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 23:50 UTC
Screener / 055032
D

THE EARLWOOD

snfCA
20820 EARL STREET, TORRANCE, CA 90503 · CCN 055032 · chain HCCF MANAGEMENT GROUP XI LLC
Composite
87.7 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
87
Model
v1.2
Reads as: riskier than 87.7% 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.

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
billing conduct95.966.80.300.230822.13in index
regulatory risk91.789.40.300.230821.16in index
financial risk55.048.90.300.230812.69in index
staffing risk34.334.40.250.19236.60in index
chow risk20.920.20.150.11542.41in 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

7
KindFindingSignalSubjectFirst seen
connectionOwner spans multiple chains33 chainsWELLTOWER OP LLC147 facilities
connectionOwner spans multiple chains4 chainsPOWERBACK REHABILITATION LLC32 facilities
connectionOwner fleet enforcement cluster46% finedGHC HOLDINGS LLC11 facilities
connectionOwner fleet enforcement cluster44% finedFC GEN OPERATIONS INVESTMENT LLC23 facilities
connectionOwner fleet enforcement cluster40% finedBQ REALTY HOLDINGS LLC5 facilities
connectionOwner fleet enforcement cluster40% finedBOLD QUAIL HOLDINGS LLC20 facilities
connectionOwner fleet enforcement cluster40% finedGEN BQ JV HOLDINGS LLC20 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 conduct66.8Dv0.1-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 risk15.4Av0.6default · in composite
financial risk48.9Cv0.5default · in compositeR18.
p adverse action 12m0.0v0.1default · 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 12m9.6v0.1default · 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 risk89.4Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk34.4Bv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk82.3Fv0.1supersededPre-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 risk62.3Cv0.2supersededPre-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 risk56.1Cv0.3supersededPre-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 risk52.0Cv0.4supersededPre-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 risk89.4Fv0.1supersededPre-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 risk89.4Fv0.2supersededPre-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 risk34.4Bv0.1supersededPre-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 risk34.4Bv0.2supersededPre-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)
9.6%
model v0.1 · computed 2026-07-29
Percentile among SNFs
97.4
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Chain size (log)5.24+0.71
For-profit ownership1.00+0.69
Never sold on record1.00+0.62
Current owner tenure (years)25.00+0.57
Occupancy0.89-0.56
Deficiencies, last 12 months25.00+0.44
No PBJ staffing report0.00+0.42
Ownership changes, last 5 years0.00+0.20
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
0.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Deficiencies, last 12 months25.00-3.21
Chain size (log)5.24-1.84
For-profit ownership1.00-0.69
Occupancy0.89-0.60
Fine amount, 12m (log)9.79-0.54
No PBJ staffing report0.00+0.39
Total nurse staffing (HPRD)3.56-0.15
Never sold on record1.00+0.12
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.

Staffing vs peers

16
2025Q4 HPRDThis facilityCA medianNational medianNational p25–p75
Total nurse3.563.953.282.90–3.77
RN0.230.380.390.25–0.58
Weekend total3.583.793.11
Weekday total3.564.013.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49277.53.560.230.912.433.580.0%
2025Q39278.63.510.190.942.393.550.0%
2025Q29177.83.420.170.902.353.350.0%
2025Q19075.93.510.160.912.443.510.0%
2024Q49275.53.670.170.942.563.660.0%
2024Q39274.73.560.170.882.513.560.0%
2024Q29178.53.380.160.832.383.410.0%
2024Q19173.43.510.240.842.433.540.0%
2023Q49271.93.710.210.912.593.670.0%
2023Q39276.03.590.220.992.373.560.0%
2023Q29167.43.730.241.002.483.680.0%
2023Q19076.73.670.201.132.343.500.0%
2022Q49276.53.690.221.062.413.530.0%
2022Q39278.83.620.231.002.393.580.0%
2022Q29177.43.440.280.952.193.330.1%
2022Q19075.93.380.230.942.213.350.1%
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

