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 2026-08-04 22:30 UTC
Screener / 505226
D

SUNNYSIDE HEALTHCARE CENTER

snfWA
721 OTIS AVENUE, SUNNYSIDE, WA 98944 · CCN 505226 · chain PACS HOLDINGS LLC
Composite
90.9 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
80
Model
v1.2
Reads as: riskier than 90.9% 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.

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk86.984.20.300.230820.05in index
financial risk85.672.40.300.230819.75in index
billing conduct52.840.60.300.230812.18in index
chow risk82.162.90.150.11549.47in index
staffing risk30.730.80.250.19235.90in 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

7
KindFindingSignalSubjectFirst seen
connectionOwner fleet risk far above national+28.0 vs natlFLEMMING STANLEY5 facilities
connectionOwner spans multiple chains12 chainsTRUIST BANK61 facilities
connectionOwner spans multiple chains7 chainsJERGENSEN JOSHUA249 facilities
connectionOwner spans multiple chains7 chainsMITCHELL JOHN264 facilities
connectionOwner spans multiple chains6 chainsAPT FREDERICK254 facilities
connectionOwner spans multiple chains5 chainsPROVIDENCE ADMINISTRATIVE CONSULTING SERVICES INC62 facilities
connectionOwner fleet enforcement cluster60% finedFLEMMING STANLEY5 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 conduct40.5Bv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk55.0Cv0.1-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 risk70.8Dv0.6default · in composite
financial risk72.4Dv0.5default · in compositeR18.
p adverse action 12m0.0v0.1default · 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 12m0.0v0.1default · 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 risk84.2Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk30.8Bv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk88.5Fv0.1supersededPre-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 risk68.5Dv0.2supersededPre-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 risk66.8Dv0.3supersededPre-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 risk72.4Dv0.4supersededPre-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 risk84.2Fv0.1supersededPre-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 risk84.2Fv0.2supersededPre-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 risk30.8Bv0.1supersededPre-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 risk30.8Bv0.2supersededPre-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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
7.0
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Current owner tenure (years)1.99-1.65
Never sold on record0.00-1.62
Ownership changes, last 5 years1.00-0.87
Chain size (log)5.51+0.77
For-profit ownership1.00+0.69
Occupancy0.93-0.67
No PBJ staffing report0.00+0.42
Deficiencies, last 12 months14.00+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
DriverValuePull on odds
Chain size (log)5.51-2.01
Deficiencies, last 12 months14.00-1.17
Occupancy0.93-0.76
For-profit ownership1.00-0.69
No PBJ staffing report0.00+0.39
Never sold on record0.00-0.28
Current owner tenure (years)1.99-0.27
Ownership changes, last 5 years1.00+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 HPRDThis facilityWA medianNational medianNational p25–p75
Total nurse3.643.703.282.90–3.77
RN0.460.620.390.25–0.58
Weekend total3.423.513.11
Weekday total3.733.793.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49274.43.640.460.622.563.420.1%
2025Q39276.43.670.450.642.583.300.5%
2025Q29172.93.680.420.802.463.271.8%
2025Q19067.33.920.510.952.463.521.4%
2024Q49270.53.700.380.982.333.234.2%
2024Q39261.53.590.400.952.243.211.2%
2024Q29157.73.370.470.652.253.190.0%
2024Q19152.83.510.560.682.273.360.0%
2023Q49253.93.640.580.652.413.430.0%
2023Q39253.33.660.570.632.463.422.7%
2023Q29159.93.760.550.742.473.334.6%
2023Q19061.13.400.430.692.283.111.3%
2022Q49256.93.410.540.632.253.110.6%
2022Q39247.23.500.640.522.343.175.0%
2022Q29157.73.560.640.512.423.292.5%
2022Q19055.13.700.850.352.503.431.4%
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

3
fines by year
$60.6k$30.3k2324
DateTypeFineSource
2024-11-22Fine$60,632CMS provider data
2023-10-10Fine$24,752CMS provider data
2023-08-24Fine$7,443CMS provider data
Total fines on record: $92,827

