Composite
78.9 / 100 percentile
Screener / 056039
C
MIRAGE POST ACUTE
snfCASFF: SFF Candidate
44445 15TH ST W, LANCASTER, CA 93534 · CCN 056039 · chain PACS HOLDINGS LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
299
Model
v1.2
Reads as: riskier than 78.9% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
Score model5ML signals4Components16CHOW radar1Distress radar1Staffing16Penalties3Deficiencies262Licensure0Ownership17Related party6Transactions1Comps12Market rent35
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 98.6 | 97.7 | 0.30 | 0.2308 | 22.75 | in index |
| billing conduct | 93.3 | 63.2 | 0.30 | 0.2308 | 21.53 | in index |
| financial risk | 36.4 | 37.5 | 0.30 | 0.2308 | 8.40 | in index |
| chow risk | 53.1 | 51.3 | 0.15 | 0.1154 | 6.13 | in index |
| staffing risk | 5.8 | 5.9 | 0.25 | 0.1923 | 1.12 | 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
4| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner spans multiple chains | 7 chains | MITCHELL JOHN | 264 facilities |
| connection | Owner spans multiple chains | 6 chains | MURRAY JASON | 40 facilities |
| connection | Owner spans multiple chains | 6 chains | APT FREDERICK | 254 facilities |
| connection | Owner spans multiple chains | 5 chains | HANCOCK MARK | 158 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 | 63.2 | C | 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 | 77.6 | D | v0.6 | default · in composite | |
| financial risk | 37.5 | 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 | 0.1 | — | 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 | 97.7 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 5.9 | A | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 86.2 | 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 | 66.2 | 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 | 36.3 | 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 | 43.5 | 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 | 97.7 | F | 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 | 97.7 | F | 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 | 5.9 | 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 | 5.9 | 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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
19.6
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) | 3.12 | -1.54 | |
| Deficiencies, last 12 months | 58.00 | +1.24 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| Chain size (log) | 5.51 | +0.77 | |
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.89 | -0.56 | |
| No PBJ staffing report | 0.00 | +0.42 |
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 | 58.00 | -9.33 | |
| Chain size (log) | 5.51 | -2.01 | |
| For-profit ownership | 1.00 | -0.69 | |
| Total nurse staffing (HPRD) | 4.73 | -0.64 | |
| Occupancy | 0.89 | -0.60 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Staffing trend, last 4 quarters | 0.88 | +0.38 | |
| Never sold on record | 0.00 | -0.28 |
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
16| 2025Q4 HPRD | This facility | CA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 4.73 | 3.95 | 3.28 | 2.90–3.77 |
| RN | 0.32 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 4.37 | 3.79 | 3.11 | — |
| Weekday total | 4.87 | 4.01 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 266.7 | 4.73 | 0.32 | 1.22 | 3.19 | 4.37 | 0.0% |
| 2025Q3 | 92 | 253.2 | 5.42 | 0.37 | 1.43 | 3.63 | 4.78 | 0.0% |
| 2025Q2 | 91 | 236.2 | 5.12 | 0.27 | 1.40 | 3.46 | 4.57 | 0.0% |
| 2025Q1 | 90 | 271.8 | 4.05 | 0.19 | 1.17 | 2.69 | 3.58 | 0.0% |
| 2024Q4 | 92 | 277.3 | 3.85 | 0.19 | 1.08 | 2.58 | 3.58 | 1.6% |
| 2024Q3 | 92 | 276.7 | 3.78 | 0.16 | 1.07 | 2.56 | 3.58 | 1.7% |
| 2024Q2 | 91 | 278.1 | 3.72 | 0.14 | 1.04 | 2.54 | 3.50 | 0.4% |
| 2024Q1 | 91 | 257.5 | 3.80 | 0.15 | 1.09 | 2.56 | 3.56 | 1.7% |
| 2023Q4 | 92 | 231.9 | 3.96 | 0.16 | 1.17 | 2.64 | 3.70 | 0.0% |
| 2023Q3 | 92 | 204.8 | 4.10 | 0.22 | 1.11 | 2.77 | 3.74 | 0.0% |
| 2023Q2 | 91 | 160.2 | 4.62 | 0.31 | 1.09 | 3.22 | 4.06 | 0.0% |
| 2023Q1 | 90 | 162.5 | 4.75 | 0.38 | 1.06 | 3.32 | 4.29 | 0.0% |
| 2022Q4 | 92 | 157.9 | 4.70 | 0.39 | 1.07 | 3.23 | 4.26 | 0.0% |
| 2022Q3 | 92 | 158.0 | 4.55 | 0.33 | 1.11 | 3.11 | 4.28 | 0.0% |
| 2022Q2 | 91 | 152.4 | 4.70 | 0.26 | 1.23 | 3.21 | 4.45 | 0.0% |
| 2022Q1 | 90 | 148.0 | 4.61 | 0.27 | 1.38 | 2.97 | 4.26 | 0.0% |
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
3| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-07-22 | Fine | $36,377 | CMS provider data |
| 2025-03-10 | Fine | $99,263 | CMS provider data |
| 2025-02-07 | Fine | $18,351 | CMS provider data |
Total fines on record: $153,991
Deficiencies
262B × 5D × 170E × 81G × 3J × 3
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-28 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2026-05-11 |
| 2026-04-28 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2026-05-11 |
| 2026-04-24 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2026-05-15 |
| 2026-04-24 | Health | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | 2026-05-15 |
| 2026-04-24 | Health | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | 2026-05-15 |
| 2026-04-24 | Health | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | E | 2026-05-15 |
| 2026-04-24 | Health | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | 2026-05-15 |
| 2026-04-24 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-05-15 |