2
fines by year
$17.9k$8.9k232425
DateTypeFineSource
2025-12-31Fine$17,882CMS provider data
2023-07-29Fine$12,649CMS provider data
Total fines on record: $30,531

Deficiencies

92
B × 1D × 53E × 32F × 2G × 3J × 1
deficiencies by survey year
301523242526
SurveyTypeTagDeficiencyScopeCorrected
2026-01-08HealthF0558Reasonably accommodate the needs and preferences of each resident.D2026-01-15
2026-01-08HealthF0578Honor 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.D2026-01-15
2026-01-08Health · complaintF0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.D2026-01-15
2026-01-08HealthF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D2026-01-15
2026-01-08HealthF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D2026-01-15
2026-01-08Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2026-01-15
2026-01-08HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2026-01-15
2026-01-08Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G2026-01-15
2026-01-08Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2026-01-15
2026-01-08Health · complaintF0697Provide safe, appropriate pain management for a resident who requires such services.D2026-01-15
2026-01-08Health · complaintF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.D2026-01-15
2026-01-08HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.D2026-01-15
2026-01-08HealthF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D2026-01-15
2026-01-08HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2026-01-15
2026-01-08HealthF0826Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor.D2026-01-15
2026-01-08HealthF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.D2026-01-15
2026-01-08HealthF0880Provide and implement an infection prevention and control program.E2026-01-15
2026-01-08HealthF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.B2026-01-15
2025-12-31Health · 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.E2026-01-06
2025-11-20Health · complaintF0790Provide routine and 24-hour emergency dental care for each resident.D2025-11-25
2025-11-20Health · complaintF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D2025-11-25
2025-09-03Health · complaintF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.D2025-09-05
2025-08-15Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2025-08-20
2025-08-15Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E2025-08-20
2025-08-15Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2025-08-20
2025-07-03Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-07-09
2025-07-03Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2025-07-09
2025-07-03Health · complaintF0880Provide and implement an infection prevention and control program.E2025-07-09
2025-06-06Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.E2025-06-11
2025-06-06Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-06-11
2025-06-06Health · complaintF0692Provide enough food/fluids to maintain a resident's health.E2025-06-11
2025-06-06Health · complaintF0865Have a plan that describes the process for conducting QAPI and QAA activities.E2025-06-11
2025-05-29Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-06-03
2025-05-29Health · complaintF0695Provide safe and appropriate respiratory care for a resident when needed.D2025-06-03
2025-05-29Health · 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.D2025-06-03
2025-05-04Health · complaintF0558Reasonably accommodate the needs and preferences of each resident.E2025-05-06
2025-05-04Health · 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.E2025-05-06
2025-05-04Health · complaintF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.D2025-05-06
2025-05-04Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-05-06
2025-05-04Health · complaintF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.D2025-05-06
2025-05-04Health · complaintF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.D2025-05-06
2025-04-24Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.E2025-04-29
2025-04-24Health · complaintF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E2025-04-29
2025-04-24Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2025-04-29
