CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT 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: 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 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 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)ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT 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: 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 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 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 2026-08-05 14:32 UTC
Screener / 056010
C

SEAL BEACH HEALTH AND REHABILITATION CENTER

snfCA
3000 N GATE ROAD, SEAL BEACH, CA 90740 · CCN 056010 · chain WIN WIN ENTERPRISES LLC
Composite
67.3 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
198
Model
v1.2
Reads as: riskier than 67.3% 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 signals2Components16CHOW radar1Distress radar1Staffing16Penalties0Deficiencies133Licensure0Ownership28Related party5Transactions0Comps12Market rent35

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
billing conduct94.765.00.300.230821.85in index
regulatory risk61.953.40.300.230814.28in index
financial risk40.840.00.300.23089.42in index
chow risk40.739.00.150.11544.70in index
staffing risk24.124.20.250.19234.63in 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

2
KindFindingSignalSubjectFirst seen
connectionOwner spans multiple chains5 chainsWINTNER JACOB35 facilities
connectionOwner spans multiple chains5 chainsSMEDRA IRA30 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 conduct65.0Cv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk25.0Bv0.1-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 risk53.1Cv0.6default · in composite
financial risk40.0Bv0.5default · in compositeR18.
p adverse action 12m0.0—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 12m2.4—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 risk53.4Cv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk24.2Av0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk66.0Dv0.1supersededPre-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 risk46.0Cv0.2supersededPre-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 risk57.0Cv0.3supersededPre-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 risk42.8Bv0.4supersededPre-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 risk53.3Cv0.1supersededPre-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 risk53.3Cv0.2supersededPre-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 risk24.2Av0.1supersededPre-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 risk24.2Av0.2supersededPre-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)
2.4%
model v0.1 · computed 2026-07-29
Percentile among SNFs
72.3
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
For-profit ownership1.00+0.69
Never sold on record1.00+0.62
Occupancy0.91-0.61
Current owner tenure (years)25.00+0.57
No PBJ staffing report0.00+0.42
Chain size (log)3.22+0.28
Ownership changes, last 5 years0.00+0.20
Total nurse staffing (HPRD)3.80-0.15
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
20.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Deficiencies, last 12 months2.00+1.06
For-profit ownership1.00-0.69
Occupancy0.91-0.68
Chain size (log)3.22-0.67
No PBJ staffing report0.00+0.39
Total nurse staffing (HPRD)3.80-0.25
Facility size (log beds)5.29-0.20
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 facilityCA medianNational medianNational p25–p75
Total nurse3.803.953.282.90–3.77
RN0.270.380.390.25–0.58
Weekend total3.653.793.11—
Weekday total3.864.013.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q492180.03.800.271.142.403.650.0%
2025Q392176.63.850.261.172.423.680.0%
2025Q291170.03.850.271.182.403.660.0%
2025Q190187.93.770.241.142.393.630.0%
2024Q492172.13.800.261.132.403.670.0%
2024Q392176.13.780.241.142.403.660.1%
2024Q291174.23.800.261.142.403.680.0%
2024Q191177.33.650.221.022.413.640.1%
2023Q492178.83.520.191.042.293.305.6%
2023Q392184.83.180.191.021.972.723.3%
2023Q291185.33.120.181.001.942.747.9%
2023Q190186.33.250.171.032.052.926.6%
2022Q492174.13.270.161.052.062.8810.6%
2022Q392170.43.280.180.962.142.888.9%
2022Q291172.92.960.150.722.102.711.1%
2022Q190190.32.940.130.831.982.750.0%
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.

