CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)
AS OF 2026-08-05 02:51 UTC
Screener / 235618
B

Optalis Health and Rehabilitation of Canton

snfMI
7025 Lilley Road, Canton, MI 48187 · CCN 235618 · chain OPTUM MANAGEMENT SOLUTIONS INC
Composite
57.6 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
150
Model
v1.2
Reads as: riskier than 57.6% 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 signals12Components16CHOW radar1Distress radar1Staffing16Penalties1Deficiencies74Licensure0Ownership33Related party6Transactions1Comps12Market rent35

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk95.593.80.300.230822.04in index
billing conduct61.544.10.300.230814.19in index
financial risk24.830.40.300.23085.72in index
staffing risk26.927.00.250.19235.17in index
chow risk34.834.30.150.11544.02in 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

12
KindFindingSignalSubjectFirst seen
connectionOwner fleet risk far above national+23.1 vs natlOM HOLDCO 5 LLC9 facilities
connectionOwner fleet risk far above national+22.4 vs natlCONNER MARIANNE25 facilities
connectionOwner fleet risk far above national+20.2 vs natlSHARON ROBERT34 facilities
connectionOwner spans multiple chains20 chainsCLIFTONLARSONALLEN LLP98 facilities
connectionOwner fleet enforcement cluster56% finedSIENA LENDING GROUP LLC16 facilities
connectionOwner fleet enforcement cluster50% finedSNW LLC22 facilities
connectionOwner fleet enforcement cluster44% finedSHAH HEMANT27 facilities
connectionOwner fleet enforcement cluster44% finedOM HOLDCO 5 LLC9 facilities
connectionOwner fleet enforcement cluster44% finedDUNN CHARLES27 facilities
connectionOwner fleet enforcement cluster43% finedPARKER SETH7 facilities
connectionOwner fleet enforcement cluster42% finedOPTUM MANAGEMENT SOLUTIONS INC36 facilities
connectionOwner fleet enforcement cluster42% finedPATEL RAJAN36 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 typeScoreGradeModelStatusRegistry model notes
billing conduct44.1Bv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk24.9Av0.1-posdefault · in compositeChange-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 risk43.7Bv0.6default · in composite
financial risk30.4Bv0.5default · in compositeR18.
p adverse action 12m0.0—v0.1default · in compositeR23/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 12m0.1—v0.1default · in compositeR22/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 risk93.8Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk27.0Bv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk81.9Fv0.1supersededPre-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 risk61.9Cv0.2supersededPre-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 risk30.4Bv0.3supersededPre-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 risk36.4Bv0.4supersededPre-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 risk93.7Fv0.1supersededPre-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 risk93.7Fv0.2supersededPre-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 risk27.0Bv0.1supersededPre-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 risk27.0Bv0.2supersededPre-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
23.6
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Never sold on record0.00-1.62
Current owner tenure (years)3.31-1.52
Ownership changes, last 5 years1.00-0.87
For-profit ownership1.00+0.69
Deficiencies, last 12 months32.00+0.61
No PBJ staffing report0.00+0.42
Chain size (log)3.56+0.35
Occupancy0.60+0.29
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
DriverValuePull on odds
Deficiencies, last 12 months32.00-4.51
Chain size (log)3.56-0.87
For-profit ownership1.00-0.69
Fine amount, 12m (log)11.85-0.69
Occupancy0.60+0.64
No PBJ staffing report0.00+0.39
Never sold on record0.00-0.28
Current owner tenure (years)3.31-0.25
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.

Staffing vs peers

16
2025Q4 HPRDThis facilityMI medianNational medianNational p25–p75
Total nurse3.733.523.282.90–3.77
RN0.430.470.390.25–0.58
Weekend total3.643.323.11—
Weekday total3.773.613.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49289.53.730.431.272.033.642.2%
2025Q392101.53.920.361.352.213.5523.9%
2025Q29194.13.660.541.082.033.3116.3%
2025Q190109.53.530.511.031.993.4012.6%
2024Q49294.63.700.511.042.143.602.8%
2024Q39287.73.480.361.191.933.372.0%
2024Q29179.23.340.291.391.663.118.0%
2024Q191107.23.950.281.592.074.0427.4%
2023Q492114.43.350.321.211.813.2611.7%
2023Q392109.93.120.231.301.603.024.4%
2023Q291106.52.910.331.151.432.7311.6%
2023Q190119.92.830.281.111.442.548.3%
2022Q49298.23.310.301.371.643.310.0%
2022Q39296.53.110.311.371.433.110.0%
2022Q29194.43.180.381.441.372.930.5%
2022Q19093.73.070.441.241.382.892.6%
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