2025-04-24Health · complaintF0770Provide timely, quality laboratory services/tests to meet the needs of residents.D2025-04-29
2025-04-24Health · complaintF0880Provide and implement an infection prevention and control program.E2025-04-29
2025-04-24Health · complaintF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.D2025-04-29
2025-01-30Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-02-05
2024-11-15HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2024-11-20
2024-11-15HealthF0558Reasonably accommodate the needs and preferences of each resident.E2024-11-20
2024-11-15HealthF0583Keep residents' personal and medical records private and confidential.E2024-11-20
2024-11-15HealthF0637Assess the resident when there is a significant change in conditionD2024-11-20
2024-11-15HealthF0645PASARR screening for Mental disorders or Intellectual DisabilitiesD2024-11-20
2024-11-15HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E2024-11-20
2024-11-15HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-11-20
2024-11-15HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2024-11-20
2024-11-15HealthF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.E2024-11-20
2024-11-15HealthF0759Ensure medication error rates are not 5 percent or greater.D2024-11-20
2024-11-15HealthF0760Ensure that residents are free from significant medication errors.D2024-11-20
2024-11-15HealthF0761Ensure 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.E2024-11-20
2024-11-15HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2024-11-20
2024-11-15HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2024-11-20
2024-11-15HealthF0880Provide and implement an infection prevention and control program.E2024-11-20
2024-11-15HealthF0881Implement a program that monitors antibiotic use.D2024-11-20
2024-11-15HealthF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.D2024-11-20
2024-09-25Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.G2024-10-05
2024-09-25Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2024-10-05
2024-05-14Health · complaintF0695Provide safe and appropriate respiratory care for a resident when needed.E2024-05-20
2024-02-08Health · 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.D2024-02-22
2023-12-21Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-01-20
2023-10-27HealthF0558Reasonably accommodate the needs and preferences of each resident.D2023-11-27
2023-10-27HealthF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.D2023-11-27
2023-10-27HealthF0641Ensure each resident receives an accurate assessment.D2023-11-27
2023-10-27HealthF0645PASARR screening for Mental disorders or Intellectual DisabilitiesD2023-11-27
2023-10-27HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E2023-11-27
2023-10-27HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E2023-11-27
2023-10-27HealthF0685Assist a resident in gaining access to vision and hearing services.D2023-11-27
2023-10-27HealthF0688Provide 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.D2023-11-27
2023-10-27HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2023-11-27
2023-10-27HealthF0758Implement 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.E2023-11-27
2023-10-27HealthF0760Ensure that residents are free from significant medication errors.E2023-11-27
2023-10-27HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2023-11-27
2023-10-27HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E2023-11-27
2023-10-27HealthF0880Provide and implement an infection prevention and control program.E2023-11-27
2023-10-27HealthF0907Provide enough space and equipment to meet each resident's needsD2023-11-27
2023-09-28Health · complaintF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.E2023-10-28
2023-09-28Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E2023-10-28
2023-08-15Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E2023-09-14
2023-08-15Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2023-09-14
2023-08-15Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2023-09-14
2023-07-29Health · 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.J2023-08-27
2023-06-06Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2023-06-23
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

