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 08:18 UTC
Screener / 505496
D

AVALON CARE CENTER AT NORTHPOINTE

snfWA
9827 NORTH NEVADA, SPOKANE, WA 99218 · CCN 505496 · chain RELIANT PRO REHAB LLC
Composite
88.9 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
119
Model
v1.2
Reads as: riskier than 88.9% 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 radar1Staffing16Penalties2Deficiencies75Licensure0Ownership50Related party5Transactions0Comps12Market rent36

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk92.990.60.300.230821.44in index
billing conduct86.857.30.300.230820.03in index
financial risk73.361.50.300.230816.92in index
chow risk32.631.30.150.11543.76in index
staffing risk19.419.50.250.19233.73in 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 chains7 chainsOMNICARE LLC43 facilities
connectionOwner spans multiple chains5 chainsEIDE BAILLY LLP24 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 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 risk37.5Bv0.6default · in composite
financial risk61.5Cv0.5default · 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 12m2.8—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 risk90.6Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk19.5Av0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk83.5Fv0.1supersededPre-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 risk63.5Cv0.2supersededPre-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 risk60.8Cv0.3supersededPre-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 risk63.3Cv0.4supersededPre-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 risk90.5Fv0.1supersededPre-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 risk90.5Fv0.2supersededPre-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 risk19.5Av0.1supersededPre-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 risk19.5Av0.2supersededPre-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)
2.8%
model v0.1 · computed 2026-07-29
Percentile among SNFs
76.0
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
Current owner tenure (years)25.00+0.57
No PBJ staffing report0.00+0.42
Occupancy0.80-0.28
Ownership changes, last 5 years0.00+0.20
Total nurse staffing (HPRD)3.93-0.18
Deficiencies, last 12 months2.00-0.12
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
47.1
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
No PBJ staffing report0.00+0.39
Total nurse staffing (HPRD)3.93-0.30
Occupancy0.80-0.20
Fine amount, 12m (log)0.00+0.18
Never sold on record1.00+0.12
Current owner tenure (years)25.00+0.11
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 facilityWA medianNational medianNational p25–p75
Total nurse3.933.703.282.90–3.77
RN0.440.620.390.25–0.58
Weekend total3.603.513.11—
Weekday total4.063.793.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49294.63.930.440.972.513.601.6%
2025Q39291.93.740.470.962.313.420.2%
2025Q29190.53.770.461.082.233.434.4%
2025Q19093.33.590.401.002.193.2112.8%
2024Q49290.03.740.361.172.223.4517.8%
2024Q39293.83.370.341.121.913.0726.2%
2024Q29190.53.300.350.922.033.0422.2%
2024Q19187.83.340.420.822.103.2112.2%
2023Q49290.03.230.360.802.073.1319.0%
2023Q39293.23.250.250.952.062.9925.2%
2023Q29193.43.010.290.791.942.7626.2%
2023Q19084.93.140.200.862.083.0017.1%
2022Q49284.43.150.260.852.042.9815.5%
2022Q39281.73.420.281.022.113.2213.1%
2022Q29178.63.400.341.022.043.181.9%
2022Q19086.83.710.540.732.443.6719.0%
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

2
fines by year
$76.3k$38.2k2425
DateTypeFineSource
2025-01-17Fine$76,336CMS provider data
2024-08-26Fine$8,278CMS provider data
Total fines on record: $84,614

