Composite
66.5 / 100 percentile
Screener / 505311
C
SEATTLE MEDICAL POST ACUTE CARE
snfWA
555 16TH AVENUE, SEATTLE, WA 98122 · CCN 505311 · chain COUVE FINANCIAL SERVICES LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
103
Model
v1.2
Reads as: riskier than 66.5% 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 signals1Components16CHOW radar1Distress radar1Staffing16Penalties5Deficiencies79Licensure0Ownership29Related party6Transactions1Comps12Market rent36
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 93.7 | 91.5 | 0.30 | 0.2308 | 21.62 | in index |
| billing conduct | 93.5 | 63.6 | 0.30 | 0.2308 | 21.58 | in index |
| financial risk | 27.6 | 32.4 | 0.30 | 0.2308 | 6.37 | in index |
| chow risk | 37.7 | 36.1 | 0.15 | 0.1154 | 4.35 | in index |
| staffing risk | 3.6 | 3.7 | 0.25 | 0.1923 | 0.69 | in index |
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
ML signals — parallel engine
1| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner spans multiple chains | 8 chains | HERZKA YISROEL | 70 facilities |
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.
Component scores and registry models
16| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 63.6 | C | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 25.0 | B | v0.1-pos | default · in composite | Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure. |
| chow risk | 47.3 | C | v0.6 | default · in composite | |
| financial risk | 32.4 | B | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.0 | — | v0.1 | default · in composite | R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite. |
| p chow 12m | 0.0 | — | v0.1 | default · in composite | R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite. |
| regulatory risk | 91.5 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 3.7 | A | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 56.5 | C | 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 | 36.5 | B | v0.2 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 43.1 | B | v0.3 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 37.7 | B | v0.4 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 91.4 | 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 | 91.4 | 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 | 3.7 | 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 | 3.7 | 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)
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
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 2.91 | -1.56 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Total nurse staffing (HPRD) | 5.08 | -0.40 | |
| Chain size (log) | 3.71 | +0.39 | |
| Occupancy | 0.81 | -0.34 |
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 | 20.00 | -2.28 | |
| Chain size (log) | 3.71 | -0.96 | |
| Total nurse staffing (HPRD) | 5.08 | -0.78 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Occupancy | 0.81 | -0.28 | |
| Current owner tenure (years) | 2.91 | -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 HPRD | This facility | WA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 5.08 | 3.70 | 3.28 | 2.90–3.77 |
| RN | 0.87 | 0.62 | 0.39 | 0.25–0.58 |
| Weekend total | 4.87 | 3.51 | 3.11 | — |
| Weekday total | 5.17 | 3.79 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 83.9 | 5.08 | 0.87 | 0.82 | 3.39 | 4.87 | 0.0% |
| 2025Q3 | 92 | 89.2 | 5.21 | 0.78 | 0.90 | 3.53 | 4.89 | 2.0% |
| 2025Q2 | 91 | 86.9 | 5.26 | 0.90 | 0.81 | 3.54 | 5.01 | 2.8% |
| 2025Q1 | 90 | 89.1 | 4.96 | 0.74 | 0.89 | 3.33 | 4.66 | 7.5% |
| 2024Q4 | 92 | 85.0 | 5.22 | 0.86 | 0.89 | 3.46 | 5.03 | 7.6% |
| 2024Q3 | 92 | 86.2 | 4.96 | 0.87 | 0.90 | 3.19 | 4.68 | 10.9% |
| 2024Q2 | 91 | 85.7 | 4.97 | 0.76 | 1.04 | 3.18 | 4.47 | 20.9% |
| 2024Q1 | 91 | 86.4 | 4.70 | 0.68 | 0.87 | 3.15 | 4.26 | 17.2% |
| 2023Q4 | 92 | 85.6 | 3.90 | 0.56 | 0.79 | 2.55 | 3.50 | 10.7% |
| 2023Q3 | 92 | 86.4 | 3.77 | 0.39 | 0.89 | 2.49 | 3.79 | 28.1% |
| 2023Q2 | 91 | 89.9 | 4.60 | 0.64 | 1.07 | 2.89 | 4.20 | 40.3% |
| 2023Q1 | 90 | 86.6 | 4.87 | 0.79 | 1.10 | 2.97 | 4.55 | 32.3% |
| 2022Q4 | 92 | 89.2 | 4.22 | 0.61 | 1.10 | 2.51 | 3.71 | 21.4% |
| 2022Q3 | 92 | 88.5 | 3.73 | 0.76 | 0.74 | 2.24 | 3.23 | 14.1% |
| 2022Q2 | 91 | 85.9 | 3.39 | 0.61 | 0.82 | 1.96 | 2.91 | 8.8% |
| 2022Q1 | 90 | 82.5 | 3.65 | 0.75 | 0.81 | 2.09 | 3.23 | 0.2% |
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
5fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-07-21 | Fine | $21,525 | CMS provider data |
| 2025-05-02 | Fine | $2,217 | CMS provider data |
| 2025-03-03 | Fine | $9,310 | CMS provider data |
| 2025-03-03 | Fine | $9,451 | CMS provider data |
| 2024-02-14 | Fine | $17,934 | CMS provider data |
Total fines on record: $60,437
Deficiencies
79D × 48E × 23G × 8
