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 23:54 UTC
Screener / 056056
C

The Meadows on Sunset Post Acute

snfCA
5154 SUNSET BLVD, LOS ANGELES, CA 90027 · CCN 056056 · chain HCCF MANAGEMENT GROUP XI LLC
Composite
80.1 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
159
Model
v1.2
Reads as: riskier than 80.1% 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 signals1Components16CHOW radar1Distress radar1Staffing16Penalties1Deficiencies106Licensure0Ownership30Related party5Transactions0Comps12Market rent36

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk90.788.30.300.230820.93in index
financial risk73.861.90.300.230817.03in index
chow risk76.454.70.150.11548.82in index
billing conduct36.734.50.300.23088.47in index
staffing risk27.727.80.250.19235.33in 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

1
KindFindingSignalSubjectFirst seen
connectionOwner fleet enforcement cluster40% finedGENESIS ADMINISTRATIVE SERVICES LLC15 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 conduct34.5Bv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk45.0Cv0.1-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 risk64.4Cv0.6default · in composite
financial risk61.9Cv0.5default · in compositeR18.
p adverse action 12m0.0—v0.1default · in compositeR23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite.
p chow 12m14.9—v0.1default · in compositeR22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite.
regulatory risk88.3Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk27.8Bv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk88.6Fv0.1supersededPre-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 risk68.6Dv0.2supersededPre-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 risk61.0Cv0.3supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk63.6Cv0.4supersededPre-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 risk88.2Fv0.1supersededPre-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 risk88.2Fv0.2supersededPre-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 risk27.8Bv0.1supersededPre-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 risk27.8Bv0.2supersededPre-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)
14.9%
model v0.1 · computed 2026-07-29
Percentile among SNFs
99.5
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Deficiencies, last 12 months44.00+0.90
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
No PBJ staffing report0.00+0.42
Occupancy0.77-0.21
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 months44.00-6.73
Chain size (log)5.24-1.84
For-profit ownership1.00-0.69
No PBJ staffing report0.00+0.39
Total nurse staffing (HPRD)3.71-0.21
Fine amount, 12m (log)0.00+0.18
Facility size (log beds)5.08-0.15
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 nurse3.713.953.282.90–3.77
RN0.290.380.390.25–0.58
Weekend total3.593.793.11—
Weekday total3.764.013.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q492122.23.710.290.852.563.591.1%
2025Q392135.83.550.360.712.483.550.0%
2025Q291136.43.540.380.722.443.520.0%
2025Q190136.43.580.420.722.453.550.0%
2024Q492134.63.650.410.762.473.610.0%
2024Q392129.93.660.330.882.453.580.0%
2024Q291128.63.620.270.922.433.560.0%
2024Q191122.63.650.270.942.443.580.0%
2023Q492119.53.650.240.972.433.560.0%
2023Q392113.33.710.270.992.453.610.0%
2023Q291119.53.620.211.042.373.4812.4%
2023Q190119.73.460.271.072.133.3819.3%
2022Q492101.43.770.321.212.243.6215.0%
2022Q392129.02.970.270.871.822.705.7%
2022Q291132.33.000.240.801.962.825.0%
2022Q190129.23.070.330.761.982.970.0%
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.