Penalties

0
No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.

Deficiencies

133
B × 19D × 104E × 10
deficiencies by survey year
6131212223242526
SurveyTypeTagDeficiencyScopeCorrected
2026-02-19Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2026-03-05
2026-02-19Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2026-03-05
2025-07-16Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.B2025-07-31
2025-07-16Health · complaintF0693Ensure 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.D2025-07-31
2025-04-22Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.B2025-05-15
2025-04-22Health · complaintF0554Allow residents to self-administer drugs if determined clinically appropriate.D2025-05-15
2025-04-22Health · 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.D2025-05-15
2025-04-22Health · complaintF0583Keep residents' personal and medical records private and confidential.B2025-05-15
2025-04-22Health · 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.B2025-05-15
2025-04-22Health · complaintF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.B2025-05-15
2025-04-22Health · complaintF0625Notify 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.B2025-05-15
2025-04-22HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-05-15
2025-04-22HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.D2025-05-15
2025-04-22HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2025-05-15
2025-04-22HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2025-05-15
2025-04-22Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-05-15
2025-04-22HealthF0692Provide enough food/fluids to maintain a resident's health.D2025-05-15
2025-04-22HealthF0693Ensure 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.D2025-05-15
2025-04-22HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2025-05-15
2025-04-22Health · complaintF0730Observe each nurse aide's job performance and give regular training.D2025-05-15
2025-04-22HealthF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.D2025-05-15
2025-04-22HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2025-05-15
2025-04-22HealthF0759Ensure medication error rates are not 5 percent or greater.D2025-05-15
2025-04-22HealthF0761Ensure 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.D2025-05-15
2025-04-22HealthF0803Ensure 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.D2025-05-15
2025-04-22Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2025-05-15
2025-04-22Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2025-05-15
2025-04-22HealthF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D2025-05-15
2025-04-22Health · complaintF0880Provide and implement an infection prevention and control program.D2025-05-15
2025-04-22HealthF0908Keep all essential equipment working safely.E2025-05-15
2025-04-22HealthF0919Make sure that a working call system is available in each resident's bathroom and bathing area.B2025-05-15
2025-04-22Health · complaintF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.B2025-05-15
2025-03-06Health · complaintF0880Provide and implement an infection prevention and control program.D2025-03-19
2024-12-31Health · complaintF0558Reasonably accommodate the needs and preferences of each resident.D2025-01-20
2024-12-31Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2025-01-20
2024-10-24Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2024-11-05
2024-10-24Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.B2024-11-05
2024-10-24Health · complaintF0919Make sure that a working call system is available in each resident's bathroom and bathing area.B2024-11-05
2024-08-21Health · 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.D2024-09-18
2024-07-25Health · complaintF0558Reasonably accommodate the needs and preferences of each resident.B2024-07-26
2024-07-25Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.B2024-07-26
2024-06-21Health · complaintF0552Ensure that residents are fully informed and understand their health status, care and treatments.D2024-07-01
2024-06-21Health · complaintF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.B2024-07-01
2024-06-21Health · complaintF0880Provide and implement an infection prevention and control program.B2024-07-05
2024-05-16Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.B2024-05-17
2024-05-16Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-05-17
2024-05-16Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-05-17
2024-05-16Health · complaintF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.D2024-05-17
2024-04-12Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2024-04-27
2024-02-15Health · complaintF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.D2024-03-05
2024-02-01Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.B2024-02-23
2024-02-01Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-02-23
2024-02-01Health · complaintF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.D2024-02-23
2024-01-09Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-01-12
2023-11-29Health · complaintF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.D2023-12-04
2023-11-29Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2023-12-04
2023-11-29Health · complaintF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2023-12-04
2023-10-30Health · complaintF0761Ensure 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.D2023-10-31
2023-08-23Health · complaintF0552Ensure that residents are fully informed and understand their health status, care and treatments.D2023-08-23
2023-08-23Health · complaintF0558Reasonably accommodate the needs and preferences of each resident.D2023-08-23
2023-08-23Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2023-08-23
2023-08-23Health · complaintF0761Ensure 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.D2023-08-23
2023-08-14Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2023-08-17
2023-08-14Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2023-08-17
2023-08-14Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2023-08-17
