CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)
AS OF 2026-08-04 19:19 UTC
Screener / 355065
B

SUNSET DRIVE - A PROSPERA COMMUNITY

snfNDSFF: SFF Candidate
1011 BOUNDARY ST NW, MANDAN, ND 58554 · CCN 355065 · chain SANFORD
Composite
55.3 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
128
Model
v1.2
Reads as: riskier than 55.3% 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 model5ML signals1Components16CHOW radar1Distress radar1Staffing16Penalties3Deficiencies63Licensure0Ownership50Related party5Transactions1Comps6Market rent34

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk88.686.00.300.230820.45in index
billing conduct87.057.30.300.230820.08in index
staffing risk42.542.60.250.19238.17in index
chow risk8.513.20.150.11540.98in index
financial risk2.610.00.300.23080.60in 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
KindFindingSignalSubjectFirst seen
connectionOwner spans multiple chains6 chainsGRAPE TREE MEDICAL STAFFING LLC55 facilities
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.

Component scores and registry models

16
Score typeScoreGradeModelStatusRegistry model notes
billing conduct57.3Cv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk24.4Av0.1-posdefault · in compositeChange-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure.
chow risk1.9Av0.6default · in composite
financial risk10.0Av0.5default · in compositeR18.
p adverse action 12m0.1—v0.1default · in compositeR23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite.
p chow 12m0.0—v0.1default · in compositeR22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite.
regulatory risk86.0Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk42.6Bv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk73.2Dv0.1supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk53.2Cv0.2supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk33.5Bv0.3supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk16.1Av0.4supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
regulatory risk85.9Fv0.1supersededPre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
regulatory risk85.9Fv0.2supersededPre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
staffing risk42.6Bv0.1supersededPre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
staffing risk42.6Bv0.2supersededPre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.

CHOW radar — 12-month sale probability

full board →
p(CHOW, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
1.1
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Never sold on record0.00-1.62
Current owner tenure (years)6.08-1.26
For-profit ownership0.00-1.24
Occupancy0.92-0.65
Chain size (log)4.87+0.63
No PBJ staffing report0.00+0.42
Ownership changes, last 5 years0.00+0.20
Deficiencies, last 12 months3.00-0.10
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
38.3
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Chain size (log)4.87-1.63
For-profit ownership0.00+1.62
Deficiencies, last 12 months3.00+0.87
Occupancy0.92-0.74
No PBJ staffing report0.00+0.39
Never sold on record0.00-0.28
Current owner tenure (years)6.08-0.20
Fine amount, 12m (log)0.00+0.18
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.

Staffing vs peers

16
2025Q4 HPRDThis facilityND medianNational medianNational p25–p75
Total nurse3.413.903.282.90–3.77
RN0.420.590.390.25–0.58
Weekend total3.063.553.11—
Weekday total3.554.013.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q492118.23.410.420.702.293.061.9%
2025Q392115.43.400.520.602.283.078.5%
2025Q291123.63.020.540.462.012.815.2%
2025Q190123.93.170.580.442.163.079.8%
2024Q492124.53.160.570.472.122.965.1%
2024Q392124.33.280.520.562.203.030.9%
2024Q291122.23.360.380.712.273.094.1%
2024Q191127.03.110.440.562.112.857.2%
2023Q492128.83.070.470.522.082.8911.0%
2023Q392124.13.170.550.492.132.932.5%
2023Q291122.63.270.580.482.213.003.4%
2023Q190122.83.250.660.442.152.956.0%
2022Q492123.63.230.740.352.152.880.9%
2022Q392119.83.330.710.412.212.991.9%
2022Q291117.63.780.670.472.653.331.0%
2022Q190118.34.050.690.552.813.570.1%
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
DateTypeFineSource
2025-05-15Fine$8,412CMS provider data
2025-05-15Fine$33,814CMS provider data
2025-05-15Payment Denial—CMS provider data
Total fines on record: $42,226