| 2026-04-24 | 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 | 2026-05-15 |
| 2026-04-24 | 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 | 2026-05-15 |
| 2026-04-24 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2026-05-15 |
| 2026-04-24 | Health | F0685 | Assist a resident in gaining access to vision and hearing services. | D | 2026-05-15 |
| 2026-04-24 | Health | F0688 | Provide 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. | D | 2026-05-15 |
| 2026-04-24 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2026-05-15 |
| 2026-04-24 | Health | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | 2026-05-15 |
| 2026-04-24 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2026-05-15 |
| 2026-04-24 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2026-05-15 |
| 2026-04-24 | 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. | E | 2026-05-15 |
| 2026-04-24 | Health | F0760 | Ensure that residents are free from significant medication errors. | E | 2026-05-15 |
| 2026-04-24 | Health | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | 2026-05-15 |
| 2026-04-24 | 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 | 2026-05-15 |
| 2026-04-24 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2026-05-15 |
| 2026-04-24 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2026-05-15 |
| 2026-04-24 | Health | F0881 | Implement a program that monitors antibiotic use. | E | 2026-05-15 |
| 2026-04-24 | Health | F0908 | Keep all essential equipment working safely. | E | 2026-05-15 |
| 2026-03-06 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2026-03-16 |
| 2026-02-02 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2026-02-04 |
| 2026-01-30 | Health · complaint | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | E | 2026-03-02 |
| 2026-01-30 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2026-03-02 |
| 2026-01-30 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2026-03-02 |
| 2026-01-30 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2026-03-02 |
| 2026-01-30 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | E | 2026-03-02 |
| 2026-01-30 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2026-03-02 |
| 2026-01-30 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2026-03-02 |
| 2026-01-20 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2026-02-19 |
| 2026-01-20 | Health · complaint | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | 2026-02-19 |
| 2025-12-17 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-12-24 |
| 2025-11-25 | Health · complaint | 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 | 2025-11-26 |
| 2025-11-24 | Health · complaint | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | 2025-11-25 |
| 2025-11-24 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2025-11-25 |
| 2025-11-24 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2025-11-25 |
| 2025-11-24 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | G | 2025-11-25 |
| 2025-09-05 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2025-09-26 |
| 2025-09-05 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-09-26 |
| 2025-09-05 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-09-26 |
| 2025-09-05 | Health · complaint | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2025-09-26 |
| 2025-09-05 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2025-09-26 |
| 2025-08-21 | Health · complaint | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | 2025-09-19 |
| 2025-08-21 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2025-09-19 |
| 2025-08-21 | Health · complaint | 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 | 2025-09-19 |
| 2025-08-21 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2025-09-19 |
| 2025-08-21 | Health · complaint | F0693 | Ensure 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. | D | 2025-09-19 |
| 2025-08-21 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-09-19 |
| 2025-08-21 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-09-26 |
| 2025-08-07 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-09-03 |
| 2025-08-07 | Health · complaint | F0679 | Provide activities to meet all resident's needs. | D | 2025-09-03 |
| 2025-08-07 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-09-03 |
| 2025-08-07 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-09-03 |
| 2025-07-22 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-08-28 |
| 2025-07-15 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-08-08 |
| 2025-07-09 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-07-31 |
| 2025-07-09 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2025-07-31 |
| 2025-07-09 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2025-07-31 |
| 2025-07-09 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2025-07-31 |
| 2025-06-05 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-06-23 |
| 2025-06-05 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-06-23 |
| 2025-05-16 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-06-08 |
| 2025-05-16 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-06-08 |
| 2025-05-16 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2025-06-08 |
| 2025-05-16 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-06-08 |
| 2025-04-03 | Health · complaint | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | 2025-04-27 |
