Composite
81.9 / 100 percentile
Screener / 505386
C
MARYSVILLE CARE CENTER
snfWA
1821 GROVE STREET, MARYSVILLE, WA 98270 · CCN 505386 · chain LIFE CARE CENTERS OF AMERICA INC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
97
Model
v1.2
Reads as: riskier than 81.9% 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 signals3Components16CHOW radar1Distress radar1Staffing16Penalties2Deficiencies44Licensure0Ownership32Related party5Transactions1Comps12Market rent36
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 89.7 | 87.3 | 0.30 | 0.2308 | 20.70 | in index |
| financial risk | 66.5 | 56.8 | 0.30 | 0.2308 | 15.35 | in index |
| billing conduct | 66.1 | 45.9 | 0.30 | 0.2308 | 15.25 | in index |
| chow risk | 51.3 | 49.4 | 0.15 | 0.1154 | 5.92 | in index |
| staffing risk | 22.1 | 22.2 | 0.25 | 0.1923 | 4.25 | in 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
3| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +23.4 vs natl | BHUMKAR NISHITA | 5 facilities |
| connection | Owner spans multiple chains | 5 chains | BHUMKAR NISHITA | 5 facilities |
| connection | Owner fleet enforcement cluster | 40% fined | BHUMKAR NISHITA | 5 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 type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 45.9 | C | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 25.0 | B | v0.1-pos | default · in composite | Change-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 risk | 73.8 | D | v0.6 | default · in composite | |
| financial risk | 56.8 | C | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.0 | — | v0.1 | default · in composite | R23/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 12m | 0.2 | — | v0.1 | default · in composite | R22/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 risk | 87.3 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 22.2 | A | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 78.5 | D | v0.1 | superseded | Pre-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 risk | 58.5 | C | v0.2 | superseded | Pre-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 risk | 50.2 | C | v0.3 | superseded | Pre-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 risk | 60.9 | C | v0.4 | superseded | Pre-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 risk | 87.2 | F | v0.1 | superseded | Pre-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 risk | 87.2 | F | v0.2 | superseded | Pre-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 risk | 22.2 | A | v0.1 | superseded | Pre-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 risk | 22.2 | A | v0.2 | superseded | Pre-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)
0.2%
model v0.1 · computed 2026-07-29
Percentile among SNFs
37.0
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 10.49 | -0.83 | |
| Chain size (log) | 5.31 | +0.73 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Occupancy | 0.78 | -0.25 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Total nurse staffing (HPRD) | 3.84 | -0.16 |
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
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 5.31 | -1.89 | |
| Deficiencies, last 12 months | 12.00 | -0.80 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Total nurse staffing (HPRD) | 3.84 | -0.26 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Occupancy | 0.78 | -0.15 |
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 HPRD | This facility | WA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.84 | 3.70 | 3.28 | 2.90–3.77 |
| RN | 0.97 | 0.62 | 0.39 | 0.25–0.58 |
| Weekend total | 3.60 | 3.51 | 3.11 | — |
| Weekday total | 3.93 | 3.79 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 76.1 | 3.84 | 0.97 | 0.47 | 2.40 | 3.60 | 0.3% |
| 2025Q3 | 92 | 78.4 | 3.66 | 0.87 | 0.46 | 2.34 | 3.32 | 0.0% |
| 2025Q2 | 91 | 77.8 | 3.65 | 0.80 | 0.53 | 2.32 | 3.42 | 0.0% |
| 2025Q1 | 90 | 77.0 | 3.58 | 0.79 | 0.51 | 2.29 | 3.36 | 0.0% |
| 2024Q4 | 92 | 72.6 | 3.80 | 0.70 | 0.78 | 2.32 | 3.48 | 0.0% |
| 2024Q3 | 92 | 69.3 | 3.87 | 0.77 | 0.76 | 2.35 | 3.55 | 0.0% |
| 2024Q2 | 91 | 65.4 | 3.90 | 0.79 | 0.77 | 2.34 | 3.55 | 0.0% |
| 2024Q1 | 91 | 68.0 | 3.56 | 0.71 | 0.67 | 2.18 | 3.27 | 0.0% |
| 2023Q4 | 92 | 64.5 | 3.61 | 0.67 | 0.71 | 2.23 | 3.20 | 1.8% |