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-17 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2026-05-01 |
| 2026-04-03 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | E | 2026-03-02 |
| 2026-02-11 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2026-01-21 |
| 2025-09-11 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-10-21 |
| 2025-09-11 | 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 | 2025-10-21 |
| 2025-09-11 | Health | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2025-10-21 |
| 2025-09-11 | Health | F0641 | Ensure each resident receives an accurate assessment. | E | 2025-10-21 |
| 2025-09-11 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2025-10-21 |
| 2025-09-11 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2025-10-21 |
| 2025-09-11 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-10-21 |
| 2025-09-11 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-10-21 |
| 2025-09-11 | Health | F0729 | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | D | 2025-10-21 |
| 2025-09-11 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-10-21 |
| 2025-09-11 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2025-10-21 |
| 2025-09-11 | 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 | 2025-10-21 |
| 2025-09-11 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-10-21 |
| 2025-09-11 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2025-10-21 |
| 2025-09-11 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2025-10-21 |
| 2025-09-11 | Health | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | 2025-10-21 |
| 2025-09-11 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2025-10-21 |
| 2025-07-21 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2025-08-05 |
| 2025-07-21 | Health · complaint | F0637 | Assess the resident when there is a significant change in condition | D | 2025-08-05 |
| 2025-07-21 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2025-08-05 |
| 2025-07-21 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | G | 2025-08-05 |
| 2025-05-22 | Health · complaint | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | 2025-06-03 |
| 2025-05-07 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2025-05-27 |
| 2025-05-02 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2025-04-14 |
| 2025-05-02 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-05-27 |
| 2025-05-02 | Health · complaint | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2025-05-27 |
| 2025-03-27 | 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. | G | 2025-02-28 |
| 2025-03-27 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | G | 2025-02-28 |
| 2025-03-03 | Health · complaint | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2025-04-03 |
| 2025-01-06 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2025-01-23 |
| 2025-01-06 | Health · complaint | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2025-01-23 |
| 2024-12-06 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2025-01-07 |
| 2024-09-27 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-11-05 |
| 2024-09-27 | Health | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | E | 2024-11-05 |
| 2024-09-27 | 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 | 2024-11-05 |
| 2024-09-27 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2024-11-05 |
| 2024-09-27 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | 2024-11-05 |
| 2024-09-27 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2024-11-05 |
| 2024-09-27 | Health | F0637 | Assess the resident when there is a significant change in condition | D | 2024-11-05 |
| 2024-09-27 | Health · complaint | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-11-05 |
| 2024-09-27 | 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 | 2024-11-05 |
| 2024-09-27 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2024-11-05 |
| 2024-09-27 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-11-05 |
| 2024-09-27 | 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. | E | 2024-11-05 |
| 2024-09-27 | Health | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2024-11-05 |
| 2024-09-27 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | D | 2024-11-05 |
| 2024-09-27 | Health | F0732 | Post nurse staffing information every day. | E | 2024-11-05 |
| 2024-09-27 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2024-11-05 |
| 2024-09-27 | 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 | 2024-11-05 |
| 2024-09-27 | 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. | D | 2024-11-05 |
| 2024-09-27 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-11-05 |
| 2024-09-27 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-11-05 |