Deficiencies

63
D × 46E × 15G × 1L × 1
deficiencies by survey year
311623242526
SurveyTypeTagDeficiencyScopeCorrected
2026-02-05Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-12-24
2025-12-10Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D—
2025-08-25Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2025-09-09
2025-07-28Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2025-08-20
2025-07-28Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.L2025-08-20
2025-07-28Health · complaintF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.D2025-08-20
2025-07-09Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.E2025-08-20
2025-05-15Health · complaintF0554Allow residents to self-administer drugs if determined clinically appropriate.D2025-06-30
2025-05-15Health · complaintF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.D2025-06-30
2025-05-15HealthF0558Reasonably accommodate the needs and preferences of each resident.D2025-08-20
2025-05-15HealthF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.D2025-08-20
2025-05-15Health · complaintF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D2025-06-30
2025-05-15Health · complaintF0578Honor 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.E2025-06-30
2025-05-15Health · complaintF0584Honor 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.E2025-06-30
2025-05-15Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2025-06-30
2025-05-15Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-06-30
2025-05-15Health · complaintF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D2025-06-30
2025-05-15Health · complaintF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.D2025-06-30
2025-05-15Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E2025-06-30
2025-05-15Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2025-06-30
2025-05-15Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2025-06-30
2025-05-15Health · complaintF0679Provide activities to meet all resident's needs.D2025-06-30
2025-05-15Health · complaintF0688Provide 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.D2025-08-20
2025-05-15Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2025-03-05
2025-05-15Health · complaintF0697Provide safe, appropriate pain management for a resident who requires such services.D2025-06-30
2025-05-15Health · complaintF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E2025-06-30
2025-05-15Health · complaintF0760Ensure that residents are free from significant medication errors.D2025-06-30
2025-05-15Health · complaintF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2025-06-30
2025-05-15Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D2025-06-30
2025-05-15Health · complaintF0880Provide and implement an infection prevention and control program.E2025-06-30
2025-01-08Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2025-02-12
2025-01-08Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-02-12
2024-11-05Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2024-12-10
2024-10-03Health · complaintF0880Provide and implement an infection prevention and control program.D2024-11-07
2024-07-31Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2024-09-04
2024-07-31Health · complaintF0558Reasonably accommodate the needs and preferences of each resident.E2024-09-04
2024-07-31Health · complaintF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2024-09-04
2024-07-31Health · complaintF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.D2024-09-04
2024-07-31Health · complaintF0880Provide and implement an infection prevention and control program.D2024-09-04
2024-06-19Health · complaintF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.D2024-06-14
2024-05-02HealthF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2024-06-06
2024-05-02HealthF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.D2024-06-06
2024-05-02HealthF0641Ensure each resident receives an accurate assessment.D2024-06-06
2024-05-02HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.D2024-06-06
2024-05-02HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-06-06
2024-05-02HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2024-06-06
2024-05-02HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-06-06
2024-05-02HealthF0761Ensure 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.D2024-06-06
2024-05-02HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2024-06-06
2024-05-02HealthF0880Provide and implement an infection prevention and control program.E2024-06-06
2023-09-27Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2023-11-01
2023-05-11HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2023-06-15
2023-05-11HealthF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2023-06-15
2023-05-11HealthF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D2023-06-15
2023-05-11HealthF0641Ensure each resident receives an accurate assessment.E2023-06-15
2023-05-11HealthF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D2023-06-15
2023-05-11HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E2023-06-15
2023-05-11HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2023-06-15
2023-05-11HealthF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2023-06-15
2023-05-11HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2023-06-15
2023-05-11HealthF0742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.D2023-06-15
2023-05-11HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2023-06-15
2023-05-11HealthF0880Provide and implement an infection prevention and control program.E2023-06-15
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

