Composite
64.3 / 100 percentile
Screener / 055141
C
Madera Post Acute Center
snfCA
11900 RAMONA BOULEVARD, EL MONTE, CA 91732 · CCN 055141 · chain THE ENSIGN GROUP INC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
148
Model
v1.2
Reads as: riskier than 64.3% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
Score model5ML signals4Components16CHOW radar1Distress radar1Staffing16Penalties2Deficiencies67Licensure0Ownership20Related party6Transactions1Comps12Market rent36
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 86.4 | 83.5 | 0.30 | 0.2308 | 19.94 | in index |
| billing conduct | 80.6 | 53.4 | 0.30 | 0.2308 | 18.60 | in index |
| chow risk | 49.6 | 47.7 | 0.15 | 0.1154 | 5.72 | in index |
| staffing risk | 26.9 | 27.0 | 0.25 | 0.1923 | 5.17 | in index |
| financial risk | 18.5 | 26.0 | 0.30 | 0.2308 | 4.27 | 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 | 18 chains | ENSIGN SERVICES INC | 286 facilities |
| connection | Owner spans multiple chains | 17 chains | BURNAM SOON | 335 facilities |
| connection | Owner spans multiple chains | 17 chains | KEETCH CHAD | 283 facilities |
| connection | Owner spans multiple chains | 11 chains | TWOMAGNETS LLC | 45 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 | 53.4 | 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 | 70.4 | D | v0.6 | default · in composite | |
| financial risk | 26.0 | B | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.0 | — | v0.1 | default · in composite | R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite. |
| p chow 12m | 0.0 | — | v0.1 | default · in composite | R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite. |
| regulatory risk | 83.5 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 27.0 | B | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 88.4 | F | v0.1 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 68.4 | D | v0.2 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 43.5 | 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 | 31.2 | 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 | 83.5 | 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 | 83.5 | 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 | 27.0 | 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 | 27.0 | 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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
12.1
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) | 3.49 | -1.51 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| Chain size (log) | 5.46 | +0.76 | |
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.89 | -0.57 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Deficiencies, last 12 months | 14.00 | +0.17 |
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Distress radar — 12-month termination probability
full board →p(termination, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
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) | 5.46 | -1.98 | |
| Deficiencies, last 12 months | 14.00 | -1.17 | |
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.89 | -0.61 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 3.49 | -0.24 | |
| Ownership changes, last 5 years | 1.00 | +0.23 |
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
16| 2025Q4 HPRD | This facility | CA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.73 | 3.95 | 3.28 | 2.90–3.77 |
| RN | 0.21 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 3.42 | 3.79 | 3.11 | — |
| Weekday total | 3.85 | 4.01 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 132.4 | 3.73 | 0.21 | 1.00 | 2.52 | 3.42 | 2.3% |
| 2025Q3 | 92 | 132.2 | 3.74 | 0.22 | 1.05 | 2.48 | 3.47 | 2.2% |
| 2025Q2 | 91 | 136.4 | 3.68 | 0.20 | 1.00 | 2.48 | 3.46 | 3.3% |
| 2025Q1 | 90 | 132.3 | 3.79 | 0.24 | 0.94 | 2.62 | 3.60 | 1.9% |
| 2024Q4 | 92 | 134.0 | 3.82 | 0.21 | 0.96 | 2.65 | 3.63 | 3.7% |
| 2024Q3 | 92 | 135.8 | 3.88 | 0.23 | 0.98 | 2.68 | 3.59 | 5.0% |
| 2024Q2 | 91 | 132.3 | 3.89 | 0.24 | 1.07 | 2.59 | 3.65 | 4.9% |
| 2024Q1 | 91 | 130.7 | 4.02 | 0.33 | 1.06 | 2.63 | 3.81 | 4.1% |
| 2023Q4 | 92 | 132.4 | 3.98 | 0.36 | 1.02 | 2.59 | 3.79 | 7.2% |
| 2023Q3 | 92 | 130.0 | 4.13 | 0.38 | 1.03 | 2.73 | 3.87 | 8.5% |
| 2023Q2 | 91 | 134.8 | 3.93 | 0.38 | 0.98 | 2.58 | 3.39 | 8.0% |
| 2023Q1 | 90 | 134.4 | 3.91 | 0.26 | 1.10 | 2.56 | 3.51 | 20.4% |
| 2022Q4 | 92 | 134.9 | 4.03 | 0.23 | 1.07 | 2.73 | 3.78 | 23.9% |
| 2022Q3 | 92 | 127.3 | 4.08 | 0.25 | 0.99 | 2.84 | 3.83 | 20.8% |
| 2022Q2 | 91 | 127.4 | 3.85 | 0.25 | 0.92 | 2.68 | 3.66 | 16.7% |
| 2022Q1 | 90 | 124.5 | 3.60 | 0.24 | 1.01 | 2.35 | 3.06 | 6.8% |
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
2fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-07-10 | Fine | $13,319 | CMS provider data |
| 2024-05-17 | Fine | $16,198 | CMS provider data |
Total fines on record: $29,517
Deficiencies
67B × 2D × 42E × 21G × 1K × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-23 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | — |
| 2026-04-23 | 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 | — |
| 2026-04-23 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | — |
| 2026-04-23 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | — |
| 2026-04-08 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2026-05-01 |
| 2026-03-16 | Health · complaint | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2026-04-02 |
| 2026-03-16 | 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. | E | 2026-04-02 |
| 2026-03-16 | Health · complaint | 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 | 2026-04-02 |
| 2026-03-16 | Health · complaint | F0926 | Have policies on smoking. | D | 2026-04-02 |
| 2026-01-28 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | E | 2026-02-14 |
| 2026-01-06 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2026-01-30 |
| 2026-01-06 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2026-01-30 |
| 2026-01-06 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2026-01-30 |
| 2025-08-21 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2025-09-12 |
| 2025-07-10 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2025-07-30 |
| 2025-07-10 | 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 | 2025-07-30 |
| 2025-07-10 | Health | F0641 | Ensure each resident receives an accurate assessment. | E | 2025-07-30 |
| 2025-07-10 | 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 | 2025-07-30 |
| 2025-07-10 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-07-30 |
| 2025-07-10 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | 2025-07-24 |
| 2025-07-10 | Health | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | 2025-07-30 |
| 2025-07-10 | Health | F0732 | Post nurse staffing information every day. | B | 2025-07-30 |
| 2025-07-10 | Health | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | 2025-07-30 |
| 2025-07-10 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-07-25 |
| 2025-07-10 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2025-07-30 |
| 2025-07-10 | Health | F0908 | Keep all essential equipment working safely. | D | 2025-07-30 |
| 2025-04-07 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-05-01 |
| 2025-03-19 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-04-09 |
| 2025-02-05 | 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 | 2025-03-03 |
| 2025-02-05 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-03-03 |
| 2024-12-16 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-01-07 |
| 2024-10-10 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-11-01 |
| 2024-10-09 | 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 | 2024-10-28 |
| 2024-07-19 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | 2024-08-06 |
| 2024-07-19 | 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. | D | 2024-08-07 |
| 2024-07-19 | Health | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | E | 2024-08-05 |
| 2024-07-19 | 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 | 2024-08-09 |
| 2024-07-19 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2024-08-08 |
| 2024-07-19 | 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 | 2024-08-08 |
| 2024-07-19 | 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. | E | 2024-08-08 |
| 2024-07-19 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-08-08 |
| 2024-07-19 | 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 | 2024-08-12 |
| 2024-07-19 | Health | F0732 | Post nurse staffing information every day. | B | 2024-08-07 |
| 2024-07-19 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-08-12 |
| 2024-07-19 | 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. | D | 2024-08-08 |
| 2024-05-17 | Health · complaint | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | G | 2024-06-14 |
| 2024-05-17 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-06-14 |
| 2024-03-08 | 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. | D | 2024-03-27 |
| 2024-03-08 | Health · complaint | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2024-03-27 |
| 2021-10-21 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2021-12-01 |
| 2021-10-21 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2021-12-01 |
| 2021-10-21 | 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 | 2021-12-01 |
| 2021-10-21 | Health | F0583 | Keep residents' personal and medical records private and confidential. | D | 2021-12-01 |
| 2021-10-21 | 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 | 2021-12-01 |
| 2021-10-21 | 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 | 2021-12-01 |
| 2021-10-21 | Health | F0685 | Assist a resident in gaining access to vision and hearing services. | D | 2021-12-01 |
| 2021-10-21 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2021-12-01 |
| 2021-10-21 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2021-12-01 |
| 2021-10-21 | Health | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | 2021-12-01 |