| 2023Q3 | 92 | 61.3 | 3.60 | 0.61 | 0.87 | 2.12 | 3.21 | 5.3% |
| 2023Q2 | 91 | 64.6 | 3.27 | 0.51 | 0.85 | 1.91 | 2.72 | 16.4% |
| 2023Q1 | 90 | 63.0 | 3.39 | 0.56 | 0.92 | 1.91 | 3.04 | 22.1% |
| 2022Q4 | 92 | 53.8 | 3.28 | 0.63 | 0.81 | 1.84 | 2.76 | 15.8% |
| 2022Q3 | 92 | 48.9 | 3.40 | 0.75 | 0.85 | 1.80 | 2.88 | 13.0% |
| 2022Q2 | 91 | 53.8 | 3.17 | 0.48 | 0.85 | 1.83 | 2.66 | 5.5% |
| 2022Q1 | 90 | 53.3 | 3.41 | 0.41 | 0.83 | 2.17 | 2.97 | 7.7% |
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
2fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-06-17 | Fine | $19,115 | CMS provider data |
| 2023-08-30 | Fine | $82,576 | CMS provider data |
Total fines on record: $101,691
Deficiencies
44D × 36E × 5G × 3
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-09-29 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | 2025-11-29 |
| 2025-09-29 | Health | F0578 | Honor 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. | D | 2025-11-29 |
| 2025-09-29 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-11-29 |
| 2025-09-29 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2025-11-29 |
| 2025-09-29 | Health | F0646 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D | 2025-11-29 |
| 2025-09-29 | Health | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2025-11-29 |
| 2025-09-29 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-11-29 |
| 2025-09-29 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2025-11-29 |
| 2025-09-29 | Health | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | 2025-11-29 |
| 2025-09-29 | Health | F0761 | Ensure 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. | D | 2025-11-29 |
| 2025-09-29 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-11-29 |
| 2025-09-29 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2025-11-29 |
| 2025-07-22 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2025-08-15 |
| 2025-07-22 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | G | 2025-08-15 |
| 2025-06-17 | Health · complaint | F0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D | 2025-07-17 |
| 2025-06-17 | Health · complaint | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | 2025-07-17 |
| 2025-06-17 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-07-17 |
| 2025-02-11 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-03-07 |
| 2024-10-11 | Health | F0585 | Honor 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. | D | 2024-10-31 |
| 2024-10-11 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2024-10-31 |
| 2024-10-11 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2024-10-31 |
| 2024-10-11 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-10-31 |
| 2024-10-11 | Health | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2024-10-31 |
| 2024-10-11 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-10-31 |
| 2024-10-11 | Health | F0685 | Assist a resident in gaining access to vision and hearing services. | D | 2024-10-31 |
| 2024-10-11 | Health | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | 2024-10-31 |
| 2024-10-11 | Health | F0758 | Implement 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. | D | 2024-10-31 |
| 2024-10-11 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2024-10-31 |
| 2024-10-11 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2024-10-31 |
| 2024-10-11 | Health · complaint | F0895 | Have a Compliance and Ethics Program. | E | 2024-10-31 |
| 2024-04-30 | Health · complaint | F0624 | Prepare residents for a safe transfer or discharge from the nursing home. | D | 2024-05-15 |
| 2024-04-30 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-05-15 |
| 2024-04-30 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-05-15 |
| 2024-02-27 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-03-07 |
| 2024-02-06 | Health · complaint | F0585 | Honor 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. | D | 2024-02-21 |
| 2024-02-06 | Health · complaint | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | 2024-02-21 |
| 2023-09-15 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-10-04 |
| 2023-09-15 | Health | F0578 | Honor 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. | D | 2023-10-04 |
| 2023-09-15 | Health · complaint | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | E | 2023-10-04 |
