1900 CHURCH LANE, SAN PABLO, CA 94806 · CCN 055099 · chain GRANCARE LLC
Composite
9.8 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
80
Model
v1.2
Reads as: riskier than 9.8% 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.
ML signals — parallel engine
1
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
12 chains
DHUGGA GURPREET
27 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.
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 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.
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.
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.
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.
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
4.63
3.95
3.28
2.90–3.77
RN
1.43
0.38
0.39
0.25–0.58
Weekend total
4.58
3.79
3.11
—
Weekday total
4.65
4.01
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
70.1
4.63
1.43
0.69
2.51
4.58
1.4%
2025Q3
92
70.7
4.87
1.44
0.87
2.57
4.75
3.6%
2025Q2
91
70.4
4.69
1.39
0.84
2.46
4.65
3.3%
2025Q1
90
72.1
4.42
1.02
0.94
2.46
4.36
4.9%
2024Q4
92
72.1
4.42
0.86
1.12
2.44
4.37
8.2%
2024Q3
92
70.2
4.37
1.11
0.76
2.49
4.36
8.2%
2024Q2
91
70.2
4.39
1.15
0.69
2.55
4.31
4.0%
2024Q1
91
69.3
4.54
1.09
0.90
2.55
4.47
9.7%
2023Q4
92
71.0
4.48
0.94
0.93
2.62
4.48
7.7%
2023Q3
92
69.7
4.00
0.83
0.71
2.46
3.96
2.8%
2023Q2
91
75.8
3.94
0.77
0.67
2.49
3.93
9.6%
2023Q1
90
75.8
3.92
0.60
0.84
2.48
3.92
17.5%
2022Q4
92
73.7
3.93
0.70
0.72
2.51
3.89
3.1%
2022Q3
92
73.6
3.93
0.67
0.79
2.47
3.88
0.0%
2022Q2
91
75.3
3.81
0.68
0.69
2.44
3.70
0.0%
2022Q1
90
70.5
3.64
0.63
0.75
2.26
3.58
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
21
D × 11E × 9F × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-02-23
Health · complaint
F0573
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
D
2026-03-18
2025-08-08
Health
F0644
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
E
2025-09-07
2025-08-08
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2025-09-07
2025-08-08
Health
F0880
Provide and implement an infection prevention and control program.
E
2025-09-07
2024-05-24
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-06-19
2024-05-24
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-06-19
2024-05-24
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-06-19
2024-05-24
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
2024-06-19
2024-05-24
Health
F0759
Ensure medication error rates are not 5 percent or greater.
E
2024-06-19
2024-05-24
Health
F0761
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
E
2024-06-19
2024-05-24
Health
F0836
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
D
2024-06-19
2024-05-24
Health
F0847
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
E
2024-06-19
2024-05-24
Health
F0925
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F
2024-06-19
2024-04-11
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
2024-05-02
2022-05-05
Health
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2022-06-04
2022-05-05
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
2022-06-04
2022-05-05
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.
E
2022-06-04
2022-05-05
Health
F0803
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
E
2022-06-04
2022-05-05
Health
F0804
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
2022-06-04
2022-05-05
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2022-06-04
2022-05-05
Health
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2022-06-04
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
19
Owner
Role
Pct
From
Status
Source
GC HOLDING COMPANY 2 LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
99%
2015-06-30
current
pecos_ownership
CREEKSIDE HOLDING COMPANY GP LLC
GENERAL PARTNERSHIP INTEREST
—
2015-06-30
current
pecos_ownership
DHUGGA, GURPREET
OPERATIONAL/MANAGERIAL CONTROL
—
2022-09-01
current
pecos_ownership
GRANCARE LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2015-06-30
current
pecos_ownership
GRUNSTEIN, EMILY
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2019-02-06
current
pecos_ownership
KAUR, NAVJOT
OPERATIONAL/MANAGERIAL CONTROL
—
2026-02-09
current
pecos_ownership
MARINER HEALTH CARE, INC.
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2015-06-30
current
pecos_ownership
MHC HOLDING COMPANY
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2015-06-30
current
pecos_ownership
MHC WEST HOLDING COMPANY
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2015-06-30
current
pecos_ownership
NATIONAL SENIOR CARE, INC.