Deficiencies

75
D × 48E × 24F × 1G × 2
deficiencies by survey year
361822232425
SurveyTypeTagDeficiencyScopeCorrected
2025-09-17Health · complaintF0760Ensure that residents are free from significant medication errors.D2025-10-03
2025-09-17Health · complaintF0841Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.D2025-10-03
2025-02-07Health · complaintF0552Ensure that residents are fully informed and understand their health status, care and treatments.E2025-03-26
2025-02-07HealthF0554Allow residents to self-administer drugs if determined clinically appropriate.D2025-03-26
2025-02-07HealthF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D2025-03-26
2025-02-07HealthF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D2025-03-26
2025-02-07HealthF0584Honor 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.D2025-03-26
2025-02-07Health · complaintF0610Respond appropriately to all alleged violations.D2025-03-26
2025-02-07HealthF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.D2025-03-26
2025-02-07Health · complaintF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.E2025-03-26
2025-02-07Health · 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.E2025-03-26
2025-02-07HealthF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.E2025-03-26
2025-02-07Health · complaintF0641Ensure each resident receives an accurate assessment.E2025-03-26
2025-02-07HealthF0645PASARR screening for Mental disorders or Intellectual DisabilitiesD2025-03-26
2025-02-07Health · complaintF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.D2025-03-26
2025-02-07Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2025-03-26
2025-02-07HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E2025-03-26
2025-02-07Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2025-03-26
2025-02-07HealthF0687Provide appropriate foot care.D2025-03-26
2025-02-07Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E2025-03-26
2025-02-07HealthF0692Provide enough food/fluids to maintain a resident's health.G2025-03-26
2025-02-07HealthF0695Provide safe and appropriate respiratory care for a resident when needed.E2025-03-26
2025-02-07HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2025-03-26
2025-02-07HealthF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.D2025-03-26
2025-02-07HealthF0730Observe each nurse aide's job performance and give regular training.E2025-03-26
2025-02-07HealthF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.D2025-03-26
2025-02-07Health · complaintF0758Implement 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.E2025-03-26
2025-02-07HealthF0760Ensure that residents are free from significant medication errors.E2025-04-01
2025-02-07HealthF0761Ensure 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.E2025-03-26
2025-02-07HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2025-03-26
2025-02-07HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2025-03-26
2025-02-07HealthF0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.E2025-03-26
2025-02-07HealthF0880Provide and implement an infection prevention and control program.E2025-03-26
2025-02-07HealthF0908Keep all essential equipment working safely.D2025-03-26
2025-02-07HealthF0919Make sure that a working call system is available in each resident's bathroom and bathing area.D2025-03-26
2025-02-07HealthF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D2025-03-26
2024-12-10Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-01-08
2024-12-10Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-01-07
2024-10-09Health · complaintF0602Protect each resident from the wrongful use of the resident's belongings or money.D2024-10-09
2024-10-02Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2024-10-29
2024-10-02Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2024-10-29
2024-10-02Health · complaintF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2024-10-29
2024-10-02Health · complaintF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E2024-10-29
2024-10-02Health · complaintF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D2024-10-29
2024-10-02Health · complaintF0760Ensure that residents are free from significant medication errors.D2024-10-29
2024-08-26Health · complaintF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.E2024-09-17
2024-08-26Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2024-09-18
2024-05-28Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2024-06-18
2024-05-28Health · complaintF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D2024-06-18
2023-12-12Health · complaintF0770Provide timely, quality laboratory services/tests to meet the needs of residents.D2024-01-03
2023-11-09HealthF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D2023-12-20
2023-11-09HealthF0578Honor 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.D2023-12-20
2023-11-09Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2023-12-20
2023-11-09HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.E2023-12-20
2023-11-09HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E2023-12-20
2023-11-09HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2023-12-20
2023-11-09HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2023-12-20
2023-11-09HealthF0697Provide safe, appropriate pain management for a resident who requires such services.D2023-12-20
2023-11-09HealthF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.D2023-12-20
2023-11-09HealthF0760Ensure that residents are free from significant medication errors.E2023-12-20
2023-11-09HealthF0761Ensure 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.D2023-12-20
2023-11-09HealthF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.D2023-12-20
2023-11-09HealthF0880Provide and implement an infection prevention and control program.D2023-12-20
2023-08-08Health · complaintF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.D2023-08-25
2023-06-12Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2023-06-28