| 2021-10-21 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2021-12-01 |
| 2021-10-21 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2021-12-01 |
| 2021-10-21 | 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 | 2021-12-01 |
| 2021-10-21 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2021-12-01 |
| 2021-10-21 | Health | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | 2021-12-01 |
| 2021-10-21 | 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. | D | 2021-12-01 |
| 2021-10-21 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2021-12-01 |
| 2021-10-21 | Health | F0881 | Implement a program that monitors antibiotic use. | D | 2021-12-01 |
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
20| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| BURNAM, SOON | CORPORATE OFFICER | — | 2022-11-08 | current | pecos_ownership |
| ENSIGN SERVICES INC | ADP OF THE SNF | — | 2022-11-01 | current | pecos_ownership |
| GAMERO, ALICIA | CORPORATE OFFICER | — | 2023-02-01 | current | pecos_ownership |
| KEETCH, CHAD | CORPORATE OFFICER | — | 2011-03-01 | current | pecos_ownership |
| LIU, JOHN | MANAGING CONTROL - GOVERNING BODY | — | 2023-02-01 | current | pecos_ownership |
| PORT, BARRY | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-06-30 | current | pecos_ownership |
| SATO, AMI | CORPORATE OFFICER | — | 2024-09-09 | current | pecos_ownership |
| TWOMAGNETS LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-02-01 | current | pecos_ownership |
| TWOMAGNETS LLC | ADP OF THE SNF | — | 2025-08-18 | current | pecos_ownership |
| WILLITS, ADAM | CORPORATE DIRECTOR | — | 2023-02-01 | current | pecos_ownership |
| YAMAK, NAJIB | MANAGING CONTROL - GOVERNING BODY | — | 2023-02-01 | current | pecos_ownership |
| FLAGSTONE HEALTHCARE SOUTH LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-11-08 | ended 2026-05-18 | pecos_ownership |
| THE ENSIGN GROUP INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2023-02-01 | ended 2026-05-18 | pecos_ownership |
| NAJIB YAMAK | OPERATIONAL/MANAGERIAL CONTROL | 0% | 2023-02-01 | ended 2026-05-18 | pecos_ownership |
| ADAM WILLITS | CORPORATE DIRECTOR | — | 2023-02-01 | ended 2026-05-18 | pecos_ownership |
| ALICIA GAMERO | CORPORATE OFFICER | — | 2023-02-01 | ended 2026-05-18 | pecos_ownership |
| AMI SATO | CORPORATE OFFICER | — | 2024-09-09 | ended 2026-05-18 | pecos_ownership |
| CHAD KEETCH | CORPORATE OFFICER | — | 2011-03-01 | ended 2026-05-18 | pecos_ownership |
| JOHN LIU | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-02-01 | ended 2026-05-18 | pecos_ownership |
| SOON BURNAM | CORPORATE OFFICER | — | 2022-11-08 | ended 2026-05-18 | pecos_ownership |
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Transactions
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2023-02-01 | — | GLIMMER HEALTHCARE INC | RAMONA CARE, INC. | 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
36| 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 91732 | acs median gross | 0 | $1,309 | 2024-12-31 | CENSUS_ACS5 |
| zcta 91732 | acs median gross | 1 | $1,360 | 2024-12-31 | CENSUS_ACS5 |
| zcta 91732 | acs median gross | 2 | $1,853 | 2024-12-31 | CENSUS_ACS5 |
| zcta 91732 | acs median gross | 3 | $2,173 | 2024-12-31 | CENSUS_ACS5 |
| zcta 91732 | acs median gross | 4 | $2,122 | 2024-12-31 | CENSUS_ACS5 |
| zcta 91732 | acs median gross | 5 | $2,130 | 2024-12-31 | CENSUS_ACS5 |
| zcta 91732 | acs median gross | $1,809 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 91732 | acs recent mover gross | $2,095 | 2024-12-31 | CENSUS_ACS5 | |
| zip 91732 | payment standard 110 | 0 | $2,046 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91732 | payment standard 90 | 0 | $1,674 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91732 | safmr | 0 | $1,860 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91732 | payment standard 110 | 1 | $2,288 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91732 | payment standard 90 | 1 | $1,872 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91732 | safmr | 1 | $2,080 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91732 | payment standard 110 | 2 | $2,849 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91732 | payment standard 90 | 2 | $2,331 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91732 | safmr | 2 | $2,590 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91732 | payment standard 110 | 3 | $3,608 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91732 | payment standard 90 | 3 | $2,952 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91732 | safmr | 3 | $3,280 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91732 | payment standard 110 | 4 | $4,026 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91732 | payment standard 90 | 4 | $3,294 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91732 | safmr | 4 | $3,660 | 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.