100 BARNET SEGAL LANE, MONTEREY, CA 93940 · CCN 555143 · chain MONTAGE HEALTH
Composite
21.0 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
28
Model
v1.2
Reads as: riskier than 21.0% 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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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
5.72
3.95
3.28
2.90–3.77
RN
1.68
0.38
0.39
0.25–0.58
Weekend total
5.30
3.79
3.11
—
Weekday total
5.89
4.01
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
26.9
5.72
1.68
1.03
3.01
5.30
0.0%
2025Q3
92
26.5
5.97
1.69
1.29
2.98
5.59
0.0%
2025Q2
91
25.6
6.24
1.81
1.62
2.81
5.79
0.0%
2025Q1
90
26.0
6.18
2.06
1.32
2.81
5.89
0.0%
2024Q4
92
20.1
6.79
2.07
1.31
3.41
6.40
0.0%
2024Q3
92
26.0
6.50
2.07
1.27
3.17
6.47
0.0%
2024Q2
91
26.8
7.48
2.36
1.55
3.58
7.44
0.0%
2024Q1
91
25.6
7.47
2.44
1.49
3.55
7.22
0.0%
2023Q4
92
25.4
7.17
2.31
1.50
3.37
6.97
0.0%
2023Q3
92
25.3
6.49
2.18
1.22
3.08
6.23
0.0%
2023Q2
91
26.6
6.06
2.06
1.01
2.99
5.46
0.0%
2023Q1
90
30.4
5.50
1.76
1.01
2.73
4.99
0.0%
2022Q4
92
23.5
6.65
2.25
1.13
3.27
6.06
0.2%
2022Q3
92
20.3
7.40
2.64
1.07
3.69
6.67
0.0%
2022Q2
91
20.5
7.27
2.55
1.10
3.62
6.62
0.0%
2022Q1
90
22.2
6.82
2.50
1.10
3.23
6.14
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
0
No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
13
D × 7E × 4F × 2
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-09-05
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
2025-09-19
2025-09-05
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
E
2025-09-08
2025-09-05
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-09-08
2025-09-05
Health
F0814
Dispose of garbage and refuse properly.
E
2025-09-08
2024-05-03
Health
F0582
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
2024-06-05
2024-05-03
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
2024-06-05
2024-05-03
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-06-05
2024-05-03
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.
F
2024-07-01
2024-05-03
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2024-06-05
2023-05-05
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
2023-05-25
2023-05-05
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-05-25
2023-05-05
Health
F0814
Dispose of garbage and refuse properly.
D
2023-05-26
2023-05-05
Health
F0880
Provide and implement an infection prevention and control program.
D
2023-05-26
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
0
No licensure actions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Ownership
52
Owner
Role
Pct
From
Status
Source
MONTAGE HEALTH
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2016-02-05
current
pecos_ownership
ALVAREZ, LUIS
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
BURKE, PATRICK
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
BUTTON, SANDRA
CORPORATE DIRECTOR
—
2025-01-01
current
pecos_ownership
CABRALES, STEVEN
CORPORATE OFFICER
—
2014-02-17
current
pecos_ownership
CHARLES, RANDALL
CORPORATE DIRECTOR
—
2019-01-01
current
pecos_ownership
CHIBAYA, DANIEL
CORPORATE OFFICER
—
2022-05-16
current
pecos_ownership
COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA
OPERATIONAL/MANAGERIAL CONTROL
—
1997-06-16
current
pecos_ownership
COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA
ADP OF THE SNF
—
2025-01-27
current
