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 23:00 UTC
Screener / 555115
C

MAJESTIC MOUNTAIN CARE CENTER

snfCASFF: SFF Candidate
40131 HIGHWAY 49, OAKHURST, CA 93644 · CCN 555115 · chain BAYSHIRE LLC
Composite
83.8 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
66
Model
v1.2
Reads as: riskier than 83.8% 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
regulatory risk97.396.00.300.230822.45in index
financial risk69.959.10.300.230816.13in index
billing conduct46.137.80.300.230810.64in index
staffing risk38.038.10.250.19237.31in index
chow risk52.450.60.150.11546.05in 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 chainsGROSSMAN STEPHEN18 facilities
connectionOwner spans multiple chains5 chainsCARTER BENJAMIN8 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 conduct37.8Bv0.1-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 risk76.2Dv0.6default · in composite
financial risk59.1Cv0.5default · 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 12m0.0v0.1default · 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 risk96.0Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk38.1Bv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk76.3Dv0.1supersededPre-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 risk56.3Cv0.2supersededPre-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 risk74.0Dv0.3supersededPre-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 risk57.4Cv0.4supersededPre-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 risk96.0Fv0.1supersededPre-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 risk96.0Fv0.2supersededPre-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 risk38.1Bv0.1supersededPre-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 risk38.1Bv0.2supersededPre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.

CHOW radar — 12-month sale probability

full board →
p(CHOW, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
7.0
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Current owner tenure (years)2.24-1.63
Never sold on record0.00-1.62
Ownership changes, last 5 years1.00-0.87
For-profit ownership1.00+0.69
Occupancy0.93-0.66
Contract staffing share0.39+0.50
No PBJ staffing report0.00+0.42
High-severity deficiencies, 12m3.00+0.14
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
10.1
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Occupancy0.93-0.75
For-profit ownership1.00-0.69
No PBJ staffing report0.00+0.39
Contract staffing share0.39+0.34
Never sold on record0.00-0.28
Current owner tenure (years)2.24-0.26
Deficiencies, last 12 months9.00-0.24
Ownership changes, last 5 years1.00+0.23
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 nurse3.493.953.282.90–3.77
RN0.190.380.390.25–0.58
Weekend total3.453.793.11
Weekday total3.514.013.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49261.13.490.190.822.483.4538.6%
2025Q39259.73.180.230.872.083.1233.8%
2025Q29162.53.370.200.832.343.3329.5%
2025Q19062.63.270.200.962.103.1210.5%
2024Q49263.13.620.240.972.413.4811.2%
2024Q39264.83.580.350.852.373.3824.6%
2024Q29160.32.840.300.691.852.650.0%
2024Q19154.53.560.360.812.393.372.9%
2023Q49261.13.510.410.802.293.307.8%
2023Q39262.63.400.380.752.283.154.7%
2023Q29163.52.890.570.411.912.310.1%
2023Q19061.92.700.580.431.682.100.0%
2022Q49262.12.020.490.511.021.750.0%
2022Q39259.72.170.590.491.092.210.0%
2022Q29154.52.850.670.521.652.744.4%
2022Q19055.22.390.560.511.332.350.7%
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

4
fines by year
$160.7k$80.3k2425
DateTypeFineSource
2025-07-24Fine$160,666CMS provider data
2025-07-24Payment DenialCMS provider data
2024-08-07Fine$92,017CMS provider data
2024-08-07Payment DenialCMS provider data
Total fines on record: $252,683

