Composite
47.4 / 100 percentile
Screener / 055330
B
ADVANCED REHAB CENTER OF TUSTIN
snfCA
2210 E. FIRST STREET, SANTA ANA, CA 92705 · CCN 055330
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
99
Model
v1.2
Reads as: riskier than 47.4% 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 radar1Staffing16Penalties1Deficiencies98Licensure0Ownership24Related party0Transactions0Comps12Market rent36
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 91.3 | 89.0 | 0.30 | 0.2308 | 21.07 | in index |
| billing conduct | 57.0 | 42.3 | 0.30 | 0.2308 | 13.15 | in index |
| chow risk | 52.2 | 34.3 | 0.15 | 0.1154 | 6.02 | in index |
| financial risk | 16.2 | 24.4 | 0.30 | 0.2308 | 3.74 | in index |
| staffing risk | 18.1 | 18.2 | 0.25 | 0.1923 | 3.48 | 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 | 4 chains | BAK ABRAHAM | 11 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 | 42.3 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 55.0 | C | 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 | 13.6 | A | v0.6 | default · in composite | |
| financial risk | 24.4 | A | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.1 | — | 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 | 1.2 | — | 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 | 89.0 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 18.2 | A | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 48.7 | 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 | 28.7 | 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 | 40.9 | 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 | 30.0 | 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 | 88.9 | 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 | 88.9 | 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 | 18.2 | 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 | 18.2 | 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)
1.2%
model v0.1 · computed 2026-07-29
Percentile among SNFs
61.8
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Occupancy | 0.96 | -0.76 | |
| For-profit ownership | 1.00 | +0.69 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 0.00 | -0.40 | |
| 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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
49.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 0.00 | +1.20 | |
| Occupancy | 0.96 | -0.88 | |
| For-profit ownership | 1.00 | -0.69 | |
| Deficiencies, last 12 months | 5.00 | +0.50 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Total nurse staffing (HPRD) | 3.97 | -0.32 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Never sold on record | 1.00 | +0.12 |
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 | 0.21 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 3.93 | 3.79 | 3.11 | — |
| Weekday total | 3.98 | 4.01 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 94.9 | 3.97 | 0.21 | 1.13 | 2.63 | 3.93 | 0.1% |
| 2025Q3 | 92 | 93.2 | 3.88 | 0.25 | 1.05 | 2.58 | 3.75 | 0.0% |
| 2025Q2 | 91 | 93.4 | 3.83 | 0.22 | 1.06 | 2.55 | 3.71 | 0.0% |
| 2025Q1 | 90 | 88.3 | 3.97 | 0.22 | 1.16 | 2.59 | 3.90 | 0.0% |
| 2024Q4 | 92 | 96.5 | 3.71 | 0.20 | 1.10 | 2.40 | 3.62 | 0.0% |
| 2024Q3 | 92 | 91.7 | 3.86 | 0.24 | 1.22 | 2.40 | 3.61 | 0.0% |
| 2024Q2 | 91 | 91.4 | 4.01 | 0.23 | 1.36 | 2.42 | 3.85 | 0.0% |
| 2024Q1 | 91 | 93.2 | 4.19 | 0.24 | 1.39 | 2.56 | 4.07 | 0.0% |
| 2023Q4 | 92 | 89.8 | 4.29 | 0.29 | 1.45 | 2.54 | 4.13 | 1.4% |
| 2023Q3 | 92 | 91.6 | 3.98 | 0.23 | 1.42 | 2.33 | 3.89 | 3.1% |
| 2023Q2 | 91 | 91.3 | 4.07 | 0.29 | 1.48 | 2.30 | 3.72 | 6.2% |
| 2023Q1 | 90 | 94.7 | 3.78 | 0.29 | 1.25 | 2.23 | 3.60 | 5.4% |
| 2022Q4 | 92 | 88.2 | 3.71 | 0.28 | 1.21 | 2.22 | 3.46 | 1.4% |
| 2022Q3 | 92 | 89.9 | 3.79 | 0.32 | 1.23 | 2.24 | 3.58 | 0.0% |
| 2022Q2 | 91 | 88.2 | 3.90 | 0.28 | 1.34 | 2.28 | 3.81 | 0.0% |
| 2022Q1 | 90 | 86.6 | 3.92 | 0.25 | 1.33 | 2.34 | 3.95 | 0.8% |
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.
