Composite
92.0 / 100 percentile
Screener / 505272
D
LIFE CARE CENTER OF MOUNT VERNON
snfWA
2120 EAST DIVISION STREET, MOUNT VERNON, WA 98273 · CCN 505272 · chain LIFE CARE CENTERS OF AMERICA INC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
121
Model
v1.2
Reads as: riskier than 92.0% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
Score model5ML signals1Components16CHOW radar1Distress radar1Staffing16Penalties4Deficiencies92Licensure0Ownership41Related party5Transactions0Comps12Market rent34
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 98.7 | 97.9 | 0.30 | 0.2308 | 22.78 | in index |
| billing conduct | 70.9 | 48.1 | 0.30 | 0.2308 | 16.36 | in index |
| financial risk | 67.4 | 57.4 | 0.30 | 0.2308 | 15.55 | in index |
| staffing risk | 42.9 | 43.0 | 0.25 | 0.1923 | 8.25 | in index |
| chow risk | 47.1 | 45.3 | 0.15 | 0.1154 | 5.43 | 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 |
|---|---|---|---|---|
| anomaly | Federal penalty spike | 3.4x prior | this facility | 2026-07-29 |
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 | 48.1 | 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 | 65.6 | D | v0.6 | default · in composite | |
| financial risk | 57.4 | C | 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 | 17.4 | — | 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 | 97.9 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 43.0 | B | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 94.9 | 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 | 74.9 | 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 | 44.7 | 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 | 62.4 | C | 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 | 97.8 | 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 | 97.8 | 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 | 43.0 | B | 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 | 43.0 | B | 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)
17.4%
model v0.1 · computed 2026-07-29
Percentile among SNFs
99.7
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 5.31 | +0.73 | |
| For-profit ownership | 1.00 | +0.69 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Occupancy | 0.58 | +0.33 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| High-severity deficiencies, 12m | 3.00 | +0.14 |
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 | |
|---|---|---|---|
| Chain size (log) | 5.31 | -1.89 | |
| Deficiencies, last 12 months | 12.00 | -0.80 | |
| Occupancy | 0.58 | +0.69 | |
| For-profit ownership | 1.00 | -0.69 | |
| Fine amount, 12m (log) | 11.82 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| High-severity deficiencies, 12m | 3.00 | -0.20 | |
| Staffing trend, last 4 quarters | 0.45 | +0.18 |
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 | WA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.40 | 3.70 | 3.28 | 2.90–3.77 |
| RN | 0.60 | 0.62 | 0.39 | 0.25–0.58 |
| Weekend total | 3.25 | 3.51 | 3.11 | — |
| Weekday total | 3.46 | 3.79 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 70.6 | 3.40 | 0.60 | 0.70 | 2.10 | 3.25 | 0.3% |
| 2025Q3 | 92 | 67.2 | 3.38 | 0.64 | 0.56 | 2.17 | 3.25 | 4.4% |
| 2025Q2 | 91 | 60.7 | 3.53 | 0.62 | 0.63 | 2.28 | 3.53 | 1.6% |
| 2025Q1 | 90 | 65.2 | 3.48 | 0.80 | 0.50 | 2.19 | 3.31 | 2.3% |
| 2024Q4 | 92 | 65.0 | 2.95 | 0.68 | 0.52 | 1.76 | 2.80 | 2.4% |
| 2024Q3 | 92 | 64.8 | 3.22 | 0.59 | 0.61 | 2.02 | 2.94 | 4.1% |
| 2024Q2 | 91 | 67.0 | 3.67 | 0.62 | 0.57 | 2.48 | 3.41 | 15.9% |
| 2024Q1 | 91 | 65.9 | 3.66 | 0.36 | 0.80 | 2.50 | 3.50 | 22.3% |
| 2023Q4 | 92 | 63.5 | 3.15 | 0.48 | 0.65 | 2.03 | 3.08 | 14.9% |
| 2023Q3 | 92 | 63.4 | 2.89 | 0.36 | 0.71 | 1.82 | 2.76 | 20.0% |
| 2023Q2 | 91 | 58.2 | 3.05 | 0.33 | 0.89 | 1.83 | 3.02 | 35.2% |
| 2023Q1 | 90 | 57.4 | 2.94 | 0.46 | 0.72 | 1.76 | 2.73 | 38.9% |
| 2022Q4 | 92 | 53.1 | 2.99 | 0.40 | 0.81 | 1.77 | 2.64 | 33.2% |
| 2022Q3 | 92 | 47.1 | 3.26 | 0.83 | 0.41 | 2.03 | 3.13 | 25.6% |
| 2022Q2 | 91 | 53.7 | 3.12 | 0.63 | 0.59 | 1.90 | 2.90 | 18.9% |
| 2022Q1 | 90 | 53.1 | 3.05 | 0.65 | 0.60 | 1.80 | 2.79 | 14.1% |
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.