2022-07-14HealthF0625Notify 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.D2022-08-16
2022-07-14HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2022-08-16
2022-07-14HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2022-08-16
2022-07-14HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2022-08-16
2022-07-14HealthF0692Provide enough food/fluids to maintain a resident's health.D2022-08-16
2022-07-14HealthF0730Observe each nurse aide's job performance and give regular training.E2022-08-16
2022-07-14HealthF0758Implement 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.D2022-08-16
2022-07-14HealthF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.E2022-08-16
2022-07-14HealthF0807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.D2022-08-16
2022-07-14HealthF0880Provide and implement an infection prevention and control program.E2022-09-07
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
AVALON CARE LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2003-11-26currentpecos_ownership
AVALON HEALTH CARE INCADP OF THE SNF—2025-04-09currentpecos_ownership
AVALON HEALTH CARE INCOPERATIONAL/MANAGERIAL CONTROL—2003-12-01currentpecos_ownership
AVALON HEALTH CARE MANAGEMENT INCADP OF THE SNF—2025-04-09currentpecos_ownership
AVALON HEALTH CARE MANAGEMENT INCOPERATIONAL/MANAGERIAL CONTROL—2003-12-01currentpecos_ownership
BERG, TRACYOPERATIONAL/MANAGERIAL CONTROL—2024-12-01currentpecos_ownership
BORISEVICH, MARIAOPERATIONAL/MANAGERIAL CONTROL—2024-01-08currentpecos_ownership
DANGERFIELD, DAVIDCORPORATE DIRECTOR—2007-04-05currentpecos_ownership
DELOITTE TAX LLPADP OF THE SNF—2025-06-05currentpecos_ownership
DELOITTE TAX LLPOPERATIONAL/MANAGERIAL CONTROL—2020-01-01currentpecos_ownership
EIDE BAILLY LLPADP OF THE SNF—2025-06-05currentpecos_ownership
EIDE BAILLY LLPOPERATIONAL/MANAGERIAL CONTROL—2021-01-01currentpecos_ownership
HASH, ALANOPERATIONAL/MANAGERIAL CONTROL—2017-08-15currentpecos_ownership
HHC HOLDCO LLCOPERATIONAL/MANAGERIAL CONTROL—2021-07-01currentpecos_ownership
HHC HOLDCO LLCADP OF THE SNF—2025-06-05currentpecos_ownership
KIRTON, BYRONCORPORATE DIRECTOR—2024-08-27currentpecos_ownership
KIRTON, HYRUMMANAGING CONTROL - GOVERNING BODY—2024-08-27currentpecos_ownership
KIRTON, HYRUMOPERATIONAL/MANAGERIAL CONTROL—2022-03-29currentpecos_ownership
KIRTON, HYRUMCORPORATE DIRECTOR—2018-03-22currentpecos_ownership
KIRTON, SPENCERMANAGING CONTROL - GOVERNING BODY—2024-08-27currentpecos_ownership
NEWELL, BRITTNEYOPERATIONAL/MANAGERIAL CONTROL—2025-06-14currentpecos_ownership
NEWMAN, RITAOPERATIONAL/MANAGERIAL CONTROL—2024-04-15currentpecos_ownership
OMNICARE LLCADP OF THE SNF—2025-06-05currentpecos_ownership
OMNICARE LLCOPERATIONAL/MANAGERIAL CONTROL—2023-05-01currentpecos_ownership
RELIANT PRO REHAB LLCOPERATIONAL/MANAGERIAL CONTROL—2019-04-01currentpecos_ownership
RELIANT PRO REHAB LLCADP OF THE SNF—2025-06-05currentpecos_ownership
SMITH, NICOLECORPORATE OFFICER—2023-03-01currentpecos_ownership
WOLTIL, ROBERTMANAGING CONTROL - GOVERNING BODY—2012-05-23currentpecos_ownership
AVALON HOLDING INC5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2003-08-26ended 2026-05-18pecos_ownership
AVALON OF WASHINGTON LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2004-07-20ended 2026-05-18pecos_ownership
BYRON KIRTON5% OR GREATER INDIRECT OWNERSHIP INTEREST33%2025-10-01ended 2026-05-18pecos_ownership
HYRUM A KIRTON INDIVIDUAL TR5% OR GREATER INDIRECT OWNERSHIP INTEREST33%2025-10-01ended 2026-05-18pecos_ownership
HYRUM KIRTON5% OR GREATER INDIRECT OWNERSHIP INTEREST33%2025-10-01ended 2026-05-18pecos_ownership
SPENCER K KIRTON INDIVIDUAL TR5% OR GREATER INDIRECT OWNERSHIP INTEREST33%2025-10-01ended 2026-05-18pecos_ownership
SPENCER KIRTON5% OR GREATER INDIRECT OWNERSHIP INTEREST33%2025-10-01ended 2026-05-18pecos_ownership
THE BYRON A KIRTON INDIVIDUAL TR5% OR GREATER INDIRECT OWNERSHIP INTEREST27%2025-10-01ended 2026-05-18pecos_ownership
K-TEAM LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST7%2025-10-01ended 2026-05-18pecos_ownership
ALAN HASHOPERATIONAL/MANAGERIAL CONTROL—2017-08-15ended 2026-05-18pecos_ownership
BRITTNEY NEWELLADP OF THE SNF—2025-06-14ended 2026-05-18pecos_ownership
BYRON KIRTONMANAGING CONTROL - GOVERNING BODY—2024-08-27ended 2026-05-18pecos_ownership
DAVID DANGERFIELDMANAGING CONTROL - GOVERNING BODY—2007-04-05ended 2026-05-18pecos_ownership
HYRUM KIRTONMANAGING CONTROL - GOVERNING BODY—2024-08-27ended 2026-05-18pecos_ownership
HYRUM KIRTONADP OF THE SNF—2022-03-29ended 2026-05-18pecos_ownership
HYRUM KIRTONCORPORATE DIRECTOR—2018-03-22ended 2026-05-18pecos_ownership
MARIA BORISEVICHOPERATIONAL/MANAGERIAL CONTROL—2024-01-08ended 2026-05-18pecos_ownership
NICOLE SMITHADP OF THE SNF—2023-03-01ended 2026-05-18pecos_ownership
RITA NEWMANADP OF THE SNF—2024-04-15ended 2026-05-18pecos_ownership
ROBERT WOLTILCORPORATE DIRECTOR—2012-05-23ended 2026-05-18pecos_ownership
SPENCER KIRTONCORPORATE DIRECTOR—2024-08-27ended 2026-05-18pecos_ownership
TRACY BERGOPERATIONAL/MANAGERIAL CONTROL—2024-12-01ended 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 — WA snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-06-01Bremerton Trails Post Acute———125RINCON BEACH, LLC
2025-06-01Othello Post Acute———39DOHENY BEACH, LLC
2025-06-01Edmonds Post Acute———128SALT CREEK BEACH, LLC
2025-05-21AURORA VALLEY CARE———124AURORA VALLEY CARE LLC
2025-05-21THREE RIVERS CARE———83THREE RIVERS CARE LLC
2025-05-21FIR LANE CARE———135FIR LANE CARE LLC
2025-05-21SPOKANE FALLS CARE———100SPOKANE FALLS CARE LLC
2025-05-01MARIANWOOD HEALTH AND REHABILITATION———117LUNA VEGA HEALTHCARE LLC
2025-04-01WOODARD CREEK HEALTH & REHABILITATION———152WOODARD SNF OPERATIONS LLC
2025-03-12Avalon Healthcare - Tacoma———81AVALON HEALTHCARE-TACOMA LLC
2025-03-01SOUTH HILL REHABILITATION AND CARE CENTER———113LAST EMPIRE HEALTHCARE LLC
2024-08-01PINE RIDGE POST ACUTE———80PINE RIDGE SNF HEALTHCARE LLC
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.