Penalties
1| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-07-12 | Fine | $37,182 | CMS provider data |
Total fines on record: $37,182
Deficiencies
98B × 20D × 71E × 4F × 1G × 2
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-11-13 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-12-13 |
| 2025-11-13 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-12-13 |
| 2025-08-05 | 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. | B | 2025-09-04 |
| 2025-08-05 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-09-04 |
| 2025-08-05 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B | 2025-09-04 |
| 2025-07-09 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-08-08 |
| 2025-07-09 | Health · complaint | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2025-08-08 |
| 2025-04-16 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-05-16 |
| 2025-04-16 | Health · complaint | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | 2025-05-16 |
| 2025-03-24 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | B | 2025-04-24 |
| 2025-03-24 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | B | 2025-04-24 |
| 2025-03-24 | Health | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | B | 2025-04-24 |
| 2025-03-24 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-04-24 |
| 2025-03-24 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-04-24 |
| 2025-03-24 | Health | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | 2025-04-24 |
| 2025-03-24 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-04-24 |
| 2025-03-24 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2025-04-24 |
| 2025-03-24 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-04-24 |
| 2025-03-24 | Health | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | 2025-04-24 |
| 2025-03-24 | 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. | D | 2025-04-24 |
| 2025-03-24 | 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. | D | 2025-04-24 |
| 2025-03-24 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | 2025-04-24 |
| 2025-03-24 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | 2025-04-24 |
| 2025-03-24 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-04-24 |
| 2025-03-24 | Health | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | 2025-04-24 |
| 2025-03-24 | Health | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | D | 2025-04-24 |
| 2025-03-24 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B | 2025-04-24 |
| 2025-03-24 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2025-04-24 |
| 2025-03-24 | Health | F0881 | Implement a program that monitors antibiotic use. | D | 2025-04-24 |
| 2025-02-25 | Health · complaint | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | 2025-03-10 |
| 2025-02-05 | Health · complaint | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | B | 2025-02-24 |
| 2025-01-15 | 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. | B | 2025-01-31 |
| 2025-01-15 | Health · complaint | 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. | B | 2025-01-31 |
| 2024-11-06 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-12-06 |
| 2024-09-26 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-10-10 |
| 2024-09-17 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2024-10-10 |
| 2024-09-17 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-10-10 |
| 2024-09-17 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-10-10 |
| 2024-09-17 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-10-10 |
| 2024-09-17 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2024-10-10 |
| 2024-08-23 | 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 | 2024-09-23 |
| 2024-08-13 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-08-31 |
| 2024-08-07 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | B | 2024-08-28 |
| 2024-08-07 | Health · complaint | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | 2024-08-30 |
| 2024-08-07 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2024-08-30 |
| 2024-07-12 | 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 | 2024-08-06 |
| 2024-07-12 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-08-06 |
| 2024-07-12 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-08-06 |
| 2024-07-12 | 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. | B | 2024-08-06 |
| 2024-07-12 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-08-06 |
| 2024-07-12 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-08-06 |
| 2024-07-12 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-08-06 |
| 2024-07-12 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-08-06 |