| 2025-04-03 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2025-04-27 |
| 2025-04-03 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-04-27 |
| 2025-04-03 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-04-27 |
| 2025-04-03 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-04-27 |
| 2025-04-03 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2025-04-27 |
| 2025-03-28 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | 2025-04-21 |
| 2025-03-28 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2025-04-21 |
| 2025-03-28 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | 2025-04-21 |
| 2025-03-28 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-04-21 |
| 2025-03-12 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-04-01 |
| 2025-03-12 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | E | 2025-04-01 |
| 2025-03-11 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2025-03-13 |
| 2025-03-11 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-03-13 |
| 2025-03-11 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-03-13 |
| 2025-03-10 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-03-30 |
| 2025-03-10 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-03-30 |
| 2025-02-25 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-02-28 |
| 2025-02-25 | Health · complaint | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2025-02-28 |
| 2025-02-07 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2025-02-28 |
| 2025-02-04 | Health · complaint | F0583 | Keep residents' personal and medical records private and confidential. | D | 2025-02-05 |
| 2025-02-04 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-02-05 |
| 2025-01-28 | Health · complaint | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | 2025-01-30 |
| 2025-01-28 | Health · complaint | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2025-01-30 |
| 2025-01-28 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-01-30 |
| 2025-01-22 | Health · complaint | F0732 | Post nurse staffing information every day. | E | 2025-01-25 |
| 2025-01-22 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | E | 2025-01-25 |
| 2025-01-22 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2025-01-25 |
| 2025-01-17 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2025-02-05 |
| 2025-01-17 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | 2025-02-05 |
| 2025-01-17 | Health | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | 2025-02-05 |
| 2025-01-17 | Health | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | E | 2025-02-05 |
| 2025-01-17 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | B | 2025-02-05 |
| 2025-01-17 | 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 | 2025-02-05 |
| 2025-01-17 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2025-02-05 |
| 2025-01-17 | Health | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2025-02-05 |
| 2025-01-17 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-02-05 |
| 2025-01-17 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-02-05 |
| 2025-01-17 | Health | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2025-02-05 |
| 2025-01-17 | Health | F0693 | Ensure 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. | D | 2025-02-05 |
| 2025-01-17 | Health · complaint | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | E | 2025-02-05 |
| 2025-01-17 | 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. | E | 2025-02-05 |
| 2025-01-17 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2025-02-05 |
| 2025-01-17 | 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. | E | 2025-02-05 |
| 2025-01-17 | Health | F0760 | Ensure that residents are free from significant medication errors. | E | 2025-02-05 |
| 2025-01-17 | 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 | 2025-02-05 |
| 2025-01-17 | Health | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | 2025-02-05 |
| 2025-01-17 | 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 | 2025-02-05 |
| 2025-01-17 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2025-02-05 |
| 2025-01-17 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | 2025-02-05 |
| 2025-01-17 | 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. | E | 2025-02-05 |
| 2025-01-17 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-02-05 |
| 2025-01-17 | Health | F0814 | Dispose of garbage and refuse properly. | E | 2025-02-05 |
| 2025-01-17 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2025-02-05 |
| 2025-01-07 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-01-20 |
| 2025-01-06 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-01-24 |
| 2025-01-06 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-01-24 |
| 2025-01-06 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-01-24 |
| 2025-01-06 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2025-01-24 |
| 2024-12-19 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-01-09 |
| 2024-12-19 | Health · complaint | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | 2025-01-09 |
| 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. | D | 2025-01-09 |
| 2024-12-19 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2025-01-09 |
| 2024-12-12 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-12-28 |
| 2024-12-06 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-12-21 |
| 2024-11-25 | Health · complaint | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | 2024-12-16 |