Deficiencies

37
D × 22E × 10F × 2G × 3
deficiencies by survey year
16823242526
SurveyTypeTagDeficiencyScopeCorrected
2026-03-09Health · complaintF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.D2026-04-20
2026-03-09Health · complaintF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.E2026-04-20
2026-02-09Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2026-02-13
2025-12-12HealthF0585Honor 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.D2026-01-13
2025-12-12HealthF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.D2026-01-13
2025-12-12HealthF0645PASARR screening for Mental disorders or Intellectual DisabilitiesE2026-01-13
2025-12-12HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2026-01-13
2025-12-12HealthF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D2026-01-13
2025-12-12HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2026-01-13
2025-12-12HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2026-01-13
2025-12-12HealthF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2026-01-13
2025-12-12HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2026-01-13
2025-12-12HealthF0880Provide and implement an infection prevention and control program.E2026-01-13
2025-12-12HealthF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D2026-01-13
2025-06-17Health · complaintF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2025-07-16
2025-03-27Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2025-04-18
2025-03-27Health · complaintF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D2025-04-18
2025-03-27Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2025-04-18
2025-01-31Health · complaintF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.F2025-02-13
2024-12-16Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-01-03
2024-11-22HealthF0558Reasonably accommodate the needs and preferences of each resident.G2025-01-03
2024-11-22HealthF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.D2025-01-03
2024-11-22HealthF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-01-03
2024-11-22HealthF0610Respond appropriately to all alleged violations.D2025-01-03
2024-11-22HealthF0759Ensure medication error rates are not 5 percent or greater.E2025-01-03
2024-11-22HealthF0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.D2025-01-03
2024-11-22HealthF0880Provide and implement an infection prevention and control program.D2025-01-03
2024-11-22HealthF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E2025-01-03
2023-12-04Health · complaintF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.D2023-12-28
2023-10-10HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E2023-11-03
2023-10-10HealthF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D2023-11-03
2023-10-10Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2023-11-03
2023-10-10HealthF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E2023-11-03
2023-10-10HealthF0759Ensure medication error rates are not 5 percent or greater.D2023-11-03
2023-10-10HealthF0761Ensure 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.D2023-11-03
2023-10-10HealthF0880Provide and implement an infection prevention and control program.E2023-11-03
2023-08-24Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2023-09-19
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

23
OwnerRolePctFromStatusSource
APT, FREDERICKOPERATIONAL/MANAGERIAL CONTROL2024-05-14currentpecos_ownership
DUNCAN, JAMESADP OF THE SNF2025-09-24currentpecos_ownership
DUNCAN, JAMESOPERATIONAL/MANAGERIAL CONTROL2024-08-01currentpecos_ownership
FLEMMING, STANLEYADP OF THE SNF2025-09-25currentpecos_ownership
FLEMMING, STANLEYOPERATIONAL/MANAGERIAL CONTROL2024-08-01currentpecos_ownership
HISSAM, ELAINEOPERATIONAL/MANAGERIAL CONTROL2024-08-01currentpecos_ownership
JERGENSEN, JOSHUAOPERATIONAL/MANAGERIAL CONTROL2024-05-14currentpecos_ownership
MITCHELL, JOHNOPERATIONAL/MANAGERIAL CONTROL2024-05-14currentpecos_ownership
PACS GROUP, INC.INDIRECT OWNERSHIP INTEREST2024-05-14currentpecos_ownership
PACS HOLDINGS, LLCINDIRECT OWNERSHIP INTEREST2024-05-14currentpecos_ownership
PROVIDENCE ADMINISTRATIVE CONSULTING SERVICES INCADP OF THE SNF2024-08-01currentpecos_ownership
PROVIDENCE GROUP NH, LLCDIRECT OWNERSHIP INTEREST2024-05-14currentpecos_ownership
TRUIST BANK5% OR GREATER SECURITY INTEREST2024-08-01currentpecos_ownership
JASON MURRAY5% OR GREATER INDIRECT OWNERSHIP INTEREST35%2024-08-01ended 2026-05-18pecos_ownership
MARK HANCOCK5% OR GREATER INDIRECT OWNERSHIP INTEREST35%2024-08-01ended 2026-05-18pecos_ownership
ELAINE HISSAMOPERATIONAL/MANAGERIAL CONTROL2024-08-01ended 2026-05-18pecos_ownership
FREDERICK APTOPERATIONAL/MANAGERIAL CONTROL2024-05-14ended 2026-05-18pecos_ownership
JAMES DUNCANADP OF THE SNF2025-09-24ended 2026-05-18pecos_ownership
JAMES DUNCANOPERATIONAL/MANAGERIAL CONTROL2024-08-01ended 2026-05-18pecos_ownership
JOHN MITCHELLOPERATIONAL/MANAGERIAL CONTROL2024-05-14ended 2026-05-18pecos_ownership
JOSHUA JERGENSENOPERATIONAL/MANAGERIAL CONTROL2024-05-14ended 2026-05-18pecos_ownership
STANLEY FLEMMINGADP OF THE SNF2025-09-25ended 2026-05-18pecos_ownership
STANLEY FLEMMINGOPERATIONAL/MANAGERIAL CONTROL2024-08-01ended 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
2024-08-01SUNNYSIDE SNF HEALTHCARE LLCCARE CENTER SUNNYSIDE, INCchow