1
DateTypeFineSource
2025-08-18Fine$140,322CMS provider data
Total fines on record: $140,322

Deficiencies

74
D × 54E × 6F × 10G × 3J × 1
deficiencies by survey year
271423242526
SurveyTypeTagDeficiencyScopeCorrected
2026-04-17Health · complaintF0585Honor 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.D2026-05-14
2026-04-17Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.E2026-05-14
2026-04-17Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2026-05-14
2026-04-17Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2026-05-14
2026-04-17Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2026-05-14
2026-04-17Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2026-05-14
2026-04-17Health · complaintF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D2026-05-14
2026-04-17Health · complaintF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.D2026-05-14
2026-04-17Health · complaintF0880Provide and implement an infection prevention and control program.F2026-05-14
2026-04-17Health · complaintF0881Implement a program that monitors antibiotic use.F2026-05-14
2026-03-12Health · complaintF0610Respond appropriately to all alleged violations.D2026-04-08
2026-03-12Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2026-04-08
2026-02-12Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G2026-03-05
2026-02-12Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2026-03-05
2025-12-01Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2025-12-23
2025-12-01Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-12-23
2025-12-01Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2025-12-23
2025-12-01Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-12-23
2025-12-01Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2025-12-23
2025-08-18HealthF0552Ensure that residents are fully informed and understand their health status, care and treatments.D2025-09-10
2025-08-18Health · complaintF0602Protect each resident from the wrongful use of the resident's belongings or money.D2025-09-10
2025-08-18Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-09-10
2025-08-18Health · complaintF0610Respond appropriately to all alleged violations.D2025-09-10
2025-08-18HealthF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D2025-09-10
2025-08-18HealthF0645PASARR screening for Mental disorders or Intellectual DisabilitiesD2025-09-10
2025-08-18HealthF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.J2025-09-10
2025-08-18HealthF0697Provide safe, appropriate pain management for a resident who requires such services.D2025-09-10
2025-08-18HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2025-09-10
2025-08-18HealthF0761Ensure 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.D2025-09-10
2025-08-18HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2025-09-10
2025-08-18HealthF0814Dispose of garbage and refuse properly.F2025-09-10
2025-08-18HealthF0908Keep all essential equipment working safely.F2025-09-10
2025-07-03Health · complaintF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.D2025-08-01
2025-07-03Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2025-08-01
2025-07-03Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-08-01
2025-07-03Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2025-08-01
2025-02-12Health · complaintF0584Honor 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.F2025-03-05
2025-02-12Health · complaintF0602Protect each resident from the wrongful use of the resident's belongings or money.D2025-03-05
2025-01-02Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-01-31
2025-01-02Health · complaintF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.D2024-12-27
2025-01-02Health · complaintF0880Provide and implement an infection prevention and control program.D2025-01-31
2024-10-23Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2024-10-31
2024-10-23Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2024-10-31
2024-09-19Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-10-14
2024-07-12HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2024-08-15
2024-07-12HealthF0578Honor 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.E2024-08-15
2024-07-12HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2024-08-15
2024-07-12HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-08-15
2024-07-12HealthF0685Assist a resident in gaining access to vision and hearing services.D2024-08-15
2024-07-12HealthF0693Ensure 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.D2024-08-15
2024-07-12Health · complaintF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F2024-08-15
2024-07-12HealthF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.F2024-08-15
2024-07-12HealthF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D2024-08-15
2024-05-14Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-06-10
2024-03-21Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2024-04-08
2024-03-21Health · complaintF0610Respond appropriately to all alleged violations.D2024-04-08
2024-01-19Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2024-02-13
2023-12-13Health · complaintF0584Honor 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.E2024-01-08
2023-12-13Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2024-01-08
2023-12-13Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2024-01-08
2023-12-13Health · complaintF0692Provide enough food/fluids to maintain a resident's health.D2024-01-08
2023-12-13Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2024-01-08
2023-07-31Health · complaintF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.D2023-08-21
2023-05-10HealthF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.D2023-06-08
2023-05-10HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.D2023-06-08
2023-05-10HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2023-06-08
2023-05-10HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2023-06-08
2023-05-10HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2023-06-08
2023-05-10HealthF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.D2023-06-08
2023-05-10HealthF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D2023-06-08
2023-05-10HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2023-06-08
2023-05-10HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2023-06-08
2023-05-10HealthF0880Provide and implement an infection prevention and control program.F2023-06-08
2023-05-10HealthF0926Have policies on smoking.D2023-06-08
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