50
OwnerRolePctFromStatusSource
SANFORD5% OR GREATER DIRECT OWNERSHIP INTEREST100%2019-01-01currentpecos_ownership
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2019-01-01currentpecos_ownership
BROWN, GEORGEADP OF THE SNF—2025-01-01currentpecos_ownership
CARTMILL, KAYLEYADP OF THE SNF—2025-07-24currentpecos_ownership
DTN STAFFING INCADP OF THE SNF—2024-08-02currentpecos_ownership
DYKHOUSE, DANAADP OF THE SNF—2024-05-30currentpecos_ownership
ENGBRECHT, WESLEYCORPORATE DIRECTOR—2024-05-30currentpecos_ownership
FLUIT, JOELADP OF THE SNF—2022-10-01currentpecos_ownership
FOCUSONE SOLUTIONSADP OF THE SNF—2024-03-04currentpecos_ownership
GASSEN, WILLIAMADP OF THE SNF—2024-05-30currentpecos_ownership
GRAPE TREE MEDICAL STAFFING LLCADP OF THE SNF—2018-04-13currentpecos_ownership
GULSVIG, NEILADP OF THE SNF—2024-05-30currentpecos_ownership
HERSETH SANDLIN, STEPHANIECORPORATE DIRECTOR—2024-05-30currentpecos_ownership
JOHNSON, ANTHONYADP OF THE SNF—2022-12-01currentpecos_ownership
LUNDEEN, MARKCORPORATE DIRECTOR—2024-05-30currentpecos_ownership
MCCAUSLAND, MAUREENADP OF THE SNF—2025-01-01currentpecos_ownership
MIDDLETON, AIMEECORPORATE OFFICER—2022-01-27currentpecos_ownership
MOLBERT, LAURISCORPORATE DIRECTOR—2024-05-30currentpecos_ownership
MORRISON, TONYOPERATIONAL/MANAGERIAL CONTROL—2019-01-01currentpecos_ownership
NORTH, ANDREWADP OF THE SNF—2024-05-30currentpecos_ownership
OLSON, NICHOLASADP OF THE SNF—2024-04-08currentpecos_ownership
SANDGREN, DEEANDRAOPERATIONAL/MANAGERIAL CONTROL—2023-07-16currentpecos_ownership
SANFORDADP OF THE SNF—2025-11-07currentpecos_ownership
SCHEMA, NATHANCORPORATE OFFICER—2022-01-01currentpecos_ownership
SCHIEFFER, KEVINADP OF THE SNF—2025-01-01currentpecos_ownership
SHULKIN, DAVIDCORPORATE DIRECTOR—2024-05-30currentpecos_ownership
TEIKEN, BRENTADP OF THE SNF—2024-05-30currentpecos_ownership
VENTLING-HERRMANN, MARNIEADP OF THE SNF—2024-05-30currentpecos_ownership
WENZEL, THOMASADP OF THE SNF—2025-01-01currentpecos_ownership
AIMEE MIDDLETONCORPORATE OFFICER0%2022-01-27ended 2026-05-18pecos_ownership
ANDREW NORTHCORPORATE DIRECTOR0%2024-05-30ended 2026-05-18pecos_ownership
ANTHONY JOHNSONCONTRACTED MANAGING EMPLOYEE0%2022-12-01ended 2026-05-18pecos_ownership
BRENT TEIKENCORPORATE DIRECTOR0%2024-05-30ended 2026-05-18pecos_ownership
DANA DYKHOUSECORPORATE DIRECTOR0%2024-05-30ended 2026-05-18pecos_ownership
DAVID SHULKINCORPORATE DIRECTOR0%2024-05-30ended 2026-05-18pecos_ownership
JAMES CAINCORPORATE DIRECTOR0%2024-05-30ended 2026-05-18pecos_ownership
JOEL FLUITCORPORATE OFFICER0%2022-10-01ended 2026-05-18pecos_ownership
KELLY VANDERVORSTEW-2 MANAGING EMPLOYEE0%2021-07-26ended 2026-05-18pecos_ownership
LAURIS MOLBERTCORPORATE DIRECTOR0%2024-05-30ended 2026-05-18pecos_ownership
MARK LUNDEENCORPORATE DIRECTOR0%2024-05-30ended 2026-05-18pecos_ownership
MARNIE VENTLING-HERRMANNCORPORATE DIRECTOR0%2024-05-30ended 2026-05-18pecos_ownership
MICHAEL ROGERSCORPORATE OFFICER0%2022-06-13ended 2026-05-18pecos_ownership
NATHAN SCHEMACORPORATE OFFICER0%2022-01-01ended 2026-05-18pecos_ownership
NEIL GULSVIGCORPORATE DIRECTOR0%2024-05-30ended 2026-05-18pecos_ownership
NICHOLAS OLSONCORPORATE OFFICER0%2024-04-08ended 2026-05-18pecos_ownership
STEPHANIE HERSETHCORPORATE DIRECTOR0%2024-05-30ended 2026-04-01pecos_ownership
STEPHANIE HERSETH-SANDLINCORPORATE DIRECTOR0%2024-05-30ended 2026-05-18pecos_ownership
TONY MORRISONW-2 MANAGING EMPLOYEE0%2019-01-01ended 2026-05-18pecos_ownership
WESLEY ENGBRECHTCORPORATE DIRECTOR0%2024-05-30ended 2026-05-18pecos_ownership
WILLIAM GASSENCORPORATE OFFICER0%2024-05-30ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