Deficiencies

62
D × 38E × 6F × 12G × 4K × 1L × 1
deficiencies by survey year
24121921232526
SurveyTypeTagDeficiencyScopeCorrected
2026-04-28Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2026-03-24Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2026-04-18
2026-03-24Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2026-04-18
2026-01-28Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2026-02-28
2025-12-02Health · complaintF0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.D2025-12-18
2025-10-30Health · complaintF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.G2025-12-02
2025-09-12Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2025-10-07
2025-09-12Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2025-10-07
2025-09-12Health · complaintF0697Provide safe, appropriate pain management for a resident who requires such services.G2025-12-02
2025-07-24HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2025-10-30
2025-07-24HealthF0584Honor 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.E2025-11-13
2025-07-24HealthF0692Provide enough food/fluids to maintain a resident's health.G2025-10-30
2025-07-24HealthF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.E2025-10-30
2025-07-24HealthF0730Observe each nurse aide's job performance and give regular training.D2025-10-30
2025-07-24HealthF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.F2025-10-30
2025-07-24HealthF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.F2025-10-30
2025-07-24HealthF0803Ensure 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.E2025-10-30
2025-07-24HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.F2025-10-30
2025-07-24HealthF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D2025-10-30
2025-07-24HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2025-10-30
2025-07-24HealthF0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.F2025-10-30
2025-07-24HealthF0880Provide and implement an infection prevention and control program.F2025-10-30
2025-07-24HealthF0908Keep all essential equipment working safely.F2025-10-30
2025-06-05Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2025-07-03
2025-06-05Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-07-03
2025-02-12Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-03-07
2025-01-30Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2025-02-20
2025-01-30Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-02-20
2024-08-15Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2024-10-14
2024-08-07HealthF0565Honor the resident's right to organize and participate in resident/family groups in the facility.F2024-08-29
2024-08-07HealthF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2024-08-29
2024-08-07HealthF0585Honor 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.F2024-08-29
2024-08-07HealthF0638Assure that each resident’s assessment is updated at least once every 3 months.D2024-08-29
2024-08-07HealthF0641Ensure each resident receives an accurate assessment.D2024-08-29
2024-08-07HealthF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D2024-08-29
2024-08-07HealthF0645PASARR screening for Mental disorders or Intellectual DisabilitiesD2024-08-29
2024-08-07HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2024-08-29
2024-08-07HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.K2024-08-29
2024-08-07HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-08-29
2024-08-07HealthF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.E2024-08-29
2024-08-07HealthF0759Ensure medication error rates are not 5 percent or greater.E2024-08-29
2024-08-07HealthF0880Provide and implement an infection prevention and control program.L2024-08-29
2024-05-15Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E2024-07-22
2024-05-06Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2024-05-17
2024-03-01Health · complaintF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D2024-03-25
2024-03-01Health · complaintF0880Provide and implement an infection prevention and control program.D2024-03-25
2023-12-29Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2024-01-26
2023-11-13Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2023-11-30
2023-11-13Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2023-11-30
2023-11-13Health · complaintF0880Provide and implement an infection prevention and control program.D2023-11-30
2023-08-09Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2023-09-01
2023-08-09Health · complaintF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D2023-09-01
2019-08-30HealthF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.F2019-11-22
2019-08-30HealthF0583Keep residents' personal and medical records private and confidential.D2019-11-22
2019-08-30HealthF0584Honor 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.D2019-11-22
2019-08-30HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2019-11-22
2019-08-30HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.D2019-11-22
2019-08-30HealthF0730Observe each nurse aide's job performance and give regular training.D2019-11-22
2019-08-30HealthF0758Implement 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.D2019-11-22
2019-08-30HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2019-11-22
2019-08-30HealthF0880Provide and implement an infection prevention and control program.F2019-11-22
2019-08-30HealthF0908Keep all essential equipment working safely.D2019-11-22
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