33
OwnerRolePctFromStatusSource
OM HOLDCO 5 LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2023-04-07currentpecos_ownership
SNW LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST30%2023-04-07currentpecos_ownership
BRAXTON, LASHAWNDAOPERATIONAL/MANAGERIAL CONTROL—2023-04-07currentpecos_ownership
BRAXTON, LASHAWNDAADP OF THE SNF—2025-06-25currentpecos_ownership
CLIFTONLARSONALLEN LLPADP OF THE SNF—2025-01-01currentpecos_ownership
CONNER, MARIANNEADP OF THE SNF—2024-05-13currentpecos_ownership
DUBY, KATRINAOPERATIONAL/MANAGERIAL CONTROL—2023-04-07currentpecos_ownership
DUNN, CHARLESINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF—2025-06-25currentpecos_ownership
OPTUM MANAGEMENT SOLUTIONS. INCINDIRECT OWNERSHIP INTEREST—2023-04-07currentpecos_ownership
OPTUM MANAGEMENT SOLUTIONS. INCADP OF THE SNF—2025-12-18currentpecos_ownership
PARKER, SETHOPERATIONAL/MANAGERIAL CONTROL—2024-01-01currentpecos_ownership
PARKER, SETHADP OF THE SNF—2025-06-25currentpecos_ownership
PATEL, RAJANOPERATIONAL/MANAGERIAL CONTROL—2023-04-07currentpecos_ownership
SCHLAUPITZ MADHAVANADP OF THE SNF—2025-01-01currentpecos_ownership
SHAH, HEMANTINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF—2025-04-03currentpecos_ownership
SHARON, ROBERTMANAGING CONTROL - GOVERNING BODY—2024-05-13currentpecos_ownership
SIENA LENDING GROUP LLC5% OR GREATER SECURITY INTEREST—2023-04-07currentpecos_ownership
CHARLES A. DUNN AGREEMENT OF TRUST 3.14.20015% OR GREATER INDIRECT OWNERSHIP INTEREST30%2023-04-07ended 2026-05-18pecos_ownership
CHARLES FRANKLIN LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST30%2023-04-07ended 2026-05-18pecos_ownership
PAAR 108 LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST30%2023-04-07ended 2026-05-18pecos_ownership
HEMANT SHAH 2018 IRREVOCABLE TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST30%2023-04-07ended 2026-05-18pecos_ownership
PINAL R. PATEL 2020 IRREVOCABLE FAMILY TRUST UAD 10-6-20205% OR GREATER INDIRECT OWNERSHIP INTEREST8%2023-04-07ended 2026-05-18pecos_ownership
RAJAN G PATEL 2020 IRR FAM TR UAD 12-3-20205% OR GREATER INDIRECT OWNERSHIP INTEREST8%2023-04-07ended 2026-05-18pecos_ownership
PINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O AARNA R. PATEL5% OR GREATER INDIRECT OWNERSHIP INTEREST8%2023-04-07ended 2026-05-18pecos_ownership
PINAL R. PATEL 2017 IRREVOCABLE TRUST F/B/O ANSH R. PATEL5% OR GREATER INDIRECT OWNERSHIP INTEREST8%2023-04-07ended 2026-05-18pecos_ownership
KATRINA DUBYOPERATIONAL/MANAGERIAL CONTROL—2023-04-07ended 2026-05-18pecos_ownership
LASHAWNDA BRAXTONADP OF THE SNF—2025-06-25ended 2026-05-18pecos_ownership
LASHAWNDA BRAXTONOPERATIONAL/MANAGERIAL CONTROL—2023-04-07ended 2026-05-18pecos_ownership
MARIANNE CONNERADP OF THE SNF—2024-05-13ended 2026-05-18pecos_ownership
RAJAN PATELOPERATIONAL/MANAGERIAL CONTROL—2023-04-07ended 2026-05-18pecos_ownership
ROBERT SHARONOPERATIONAL/MANAGERIAL CONTROL—2024-05-13ended 2026-05-18pecos_ownership
SETH PARKERADP OF THE SNF—2025-06-25ended 2026-05-18pecos_ownership
SETH PARKEROPERATIONAL/MANAGERIAL CONTROL—2024-01-01ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