53
OwnerRolePctFromStatusSource
20820 EARL ST PROPERTY LLCOther (financial or non-financial)2024-01-01currenthcris_a_8_1
20820 EARL STREET PROPERTY LLCADP OF THE SNF2020-02-01currentpecos_ownership
9560 PICO LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST2020-02-01currentpecos_ownership
9560 PICO LLCADP OF THE SNF2020-08-01currentpecos_ownership
BOATWRIGHT-WILLIAMS, MONNIECEADP OF THE SNF2025-03-16currentpecos_ownership
BOLD QUAIL HOLDINGS LLCADP OF THE SNF2020-02-01currentpecos_ownership
BQ MASTER TENANT LLCADP OF THE SNF2025-08-14currentpecos_ownership
BQ REALTY HOLDINGS LLCADP OF THE SNF2020-02-01currentpecos_ownership
DAVOUDIAN, SOHAILADP OF THE SNF2020-10-06currentpecos_ownership
FC-GEN OPERATIONS INVESTMENT LLCADP OF THE SNF2020-02-01currentpecos_ownership
FISHMAN, STEVENINDIRECT OWNERSHIP INTEREST2020-02-01currentpecos_ownership
GEN BQ JV HOLDINGS LLCADP OF THE SNF2020-02-01currentpecos_ownership
GEN OPERATIONS I LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST2020-02-01currentpecos_ownership
GEN OPERATIONS II LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST2020-02-01currentpecos_ownership
GENESIS HEALTHCARE INC5% OR GREATER INDIRECT OWNERSHIP INTEREST2015-02-02currentpecos_ownership
GENESIS HEALTHCARE INCADP OF THE SNF2020-02-01currentpecos_ownership
GENESIS HEALTHCARE LLCADP OF THE SNF2020-02-01currentpecos_ownership
GENESIS HEALTHCARE LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST2015-02-02currentpecos_ownership
GENESIS HOLDINGS LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST2020-02-01currentpecos_ownership
GHC HOLDINGS LLCADP OF THE SNF2020-02-01currentpecos_ownership
GHC JV HOLDINGS LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST2020-02-01currentpecos_ownership
HAYES, ALICIAOPERATIONAL/MANAGERIAL CONTROL2024-09-23currentpecos_ownership
HCCF MANAGEMENT GROUP XI LLCADP OF THE SNF2020-02-01currentpecos_ownership
NEWGEN ADMINISTRATIVE SERVICES, LLCADP OF THE SNF2020-02-01currentpecos_ownership
NEWGEN LLCADP OF THE SNF2020-02-01currentpecos_ownership
PICO AR LLCADP OF THE SNF2020-02-01currentpecos_ownership
POWERBACK REHABILITATION LLCADP OF THE SNF2020-02-01currentpecos_ownership
ROBIN, AARONMANAGING CONTROL - GOVERNING BODY2025-11-03currentpecos_ownership
ROBIN, AARONADP OF THE SNF2020-02-01currentpecos_ownership
SHAW, PAMELAOPERATIONAL/MANAGERIAL CONTROL2020-02-01currentpecos_ownership
SUN HEALTHCARE GROUP INC5% OR GREATER INDIRECT OWNERSHIP INTEREST2015-02-02currentpecos_ownership
SUN HEALTHCARE GROUP INCADP OF THE SNF2020-02-01currentpecos_ownership
SUNDANCE REHABILITATION HOLDCO INCINDIRECT OWNERSHIP INTEREST2020-02-01currentpecos_ownership
TRESS, AVROHOMMANAGING CONTROL - GOVERNING BODY2025-11-03currentpecos_ownership
TRESS, AVROHOMADP OF THE SNF2020-02-01currentpecos_ownership
WELLTOWER OP, LLCINDIRECT OWNERSHIP INTEREST2020-02-01currentpecos_ownership
WHITMAN, ARNOLD5% OR GREATER INDIRECT OWNERSHIP INTEREST2020-02-01currentpecos_ownership
ZAC PROPERTIES XI LLCINDIRECT OWNERSHIP INTEREST2020-02-01currentpecos_ownership
AARON ROBIN5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2020-02-01ended 2026-05-18pecos_ownership
AVROHOM TRESS5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2020-02-01ended 2026-05-18pecos_ownership
BQ OPERATIONS HOLDINGS LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2020-02-01ended 2026-05-18pecos_ownership
FC-GEN OPERATIONS INVESTMENT LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2015-02-02ended 2026-05-18pecos_ownership
GEN OPERATIONS I LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2015-02-02ended 2026-05-18pecos_ownership
GEN OPERATIONS II LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2015-02-02ended 2026-05-18pecos_ownership