| 2024-11-25 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2024-12-16 |
| 2024-11-25 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-12-16 |
| 2024-11-15 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-12-12 |
| 2024-11-15 | Health · complaint | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | 2024-12-12 |
| 2024-11-15 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-12-12 |
| 2024-11-14 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2024-11-30 |
| 2024-11-13 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-12-02 |
| 2024-11-13 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-12-02 |
| 2024-11-13 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-12-02 |
| 2024-11-13 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-12-02 |
| 2024-11-13 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-12-02 |
| 2024-10-08 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-10-21 |
| 2024-10-08 | Health · complaint | F0679 | Provide activities to meet all resident's needs. | D | 2024-10-21 |
| 2024-10-08 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-10-21 |
| 2024-10-03 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-10-22 |
| 2024-10-03 | Health · complaint | F0693 | Ensure 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. | D | 2024-10-22 |
| 2024-09-28 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-10-18 |
| 2024-09-28 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-10-18 |
| 2024-09-28 | Health · complaint | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | 2024-10-18 |
| 2024-09-28 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-10-18 |
| 2024-09-28 | Health · complaint | F0679 | Provide activities to meet all resident's needs. | D | 2024-10-18 |
| 2024-09-28 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-10-18 |
| 2024-09-28 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | 2024-10-18 |
| 2024-09-28 | Health · complaint | F0693 | Ensure 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. | D | 2024-10-18 |
| 2024-09-28 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2024-10-18 |
| 2024-09-28 | Health · complaint | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2024-10-18 |
| 2024-09-28 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2024-10-18 |
| 2024-09-28 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-10-18 |
| 2024-09-03 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-09-23 |
| 2024-08-08 | Health · complaint | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2024-08-20 |
| 2024-08-08 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2024-08-20 |
| 2024-07-11 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-07-17 |
| 2024-05-06 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-05-24 |
| 2024-05-06 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2024-05-24 |
| 2024-05-06 | Health · complaint | F0728 | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | D | 2024-05-24 |
| 2024-05-01 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-05-10 |
| 2024-05-01 | Health · complaint | 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 | 2024-05-10 |
| 2024-04-16 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-04-25 |
| 2024-03-18 | Health · complaint | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | 2024-04-04 |
| 2024-03-18 | Health · complaint | F0675 | Honor each resident's preferences, choices, values and beliefs. | E | 2024-04-04 |
| 2024-03-18 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-04-04 |
| 2024-03-18 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-04-04 |
| 2024-03-18 | Health · complaint | F0688 | Provide 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. | D | 2024-04-04 |
| 2024-03-18 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2024-04-04 |
| 2024-03-18 | Health · complaint | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | D | 2024-04-04 |
| 2024-03-18 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-04-04 |
| 2024-03-18 | Health · complaint | F0908 | Keep all essential equipment working safely. | E | 2024-04-04 |
| 2024-01-26 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2024-02-23 |
| 2024-01-26 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | 2024-02-23 |
| 2024-01-26 | Health | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | 2024-02-23 |
| 2024-01-26 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-02-23 |
| 2024-01-26 | Health | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | 2024-02-23 |
| 2024-01-26 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-02-23 |
| 2024-01-26 | Health | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | E | 2024-02-23 |
| 2024-01-26 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2024-02-23 |
| 2024-01-26 | 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 | 2024-02-23 |
| 2024-01-26 | Health | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | 2024-02-23 |
| 2024-01-26 | Health | F0637 | Assess the resident when there is a significant change in condition | B | 2024-02-23 |
| 2024-01-26 | Health | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | B | 2024-02-23 |
| 2024-01-26 | Health | F0641 | Ensure each resident receives an accurate assessment. | B | 2024-02-23 |
| 2024-01-26 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2024-02-23 |