| 2023-09-15 | Health | F0758 | Implement 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. | D | 2023-10-04 |
| 2023-09-15 | Health | F0761 | Ensure 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. | D | 2023-10-04 |
| 2023-09-15 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2023-10-04 |
| 2023-08-30 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2023-09-20 |
| 2023-08-30 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | G | 2023-09-20 |
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
0No 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
32| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| CASCADE MEDICAL INVESTORS LIMITED PARTNERSHIP | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2015-08-06 | current | pecos_ownership |
| MARYSVILLE MED INV LLC | Individual has financial interest in both related organization and provider | 100% | 2024-01-01 | current | hcris_a_8_1 |
| MARYSVILLE MED INV LLC | Individual has financial interest in both related organization and provider | 100% | 2023-01-01 | current | hcris_a_8_1 |
| BHUMKAR, NISHITA | ADP OF THE SNF | — | 2025-04-07 | current | pecos_ownership |
| BHUMKAR, NISHITA | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-10-17 | current | pecos_ownership |
| BUTNER, NANCY | MANAGING CONTROL - GOVERNING BODY | — | 2018-09-16 | current | pecos_ownership |
| CASCADE MEDICAL INVESTORS LIMITED PARTNERSHIP | ADP OF THE SNF | — | 2000-12-20 | current | pecos_ownership |
| CROES, SHAUNA | MANAGING CONTROL - GOVERNING BODY | — | 2025-01-28 | current | pecos_ownership |
| CROSS, CINDY | CORPORATE OFFICER | — | 2015-08-24 | current | pecos_ownership |
| DEVELOPERS INVESTMENT COMPANY INC | INDIRECT OWNERSHIP INTEREST | — | 2015-08-06 | current | pecos_ownership |
| ESPINOZA BELTRAN, REGULO | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-11-01 | current | pecos_ownership |
| ESPINOZA BELTRAN, REGULO | ADP OF THE SNF | — | 2025-03-24 | current | pecos_ownership |
| FLETCHER, TODD | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-13 | current | pecos_ownership |
| HENRY, TERRY | CORPORATE DIRECTOR | — | 2015-08-24 | current | pecos_ownership |
| LAY, LISA | CORPORATE OFFICER | — | 2018-02-09 | current | pecos_ownership |
| LAY, LISA | CORPORATE DIRECTOR | — | 2017-04-24 | current | pecos_ownership |
| LIFE CARE CENTERS OF AMERICA, INC. | OPERATIONAL/MANAGERIAL CONTROL | — | 2015-08-24 | current | pecos_ownership |
| LIFE CARE CENTERS OF AMERICA, INC. | ADP OF THE SNF | — | 2025-03-24 | current | pecos_ownership |
| PRESTON, AUBREY | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-13 | current | pecos_ownership |
| PRESTON, FORREST | ADP OF THE SNF | — | 2000-12-20 | current | pecos_ownership |
| SWANKER, RICHARD | CORPORATE OFFICER | — | 2015-05-24 | current | pecos_ownership |
| SWANKER, RICHARD | CORPORATE DIRECTOR | — | 2022-01-01 | current | pecos_ownership |
| THURMOND, JOAN | CORPORATE OFFICER | — | 2015-08-24 | current | pecos_ownership |
| ZIEGLER, JAMES | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-13 | current | pecos_ownership |
| FORREST PRESTON | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2015-08-06 | ended 2026-05-18 | pecos_ownership |
| LIFE CARE CENTERS OF AMERICA, INC. | OPERATIONAL/MANAGERIAL CONTROL | 100% | 2016-02-01 | ended 2026-05-18 | pecos_ownership |
| MARYSVILLE MED INV LLC | Individual has financial interest in both related organization and provider | 100% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| MARYSVILLE MED INV LLC | Individual has financial interest in both related organization and provider | 100% | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| MARYSVILLE MED INV LLC | Individual has financial interest in both related organization and provider | 100% | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| CINDY CROSS | CORPORATE OFFICER | — | 2015-08-06 | ended 2026-05-18 | pecos_ownership |
| JOAN THURMOND | CORPORATE OFFICER | — | 2015-08-06 | ended 2026-05-18 | pecos_ownership |
| JOSEPH LILIENTHAL | W-2 MANAGING EMPLOYEE | — | 2022-02-28 | ended 2026-05-18 | pecos_ownership |
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Transactions