ARNOLD WHITMAN5% OR GREATER INDIRECT OWNERSHIP INTEREST17%2015-02-02ended 2026-05-18pecos_ownership
HCCF MANAGEMENT GROUP XI LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST15%2015-02-02ended 2026-05-18pecos_ownership
STEVEN FISHMAN5% OR GREATER INDIRECT OWNERSHIP INTEREST11%2015-02-02ended 2026-05-18pecos_ownership
ZAC PROPERTIES XI LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST8%2015-02-02ended 2026-05-18pecos_ownership
SUNDANCE REHABILITATION HOLDCO INC5% OR GREATER INDIRECT OWNERSHIP INTEREST6%2016-01-01ended 2026-05-18pecos_ownership
WELLTOWER OP, LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST6%2024-03-01ended 2026-05-18pecos_ownership
MICHAEL BERGW-2 MANAGING EMPLOYEE0%2024-06-01ended 2026-05-18pecos_ownership
PAMELA SHAWW-2 MANAGING EMPLOYEE0%2024-08-09ended 2026-05-18pecos_ownership
TIANZIANG ZHOUOPERATIONAL/MANAGERIAL CONTROL0%2024-08-26ended 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 Center144TRACY RIDGE HEALTHCARE, INC.
2025-04-01ALAMITOS WEST HEALTH & REHABILITATION150MALCOLM HEALTHCARE, INC.
2025-04-01PACIFIC HAVEN SUBACUTE AND HEALTHCARE CENTER99STRAWBERRY POND HEALTHCARE LLC
2025-01-16GOLDEN HARBOR HEALTHCARE CENTER99CEYLON HOLDINGS LLC
2024-12-30GRASS VALLEY HEALTHCARE CENTER86HEISMAN LLC
2024-10-01REDWOOD GROVE POST ACUTE144SOQUEL CARE LLC
2024-09-01OAK GROVE POST ACUTE1194545 SHELLEY COURT OPCO, LLC
2024-08-01WE CARE SKILLED NURSING - FREMONT99WE CARE SKILLED NURSING-FREMONT, LLC
2024-05-01MAJESTIC MOUNTAIN CARE CENTER66OAKHURST SKILLED CARE LLC
2024-04-01THE BRADLEY GARDENS44GHC OF SAN JACINTO LLC
2024-04-01SANTA FE POST-ACUTE187SKILLED BOBIER LLC
2024-04-01BAYSHIRE SAN DIMAS POST-ACUTE45SKILLED 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 06037acs median gross0$1,5232024-12-31CENSUS_ACS5
county 06037fmr0$1,8632025-10-01HUD_USER_FMR
county 06037acs median gross1$1,7242024-12-31CENSUS_ACS5
county 06037fmr1$2,0852025-10-01HUD_USER_FMR
county 06037acs median gross2$2,1272024-12-31CENSUS_ACS5
county 06037fmr2$2,6012025-10-01HUD_USER_FMR
county 06037acs median gross3$2,4842024-12-31CENSUS_ACS5
county 06037fmr3$3,2982025-10-01HUD_USER_FMR
county 06037acs median gross4$2,8662024-12-31CENSUS_ACS5
county 06037fmr4$3,6722025-10-01HUD_USER_FMR
county 06037acs median gross5$2,7672024-12-31CENSUS_ACS5
county 06037acs median gross$1,9542024-12-31CENSUS_ACS5
county 06037acs recent mover gross$2,3582024-12-31CENSUS_ACS5
zcta 90503acs median gross0$1,6152024-12-31CENSUS_ACS5
zcta 90503acs median gross1$2,0162024-12-31CENSUS_ACS5
zcta 90503acs median gross2$2,4622024-12-31CENSUS_ACS5
zcta 90503acs median gross3$3,2282024-12-31CENSUS_ACS5
zcta 90503acs median gross4$3,5012024-12-31CENSUS_ACS5
zcta 90503acs median gross$2,3022024-12-31CENSUS_ACS5
zcta 90503acs recent mover gross$2,5842024-12-31CENSUS_ACS5
zip 90503payment standard 1100$2,7832025-10-01HUD_USER_SAFMR
zip 90503payment standard 900$2,2772025-10-01HUD_USER_SAFMR
zip 90503safmr0$2,5302025-10-01HUD_USER_SAFMR
zip 90503payment standard 1101$3,1132025-10-01HUD_USER_SAFMR
zip 90503payment standard 901$2,5472025-10-01HUD_USER_SAFMR
zip 90503safmr1$2,8302025-10-01HUD_USER_SAFMR
zip 90503payment standard 1102$3,8832025-10-01HUD_USER_SAFMR
zip 90503payment standard 902$3,1772025-10-01HUD_USER_SAFMR
zip 90503safmr2$3,5302025-10-01HUD_USER_SAFMR
zip 90503payment standard 1103$4,9282025-10-01HUD_USER_SAFMR
zip 90503payment standard 903$4,0322025-10-01HUD_USER_SAFMR
zip 90503safmr3$4,4802025-10-01HUD_USER_SAFMR
zip 90503payment standard 1104$5,4782025-10-01HUD_USER_SAFMR
zip 90503payment standard 904$4,4822025-10-01HUD_USER_SAFMR
zip 90503safmr4$4,9802025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.