| 2024-07-12 | Health · complaint | 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. | B | 2024-08-06 |
| 2024-07-12 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-08-06 |
| 2024-04-25 | 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. | B | 2024-05-01 |
| 2024-04-25 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B | 2024-05-01 |
| 2024-04-03 | 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. | B | 2024-04-16 |
| 2024-01-17 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-02-17 |
| 2023-11-09 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2023-12-09 |
| 2023-11-09 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2023-12-09 |
| 2023-11-09 | Health · complaint | F0583 | Keep residents' personal and medical records private and confidential. | B | 2023-12-09 |
| 2023-11-09 | 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. | B | 2023-12-09 |
| 2023-11-09 | Health | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2023-12-09 |
| 2023-11-09 | Health | F0641 | Ensure each resident receives an accurate assessment. | B | 2023-12-09 |
| 2023-11-09 | 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 | 2023-12-09 |
| 2023-11-09 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-12-09 |
| 2023-11-09 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-12-09 |
| 2023-11-09 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | G | 2023-12-09 |
| 2023-11-09 | 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 | 2023-12-09 |
| 2023-11-09 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-12-09 |
| 2023-11-09 | Health · complaint | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2024-01-20 |
| 2023-11-09 | Health | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | 2023-12-09 |
| 2023-11-09 | Health | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | 2023-12-09 |
| 2023-11-09 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2023-12-09 |
| 2023-11-09 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2023-12-09 |
| 2023-11-09 | 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 | 2023-12-09 |
| 2023-11-09 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2023-12-09 |
| 2023-11-09 | 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 | 2023-12-09 |
| 2023-11-09 | Health | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | D | 2023-12-09 |
| 2023-11-09 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2023-12-09 |
| 2023-11-09 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-12-09 |
| 2023-11-09 | Health | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | 2023-12-09 |
| 2023-11-09 | Health | F0814 | Dispose of garbage and refuse properly. | B | 2023-12-09 |
| 2023-11-09 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2023-12-09 |
| 2023-11-09 | Health | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | 2023-12-09 |
| 2023-11-09 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2023-12-09 |
| 2023-11-09 | Health | F0881 | Implement a program that monitors antibiotic use. | D | 2023-12-09 |
| 2023-11-09 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2023-12-09 |
| 2023-11-09 | Health | F0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | D | 2023-12-09 |
| 2022-01-25 | Health | F0583 | Keep residents' personal and medical records private and confidential. | D | 2022-02-24 |
| 2022-01-25 | 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. | D | 2022-02-24 |
| 2022-01-25 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2022-02-24 |
| 2022-01-25 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2022-02-24 |
| 2022-01-25 | 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 | 2022-02-24 |
| 2022-01-25 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2022-02-24 |
| 2022-01-25 | Health | F0814 | Dispose of garbage and refuse properly. | B | 2022-02-24 |
| 2022-01-25 | Health | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | 2022-02-24 |
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
24| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| ARELLANES, WILLIAM | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-10-31 | current | pecos_ownership |
| ARELLANES, WILLIAM | ADP OF THE SNF | — | 2025-09-12 | current | pecos_ownership |
| AZZAM, SAMIR | ADP OF THE SNF | — | 2024-06-04 | current | pecos_ownership |
| BAK, ABRAHAM | ADP OF THE SNF | — | 2021-12-27 | current | pecos_ownership |
| BAK, ABRAHAM | CORPORATE OFFICER | — | 2021-03-01 | current | pecos_ownership |
| BAK, ABRAHAM | OPERATIONAL/MANAGERIAL CONTROL | — | 2014-01-02 | current | pecos_ownership |
| GASTWIRTH, MENACHEM | CORPORATE OFFICER | — | 2014-03-01 | current | pecos_ownership |
| GASTWIRTH, MENACHEM | OPERATIONAL/MANAGERIAL CONTROL | — | 2014-01-02 | current | pecos_ownership |