pecos_ownership
CUMMINGS, JAMES
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
EDWARDS, RYAN
CORPORATE DIRECTOR
—
2023-01-01
current
pecos_ownership
EHRET, SARAH
ADP OF THE SNF
—
2022-11-07
current
pecos_ownership
FARAC, LAUREN
CORPORATE DIRECTOR
—
2025-01-01
current
pecos_ownership
HAHN, MARIAN
CORPORATE DIRECTOR
—
2021-01-01
current
pecos_ownership
HIGGINS, LESLIE
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
KAMATH, KIRAN
CORPORATE DIRECTOR
—
2022-01-01
current
pecos_ownership
MAHONEY, KEVIN
CORPORATE DIRECTOR
—
2024-01-01
current
pecos_ownership
MAITLAND, ALICIA
CORPORATE OFFICER
—
2025-12-29
current
pecos_ownership
MCDERMOTT, MICHAEL
CORPORATE DIRECTOR
—
2025-03-21
current
pecos_ownership
MCINTYER PANETTA, CARRIE
CORPORATE DIRECTOR
—
2020-01-01
current
pecos_ownership
MONTAGE HEALTH
ADP OF THE SNF
—
2017-07-11
current
pecos_ownership
MORRIS, MITCHELL
CORPORATE DIRECTOR
—
2026-01-01
current
pecos_ownership
ROMO-GRITZEWSKY, MARYLOU
OPERATIONAL/MANAGERIAL CONTROL
—
2016-09-01
current
pecos_ownership
SMORZEWSKI, GREG
CORPORATE OFFICER
—
2022-07-01
current
pecos_ownership
SOBER, DEBORAH
CORPORATE OFFICER
—
2018-11-01
current
pecos_ownership
SUNDE, DOUGLAS
CORPORATE DIRECTOR
—
2025-01-01
current
pecos_ownership
SWICK, SUSAN
CORPORATE OFFICER
—
2022-07-01
current
pecos_ownership
WIEST, MARGORIE
CORPORATE DIRECTOR
—
2023-01-01
current
pecos_ownership
ALICIA MAITLAND
CORPORATE OFFICER
0%
2025-12-29
ended 2026-05-18
pecos_ownership
DANIEL CHIBAYA
CORPORATE OFFICER
0%
2022-05-16
ended 2026-05-18
pecos_ownership
DEBORAH SOBER
CORPORATE OFFICER
0%
2018-11-01
ended 2026-05-18
pecos_ownership
DOUGLAS SUNDE
CORPORATE DIRECTOR
0%
2025-01-01
ended 2026-05-18
pecos_ownership
GREG SMORZEWSKI
CORPORATE OFFICER
0%
2022-07-01
ended 2026-05-18
pecos_ownership
LAUREN FARAC
CORPORATE DIRECTOR
0%
2025-01-01
ended 2026-05-18
pecos_ownership
MICHAEL MCDERMOTT
CORPORATE DIRECTOR
0%
2025-03-21
ended 2026-05-18
pecos_ownership
MITCHELL MORRIS
CORPORATE DIRECTOR
0%
2026-01-01
ended 2026-05-18
pecos_ownership
SANDRA BUTTON
CORPORATE DIRECTOR
0%
2025-01-01
ended 2026-05-18
pecos_ownership
STEVEN CABRALES
CORPORATE OFFICER
0%
2014-02-17
ended 2026-05-18
pecos_ownership
SUSAN SWICK
CORPORATE OFFICER
0%
2022-07-01
ended 2026-05-18
pecos_ownership
CARRIE MCINTYER PANETTA
CORPORATE DIRECTOR
—
2020-01-01
ended 2026-05-18
pecos_ownership
JAMES CUMMINGS
CORPORATE DIRECTOR
—
2024-01-01
ended 2026-05-18
pecos_ownership
KEVIN MAHONEY
CORPORATE DIRECTOR
—
2024-01-01
ended 2026-05-18
pecos_ownership
KIRAN KAMATH
CORPORATE DIRECTOR
—
2022-01-01
ended 2026-05-18
pecos_ownership
LESLIE HIGGINS
CORPORATE DIRECTOR
—
2024-01-01
ended 2026-05-18
pecos_ownership
LUIS ALVAREZ
CORPORATE DIRECTOR
—
2022-01-01
ended 2026-05-18
pecos_ownership
MARGORIE WIEST
CORPORATE DIRECTOR
—
2023-01-01
ended 2026-05-18
pecos_ownership
MARIAN HAHN
CORPORATE DIRECTOR
—
2021-01-01
ended 2026-05-18
pecos_ownership
MARYLOU ROMO-GRITZEWSKY
ADP OF THE SNF
—
2016-09-01
ended 2026-05-18
pecos_ownership
PATRICK BURKE
CORPORATE DIRECTOR
—
2021-01-01
ended 2026-05-18
pecos_ownership
RANDALL CHARLES
CORPORATE DIRECTOR
—
2019-01-01
ended 2026-05-18
pecos_ownership
RYAN EDWARDS
CORPORATE DIRECTOR
—
2023-01-01
ended 2026-05-18
pecos_ownership
SARAH EHRET
OPERATIONAL/MANAGERIAL CONTROL
—
2022-11-07
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.