2023-08-14Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2023-08-17
2023-08-14Health · complaintF0692Provide enough food/fluids to maintain a resident's health.D2023-08-17
2023-08-14Health · complaintF0693Ensure 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.D2023-08-17
2023-08-14Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2023-08-17
2023-07-14Health · complaintF0558Reasonably accommodate the needs and preferences of each resident.D2023-08-02
2023-07-14Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2023-08-02
2023-07-14Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2023-08-02
2023-07-14Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2023-08-02
2023-07-14Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2023-08-02
2023-07-14Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2023-08-02
2023-06-29Health · complaintF0552Ensure that residents are fully informed and understand their health status, care and treatments.D2023-07-29
2023-06-29HealthF0554Allow residents to self-administer drugs if determined clinically appropriate.D2023-07-29
2023-06-29Health · complaintF0558Reasonably accommodate the needs and preferences of each resident.D2023-07-29
2023-06-29HealthF0578Honor 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.D2023-07-29
2023-06-29Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2023-07-29
2023-06-29HealthF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.B2023-07-29
2023-06-29HealthF0583Keep residents' personal and medical records private and confidential.D2023-07-29
2023-06-29Health · 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.D2023-07-29
2023-06-29HealthF0645PASARR screening for Mental disorders or Intellectual DisabilitiesD2023-07-29
2023-06-29HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2023-07-29
2023-06-29HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2023-07-29
2023-06-29HealthF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D2023-07-29
2023-06-29HealthF0679Provide activities to meet all resident's needs.D2023-07-29
2023-06-29Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2023-07-29
2023-06-29HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2023-07-29
2023-06-29HealthF0693Ensure 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.D2023-07-29
2023-06-29HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2023-07-29
2023-06-29HealthF0697Provide safe, appropriate pain management for a resident who requires such services.D2023-07-29
2023-06-29HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2023-07-29
2023-06-29HealthF0700Try 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.D2023-07-29
2023-06-29HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2023-07-29
2023-06-29HealthF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D2023-07-29
2023-06-29HealthF0758Implement 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.D2023-07-29
2023-06-29HealthF0759Ensure medication error rates are not 5 percent or greater.D2023-07-29
2023-06-29HealthF0761Ensure 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.D2023-07-29
2023-06-29Health · complaintF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.E2023-07-29
2023-06-29HealthF0803Ensure 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.E2023-07-29
2023-06-29HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2023-07-29
2023-06-29HealthF0814Dispose of garbage and refuse properly.B2023-07-29
2023-06-29Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2023-07-29
2023-06-29HealthF0880Provide and implement an infection prevention and control program.E2023-07-29
2023-06-29Health · complaintF0881Implement a program that monitors antibiotic use.D2023-07-29
2023-06-29HealthF0908Keep all essential equipment working safely.D2023-07-29
2023-06-29Health · complaintF0909Regularly 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.E2023-07-29
2023-06-29HealthF0919Make sure that a working call system is available in each resident's bathroom and bathing area.D2023-07-29
2023-06-29Health · complaintF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D2023-07-29
2023-06-29HealthF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.D2023-07-29
2023-06-23Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2023-07-24
2023-06-23Health · complaintF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2023-07-24
2023-06-13Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2023-07-13
2021-05-12HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2021-06-12
2021-05-12HealthF0565Honor the resident's right to organize and participate in resident/family groups in the facility.E2021-06-12
2021-05-12HealthF0578Honor 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.D2021-06-12
2021-05-12HealthF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2021-06-12
2021-05-12HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2021-06-12
2021-05-12HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2021-06-12
2021-05-12HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E2021-06-12
2021-05-12HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2021-06-12
2021-05-12HealthF0697Provide safe, appropriate pain management for a resident who requires such services.D2021-06-12
2021-05-12HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2021-06-12
2021-05-12HealthF0700Try 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.D2021-06-12
2021-05-12HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2021-06-12
2021-05-12HealthF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D2021-06-12
2021-05-12HealthF0758Implement 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.D2021-06-12
2021-05-12HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D2021-06-12
2021-05-12HealthF0814Dispose of garbage and refuse properly.B2021-06-12
2021-05-12HealthF0880Provide and implement an infection prevention and control program.E2021-06-12
2021-05-12HealthF0881Implement a program that monitors antibiotic use.D2021-06-12
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

