Composite
81.3 / 100 percentile
Screener / 555339
C
DESERT SPRINGS POST ACUTE
snfCA
74-350 COUNTRY CLUB DRIVE, PALM DESERT, CA 92260 · CCN 555339 · chain HCR HEALTHCARE LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
178
Model
v1.2
Reads as: riskier than 81.3% 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 model5Components16CHOW radar1Distress radar1Staffing16Penalties3Deficiencies129Licensure0Ownership16Related party5Transactions0Comps12Market rent36
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 95.7 | 94.0 | 0.30 | 0.2308 | 22.08 | in index |
| financial risk | 95.0 | 84.5 | 0.30 | 0.2308 | 21.92 | in index |
| billing conduct | 30.2 | 31.7 | 0.30 | 0.2308 | 6.97 | in index |
| chow risk | 57.6 | 55.9 | 0.15 | 0.1154 | 6.65 | in index |
| staffing risk | 18.2 | 18.3 | 0.25 | 0.1923 | 3.50 | 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.
Component scores and registry models
16| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 31.7 | B | 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 | 86.8 | F | v0.6 | default · in composite | |
| financial risk | 84.5 | F | 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 | 3.3 | — | 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 | 94.0 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 18.3 | A | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 93.2 | 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 | 73.2 | 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 | 70.6 | D | 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 | 83.5 | F | 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 | 94.0 | 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 | 94.0 | 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 | 18.3 | A | 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 | 18.3 | A | 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)
3.3%
model v0.1 · computed 2026-07-29
Percentile among SNFs
79.4
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.93 | -0.67 | |
| Never sold on record | 1.00 | +0.62 | |
| Deficiencies, last 12 months | 32.00 | +0.61 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Total nurse staffing (HPRD) | 3.97 | -0.18 |
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 | |
|---|---|---|---|
| Deficiencies, last 12 months | 32.00 | -4.51 | |
| Occupancy | 0.93 | -0.76 | |
| For-profit ownership | 1.00 | -0.69 | |
| Chain size (log) | 1.10 | +0.56 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Total nurse staffing (HPRD) | 3.97 | -0.32 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Facility size (log beds) | 5.19 | -0.17 |
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 | 3.97 | 3.95 | 3.28 | 2.90–3.77 |
| RN | 0.17 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 3.76 | 3.79 | 3.11 | — |
| Weekday total | 4.05 | 4.01 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 165.4 | 3.97 | 0.17 | 1.37 | 2.43 | 3.76 | 7.6% |
| 2025Q3 | 92 | 167.7 | 4.10 | 0.20 | 1.40 | 2.50 | 3.93 | 8.1% |
| 2025Q2 | 91 | 163.7 | 4.10 | 0.20 | 1.47 | 2.43 | 3.85 | 4.9% |
| 2025Q1 | 90 | 165.2 | 4.20 | 0.20 | 1.53 | 2.47 | 3.98 | 13.1% |
| 2024Q4 | 92 | 166.4 | 4.08 | 0.24 | 1.38 | 2.45 | 3.88 | 15.6% |
| 2024Q3 | 92 | 160.2 | 4.09 | 0.21 | 1.44 | 2.44 | 3.79 | 13.6% |
| 2024Q2 | 91 | 151.1 | 4.00 | 0.20 | 1.37 | 2.43 | 3.60 | 17.6% |
| 2024Q1 | 91 | 110.5 | 3.48 | 0.21 | 1.31 | 1.95 | 3.08 | 6.2% |
| 2023Q4 | 92 | 94.9 | 3.74 | 0.20 | 1.19 | 2.36 | 3.58 | 11.7% |
| 2023Q3 | 92 | 79.0 | 3.74 | 0.21 | 1.16 | 2.37 | 3.65 | 11.0% |
| 2023Q2 | 91 | 64.7 | 4.06 | 0.38 | 1.08 | 2.60 | 3.72 | 6.9% |
| 2023Q1 | 90 | 68.5 | 3.62 | 0.33 | 0.96 | 2.32 | 3.40 | 6.9% |
| 2022Q4 | 92 | 67.5 | 3.80 | 0.38 | 1.02 | 2.40 | 3.57 | 2.6% |
| 2022Q3 | 92 | 83.1 | 3.64 | 0.34 | 1.07 | 2.23 | 3.45 | 27.9% |
| 2022Q2 | 91 | 99.9 | 3.61 | 0.41 | 1.25 | 1.96 | 3.43 | 32.0% |
| 2022Q1 | 90 | 95.2 | 4.02 | 0.41 | 1.55 | 2.07 | 3.73 | 34.6% |
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
3| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-05-16 | Fine | $16,675 | CMS provider data |
| 2024-01-12 | Fine | $57,749 | CMS provider data |
| 2024-01-12 | Payment Denial | — | CMS provider data |
Total fines on record: $74,424
Deficiencies
129D × 83E × 42F × 1G × 2H × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-24 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | — |
| 2026-04-24 | Health · complaint | 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. | E | — |
| 2026-04-24 | Health | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | — |
| 2026-04-24 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | — |
| 2026-04-24 | Health | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | — |
| 2026-04-24 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | — |
| 2026-04-24 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | — |
| 2026-04-24 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | — |
| 2026-04-24 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | — |
| 2026-04-24 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | — |
| 2026-04-24 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | — |
| 2026-04-24 | Health | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | — |
| 2026-04-24 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | — |
| 2026-04-24 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | — |
| 2026-04-24 | 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 | — |
| 2026-04-24 | Health | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | — |
| 2026-04-24 | Health | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | — |
| 2026-04-24 | 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 | — |
| 2026-04-24 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | — |
| 2026-04-24 | Health | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | — |
| 2026-04-24 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | — |
| 2026-04-24 | Health | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | — |
| 2026-04-15 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2026-04-17 |
| 2026-02-06 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2026-04-03 |
| 2026-02-06 | Health · complaint | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2026-03-05 |
| 2026-02-06 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2026-03-05 |
| 2025-12-24 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2026-01-23 |
| 2025-12-10 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2026-01-23 |
| 2025-12-10 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-01-23 |
| 2025-12-10 | Health · complaint | 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 | 2026-01-23 |
| 2025-08-27 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-09-08 |
| 2025-08-27 | 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. | D | 2025-09-08 |
| 2025-06-25 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-07-07 |
| 2025-06-25 | Health · complaint | F0881 | Implement a program that monitors antibiotic use. | E | 2025-07-07 |
| 2025-04-24 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2025-05-10 |
| 2025-04-24 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-05-10 |
| 2025-04-24 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-05-10 |
| 2025-04-24 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2025-05-10 |
| 2025-04-09 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-04-29 |
| 2025-04-09 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2025-04-29 |
| 2025-03-04 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-03-10 |
| 2025-03-04 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-03-10 |
| 2025-03-04 | Health · complaint | 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 | 2025-03-10 |
| 2025-01-31 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-02-21 |
| 2025-01-21 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-01-24 |
| 2025-01-10 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-02-06 |
| 2025-01-10 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | E | 2025-02-06 |
| 2025-01-10 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | 2025-02-06 |
| 2025-01-10 | 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 | 2025-02-06 |
| 2025-01-10 | 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. | E | 2025-02-05 |
| 2025-01-10 | Health | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | E | 2025-02-06 |
| 2025-01-10 | Health | F0679 | Provide activities to meet all resident's needs. | E | 2025-02-06 |
| 2025-01-10 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-02-06 |
| 2025-01-10 | Health | F0685 | Assist a resident in gaining access to vision and hearing services. | D | 2025-02-06 |
| 2025-01-10 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-02-06 |
| 2025-01-10 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2025-02-06 |
| 2025-01-10 | Health | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2025-02-06 |
| 2025-01-10 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2025-02-06 |
| 2025-01-10 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2025-02-06 |
| 2025-01-10 | 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 | 2025-02-06 |
| 2025-01-10 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2025-02-06 |
| 2025-01-10 | 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 | 2025-02-06 |
| 2025-01-10 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2025-02-06 |
| 2025-01-10 | Health | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | D | 2025-02-06 |
| 2025-01-10 | Health | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | 2025-02-06 |
| 2025-01-10 | 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 | 2025-02-06 |
| 2025-01-10 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2025-02-06 |
| 2025-01-10 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | 2025-02-06 |
| 2025-01-10 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2025-02-06 |