14
OwnerRolePctFromStatusSource
BAYSHIRE CENTRAL VALLEY LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2024-05-01currentpecos_ownership
CARTER, BENJAMINOPERATIONAL/MANAGERIAL CONTROL2024-05-01currentpecos_ownership
COLEMAN, CHADOPERATIONAL/MANAGERIAL CONTROL2023-06-01currentpecos_ownership
GROSSMAN, STEPHENOPERATIONAL/MANAGERIAL CONTROL2023-01-30currentpecos_ownership
KIRBY, SCOTTOPERATIONAL/MANAGERIAL CONTROL2024-05-01currentpecos_ownership
PARROTT, JASONCORPORATE DIRECTOR2023-01-30currentpecos_ownership
SALOW, DONALDOPERATIONAL/MANAGERIAL CONTROL2024-05-01currentpecos_ownership
BAYSHIRE LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST51%2024-05-01ended 2026-05-18pecos_ownership
SCOTT KIRBY5% OR GREATER INDIRECT OWNERSHIP INTEREST51%2024-05-01ended 2026-05-18pecos_ownership
BENJAMIN CARTER5% OR GREATER INDIRECT OWNERSHIP INTEREST25%2024-05-01ended 2026-05-18pecos_ownership
DONALD SALOW5% OR GREATER INDIRECT OWNERSHIP INTEREST25%2024-05-01ended 2026-05-18pecos_ownership
CHAD COLEMANADP OF THE SNF2023-06-01ended 2026-05-18pecos_ownership
JASON PARROTTADP OF THE SNF2023-01-30ended 2026-05-18pecos_ownership
STEPHEN GROSSMANADP OF THE SNF2023-01-30ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

1
Close datePriceBuyerSellerEvidence
2024-05-01OAKHURST SKILLED CARE LLCOAKHURST NURSING AND REHAB CENTER LLCchow

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 CENTERthis facility66OAKHURST 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

32
GeoKindBRAmountAs ofSource
county 06039acs median gross0$1,1842024-12-31CENSUS_ACS5
county 06039fmr0$1,0552025-10-01HUD_USER_FMR
county 06039acs median gross1$8982024-12-31CENSUS_ACS5
county 06039fmr1$1,0622025-10-01HUD_USER_FMR
county 06039acs median gross2$1,1992024-12-31CENSUS_ACS5
county 06039fmr2$1,3762025-10-01HUD_USER_FMR
county 06039acs median gross3$1,5612024-12-31CENSUS_ACS5
county 06039fmr3$1,9142025-10-01HUD_USER_FMR
county 06039acs median gross4$1,9122024-12-31CENSUS_ACS5
county 06039fmr4$2,2752025-10-01HUD_USER_FMR
county 06039acs median gross5$2,4272024-12-31CENSUS_ACS5
county 06039acs median gross$1,3902024-12-31CENSUS_ACS5
county 06039acs recent mover gross$1,5972024-12-31CENSUS_ACS5
zcta 93644acs median gross1$1,1302024-12-31CENSUS_ACS5
zcta 93644acs median gross2$1,1382024-12-31CENSUS_ACS5
zcta 93644acs median gross3$1,9332024-12-31CENSUS_ACS5
zcta 93644acs median gross$1,5962024-12-31CENSUS_ACS5
zip 93644payment standard 1100$1,3752025-10-01HUD_USER_SAFMR
zip 93644payment standard 900$1,1252025-10-01HUD_USER_SAFMR
zip 93644safmr0$1,2502025-10-01HUD_USER_SAFMR
zip 93644payment standard 1101$1,3862025-10-01HUD_USER_SAFMR
zip 93644payment standard 901$1,1342025-10-01HUD_USER_SAFMR
zip 93644safmr1$1,2602025-10-01HUD_USER_SAFMR
zip 93644payment standard 1102$1,7932025-10-01HUD_USER_SAFMR
zip 93644payment standard 902$1,4672025-10-01HUD_USER_SAFMR
zip 93644safmr2$1,6302025-10-01HUD_USER_SAFMR
zip 93644payment standard 1103$2,4972025-10-01HUD_USER_SAFMR
zip 93644payment standard 903$2,0432025-10-01HUD_USER_SAFMR
zip 93644safmr3$2,2702025-10-01HUD_USER_SAFMR
zip 93644payment standard 1104$2,9592025-10-01HUD_USER_SAFMR
zip 93644payment standard 904$2,4212025-10-01HUD_USER_SAFMR
zip 93644safmr4$2,6902025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.