5% OR GREATER INDIRECT OWNERSHIP INTEREST
—
2015-06-30
current
pecos_ownership
ROTICH, JANET
CORPORATE OFFICER
—
2015-06-30
current
pecos_ownership
ROTICH, JANET
ADP OF THE SNF
—
2000-04-24
current
pecos_ownership
SARCAUGA, DENNIS
CORPORATE OFFICER
—
2025-02-06
current
pecos_ownership
EMILY GRUNSTEIN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2019-02-06
ended 2026-05-18
pecos_ownership
DENNIS SARCAUGA
ADP OF THE SNF
—
2025-02-06
ended 2026-05-18
pecos_ownership
GURPREET DHUGGA
OPERATIONAL/MANAGERIAL CONTROL
—
2022-09-01
ended 2026-05-18
pecos_ownership
JANET ROTICH
CORPORATE OFFICER
—
2015-06-30
ended 2026-05-18
pecos_ownership
JANET ROTICH
ADP OF THE SNF
—
2000-04-24
ended 2026-05-18
pecos_ownership
NAVJOT KAUR
ADP OF THE SNF
—
2026-02-09
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$1,286,772
—
—
$755,800
$107,263
2
—
2023-12-31
$1,214,449
—
—
$713,764
$98,076
2
—
2022-12-31
$1,164,323
—
—
$587,285
$105,021
2
—
2021-12-31
$1,277,172
—
—
$713,765
$103,338
2
—
2020-12-31
$1,241,770
—
—
$808,653
$100,746
2
—
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
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 06013
acs median gross
0
$2,050
2024-12-31
CENSUS_ACS5
county 06013
fmr
0
$2,142
2025-10-01
HUD_USER_FMR
county 06013
acs median gross
1
$1,975
2024-12-31
CENSUS_ACS5
county 06013
fmr
1
$2,385
2025-10-01
HUD_USER_FMR
county 06013
acs median gross
2
$2,354
2024-12-31
CENSUS_ACS5
county 06013
fmr
2
$2,912
2025-10-01
HUD_USER_FMR
county 06013
acs median gross
3
$2,841
2024-12-31
CENSUS_ACS5
county 06013
fmr
3
$3,724
2025-10-01
HUD_USER_FMR
county 06013
acs median gross
4
$3,365
2024-12-31
CENSUS_ACS5
county 06013
fmr
4
$4,413
2025-10-01
HUD_USER_FMR
county 06013
acs median gross
5
$3,501
2024-12-31
CENSUS_ACS5
county 06013
acs median gross
$2,375
2024-12-31
CENSUS_ACS5
county 06013
acs recent mover gross
$2,420
2024-12-31
CENSUS_ACS5
zcta 94806
acs median gross
0
$1,927
2024-12-31
CENSUS_ACS5
zcta 94806
acs median gross
1
$1,768
2024-12-31
CENSUS_ACS5
zcta 94806
acs median gross
2
$2,269
2024-12-31
CENSUS_ACS5
zcta 94806
acs median gross
3
$2,636
2024-12-31
CENSUS_ACS5
zcta 94806
acs median gross
4
$2,700
2024-12-31
CENSUS_ACS5
zcta 94806
acs median gross
5
$1,587
2024-12-31
CENSUS_ACS5
zcta 94806
acs median gross
$2,162
2024-12-31
CENSUS_ACS5
zcta 94806
acs recent mover gross
$2,263
2024-12-31
CENSUS_ACS5
zip 94806
payment standard 110
0
$2,035
2025-10-01
HUD_USER_SAFMR
zip 94806
payment standard 90
0
$1,665
2025-10-01
HUD_USER_SAFMR
zip 94806
safmr
0
$1,850
2025-10-01
HUD_USER_SAFMR
zip 94806
payment standard 110
1
$2,266
2025-10-01
HUD_USER_SAFMR
zip 94806
payment standard 90
1
$1,854
2025-10-01
HUD_USER_SAFMR
zip 94806
safmr
1
$2,060
2025-10-01
HUD_USER_SAFMR
zip 94806
payment standard 110
2
$2,761
2025-10-01
HUD_USER_SAFMR
zip 94806
payment standard 90
2
$2,259
2025-10-01
HUD_USER_SAFMR
zip 94806
safmr
2
$2,510
2025-10-01
HUD_USER_SAFMR
zip 94806
payment standard 110
3
$3,531
2025-10-01
HUD_USER_SAFMR
zip 94806
payment standard 90
3
$2,889
2025-10-01
HUD_USER_SAFMR
zip 94806
safmr
3
$3,210
2025-10-01
HUD_USER_SAFMR
zip 94806
payment standard 110
4
$4,180
2025-10-01
HUD_USER_SAFMR
zip 94806
payment standard 90
4
$3,420
2025-10-01
HUD_USER_SAFMR
zip 94806
safmr
4
$3,800
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.