| 2025-01-10 | Health | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | 2025-02-06 |
| 2025-01-10 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-02-06 |
| 2025-01-10 | Health | F0814 | Dispose of garbage and refuse properly. | F | 2025-02-05 |
| 2025-01-10 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2025-02-06 |
| 2025-01-10 | Health | F0908 | Keep all essential equipment working safely. | D | 2025-02-05 |
| 2025-01-10 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2025-02-05 |
| 2024-11-25 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2024-12-19 |
| 2024-11-14 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-12-06 |
| 2024-11-04 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-11-14 |
| 2024-09-30 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-10-23 |
| 2024-09-13 | Health · complaint | F0551 | Give the resident's representative the ability to exercise the resident's rights. | D | 2024-10-05 |
| 2024-09-13 | Health · complaint | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | E | 2024-10-05 |
| 2024-09-13 | Health · complaint | 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 | 2024-10-05 |
| 2024-09-13 | 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 | 2024-10-05 |
| 2024-09-13 | Health · complaint | F0585 | Honor 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. | D | 2024-10-05 |
| 2024-09-13 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | E | 2024-10-05 |
| 2024-07-15 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2024-07-30 |
| 2024-06-28 | Health · complaint | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2024-07-19 |
| 2024-06-28 | 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 | 2024-07-19 |
| 2024-06-28 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | 2024-07-19 |
| 2024-06-11 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-06-30 |
| 2024-06-11 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-06-30 |
| 2024-06-03 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-06-30 |
| 2024-06-03 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-06-30 |
| 2024-05-16 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-06-06 |
| 2024-04-10 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-04-11 |
| 2024-04-09 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2024-04-11 |
| 2024-04-09 | 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. | D | 2024-04-11 |
| 2024-04-09 | Health · complaint | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | 2024-04-11 |
| 2024-04-04 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-04-11 |
| 2024-02-22 | Health · complaint | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | 2024-04-07 |
| 2024-01-19 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-02-16 |
| 2024-01-12 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-01-25 |
| 2024-01-12 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2024-01-25 |
| 2024-01-12 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-01-25 |
| 2023-11-08 | Health · complaint | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | 2023-11-17 |
| 2023-10-27 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-10-27 |
| 2023-10-27 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-10-27 |
| 2023-10-26 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2023-10-31 |
| 2023-10-25 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-11-01 |
| 2023-09-07 | Health · complaint | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | 2023-09-14 |
| 2023-08-15 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-09-14 |
| 2023-06-23 | Health · complaint | 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 | 2023-08-02 |
| 2023-06-23 | 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 | 2023-08-02 |
| 2023-06-23 | 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 | 2023-08-02 |
| 2023-06-23 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2023-08-02 |
| 2023-06-23 | 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. | H | 2023-08-02 |
| 2023-06-23 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-08-02 |
| 2023-06-23 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2023-08-02 |
| 2023-06-23 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2023-08-02 |
| 2023-06-23 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2023-08-02 |
| 2023-06-23 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2023-08-02 |
| 2023-06-23 | 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. | E | 2023-08-02 |
| 2023-06-23 | Health | F0760 | Ensure that residents are free from significant medication errors. | E | 2023-08-02 |
| 2023-06-23 | 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 | 2023-08-02 |
| 2023-06-23 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2023-08-02 |
| 2023-06-23 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-08-02 |
| 2023-06-23 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2023-08-02 |
| 2023-06-23 | Health | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | 2023-08-02 |