1
Close datePriceBuyerSellerEvidence
2023-04-07—OPTALIS CANTON OPCO LLCHEARTLAND OF CANTON MI, LLCchow

Comparable trades — MI snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-09-01Niles Care Center, LLC———100NILES CARE CENTER LLC
2025-07-01Medilodge of Zeeland———138ZEELAND OPCO LLC
2025-07-01Optalis Health & Rehabilitation of Muskegon———107OPTALIS MUSKEGON OPCO LLC
2025-07-01Optalis Health & Rehabilitation at Kent-Crossing———182OPTALIS BELTLINE OPCO LLC
2025-07-01Optalis Health & Rehabilitation at Leonard———69OPTALIS LEONARD OPCO LLC
2025-07-01Optalis Health & Rehabilitation of Ionia———107OPTALIS IONIA OPCO LLC
2025-04-01The Orchards at Big Rapids———100BIG RAPIDS MI OPCO LLC
2024-12-31The Orchards at Lapeer———87LAPEER MI OPCO LLC
2024-12-01Wexford Senior Care Center———133WEXFORD SENIOR CARE CENTER, LLC
2024-11-01The Orchards at Canterbury on the Lake———128CANTERBURY MI OPCO LLC
2024-09-03Villa at Borgess Place———101VILLA AT BORGESS PLACE LLC
2024-08-07Optalis Health and Rehabilitation of Grand Rapids———120OPTALIS GRAND RAPIDS OPCO 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
GeoKindBRAmountAs ofSource
county 26163acs median gross0$8762024-12-31CENSUS_ACS5
county 26163fmr0$1,0092025-10-01HUD_USER_FMR
county 26163acs median gross1$8762024-12-31CENSUS_ACS5
county 26163fmr1$1,1222025-10-01HUD_USER_FMR
county 26163acs median gross2$1,1442024-12-31CENSUS_ACS5
county 26163fmr2$1,4112025-10-01HUD_USER_FMR
county 26163acs median gross3$1,3102024-12-31CENSUS_ACS5
county 26163fmr3$1,7242025-10-01HUD_USER_FMR
county 26163acs median gross4$1,3952024-12-31CENSUS_ACS5
county 26163fmr4$1,8682025-10-01HUD_USER_FMR
county 26163acs median gross5$1,4312024-12-31CENSUS_ACS5
county 26163acs median gross$1,1322024-12-31CENSUS_ACS5
county 26163acs recent mover gross$1,3092024-12-31CENSUS_ACS5
zcta 48187acs median gross0$8852024-12-31CENSUS_ACS5
zcta 48187acs median gross1$1,0922024-12-31CENSUS_ACS5
zcta 48187acs median gross2$1,5872024-12-31CENSUS_ACS5
zcta 48187acs median gross3$1,8262024-12-31CENSUS_ACS5
zcta 48187acs median gross4$2,3362024-12-31CENSUS_ACS5
zcta 48187acs median gross$1,4642024-12-31CENSUS_ACS5
zcta 48187acs recent mover gross$1,6382024-12-31CENSUS_ACS5
zip 48187payment standard 1100$1,3532025-10-01HUD_USER_SAFMR
zip 48187payment standard 900$1,1072025-10-01HUD_USER_SAFMR
zip 48187safmr0$1,2302025-10-01HUD_USER_SAFMR
zip 48187payment standard 1101$1,5072025-10-01HUD_USER_SAFMR
zip 48187payment standard 901$1,2332025-10-01HUD_USER_SAFMR
zip 48187safmr1$1,3702025-10-01HUD_USER_SAFMR
zip 48187payment standard 1102$1,8922025-10-01HUD_USER_SAFMR
zip 48187payment standard 902$1,5482025-10-01HUD_USER_SAFMR
zip 48187safmr2$1,7202025-10-01HUD_USER_SAFMR
zip 48187payment standard 1103$2,3102025-10-01HUD_USER_SAFMR
zip 48187payment standard 903$1,8902025-10-01HUD_USER_SAFMR
zip 48187safmr3$2,1002025-10-01HUD_USER_SAFMR
zip 48187payment standard 1104$2,5082025-10-01HUD_USER_SAFMR
zip 48187payment standard 904$2,0522025-10-01HUD_USER_SAFMR
zip 48187safmr4$2,2802025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.
CII Terminal tearsheet · Optalis Health and Rehabilitation of Canton (235618) · generated 2026-08-05 · every number derives from public records (CMS Care Compare, PBJ, POS, penalty and survey files, state licensure registers) · scores are published model outputs with holdout metrics disclosed at cii-terminal.vercel.app/transparency