Penalties
4fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-11-18 | Fine | $95,030 | CMS provider data |
| 2025-07-31 | Fine | $40,920 | CMS provider data |
| 2024-05-01 | Fine | $48,588 | CMS provider data |
| 2023-10-17 | Fine | $69,778 | CMS provider data |
Total fines on record: $254,316
Deficiencies
92D × 54E × 29F × 1G × 7J × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-23 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2026-05-15 |
| 2026-04-23 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | E | 2026-05-15 |
| 2026-04-09 | 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 | 2026-05-18 |
| 2026-02-12 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2026-03-10 |
| 2025-11-18 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-12-31 |
| 2025-11-18 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2025-12-31 |
| 2025-11-18 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2025-12-31 |
| 2025-09-11 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2025-10-22 |
| 2025-09-11 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2025-10-22 |
| 2025-07-31 | 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 | 2025-08-22 |
| 2025-07-31 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-08-22 |
| 2025-07-31 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2025-08-22 |
| 2025-05-20 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2025-06-13 |
| 2025-05-20 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-06-13 |
| 2025-05-20 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | 2025-06-13 |
| 2025-04-09 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2025-06-09 |
| 2025-04-09 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-06-09 |
| 2025-04-09 | Health | F0583 | Keep residents' personal and medical records private and confidential. | E | 2025-06-09 |
| 2025-04-09 | 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. | E | 2025-06-09 |
| 2025-04-09 | Health | 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. | E | 2025-06-09 |
| 2025-04-09 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | E | 2025-06-09 |
| 2025-04-09 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2025-06-09 |
| 2025-04-09 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2025-06-09 |
| 2025-04-09 | 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 | 2025-06-09 |
| 2025-04-09 | Health | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2025-06-09 |
| 2025-04-09 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2025-06-09 |
| 2025-04-09 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-06-09 |
| 2025-04-09 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-06-09 |
| 2025-04-09 | 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 | 2025-06-09 |
| 2025-04-09 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2025-06-09 |
| 2025-04-09 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-06-09 |
| 2025-04-09 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2025-06-09 |
| 2025-04-09 | Health | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2025-06-09 |
| 2025-04-09 | Health | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2025-06-09 |
| 2025-04-09 | Health | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | E | 2025-06-09 |
| 2025-04-09 | 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 | 2025-06-09 |
| 2025-04-09 | 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 | 2025-06-09 |
| 2025-04-09 | 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 | 2025-06-09 |
| 2025-04-09 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-06-09 |
| 2025-04-09 | Health · complaint | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | E | 2025-06-09 |
| 2025-04-09 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | E | 2025-06-09 |
| 2025-04-09 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2025-06-09 |
| 2025-03-17 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | F | 2025-04-15 |
| 2024-08-06 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-08-23 |
| 2024-08-06 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-08-23 |
| 2024-05-01 | 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. | E | 2024-07-05 |
| 2024-05-01 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | 2024-07-05 |
| 2024-05-01 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2024-07-05 |
| 2024-05-01 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | 2024-07-05 |
| 2024-05-01 | Health | F0646 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D | 2024-07-05 |
| 2024-05-01 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2024-07-05 |
| 2024-05-01 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-07-05 |
| 2024-05-01 | 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. | E | 2024-07-05 |
| 2024-05-01 | Health | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2024-07-05 |
| 2024-05-01 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2024-07-05 |
| 2024-05-01 | 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. | G | 2024-07-05 |
| 2024-05-01 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-07-05 |
| 2024-05-01 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-07-05 |
| 2024-05-01 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | E | 2024-07-05 |
| 2024-05-01 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-07-05 |
| 2024-05-01 | 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 | 2024-07-05 |
| 2024-05-01 | 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. | D | 2024-07-05 |