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2016-02-01 | — | MARYSVILLE OPERATIONS LLC | CASCADE MEDICAL INVESTORS LIMITED PARTNERSHIP | chow |
Comparable trades — WA snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-06-01 | Bremerton Trails Post Acute | — | — | — | 125 | RINCON BEACH, LLC |
| 2025-06-01 | Othello Post Acute | — | — | — | 39 | DOHENY BEACH, LLC |
| 2025-06-01 | Edmonds Post Acute | — | — | — | 128 | SALT CREEK BEACH, LLC |
| 2025-05-21 | AURORA VALLEY CARE | — | — | — | 124 | AURORA VALLEY CARE LLC |
| 2025-05-21 | THREE RIVERS CARE | — | — | — | 83 | THREE RIVERS CARE LLC |
| 2025-05-21 | FIR LANE CARE | — | — | — | 135 | FIR LANE CARE LLC |
| 2025-05-21 | SPOKANE FALLS CARE | — | — | — | 100 | SPOKANE FALLS CARE LLC |
| 2025-05-01 | MARIANWOOD HEALTH AND REHABILITATION | — | — | — | 117 | LUNA VEGA HEALTHCARE LLC |
| 2025-04-01 | WOODARD CREEK HEALTH & REHABILITATION | — | — | — | 152 | WOODARD SNF OPERATIONS LLC |
| 2025-03-12 | Avalon Healthcare - Tacoma | — | — | — | 81 | AVALON HEALTHCARE-TACOMA LLC |
| 2025-03-01 | SOUTH HILL REHABILITATION AND CARE CENTER | — | — | — | 113 | LAST EMPIRE HEALTHCARE LLC |
| 2024-08-01 | PINE RIDGE POST ACUTE | — | — | — | 80 | PINE 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| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 53061 | acs median gross | 0 | $1,577 | 2024-12-31 | CENSUS_ACS5 |
| county 53061 | fmr | 0 | $2,074 | 2025-10-01 | HUD_USER_FMR |
| county 53061 | acs median gross | 1 | $1,637 | 2024-12-31 | CENSUS_ACS5 |
| county 53061 | fmr | 1 | $2,146 | 2025-10-01 | HUD_USER_FMR |
| county 53061 | acs median gross | 2 | $1,936 | 2024-12-31 | CENSUS_ACS5 |
| county 53061 | fmr | 2 | $2,501 | 2025-10-01 | HUD_USER_FMR |
| county 53061 | acs median gross | 3 | $2,366 | 2024-12-31 | CENSUS_ACS5 |
| county 53061 | fmr | 3 | $3,272 | 2025-10-01 | HUD_USER_FMR |
| county 53061 | acs median gross | 4 | $2,922 | 2024-12-31 | CENSUS_ACS5 |
| county 53061 | fmr | 4 | $3,847 | 2025-10-01 | HUD_USER_FMR |
| county 53061 | acs median gross | 5 | $3,283 | 2024-12-31 | CENSUS_ACS5 |
| county 53061 | acs median gross | $1,949 | 2024-12-31 | CENSUS_ACS5 | |
| county 53061 | acs recent mover gross | $2,089 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 98270 | acs median gross | 0 | $1,526 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98270 | acs median gross | 1 | $1,274 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98270 | acs median gross | 2 | $1,706 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98270 | acs median gross | 3 | $2,175 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98270 | acs median gross | 4 | $3,023 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98270 | acs median gross | 5 | $2,843 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98270 | acs median gross | $1,918 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 98270 | acs recent mover gross | $2,189 | 2024-12-31 | CENSUS_ACS5 | |
| zip 98270 | payment standard 110 | 0 | $1,980 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98270 | payment standard 90 | 0 | $1,620 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98270 | safmr | 0 | $1,800 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98270 | payment standard 110 | 1 | $2,035 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98270 | payment standard 90 | 1 | $1,665 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98270 | safmr | 1 | $1,850 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98270 | payment standard 110 | 2 | $2,376 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98270 | payment standard 90 | 2 | $1,944 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98270 | safmr | 2 | $2,160 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98270 | payment standard 110 | 3 | $3,135 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98270 | payment standard 90 | 3 | $2,565 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98270 | safmr | 3 | $2,850 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98270 | payment standard 110 | 4 | $3,652 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98270 | payment standard 90 | 4 | $2,988 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98270 | safmr | 4 | $3,320 | 2025-10-01 | HUD_USER_SAFMR |
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.