28
OwnerRolePctFromStatusSource
AG FACILITIES OPERATIONS, LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2003-08-11currentpecos_ownership
IRA E SMEDRA LIVING TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST48%2003-08-11currentpecos_ownership
WIN WIN ENTERPRISES, LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST48%2003-08-11currentpecos_ownership
3000 BEVERLY MANOR ROAD LLCOther (financial or non-financial)—2023-01-01currenthcris_a_8_1
3000 BEVERLY MANOR ROAD LLCOther (financial or non-financial)—2024-01-01currenthcris_a_8_1
3000 BEVERLY MANOR ROAD, LLCADP OF THE SNF—2003-10-01currentpecos_ownership
BUTENKO, JULIEOPERATIONAL/MANAGERIAL CONTROL—2023-07-24currentpecos_ownership
CAMBRIDGE HEALTHCARE SERVICES LLCOPERATIONAL/MANAGERIAL CONTROL—2013-10-01currentpecos_ownership
CAMBRIDGE HEALTHCARE SERVICES LLCADP OF THE SNF—2025-11-06currentpecos_ownership
CAPELA, HEIDIADP OF THE SNF—2023-04-03currentpecos_ownership
DO, ROBERTMANAGING CONTROL - GOVERNING BODY—2023-08-14currentpecos_ownership
DO, ROBERTADP OF THE SNF—2025-11-06currentpecos_ownership
GUERRERO, FAYOPERATIONAL/MANAGERIAL CONTROL—2023-08-14currentpecos_ownership
HASSELL, LANCEADP OF THE SNF—2022-04-25currentpecos_ownership
ISSA, JOHNOPERATIONAL/MANAGERIAL CONTROL—2014-06-24currentpecos_ownership
KUIZON, KRISTINAOPERATIONAL/MANAGERIAL CONTROL—2025-04-01currentpecos_ownership
LUTZ, LINDAOPERATIONAL/MANAGERIAL CONTROL—2012-02-01currentpecos_ownership
SALAZAR, PAULINAOPERATIONAL/MANAGERIAL CONTROL—2020-12-14currentpecos_ownership
SMEDRA, IRAOPERATIONAL/MANAGERIAL CONTROL—2003-08-11currentpecos_ownership
WIN WIN ENTERPRISES, LLCADP OF THE SNF—2003-10-01currentpecos_ownership
WINTNER, JACOBADP OF THE SNF—2003-08-11currentpecos_ownership
BH ALLIANCE5% OR GREATER INDIRECT OWNERSHIP INTEREST5%2003-08-11ended 2026-05-18pecos_ownership
3000 BEVERLY MANOR ROAD LLCOther (financial or non-financial)—2022-01-01ended 2022-12-31hcris_a_8_1
3000 BEVERLY MANOR ROAD LLCOther (financial or non-financial)—2021-01-01ended 2021-12-31hcris_a_8_1
3000 BEVERLY MANOR ROAD LLCOther (financial or non-financial)—2020-01-01ended 2020-12-31hcris_a_8_1
IRA SMEDRACORPORATE OFFICER—2003-08-11ended 2026-05-18pecos_ownership
JACOB WINTNERCORPORATE OFFICER—2003-08-11ended 2026-05-18pecos_ownership
PAULINA SALAZAROTHER—2020-12-14ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