| 2024-05-01 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2024-07-05 |
| 2024-05-01 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | 2024-07-05 |
| 2024-05-01 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-07-05 |
| 2024-05-01 | Health | 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 | 2024-07-05 |
| 2024-03-20 | 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 | 2024-04-08 |
| 2023-12-04 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-01-17 |
| 2023-10-17 | 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 | 2023-11-30 |
| 2023-10-17 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-11-30 |
| 2023-10-17 | 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 | 2023-11-30 |
| 2023-10-17 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-11-30 |
| 2023-10-17 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | 2023-11-30 |
| 2023-10-17 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2023-11-30 |
| 2023-10-17 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2023-11-30 |
| 2023-06-30 | 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 | 2023-07-27 |
| 2023-05-19 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-06-26 |
| 2023-05-19 | Health | 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. | E | 2023-06-26 |
| 2023-05-19 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2023-06-26 |
| 2023-05-19 | 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 | 2023-06-26 |
| 2023-05-19 | 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. | E | 2023-06-26 |
| 2023-05-19 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2023-06-26 |
| 2023-05-19 | Health | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2023-06-26 |
| 2023-05-19 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | E | 2023-06-26 |
| 2023-05-19 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-06-26 |
| 2023-05-19 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2023-06-26 |
| 2023-05-19 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2023-06-26 |
| 2023-05-19 | Health | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | 2023-06-26 |
| 2023-05-19 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2023-06-26 |
| 2023-05-19 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2023-06-26 |
| 2023-05-19 | Health | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | 2023-06-26 |
| 2023-05-19 | Health | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | 2023-06-26 |
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
41| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| MT VERNON MED INVESTOR LLC | Individual has financial interest in both related organization and provider | 100% | 2024-01-01 | current | hcris_a_8_1 |
| MT VERNON MED INVESTOR LLC | Individual has financial interest in both related organization and provider | 100% | 2023-01-01 | current | hcris_a_8_1 |
| BUTNER, NANCY | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-09-16 | current | pecos_ownership |
| CROSS, CINDY | CORPORATE OFFICER | — | 1995-09-28 | current | pecos_ownership |
| DEVELOPERS INVESTMENT COMPANY INC | DIRECT OWNERSHIP INTEREST | — | 1995-09-19 | current | pecos_ownership |
| DEVELOPERS INVESTMENT COMPANY INC | OPERATIONAL/MANAGERIAL CONTROL | — | 2006-01-01 | current | pecos_ownership |
| FLETCHER, TODD | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-13 | current | pecos_ownership |
| GORDON, HEATHER | MANAGING CONTROL - GOVERNING BODY | — | 2025-02-28 | current | pecos_ownership |
| HENRY, TERRY | CORPORATE OFFICER | — | 1999-08-16 | current | pecos_ownership |
| LAY, LISA | CORPORATE OFFICER | — | 2018-02-09 | current | pecos_ownership |
| LIFE CARE CENTERS OF AMERICA, INC. | ADP OF THE SNF | — | 2025-03-20 | current | pecos_ownership |
| LIFE CARE CENTERS OF AMERICA, INC. | OPERATIONAL/MANAGERIAL CONTROL | — | 1995-09-28 | current | pecos_ownership |
| PRESTON, AUBREY | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-13 | current | pecos_ownership |
| PRESTON, FORREST | ADP OF THE SNF | — | 2000-08-31 | current | pecos_ownership |
| PRESTON, FORREST | INDIRECT OWNERSHIP INTEREST | — | 1995-09-19 | current | pecos_ownership |
| ROBERTS, ANDREA | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-13 | current | pecos_ownership |
| ROBERTS, ANDREA | ADP OF THE SNF | — | 2025-03-21 | current | pecos_ownership |
| SWANKER, RICHARD | CORPORATE OFFICER | — | 2011-04-01 | current | pecos_ownership |
| TALEGHANI, MASOUD | ADP OF THE SNF | — | 2025-03-21 | current | pecos_ownership |
| TALEGHANI, MASOUD | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-01 | current | pecos_ownership |
| THURMOND, JOAN | CORPORATE OFFICER | — | 2000-09-22 | current | pecos_ownership |
| ZIEGLER, JAMES | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-13 | current | pecos_ownership |
| MT VERNON MED INVESTOR LLC | Individual has financial interest in both related organization and provider | 100% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| MT VERNON MED INVESTOR LLC | Individual has financial interest in both related organization and provider | 100% | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| MT VERNON MED INVESTOR LLC | Individual has financial interest in both related organization and provider | 100% | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| FORREST PRESTON | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 99% | 1995-09-19 | ended 2026-05-18 | pecos_ownership |
| ANDREA ROBERTS | MANAGING CONTROL - GOVERNING BODY | — | 2025-01-13 | ended 2026-05-18 | pecos_ownership |