1
Close datePriceBuyerSellerEvidence
2020-07-01—THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETYSANFORD GOOD SAMARITAN COMMUNITY HEALTH SERVICES LLCchow

Comparable trades — ND snf

6
CloseFacilityPrice$/bedCap rateBedsBuyer
2022-01-01GOLDEN ACRES MANOR———64ALPHA INC
2020-07-01GOOD SAMARITAN SOCIETY MILLER POINTE A PROSPERA CO———120THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
2020-07-01GOOD SAMARITAN SOCIETY AUGUSTA PLACE A PROSPERA CO———48THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
2020-07-01SUNSET DRIVE - A PROSPERA COMMUNITYthis facility———128THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
2020-07-01ST VINCENT'S - A PROSPERA COMMUNITY———97THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
2018-10-24THE MEADOWS ON UNIVERSITY———95FARGO NURSING AND REHAB CENTER 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

34
GeoKindBRAmountAs ofSource
county 38059acs median gross0$1,0372024-12-31CENSUS_ACS5
county 38059fmr0$9612025-10-01HUD_USER_FMR
county 38059acs median gross1$9402024-12-31CENSUS_ACS5
county 38059fmr1$1,0302025-10-01HUD_USER_FMR
county 38059acs median gross2$1,0132024-12-31CENSUS_ACS5
county 38059fmr2$1,1752025-10-01HUD_USER_FMR
county 38059acs median gross3$1,2672024-12-31CENSUS_ACS5
county 38059fmr3$1,6342025-10-01HUD_USER_FMR
county 38059acs median gross4$1,3702024-12-31CENSUS_ACS5
county 38059fmr4$1,8842025-10-01HUD_USER_FMR
county 38059acs median gross5$2,1182024-12-31CENSUS_ACS5
county 38059acs median gross$1,0762024-12-31CENSUS_ACS5
county 38059acs recent mover gross$9852024-12-31CENSUS_ACS5
zcta 58554acs median gross0$1,0452024-12-31CENSUS_ACS5
zcta 58554acs median gross1$9462024-12-31CENSUS_ACS5
zcta 58554acs median gross2$1,0242024-12-31CENSUS_ACS5
zcta 58554acs median gross3$1,2972024-12-31CENSUS_ACS5
zcta 58554acs median gross$1,0912024-12-31CENSUS_ACS5
zcta 58554acs recent mover gross$9912024-12-31CENSUS_ACS5
zip 58554payment standard 1100$1,0672025-10-01HUD_USER_SAFMR
zip 58554payment standard 900$8732025-10-01HUD_USER_SAFMR
zip 58554safmr0$9702025-10-01HUD_USER_SAFMR
zip 58554payment standard 1101$1,1442025-10-01HUD_USER_SAFMR
zip 58554payment standard 901$9362025-10-01HUD_USER_SAFMR
zip 58554safmr1$1,0402025-10-01HUD_USER_SAFMR
zip 58554payment standard 1102$1,3092025-10-01HUD_USER_SAFMR
zip 58554payment standard 902$1,0712025-10-01HUD_USER_SAFMR
zip 58554safmr2$1,1902025-10-01HUD_USER_SAFMR
zip 58554payment standard 1103$1,8262025-10-01HUD_USER_SAFMR
zip 58554payment standard 903$1,4942025-10-01HUD_USER_SAFMR
zip 58554safmr3$1,6602025-10-01HUD_USER_SAFMR
zip 58554payment standard 1104$2,1012025-10-01HUD_USER_SAFMR
zip 58554payment standard 904$1,7192025-10-01HUD_USER_SAFMR
zip 58554safmr4$1,9102025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.
CII Terminal tearsheet · SUNSET DRIVE - A PROSPERA COMMUNITY (355065) · generated 2026-08-04 · every number derives from public records (CMS Care Compare, PBJ, POS, penalty and survey files, state licensure registers) · scores are published model outputs with holdout metrics disclosed at cii-terminal.vercel.app/transparency