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.

Comparable trades — CA snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-08-01Turlock Nursing & Rehabilitation Center———144TRACY RIDGE HEALTHCARE, INC.
2025-04-01ALAMITOS WEST HEALTH & REHABILITATION———150MALCOLM HEALTHCARE, INC.
2025-04-01PACIFIC HAVEN SUBACUTE AND HEALTHCARE CENTER———99STRAWBERRY POND HEALTHCARE LLC
2025-01-16GOLDEN HARBOR HEALTHCARE CENTER———99CEYLON HOLDINGS LLC
2024-12-30GRASS VALLEY HEALTHCARE CENTER———86HEISMAN LLC
2024-10-01REDWOOD GROVE POST ACUTE———144SOQUEL CARE LLC
2024-09-01OAK GROVE POST ACUTE———1194545 SHELLEY COURT OPCO, LLC
2024-08-01WE CARE SKILLED NURSING - FREMONT———99WE CARE SKILLED NURSING-FREMONT, LLC
2024-05-01MAJESTIC MOUNTAIN CARE CENTER———66OAKHURST SKILLED CARE LLC
2024-04-01THE BRADLEY GARDENS———44GHC OF SAN JACINTO LLC
2024-04-01SANTA FE POST-ACUTE———187SKILLED BOBIER LLC
2024-04-01BAYSHIRE SAN DIMAS POST-ACUTE———45SKILLED 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

35
GeoKindBRAmountAs ofSource
county 06059acs median gross0$2,1002024-12-31CENSUS_ACS5
county 06059fmr0$2,6822025-10-01HUD_USER_FMR
county 06059acs median gross1$2,1152024-12-31CENSUS_ACS5
county 06059fmr1$2,7462025-10-01HUD_USER_FMR
county 06059acs median gross2$2,4602024-12-31CENSUS_ACS5
county 06059fmr2$3,2362025-10-01HUD_USER_FMR
county 06059acs median gross3$3,1072024-12-31CENSUS_ACS5
county 06059fmr3$4,3932025-10-01HUD_USER_FMR
county 06059acs median gross4$3,5012024-12-31CENSUS_ACS5
county 06059fmr4$5,2462025-10-01HUD_USER_FMR
county 06059acs median gross5$3,5012024-12-31CENSUS_ACS5
county 06059acs median gross$2,4342024-12-31CENSUS_ACS5
county 06059acs recent mover gross$2,8142024-12-31CENSUS_ACS5
zcta 90740acs median gross0$2,2542024-12-31CENSUS_ACS5
zcta 90740acs median gross1$2,3532024-12-31CENSUS_ACS5
zcta 90740acs median gross2$2,7592024-12-31CENSUS_ACS5
zcta 90740acs median gross3$3,5012024-12-31CENSUS_ACS5
zcta 90740acs median gross4$3,5012024-12-31CENSUS_ACS5
zcta 90740acs median gross$2,6522024-12-31CENSUS_ACS5
zcta 90740acs recent mover gross$3,5002024-12-31CENSUS_ACS5
zip 90740payment standard 1100$3,0032025-10-01HUD_USER_SAFMR
zip 90740payment standard 900$2,4572025-10-01HUD_USER_SAFMR
zip 90740safmr0$2,7302025-10-01HUD_USER_SAFMR
zip 90740payment standard 1101$3,0692025-10-01HUD_USER_SAFMR
zip 90740payment standard 901$2,5112025-10-01HUD_USER_SAFMR
zip 90740safmr1$2,7902025-10-01HUD_USER_SAFMR
zip 90740payment standard 1102$3,6192025-10-01HUD_USER_SAFMR
zip 90740payment standard 902$2,9612025-10-01HUD_USER_SAFMR
zip 90740safmr2$3,2902025-10-01HUD_USER_SAFMR
zip 90740payment standard 1103$4,9172025-10-01HUD_USER_SAFMR
zip 90740payment standard 903$4,0232025-10-01HUD_USER_SAFMR
zip 90740safmr3$4,4702025-10-01HUD_USER_SAFMR
zip 90740payment standard 1104$5,8632025-10-01HUD_USER_SAFMR
zip 90740payment standard 904$4,7972025-10-01HUD_USER_SAFMR
zip 90740safmr4$5,3302025-10-01HUD_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 · SEAL BEACH HEALTH AND REHABILITATION CENTER (056010) · generated 2026-08-05 · 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