Market rent context

36
GeoKindBRAmountAs ofSource
county 53063acs median gross0$1,0492024-12-31CENSUS_ACS5
county 53063fmr0$1,1032025-10-01HUD_USER_FMR
county 53063acs median gross1$1,0192024-12-31CENSUS_ACS5
county 53063fmr1$1,1932025-10-01HUD_USER_FMR
county 53063acs median gross2$1,2992024-12-31CENSUS_ACS5
county 53063fmr2$1,5312025-10-01HUD_USER_FMR
county 53063acs median gross3$1,5932024-12-31CENSUS_ACS5
county 53063fmr3$2,0882025-10-01HUD_USER_FMR
county 53063acs median gross4$1,9632024-12-31CENSUS_ACS5
county 53063fmr4$2,5062025-10-01HUD_USER_FMR
county 53063acs median gross5$1,6732024-12-31CENSUS_ACS5
county 53063acs median gross$1,2832024-12-31CENSUS_ACS5
county 53063acs recent mover gross$1,5292024-12-31CENSUS_ACS5
zcta 99218acs median gross0$9772024-12-31CENSUS_ACS5
zcta 99218acs median gross1$1,1142024-12-31CENSUS_ACS5
zcta 99218acs median gross2$1,1872024-12-31CENSUS_ACS5
zcta 99218acs median gross3$1,4852024-12-31CENSUS_ACS5
zcta 99218acs median gross4$1,7582024-12-31CENSUS_ACS5
zcta 99218acs median gross5$2,1862024-12-31CENSUS_ACS5
zcta 99218acs median gross$1,2032024-12-31CENSUS_ACS5
zcta 99218acs recent mover gross$1,9172024-12-31CENSUS_ACS5
zip 99218payment standard 1100$1,1442025-10-01HUD_USER_SAFMR
zip 99218payment standard 900$9362025-10-01HUD_USER_SAFMR
zip 99218safmr0$1,0402025-10-01HUD_USER_SAFMR
zip 99218payment standard 1101$1,2322025-10-01HUD_USER_SAFMR
zip 99218payment standard 901$1,0082025-10-01HUD_USER_SAFMR
zip 99218safmr1$1,1202025-10-01HUD_USER_SAFMR
zip 99218payment standard 1102$1,5842025-10-01HUD_USER_SAFMR
zip 99218payment standard 902$1,2962025-10-01HUD_USER_SAFMR
zip 99218safmr2$1,4402025-10-01HUD_USER_SAFMR
zip 99218payment standard 1103$2,1562025-10-01HUD_USER_SAFMR
zip 99218payment standard 903$1,7642025-10-01HUD_USER_SAFMR
zip 99218safmr3$1,9602025-10-01HUD_USER_SAFMR
zip 99218payment standard 1104$2,5962025-10-01HUD_USER_SAFMR
zip 99218payment standard 904$2,1242025-10-01HUD_USER_SAFMR
zip 99218safmr4$2,3602025-10-01HUD_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 · AVALON CARE CENTER AT NORTHPOINTE (505496) · 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