| GASTWIRTH, MENACHEM | ADP OF THE SNF | — | 2021-12-27 | current | pecos_ownership |
| GEWIRTZ, CHONOCH | ADP OF THE SNF | — | 2014-01-02 | current | pecos_ownership |
| LEHMANN, KENNETH | ADP OF THE SNF | — | 2014-01-02 | current | pecos_ownership |
| ABRAHAM BAK | CORPORATE OFFICER | 100% | 2021-03-01 | ended 2026-05-18 | pecos_ownership |
| ABRAHAM BAK | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25% | 2014-03-01 | ended 2026-05-18 | pecos_ownership |
| MENACHEM GASTWIRTH | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25% | 2014-03-01 | ended 2026-05-18 | pecos_ownership |
| HELENE MAYER | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 23% | 2014-01-02 | ended 2026-05-18 | pecos_ownership |
| KENNETH LEHMANN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 4% | 2014-01-02 | ended 2026-05-18 | pecos_ownership |
| ABRAHAM BAK | ADP OF THE SNF | — | 2021-12-27 | ended 2026-05-18 | pecos_ownership |
| ABRAHAM BAK | OPERATIONAL/MANAGERIAL CONTROL | — | 2014-01-02 | ended 2026-05-18 | pecos_ownership |
| CHONOCH GEWIRTZ | ADP OF THE SNF | — | 2014-01-02 | ended 2026-05-18 | pecos_ownership |
| MENACHEM GASTWIRTH | OPERATIONAL/MANAGERIAL CONTROL | — | 2014-01-02 | ended 2026-05-18 | pecos_ownership |
| MENACHEM GASTWIRTH | ADP OF THE SNF | — | 2021-12-27 | ended 2026-05-18 | pecos_ownership |
| SAMIR AZZAM | ADP OF THE SNF | — | 2024-06-04 | ended 2026-05-18 | pecos_ownership |
| WILLIAM ARELLANES | ADP OF THE SNF | — | 2025-09-12 | ended 2026-05-18 | pecos_ownership |
| WILLIAM ARELLANES | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-10-31 | 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
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 06059 | acs median gross | 0 | $2,100 | 2024-12-31 | CENSUS_ACS5 |
| county 06059 | fmr | 0 | $2,682 | 2025-10-01 | HUD_USER_FMR |
| county 06059 | acs median gross | 1 | $2,115 | 2024-12-31 | CENSUS_ACS5 |
| county 06059 | fmr | 1 | $2,746 | 2025-10-01 | HUD_USER_FMR |
| county 06059 | acs median gross | 2 | $2,460 | 2024-12-31 | CENSUS_ACS5 |
| county 06059 | fmr | 2 | $3,236 | 2025-10-01 | HUD_USER_FMR |
| county 06059 | acs median gross | 3 | $3,107 | 2024-12-31 | CENSUS_ACS5 |
| county 06059 | fmr | 3 | $4,393 | 2025-10-01 | HUD_USER_FMR |
| county 06059 | acs median gross | 4 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| county 06059 | fmr | 4 | $5,246 | 2025-10-01 | HUD_USER_FMR |
| county 06059 | acs median gross | 5 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| county 06059 | acs median gross | $2,434 | 2024-12-31 | CENSUS_ACS5 | |
| county 06059 | acs recent mover gross | $2,814 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 92705 | acs median gross | 0 | $2,119 | 2024-12-31 | CENSUS_ACS5 |
| zcta 92705 | acs median gross | 1 | $2,160 | 2024-12-31 | CENSUS_ACS5 |
| zcta 92705 | acs median gross | 2 | $2,511 | 2024-12-31 | CENSUS_ACS5 |
| zcta 92705 | acs median gross | 3 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| zcta 92705 | acs median gross | 4 | $2,458 | 2024-12-31 | CENSUS_ACS5 |
| zcta 92705 | acs median gross | 5 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| zcta 92705 | acs median gross | $2,315 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 92705 | acs recent mover gross | $3,154 | 2024-12-31 | CENSUS_ACS5 | |
| zip 92705 | payment standard 110 | 0 | $2,783 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92705 | payment standard 90 | 0 | $2,277 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92705 | safmr | 0 | $2,530 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92705 | payment standard 110 | 1 | $2,849 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92705 | payment standard 90 | 1 | $2,331 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92705 | safmr | 1 | $2,590 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92705 | payment standard 110 | 2 | $3,355 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92705 | payment standard 90 | 2 | $2,745 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92705 | safmr | 2 | $3,050 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92705 | payment standard 110 | 3 | $4,554 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92705 | payment standard 90 | 3 | $3,726 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92705 | safmr | 3 | $4,140 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92705 | payment standard 110 | 4 | $5,434 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92705 | payment standard 90 | 4 | $4,446 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92705 | safmr | 4 | $4,940 | 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.