| ANDREA ROBERTS | ADP OF THE SNF | — | 2025-03-21 | ended 2026-05-18 | pecos_ownership |
| AUBREY PRESTON | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-13 | ended 2026-05-18 | pecos_ownership |
| CINDY CROSS | CORPORATE OFFICER | — | 1995-09-28 | ended 2026-05-18 | pecos_ownership |
| FORREST PRESTON | ADP OF THE SNF | — | 2000-08-31 | ended 2026-05-18 | pecos_ownership |
| HEATHER GORDON | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-28 | ended 2026-05-18 | pecos_ownership |
| JAMES ZIEGLER | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-13 | ended 2026-05-18 | pecos_ownership |
| JOAN THURMOND | CORPORATE OFFICER | — | 2000-09-22 | ended 2026-05-18 | pecos_ownership |
| LISA LAY | CORPORATE OFFICER | — | 2018-02-09 | ended 2026-05-18 | pecos_ownership |
| MASOUD TALEGHANI | ADP OF THE SNF | — | 2025-03-21 | ended 2026-05-18 | pecos_ownership |
| MASOUD TALEGHANI | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-01 | ended 2026-05-18 | pecos_ownership |
| NANCY BUTNER | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-09-16 | ended 2026-05-18 | pecos_ownership |
| RICHARD SWANKER | CORPORATE OFFICER | — | 2011-04-01 | ended 2026-05-18 | pecos_ownership |
| TERRY HENRY | CORPORATE OFFICER | — | 1999-08-16 | ended 2026-05-18 | pecos_ownership |
| TODD FLETCHER | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-13 | 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
0No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Comparable trades — WA snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-06-01 | Bremerton Trails Post Acute | — | — | — | 125 | RINCON BEACH, LLC |
| 2025-06-01 | Othello Post Acute | — | — | — | 39 | DOHENY BEACH, LLC |
| 2025-06-01 | Edmonds Post Acute | — | — | — | 128 | SALT CREEK BEACH, LLC |
| 2025-05-21 | AURORA VALLEY CARE | — | — | — | 124 | AURORA VALLEY CARE LLC |
| 2025-05-21 | THREE RIVERS CARE | — | — | — | 83 | THREE RIVERS CARE LLC |
| 2025-05-21 | FIR LANE CARE | — | — | — | 135 | FIR LANE CARE LLC |
| 2025-05-21 | SPOKANE FALLS CARE | — | — | — | 100 | SPOKANE FALLS CARE LLC |
| 2025-05-01 | MARIANWOOD HEALTH AND REHABILITATION | — | — | — | 117 | LUNA VEGA HEALTHCARE LLC |
| 2025-04-01 | WOODARD CREEK HEALTH & REHABILITATION | — | — | — | 152 | WOODARD SNF OPERATIONS LLC |
| 2025-03-12 | Avalon Healthcare - Tacoma | — | — | — | 81 | AVALON HEALTHCARE-TACOMA LLC |
| 2025-03-01 | SOUTH HILL REHABILITATION AND CARE CENTER | — | — | — | 113 | LAST EMPIRE HEALTHCARE LLC |
| 2024-08-01 | PINE RIDGE POST ACUTE | — | — | — | 80 | PINE RIDGE SNF HEALTHCARE 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
34| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 53057 | acs median gross | 0 | $886 | 2024-12-31 | CENSUS_ACS5 |
| county 53057 | fmr | 0 | $1,186 | 2025-10-01 | HUD_USER_FMR |
| county 53057 | acs median gross | 1 | $1,074 | 2024-12-31 | CENSUS_ACS5 |
| county 53057 | fmr | 1 | $1,311 | 2025-10-01 | HUD_USER_FMR |
| county 53057 | acs median gross | 2 | $1,471 | 2024-12-31 | CENSUS_ACS5 |
| county 53057 | fmr | 2 | $1,720 | 2025-10-01 | HUD_USER_FMR |
| county 53057 | acs median gross | 3 | $1,967 | 2024-12-31 | CENSUS_ACS5 |
| county 53057 | fmr | 3 | $2,392 | 2025-10-01 | HUD_USER_FMR |
| county 53057 | acs median gross | 4 | $2,053 | 2024-12-31 | CENSUS_ACS5 |
| county 53057 | fmr | 4 | $2,599 | 2025-10-01 | HUD_USER_FMR |
| county 53057 | acs median gross | 5 | $2,891 | 2024-12-31 | CENSUS_ACS5 |
| county 53057 | acs median gross | $1,536 | 2024-12-31 | CENSUS_ACS5 | |
| county 53057 | acs recent mover gross | $2,069 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 98273 | acs median gross | 0 | $677 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98273 | acs median gross | 1 | $951 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98273 | acs median gross | 2 | $1,313 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98273 | acs median gross | 3 | $1,978 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98273 | acs median gross | 4 | $1,988 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98273 | acs median gross | $1,287 | 2024-12-31 | CENSUS_ACS5 | |
| zip 98273 | payment standard 110 | 0 | $1,155 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98273 | payment standard 90 | 0 | $945 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98273 | safmr | 0 | $1,050 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98273 | payment standard 110 | 1 | $1,287 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98273 | payment standard 90 | 1 | $1,053 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98273 | safmr | 1 | $1,170 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98273 | payment standard 110 | 2 | $1,694 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98273 | payment standard 90 | 2 | $1,386 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98273 | safmr | 2 | $1,540 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98273 | payment standard 110 | 3 | $2,365 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98273 | payment standard 90 | 3 | $1,935 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98273 | safmr | 3 | $2,150 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98273 | payment standard 110 | 4 | $2,574 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98273 | payment standard 90 | 4 | $2,106 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98273 | safmr | 4 | $2,340 | 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.