pecos_ownership |
| MATTHEW JACKSON | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33% | 2023-06-23 | ended 2026-05-18 | pecos_ownership |
| ROBERT JACKSON | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33% | 2023-06-23 | ended 2026-05-18 | pecos_ownership |
| CHANDANDEEP CHEEMA | ADP OF THE SNF | — | 2024-01-01 | ended 2026-05-18 | pecos_ownership |
| DANIEL COSTELLO | ADP OF THE SNF | — | 2024-09-09 | ended 2026-05-18 | pecos_ownership |
| FELIPE FRAMO | ADP OF THE SNF | — | 2024-01-04 | ended 2026-05-18 | pecos_ownership |
| FNU ARMAAN | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-06-24 | ended 2026-05-18 | pecos_ownership |
| JACK SANOFSKY | ADP OF THE SNF | — | 2023-06-24 | ended 2026-05-18 | pecos_ownership |
| KIMBERLE SMITH | ADP OF THE SNF | — | 2023-06-24 | ended 2026-05-18 | pecos_ownership |
| MATTHEW JACKSON | ADP OF THE SNF | — | 2023-06-24 | ended 2026-05-18 | pecos_ownership |
| RAMON SINGSON | ADP OF THE SNF | — | 2024-10-15 | ended 2026-05-18 | pecos_ownership |
| ROBERT JACKSON | ADP OF THE SNF | — | 2023-06-24 | ended 2026-05-18 | pecos_ownership |
| SANDHYA MALA | ADP OF THE SNF | — | 2024-11-25 | ended 2026-05-18 | pecos_ownership |
| ZEKAIA WHITE | ADP OF THE SNF | — | 2024-10-15 | ended 2026-05-18 | pecos_ownership |
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Transactions
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2023-06-23 | — | ALISTER LLC | CATHEDRAL PIONEER CHURCH HOMES NO TWO | chow |
Comparable trades — CA snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-08-01 | Turlock Nursing & Rehabilitation Center | — | — | — | 144 | TRACY RIDGE HEALTHCARE, INC. |
| 2025-04-01 | ALAMITOS WEST HEALTH & REHABILITATION | — | — | — | 150 | MALCOLM HEALTHCARE, INC. |
| 2025-04-01 | PACIFIC HAVEN SUBACUTE AND HEALTHCARE CENTER | — | — | — | 99 | STRAWBERRY POND HEALTHCARE LLC |
| 2025-01-16 | GOLDEN HARBOR HEALTHCARE CENTER | — | — | — | 99 | CEYLON HOLDINGS LLC |
| 2024-12-30 | GRASS VALLEY HEALTHCARE CENTER | — | — | — | 86 | HEISMAN LLC |
| 2024-10-01 | REDWOOD GROVE POST ACUTE | — | — | — | 144 | SOQUEL CARE LLC |
| 2024-09-01 | OAK GROVE POST ACUTE | — | — | — | 119 | 4545 SHELLEY COURT OPCO, LLC |
| 2024-08-01 | WE CARE SKILLED NURSING - FREMONT | — | — | — | 99 | WE CARE SKILLED NURSING-FREMONT, LLC |
| 2024-05-01 | MAJESTIC MOUNTAIN CARE CENTER | — | — | — | 66 | OAKHURST SKILLED CARE LLC |
| 2024-04-01 | THE BRADLEY GARDENS | — | — | — | 44 | GHC OF SAN JACINTO LLC |
| 2024-04-01 | SANTA FE POST-ACUTE | — | — | — | 187 | SKILLED BOBIER LLC |
| 2024-04-01 | BAYSHIRE SAN DIMAS POST-ACUTE | — | — | — | 45 | SKILLED 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| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 06067 | acs median gross | 0 | $1,446 | 2024-12-31 | CENSUS_ACS5 |
| county 06067 | fmr | 0 | $1,748 | 2025-10-01 | HUD_USER_FMR |
| county 06067 | acs median gross | 1 | $1,492 | 2024-12-31 | CENSUS_ACS5 |
| county 06067 | fmr | 1 | $1,832 | 2025-10-01 | HUD_USER_FMR |
| county 06067 | acs median gross | 2 | $1,783 | 2024-12-31 | CENSUS_ACS5 |
| county 06067 | fmr | 2 | $2,255 | 2025-10-01 | HUD_USER_FMR |
| county 06067 | acs median gross | 3 | $2,119 | 2024-12-31 | CENSUS_ACS5 |
| county 06067 | fmr | 3 | $3,002 | 2025-10-01 | HUD_USER_FMR |
| county 06067 | acs median gross | 4 | $2,396 | 2024-12-31 | CENSUS_ACS5 |
| county 06067 | fmr | 4 | $3,460 | 2025-10-01 | HUD_USER_FMR |
| county 06067 | acs median gross | 5 | $2,872 | 2024-12-31 | CENSUS_ACS5 |
| county 06067 | acs median gross | $1,790 | 2024-12-31 | CENSUS_ACS5 | |
| county 06067 | acs recent mover gross | $2,006 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 95814 | acs median gross | 0 | $1,016 | 2024-12-31 | CENSUS_ACS5 |
| zcta 95814 | acs median gross | 1 | $1,375 | 2024-12-31 | CENSUS_ACS5 |
| zcta 95814 | acs median gross | 2 | $2,285 | 2024-12-31 | CENSUS_ACS5 |
| zcta 95814 | acs median gross | 3 | $2,622 | 2024-12-31 | CENSUS_ACS5 |
| zcta 95814 | acs median gross | 5 | $635 | 2024-12-31 | CENSUS_ACS5 |
| zcta 95814 | acs median gross | $1,399 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 95814 | acs recent mover gross | $1,855 | 2024-12-31 | CENSUS_ACS5 | |
| zip 95814 | payment standard 110 | 0 | $1,804 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95814 | payment standard 90 | 0 | $1,476 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95814 | safmr | 0 | $1,640 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95814 | payment standard 110 | 1 | $1,892 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95814 | payment standard 90 | 1 | $1,548 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95814 | safmr | 1 | $1,720 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95814 | payment standard 110 | 2 | $2,332 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95814 | payment standard 90 | 2 | $1,908 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95814 | safmr | 2 | $2,120 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95814 | payment standard 110 | 3 | $3,102 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95814 | payment standard 90 | 3 | $2,538 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95814 | safmr | 3 | $2,820 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95814 | payment standard 110 | 4 | $3,575 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95814 | payment standard 90 | 4 | $2,925 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95814 | safmr | 4 | $3,250 | 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.