| 2024-01-26 | 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 | 2024-02-23 |
| 2024-01-26 | 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 | 2024-02-23 |
| 2024-01-26 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2024-02-23 |
| 2024-01-26 | Health | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | 2024-02-23 |
| 2024-01-26 | Health | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | D | 2024-02-23 |
| 2024-01-26 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2024-02-23 |
| 2024-01-26 | Health | F0685 | Assist a resident in gaining access to vision and hearing services. | D | 2024-02-23 |
| 2024-01-26 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-02-23 |
| 2024-01-26 | Health | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2024-02-23 |
| 2024-01-26 | Health | F0693 | Ensure 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. | D | 2024-02-23 |
| 2024-01-26 | Health | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | E | 2024-02-23 |
| 2024-01-26 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | E | 2024-02-23 |
| 2024-01-26 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2024-02-23 |
| 2024-01-26 | Health | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | E | 2024-02-23 |
| 2024-01-26 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2024-02-23 |
| 2024-01-26 | 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. | E | 2024-02-23 |
| 2024-01-26 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | 2024-02-23 |
| 2024-01-26 | 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. | E | 2024-02-23 |
| 2024-01-26 | Health | F0760 | Ensure that residents are free from significant medication errors. | E | 2024-02-23 |
| 2024-01-26 | 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 | 2024-02-23 |
| 2024-01-26 | Health · complaint | F0791 | Provide or obtain dental services for each resident. | D | 2024-02-23 |
| 2024-01-26 | Health | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | D | 2024-02-23 |
| 2024-01-26 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-02-23 |
| 2024-01-26 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-02-23 |
| 2024-01-26 | Health | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | E | 2024-02-23 |
| 2024-01-26 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-02-23 |
| 2024-01-26 | Health | F0908 | Keep all essential equipment working safely. | D | 2024-02-23 |
| 2024-01-11 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-02-02 |
| 2024-01-11 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | 2024-02-02 |
| 2024-01-11 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2024-02-02 |
| 2024-01-11 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-02-02 |
| 2024-01-11 | Health · complaint | F0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | D | 2024-02-02 |
| 2024-01-11 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-02-02 |
| 2023-11-29 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-12-12 |
| 2023-11-29 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2023-12-12 |
| 2023-11-29 | Health · complaint | F0732 | Post nurse staffing information every day. | D | 2023-12-12 |
| 2023-11-29 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2023-12-12 |
| 2023-11-07 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-12-02 |
| 2023-11-07 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2023-12-02 |
| 2023-11-07 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2023-12-02 |
| 2023-11-07 | Health · complaint | 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 | 2023-12-02 |
| 2023-11-07 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2023-12-02 |
| 2023-11-01 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-11-16 |
| 2023-11-01 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2023-11-16 |
| 2023-11-01 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2023-11-16 |
| 2023-10-29 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2023-11-20 |
| 2023-10-29 | Health · complaint | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | 2023-11-20 |
| 2023-10-29 | Health · complaint | F0885 | Report COVID19 data to residents and families. | D | 2023-11-20 |
| 2023-10-17 | Health · complaint | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | 2023-11-02 |
| 2023-10-17 | Health · complaint | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | 2023-11-02 |
| 2023-10-05 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-10-17 |
| 2023-09-13 | Health · complaint | F0732 | Post nurse staffing information every day. | B | 2023-10-13 |
| 2023-09-13 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2023-10-13 |
| 2023-07-25 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2023-08-11 |
| 2023-07-17 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2023-08-10 |
| 2023-07-17 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-08-10 |
| 2023-07-17 | Health · complaint | F0687 | Provide appropriate foot care. | D | 2023-08-10 |
| 2023-07-14 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-08-04 |
| 2023-07-05 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2023-07-27 |
| 2023-07-05 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2023-07-27 |
| 2023-07-05 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2023-07-27 |
| 2023-06-16 | Health · complaint | 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 | 2023-07-07 |