Related-party costs
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
Transactions
0
No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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
36
Geo
Kind
BR
Amount
As of
Source
county 06053
acs median gross
0
$1,650
2024-12-31
CENSUS_ACS5
county 06053
fmr
0
$2,173
2025-10-01
HUD_USER_FMR
county 06053
acs median gross
1
$1,732
2024-12-31
CENSUS_ACS5
county 06053
fmr
1
$2,232
2025-10-01
HUD_USER_FMR
county 06053
acs median gross
2
$2,088
2024-12-31
CENSUS_ACS5
county 06053
fmr
2
$2,684
2025-10-01
HUD_USER_FMR
county 06053
acs median gross
3
$2,408
2024-12-31
CENSUS_ACS5
county 06053
fmr
3
$3,623
2025-10-01
HUD_USER_FMR
county 06053
acs median gross
4
$2,592
2024-12-31
CENSUS_ACS5
county 06053
fmr
4
$3,945
2025-10-01
HUD_USER_FMR
county 06053
acs median gross
5
$3,253
2024-12-31
CENSUS_ACS5
county 06053
acs median gross
$2,055
2024-12-31
CENSUS_ACS5
county 06053
acs recent mover gross
$2,354
2024-12-31
CENSUS_ACS5
zcta 93940
acs median gross
0
$1,910
2024-12-31
CENSUS_ACS5
zcta 93940
acs median gross
1
$2,000
2024-12-31
CENSUS_ACS5
zcta 93940
acs median gross
2
$2,426
2024-12-31
CENSUS_ACS5
zcta 93940
acs median gross
3
$3,501
2024-12-31
CENSUS_ACS5
zcta 93940
acs median gross
4
$3,501
2024-12-31
CENSUS_ACS5
zcta 93940
acs median gross
5
$3,501
2024-12-31
CENSUS_ACS5
zcta 93940
acs median gross
$2,364
2024-12-31
CENSUS_ACS5
zcta 93940
acs recent mover gross
$2,710
2024-12-31
CENSUS_ACS5
zip 93940
payment standard 110
0
$2,860
2025-10-01
HUD_USER_SAFMR
zip 93940
payment standard 90
0
$2,340
2025-10-01
HUD_USER_SAFMR
zip 93940
safmr
0
$2,600
2025-10-01
HUD_USER_SAFMR
zip 93940
payment standard 110
1
$2,937
2025-10-01
HUD_USER_SAFMR
zip 93940
payment standard 90
1
$2,403
2025-10-01
HUD_USER_SAFMR
zip 93940
safmr
1
$2,670
2025-10-01
HUD_USER_SAFMR
zip 93940
payment standard 110
2
$3,531
2025-10-01
HUD_USER_SAFMR
zip 93940
payment standard 90
2
$2,889
2025-10-01
HUD_USER_SAFMR
zip 93940
safmr
2
$3,210
2025-10-01
HUD_USER_SAFMR
zip 93940
payment standard 110
3
$4,752
2025-10-01
HUD_USER_SAFMR
zip 93940
payment standard 90
3
$3,888
2025-10-01
HUD_USER_SAFMR
zip 93940
safmr
3
$4,320
2025-10-01
HUD_USER_SAFMR
zip 93940
payment standard 110
4
$5,181
2025-10-01
HUD_USER_SAFMR
zip 93940
payment standard 90
4
$4,239
2025-10-01
HUD_USER_SAFMR
zip 93940
safmr
4
$4,710
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.