| 2023-06-15 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-07-14 |
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
16| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| HCR HEALTHCARE, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2007-12-21 | ended 2026-05-18 | pecos_ownership |
| HCR II HEALTHCARE, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2007-12-21 | ended 2026-05-18 | pecos_ownership |
| HCR III HEALTHCARE, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2007-12-21 | ended 2026-05-18 | pecos_ownership |
| HCR IV HEALTHCARE, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2007-12-21 | ended 2026-05-18 | pecos_ownership |
| HCR MANORCARE, INC. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2018-07-26 | ended 2026-05-18 | pecos_ownership |
| PROMEDICA HEALTH SYSTEM INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2018-07-26 | ended 2026-05-18 | pecos_ownership |
| ANDREA SYPE | CORPORATE OFFICER | 0% | 2021-01-01 | ended 2026-05-18 | pecos_ownership |
| DEAN SHIPMAN | W-2 MANAGING EMPLOYEE | 0% | 2016-05-01 | ended 2026-05-18 | pecos_ownership |
| HCR MANOR CARE SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | 0% | 2007-12-21 | ended 2026-05-18 | pecos_ownership |
| JAMES STEWART | CONTRACTED MANAGING EMPLOYEE | 0% | 2023-07-01 | ended 2026-05-18 | pecos_ownership |
| KATHRYN HOOPS | CORPORATE OFFICER | 0% | 2007-11-07 | ended 2026-05-18 | pecos_ownership |
| LUKE PILE | CORPORATE OFFICER | 0% | 2021-01-31 | ended 2026-05-18 | pecos_ownership |
| MARTIN ALLEN | OPERATIONAL/MANAGERIAL CONTROL | 0% | 2017-09-22 | ended 2026-05-18 | pecos_ownership |
| MARTIN ALLEN | CORPORATE DIRECTOR | 0% | 2012-09-30 | ended 2026-05-18 | pecos_ownership |
| STEPHEN SADOWSKI | CORPORATE OFFICER | 0% | 2023-11-01 | ended 2026-05-18 | pecos_ownership |
| TERRENCE METZGER | CORPORATE OFFICER | 0% | 2023-11-01 | 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
0No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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 06065 | acs median gross | 0 | $1,372 | 2024-12-31 | CENSUS_ACS5 |
| county 06065 | fmr | 0 | $1,692 | 2025-10-01 | HUD_USER_FMR |
| county 06065 | acs median gross | 1 | $1,440 | 2024-12-31 | CENSUS_ACS5 |
| county 06065 | fmr | 1 | $1,777 | 2025-10-01 | HUD_USER_FMR |
| county 06065 | acs median gross | 2 | $1,810 | 2024-12-31 | CENSUS_ACS5 |
| county 06065 | fmr | 2 | $2,201 | 2025-10-01 | HUD_USER_FMR |
| county 06065 | acs median gross | 3 | $2,166 | 2024-12-31 | CENSUS_ACS5 |
| county 06065 | fmr | 3 | $2,912 | 2025-10-01 | HUD_USER_FMR |
| county 06065 | acs median gross | 4 | $2,666 | 2024-12-31 | CENSUS_ACS5 |
| county 06065 | fmr | 4 | $3,514 | 2025-10-01 | HUD_USER_FMR |
| county 06065 | acs median gross | 5 | $3,157 | 2024-12-31 | CENSUS_ACS5 |
| county 06065 | acs median gross | $1,901 | 2024-12-31 | CENSUS_ACS5 | |
| county 06065 | acs recent mover gross | $2,268 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 92260 | acs median gross | 0 | $1,304 | 2024-12-31 | CENSUS_ACS5 |
| zcta 92260 | acs median gross | 1 | $1,623 | 2024-12-31 | CENSUS_ACS5 |
| zcta 92260 | acs median gross | 2 | $1,826 | 2024-12-31 | CENSUS_ACS5 |
| zcta 92260 | acs median gross | 3 | $1,914 | 2024-12-31 | CENSUS_ACS5 |
| zcta 92260 | acs median gross | 4 | $1,662 | 2024-12-31 | CENSUS_ACS5 |
| zcta 92260 | acs median gross | 5 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| zcta 92260 | acs median gross | $1,739 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 92260 | acs recent mover gross | $2,139 | 2024-12-31 | CENSUS_ACS5 | |
| zip 92260 | payment standard 110 | 0 | $1,958 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92260 | payment standard 90 | 0 | $1,602 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92260 | safmr | 0 | $1,780 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92260 | payment standard 110 | 1 | $2,057 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92260 | payment standard 90 | 1 | $1,683 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92260 | safmr | 1 | $1,870 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92260 | payment standard 110 | 2 | $2,552 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92260 | payment standard 90 | 2 | $2,088 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92260 | safmr | 2 | $2,320 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92260 | payment standard 110 | 3 | $3,377 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92260 | payment standard 90 | 3 | $2,763 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92260 | safmr | 3 | $3,070 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92260 | payment standard 110 | 4 | $4,070 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92260 | payment standard 90 | 4 | $3,330 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92260 | safmr | 4 | $3,700 | 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.