| 2024-09-18 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-09-03 |
| 2024-07-19 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2024-08-08 |
| 2024-04-29 | Health · complaint | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2024-05-22 |
| 2024-03-07 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2024-03-08 |
| 2024-02-14 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2024-02-23 |
| 2023-12-06 | 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. | D | 2024-01-19 |
| 2023-12-06 | Health · complaint | F0637 | Assess the resident when there is a significant change in condition | D | 2024-01-19 |
| 2023-10-19 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2023-11-24 |
| 2023-09-19 | Health · complaint | F0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | 2023-10-17 |
| 2023-06-02 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-07-17 |
| 2023-06-02 | 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 | 2023-07-17 |
| 2023-06-02 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-07-17 |
| 2023-06-02 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-07-17 |
| 2023-06-02 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | 2023-07-17 |
| 2023-06-02 | Health | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E | 2023-07-17 |
| 2023-06-02 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2023-07-17 |
| 2023-06-02 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-07-17 |
| 2023-06-02 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-07-17 |
| 2023-06-02 | Health | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2023-07-17 |
| 2023-06-02 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2023-07-17 |
| 2023-06-02 | Health | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | 2023-07-17 |
| 2023-06-02 | 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. | D | 2023-07-17 |
| 2023-06-02 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-07-17 |
| 2023-06-02 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2023-07-17 |
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
29| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| BALGOS, JOMAR | ADP OF THE SNF | — | 2023-08-31 | current | pecos_ownership |
| CH PACIFIC NORTHWEST HOLDINGS LLC | INDIRECT OWNERSHIP INTEREST | — | 2023-08-31 | current | pecos_ownership |
| COUVE FINANCIAL SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 | current | pecos_ownership |
| COUVE FINANCIAL SERVICES LLC | ADP OF THE SNF | — | 2025-04-30 | current | pecos_ownership |
| COUVE HEALTHCARE CONSULTING LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 | current | pecos_ownership |
| COUVE HEALTHCARE CONSULTING LLC | ADP OF THE SNF | — | 2025-04-30 | current | pecos_ownership |
| HERZKA, YISROEL | INDIRECT OWNERSHIP INTEREST | — | 2023-08-31 | current | pecos_ownership |
| LORDEN, REBEKAH | MANAGING CONTROL - GOVERNING BODY | — | 2023-08-31 | current | pecos_ownership |
| MURDIE, ALANNA | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 | current | pecos_ownership |
| ODENTHAL, JASON | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 | current | pecos_ownership |
| PACIFIC NORTHWEST OPCO MANAGEMENT LLC | ADP OF THE SNF | — | 2025-04-30 | current | pecos_ownership |
| PACIFIC NORTHWEST OPCO MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 | current | pecos_ownership |
| PATRITO, GINA | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 | current | pecos_ownership |
| SEATTLE SNF OPERATIONS HOLDINGS LLC | DIRECT OWNERSHIP INTEREST | — | 2023-08-31 | current | pecos_ownership |
| SEATTLE SNF OPERATIONS LLC | ADP OF THE SNF | — | 2025-04-30 | current | pecos_ownership |
| SEATTLE SNF OPERATIONS LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 | current | pecos_ownership |
| SPIELMAN, SHIMON | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 | current | pecos_ownership |
| WASHINGTON SNF CONSULTING LLC | ADP OF THE SNF | — | 2025-04-30 | current | pecos_ownership |
| WASHINGTON SNF CONSULTING LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 | current | pecos_ownership |
| WITZCORP GLOBAL LLC | INDIRECT OWNERSHIP INTEREST | — | 2023-08-31 | current | pecos_ownership |
| YENOWITZ, YITZCHOK | ADP OF THE SNF | — | 2023-08-31 | current | pecos_ownership |
| YISROEL HERZKA | INDIRECT OWNERSHIP INTEREST | 67% | 2023-08-31 | ended 2026-05-18 | pecos_ownership |
| YITZCHOK YENOWITZ | INDIRECT OWNERSHIP INTEREST | 67% | 2023-08-31 | ended 2026-05-18 | pecos_ownership |
| ALANNA MURDIE | ADP OF THE SNF | — | 2023-08-31 | ended 2026-05-18 | pecos_ownership |
| GINA PATRITO | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 | ended 2026-05-18 | pecos_ownership |
| JASON ODENTHAL | MANAGING CONTROL - GOVERNING BODY | — | 2023-08-31 | ended 2026-05-18 | pecos_ownership |
