1280 SUMMERFIELD RD, SANTA ROSA, CA 95405 · CCN 056364 · chain THE ENSIGN GROUP INC
Composite
17.0 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
70
Model
v1.2
Reads as: riskier than 17.0% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
ML signals — parallel engine
3
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
18 chains
ENSIGN SERVICES INC
286 facilities
connection
Owner spans multiple chains
17 chains
BURNAM SOON
335 facilities
connection
Owner spans multiple chains
17 chains
KEETCH CHAD
283 facilities
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.
Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure.
R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite.
R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
16
2025Q4 HPRD
This facility
CA median
National median
National p25–p75
Total nurse
4.25
3.95
3.28
2.90–3.77
RN
1.00
0.38
0.39
0.25–0.58
Weekend total
3.95
3.79
3.11
—
Weekday total
4.37
4.01
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
52.7
4.25
1.00
0.62
2.64
3.95
0.0%
2025Q3
92
50.8
4.35
0.96
0.70
2.69
3.92
0.0%
2025Q2
91
50.1
4.40
1.00
0.67
2.73
3.84
0.0%
2025Q1
90
50.6
4.36
0.93
0.70
2.73
3.80
0.0%
2024Q4
92
48.4
4.43
0.93
0.69
2.81
3.90
0.0%
2024Q3
92
50.5
4.28
0.82
0.83
2.63
3.76
0.0%
2024Q2
91
47.4
4.52
0.87
0.90
2.74
3.92
0.0%
2024Q1
91
50.1
4.24
0.62
0.93
2.70
3.73
0.1%
2023Q4
92
48.5
4.35
0.73
0.94
2.68
3.95
0.5%
2023Q3
92
48.5
4.41
0.52
1.14
2.75
4.02
0.0%
2023Q2
91
49.7
4.05
0.37
1.11
2.58
3.71
0.3%
2023Q1
90
47.8
3.95
0.40
1.02
2.53
3.59
8.9%
2022Q4
92
43.4
3.99
0.24
0.92
2.83
3.79
7.0%
2022Q3
92
44.9
3.85
0.30
0.88
2.66
3.65
0.2%
2022Q2
91
47.3
3.68
0.35
0.81
2.52
3.41
0.0%
2022Q1
90
40.2
3.96
0.41
0.83
2.72
3.64
0.0%
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.
Provide and implement an infection prevention and control program.
D
2025-09-19
2025-03-03
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-03-20
2024-09-05
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
2024-11-05
2024-03-15
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
E
2024-04-06
2024-03-15
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-04-06
2024-03-15
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2024-04-06
2024-03-15
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.
E
2024-04-06
2024-03-15
Health
F0759
Ensure medication error rates are not 5 percent or greater.
E
2024-04-06
2024-03-15
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
2024-04-06
2024-03-15
Health
F0806
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
D
2024-04-06
2024-03-15
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-04-06
2024-03-15
Health
F0814
Dispose of garbage and refuse properly.
D
2024-04-06
2024-03-15
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2024-04-06
2022-01-14
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2022-03-10
2022-01-14
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2022-03-10
2022-01-14
Health
F0759
Ensure medication error rates are not 5 percent or greater.
E
2022-03-10
2022-01-14
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.
F
2022-03-10
2022-01-14
Health
F0880
Provide and implement an infection prevention and control program.
E
2022-03-10
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.
Licensure actions
0
No licensure actions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Ownership
15
Owner
Role
Pct
From
Status
Source
BURNAM, SOON
CORPORATE OFFICER
—
2006-02-01
current
pecos_ownership
BUSH, CASON
ADP OF THE SNF
—
2015-07-01
current
pecos_ownership
ENSIGN SERVICES INC
ADP OF THE SNF
—
2002-08-01
current
pecos_ownership
KEETCH, CHAD
CORPORATE OFFICER
—
2011-03-01
current
pecos_ownership
PORT, BARRY
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-09-11
current
pecos_ownership
SAE, AYNNA
ADP OF THE SNF
—
2025-01-01
current
pecos_ownership
SUMMERFIELD DEVELOPMENT COMPANY
ADP OF THE SNF
—
2000-07-01
current
pecos_ownership
WILLITS, ADAM
CORPORATE OFFICER
—
2017-09-01
current
pecos_ownership
FLAGSTONE HEALTHCARE NORTH LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2006-02-01
ended 2026-05-18
pecos_ownership
THE ENSIGN GROUP INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2006-02-01
ended 2026-05-18
pecos_ownership
SOON BURNAM
CORPORATE OFFICER
0%
2006-02-01
ended 2026-05-18
pecos_ownership
ADAM WILLITS
CORPORATE OFFICER
—
2017-09-01
ended 2026-05-18
pecos_ownership
AYNNA SAE
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-01
ended 2026-05-18
pecos_ownership
CASON BUSH
MANAGING CONTROL - GOVERNING BODY
—
2015-07-01
ended 2026-05-18
pecos_ownership
CHAD KEETCH
CORPORATE OFFICER
—
2011-03-01
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.