Comparable trades — WA snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-06-01Bremerton Trails Post Acute125RINCON BEACH, LLC
2025-06-01Othello Post Acute39DOHENY BEACH, LLC
2025-06-01Edmonds Post Acute128SALT CREEK BEACH, LLC
2025-05-21AURORA VALLEY CARE124AURORA VALLEY CARE LLC
2025-05-21THREE RIVERS CARE83THREE RIVERS CARE LLC
2025-05-21FIR LANE CARE135FIR LANE CARE LLC
2025-05-21SPOKANE FALLS CARE100SPOKANE FALLS CARE LLC
2025-05-01MARIANWOOD HEALTH AND REHABILITATION117LUNA VEGA HEALTHCARE LLC
2025-04-01WOODARD CREEK HEALTH & REHABILITATION152WOODARD SNF OPERATIONS LLC
2025-03-12Avalon Healthcare - Tacoma81AVALON HEALTHCARE-TACOMA LLC
2025-03-01SOUTH HILL REHABILITATION AND CARE CENTER113LAST EMPIRE HEALTHCARE LLC
2024-08-01PINE RIDGE POST ACUTE80PINE RIDGE SNF HEALTHCARE LLC
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.

Market rent context

35
GeoKindBRAmountAs ofSource
county 53077acs median gross0$9202024-12-31CENSUS_ACS5
county 53077fmr0$1,0402025-10-01HUD_USER_FMR
county 53077acs median gross1$8262024-12-31CENSUS_ACS5
county 53077fmr1$1,0472025-10-01HUD_USER_FMR
county 53077acs median gross2$1,1062024-12-31CENSUS_ACS5
county 53077fmr2$1,3742025-10-01HUD_USER_FMR
county 53077acs median gross3$1,3612024-12-31CENSUS_ACS5
county 53077fmr3$1,9112025-10-01HUD_USER_FMR
county 53077acs median gross4$1,4902024-12-31CENSUS_ACS5
county 53077fmr4$2,0932025-10-01HUD_USER_FMR
county 53077acs median gross5$1,4472024-12-31CENSUS_ACS5
county 53077acs median gross$1,1092024-12-31CENSUS_ACS5
county 53077acs recent mover gross$1,2142024-12-31CENSUS_ACS5
zcta 98944acs median gross0$3,5012024-12-31CENSUS_ACS5
zcta 98944acs median gross1$6512024-12-31CENSUS_ACS5
zcta 98944acs median gross2$9482024-12-31CENSUS_ACS5
zcta 98944acs median gross3$8862024-12-31CENSUS_ACS5
zcta 98944acs median gross4$1,7122024-12-31CENSUS_ACS5
zcta 98944acs median gross$9682024-12-31CENSUS_ACS5
zcta 98944acs recent mover gross$1,1192024-12-31CENSUS_ACS5
zip 98944payment standard 1100$1,1882025-10-01HUD_USER_SAFMR
zip 98944payment standard 900$9722025-10-01HUD_USER_SAFMR
zip 98944safmr0$1,0802025-10-01HUD_USER_SAFMR
zip 98944payment standard 1101$1,2322025-10-01HUD_USER_SAFMR
zip 98944payment standard 901$1,0082025-10-01HUD_USER_SAFMR
zip 98944safmr1$1,1202025-10-01HUD_USER_SAFMR
zip 98944payment standard 1102$1,5732025-10-01HUD_USER_SAFMR
zip 98944payment standard 902$1,2872025-10-01HUD_USER_SAFMR
zip 98944safmr2$1,4302025-10-01HUD_USER_SAFMR
zip 98944payment standard 1103$2,1892025-10-01HUD_USER_SAFMR
zip 98944payment standard 903$1,7912025-10-01HUD_USER_SAFMR
zip 98944safmr3$1,9902025-10-01HUD_USER_SAFMR
zip 98944payment standard 1104$2,3982025-10-01HUD_USER_SAFMR
zip 98944payment standard 904$1,9622025-10-01HUD_USER_SAFMR
zip 98944safmr4$2,1802025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.