| JOMAR BALGOS | ADP OF THE SNF | — | 2023-08-31 | ended 2026-05-18 | pecos_ownership |
| REBEKAH LORDEN | MANAGING CONTROL - GOVERNING BODY | — | 2023-08-31 | ended 2026-05-18 | pecos_ownership |
| SHIMON SPIELMAN | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-31 | ended 2026-05-18 | pecos_ownership |
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Transactions
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2023-08-31 | — | SEATTLE SNF OPERATIONS LLC | EVERGREEN WASHINGTON HEALTHCARE SEATTLE LLC | chow |
Comparable trades — WA snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-06-01 | Bremerton Trails Post Acute | — | — | — | 125 | RINCON BEACH, LLC |
| 2025-06-01 | Othello Post Acute | — | — | — | 39 | DOHENY BEACH, LLC |
| 2025-06-01 | Edmonds Post Acute | — | — | — | 128 | SALT CREEK BEACH, LLC |
| 2025-05-21 | AURORA VALLEY CARE | — | — | — | 124 | AURORA VALLEY CARE LLC |
| 2025-05-21 | THREE RIVERS CARE | — | — | — | 83 | THREE RIVERS CARE LLC |
| 2025-05-21 | FIR LANE CARE | — | — | — | 135 | FIR LANE CARE LLC |
| 2025-05-21 | SPOKANE FALLS CARE | — | — | — | 100 | SPOKANE FALLS CARE LLC |
| 2025-05-01 | MARIANWOOD HEALTH AND REHABILITATION | — | — | — | 117 | LUNA VEGA HEALTHCARE LLC |
| 2025-04-01 | WOODARD CREEK HEALTH & REHABILITATION | — | — | — | 152 | WOODARD SNF OPERATIONS LLC |
| 2025-03-12 | Avalon Healthcare - Tacoma | — | — | — | 81 | AVALON HEALTHCARE-TACOMA LLC |
| 2025-03-01 | SOUTH HILL REHABILITATION AND CARE CENTER | — | — | — | 113 | LAST EMPIRE HEALTHCARE LLC |
| 2024-08-01 | PINE RIDGE POST ACUTE | — | — | — | 80 | PINE 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
36| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 53033 | acs median gross | 0 | $1,721 | 2024-12-31 | CENSUS_ACS5 |
| county 53033 | fmr | 0 | $2,074 | 2025-10-01 | HUD_USER_FMR |
| county 53033 | acs median gross | 1 | $1,867 | 2024-12-31 | CENSUS_ACS5 |
| county 53033 | fmr | 1 | $2,146 | 2025-10-01 | HUD_USER_FMR |
| county 53033 | acs median gross | 2 | $2,257 | 2024-12-31 | CENSUS_ACS5 |
| county 53033 | fmr | 2 | $2,501 | 2025-10-01 | HUD_USER_FMR |
| county 53033 | acs median gross | 3 | $2,706 | 2024-12-31 | CENSUS_ACS5 |
| county 53033 | fmr | 3 | $3,272 | 2025-10-01 | HUD_USER_FMR |
| county 53033 | acs median gross | 4 | $3,275 | 2024-12-31 | CENSUS_ACS5 |
| county 53033 | fmr | 4 | $3,847 | 2025-10-01 | HUD_USER_FMR |
| county 53033 | acs median gross | 5 | $3,470 | 2024-12-31 | CENSUS_ACS5 |
| county 53033 | acs median gross | $2,092 | 2024-12-31 | CENSUS_ACS5 | |
| county 53033 | acs recent mover gross | $2,229 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 98122 | acs median gross | 0 | $1,611 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98122 | acs median gross | 1 | $1,959 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98122 | acs median gross | 2 | $2,661 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98122 | acs median gross | 3 | $2,842 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98122 | acs median gross | 4 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98122 | acs median gross | 5 | $3,132 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98122 | acs median gross | $1,991 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 98122 | acs recent mover gross | $2,235 | 2024-12-31 | CENSUS_ACS5 | |
| zip 98122 | payment standard 110 | 0 | $2,838 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98122 | payment standard 90 | 0 | $2,322 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98122 | safmr | 0 | $2,580 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98122 | payment standard 110 | 1 | $2,937 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98122 | payment standard 90 | 1 | $2,403 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98122 | safmr | 1 | $2,670 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98122 | payment standard 110 | 2 | $3,421 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98122 | payment standard 90 | 2 | $2,799 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98122 | safmr | 2 | $3,110 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98122 | payment standard 110 | 3 | $4,477 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98122 | payment standard 90 | 3 | $3,663 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98122 | safmr | 3 | $4,070 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98122 | payment standard 110 | 4 | $5,258 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98122 | payment standard 90 | 4 | $4,302 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98122 | safmr | 4 | $4,780 | 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.