| 2023-06-16 | Health · complaint | F0659 | Provide care by qualified persons according to each resident's written plan of care. | D | 2023-07-07 |
| 2023-06-16 | Health · complaint | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | 2023-07-07 |
| 2023-06-14 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-06-23 |
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
17| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| APT, FREDERICK | CORPORATE OFFICER | — | 2023-06-15 | current | pecos_ownership |
| HANCOCK, MARK | CORPORATE OFFICER | — | 2023-06-15 | current | pecos_ownership |
| JACK, SPENCER | W-2 MANAGING EMPLOYEE | — | 2023-06-15 | current | pecos_ownership |
| MITCHELL, JOHN | CORPORATE OFFICER | — | 2023-06-15 | current | pecos_ownership |
| MURRAY, JASON | CORPORATE OFFICER | — | 2023-06-15 | current | pecos_ownership |
| PACS GROUP, INC. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2023-06-15 | ended 2026-05-18 | pecos_ownership |
| PACS HOLDINGS, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2023-06-15 | ended 2026-05-18 | pecos_ownership |
| PROVIDENCE GROUP NH, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2023-06-15 | ended 2026-05-18 | pecos_ownership |
| JASON MURRAY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2023-06-15 | ended 2026-05-18 | pecos_ownership |
| MARK HANCOCK | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2023-06-15 | ended 2026-05-18 | pecos_ownership |
| FREDERICK APT | CORPORATE OFFICER | — | 2023-06-15 | ended 2026-05-18 | pecos_ownership |
| JOHN MITCHELL | CORPORATE OFFICER | — | 2023-06-15 | ended 2026-05-18 | pecos_ownership |
| SPENCER JACK | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-06-15 | ended 2026-05-18 | pecos_ownership |
| UNIFIED INVESTMENTS V LLC | Individual has financial interest in both related organization and provider | — | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| UNIFIED INVESTMENTS V LLC | Corporation, partnership or other organization has financial interest in provider | — | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| UNIFIED INVESTMENTS V LLC | Corporation, partnership or other organization has financial interest in provider | — | 2023-01-01 | ended 2023-06-14 | hcris_a_8_1 |
| UNIFIED INVESTMENTS V LLC | Corporation, partnership or other organization has financial interest in provider | — | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
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 |
|---|---|---|---|---|
| 2023-06-15 | — | LANCASTER SNF HEALTHCARE LLC | GERI-CARE V, LLC | 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 06037 | acs median gross | 0 | $1,523 | 2024-12-31 | CENSUS_ACS5 |
| county 06037 | fmr | 0 | $1,863 | 2025-10-01 | HUD_USER_FMR |
| county 06037 | acs median gross | 1 | $1,724 | 2024-12-31 | CENSUS_ACS5 |
| county 06037 | fmr | 1 | $2,085 | 2025-10-01 | HUD_USER_FMR |
| county 06037 | acs median gross | 2 | $2,127 | 2024-12-31 | CENSUS_ACS5 |
| county 06037 | fmr | 2 | $2,601 | 2025-10-01 | HUD_USER_FMR |
| county 06037 | acs median gross | 3 | $2,484 | 2024-12-31 | CENSUS_ACS5 |
| county 06037 | fmr | 3 | $3,298 | 2025-10-01 | HUD_USER_FMR |
| county 06037 | acs median gross | 4 | $2,866 | 2024-12-31 | CENSUS_ACS5 |
| county 06037 | fmr | 4 | $3,672 | 2025-10-01 | HUD_USER_FMR |
| county 06037 | acs median gross | 5 | $2,767 | 2024-12-31 | CENSUS_ACS5 |
| county 06037 | acs median gross | $1,954 | 2024-12-31 | CENSUS_ACS5 | |
| county 06037 | acs recent mover gross | $2,358 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 93534 | acs median gross | 0 | $822 | 2024-12-31 | CENSUS_ACS5 |
| zcta 93534 | acs median gross | 1 | $1,328 | 2024-12-31 | CENSUS_ACS5 |
| zcta 93534 | acs median gross | 2 | $1,723 | 2024-12-31 | CENSUS_ACS5 |
| zcta 93534 | acs median gross | 3 | $1,824 | 2024-12-31 | CENSUS_ACS5 |
| zcta 93534 | acs median gross | 4 | $2,071 | 2024-12-31 | CENSUS_ACS5 |
| zcta 93534 | acs median gross | $1,627 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 93534 | acs recent mover gross | $1,853 | 2024-12-31 | CENSUS_ACS5 | |
| zip 93534 | payment standard 110 | 0 | $1,760 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93534 | payment standard 90 | 0 | $1,440 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93534 | safmr | 0 | $1,600 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93534 | payment standard 110 | 1 | $1,969 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93534 | payment standard 90 | 1 | $1,611 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93534 | safmr | 1 | $1,790 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93534 | payment standard 110 | 2 | $2,453 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93534 | payment standard 90 | 2 | $2,007 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93534 | safmr | 2 | $2,230 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93534 | payment standard 110 | 3 | $3,113 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93534 | payment standard 90 | 3 | $2,547 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93534 | safmr | 3 | $2,830 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93534 | payment standard 110 | 4 | $3,465 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93534 | payment standard 90 | 4 | $2,835 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93534 | safmr | 4 | $3,150 | 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.