Related-party costs
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$1,295,743
—
$908,446
—
—
3
—
2023-12-31
$1,126,962
—
$708,721
—
$19,672
3
—
2022-12-31
$1,259,053
—
$617,455
—
—
3
—
2021-12-31
$905,275
—
$598,121
—
—
3
—
2020-12-31
$835,401
—
$579,936
—
$10,040
3
—
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
Transactions
0
No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
35
Geo
Kind
BR
Amount
As of
Source
county 06097
acs median gross
0
$1,677
2024-12-31
CENSUS_ACS5
county 06097
fmr
0
$1,949
2025-10-01
HUD_USER_FMR
county 06097
acs median gross
1
$1,666
2024-12-31
CENSUS_ACS5
county 06097
fmr
1
$2,155
2025-10-01
HUD_USER_FMR
county 06097
acs median gross
2
$2,207
2024-12-31
CENSUS_ACS5
county 06097
fmr
2
$2,827
2025-10-01
HUD_USER_FMR
county 06097
acs median gross
3
$2,780
2024-12-31
CENSUS_ACS5
county 06097
fmr
3
$3,887
2025-10-01
HUD_USER_FMR
county 06097
acs median gross
4
$3,184
2024-12-31
CENSUS_ACS5
county 06097
fmr
4
$4,147
2025-10-01
HUD_USER_FMR
county 06097
acs median gross
5
$3,345
2024-12-31
CENSUS_ACS5
county 06097
acs median gross
$2,158
2024-12-31
CENSUS_ACS5
county 06097
acs recent mover gross
$2,385
2024-12-31
CENSUS_ACS5
zcta 95405
acs median gross
0
$1,814
2024-12-31
CENSUS_ACS5
zcta 95405
acs median gross
1
$1,896
2024-12-31
CENSUS_ACS5
zcta 95405
acs median gross
2
$2,361
2024-12-31
CENSUS_ACS5
zcta 95405
acs median gross
3
$3,005
2024-12-31
CENSUS_ACS5
zcta 95405
acs median gross
4
$3,390
2024-12-31
CENSUS_ACS5
zcta 95405
acs median gross
$2,334
2024-12-31
CENSUS_ACS5
zcta 95405
acs recent mover gross
$2,848
2024-12-31
CENSUS_ACS5
zip 95405
payment standard 110
0
$2,365
2025-10-01
HUD_USER_SAFMR
zip 95405
payment standard 90
0
$1,935
2025-10-01
HUD_USER_SAFMR
zip 95405
safmr
0
$2,150
2025-10-01
HUD_USER_SAFMR
zip 95405
payment standard 110
1
$2,618
2025-10-01
HUD_USER_SAFMR
zip 95405
payment standard 90
1
$2,142
2025-10-01
HUD_USER_SAFMR
zip 95405
safmr
1
$2,380
2025-10-01
HUD_USER_SAFMR
zip 95405
payment standard 110
2
$3,432
2025-10-01
HUD_USER_SAFMR
zip 95405
payment standard 90
2
$2,808
2025-10-01
HUD_USER_SAFMR
zip 95405
safmr
2
$3,120
2025-10-01
HUD_USER_SAFMR
zip 95405
payment standard 110
3
$4,719
2025-10-01
HUD_USER_SAFMR
zip 95405
payment standard 90
3
$3,861
2025-10-01
HUD_USER_SAFMR
zip 95405
safmr
3
$4,290
2025-10-01
HUD_USER_SAFMR
zip 95405
payment standard 110
4
$5,038
2025-10-01
HUD_USER_SAFMR
zip 95405
payment standard 90
4
$4,122
2025-10-01
HUD_USER_SAFMR
zip 95405
safmr
4
$4,580
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.