Penalties

1
DateTypeFineSource
2024-08-09Fine$21,681CMS provider data
Total fines on record: $21,681

Deficiencies

106
B × 2C × 1D × 67E × 33J × 3
deficiencies by survey year
452323242526
SurveyTypeTagDeficiencyScopeCorrected
2026-04-10HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E2026-05-01
2026-04-10HealthF0558Reasonably accommodate the needs and preferences of each resident.E2026-05-01
2026-04-10HealthF0563Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.D2026-05-01
2026-04-10HealthF0576Ensure residents have reasonable access to and privacy in their use of communication methods.D2026-05-01
2026-04-10HealthF0578Honor 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.D2026-05-01
2026-04-10HealthF0584Honor 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.D2026-05-01
2026-04-10HealthF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.E2026-05-01
2026-04-10HealthF0645PASARR screening for Mental disorders or Intellectual DisabilitiesD2026-05-01
2026-04-10HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2026-05-01
2026-04-10HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E2026-05-01
2026-04-10HealthF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D2026-05-01
2026-04-10HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2026-05-01
2026-04-10HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2026-05-01
2026-04-10HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E2026-05-01
2026-04-10HealthF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.E2026-05-01
2026-04-10HealthF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.D2026-05-01
2026-04-10HealthF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.D2026-05-01
2026-04-10HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2026-05-01
2026-04-10HealthF0697Provide safe, appropriate pain management for a resident who requires such services.D2026-05-01
2026-04-10HealthF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.E2026-05-01
2026-04-10HealthF0760Ensure that residents are free from significant medication errors.E2026-05-01
2026-04-10HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2026-05-01
2026-04-10HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2026-05-01
2026-04-10HealthF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D2026-05-01
2026-04-10HealthF0880Provide and implement an infection prevention and control program.E2026-05-01
2026-04-10HealthF0881Implement a program that monitors antibiotic use.D2026-05-01
2026-04-10HealthF0908Keep all essential equipment working safely.D2026-05-01
2026-03-04Health · complaintF0919Make sure that a working call system is available in each resident's bathroom and bathing area.E2026-03-13
2026-02-04Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2026-02-13
2026-01-14Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2026-01-29
2025-12-15Health · complaintF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.D2026-01-08
2025-12-15Health · complaintF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D2026-01-08
2025-12-15Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2026-01-08
2025-12-15Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E2026-01-08
2025-12-15Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2026-01-08
2025-12-08Health · complaintF0760Ensure that residents are free from significant medication errors.E2025-12-17
2025-11-18Health · complaintF0679Provide activities to meet all resident's needs.D2025-12-13
2025-11-18Health · complaintF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2025-12-13
2025-11-18Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2025-12-13
2025-10-10Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-12-01
2025-10-10Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2025-12-19
2025-10-10Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.J2025-12-01
2025-10-10Health · complaintF0760Ensure that residents are free from significant medication errors.E2025-12-01
2025-10-10Health · complaintF0880Provide and implement an infection prevention and control program.D2025-12-19
2025-06-17Health · complaintF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2025-06-18
2025-06-17Health · complaintF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D2025-06-18
2025-05-06Health · complaintF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.E2025-05-07
2025-05-06Health · complaintF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.D2025-05-07
2025-05-06Health · complaintF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2025-05-07
2025-05-06Health · complaintF0880Provide and implement an infection prevention and control program.E2025-05-07
2025-03-06Health · 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.D2025-03-07
2025-03-06Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2025-03-07
2025-03-06Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2025-03-07
2025-02-06Health · complaintF0880Provide and implement an infection prevention and control program.D2025-02-06
2025-01-03HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2025-01-10
2025-01-03HealthF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.D2025-01-10
2025-01-03HealthF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.E2025-01-10
2025-01-03HealthF0641Ensure each resident receives an accurate assessment.B2025-01-10
2025-01-03HealthF0645PASARR screening for Mental disorders or Intellectual DisabilitiesD2025-01-10
2025-01-03HealthF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD2025-01-10
2025-01-03HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-01-10
2025-01-03HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.E2025-01-10
2025-01-03HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E2025-01-10
2025-01-03HealthF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2025-01-10
2025-01-03HealthF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.D2025-01-10
2025-01-03HealthF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.D2025-01-10
2025-01-03HealthF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D2025-01-10
2025-01-03HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2025-01-10
2025-01-03HealthF0759Ensure medication error rates are not 5 percent or greater.E2025-01-10
2025-01-03HealthF0760Ensure that residents are free from significant medication errors.E2025-01-10
2025-01-03HealthF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.E2025-01-10
2025-01-03HealthF0814Dispose of garbage and refuse properly.E2025-01-10
2025-01-03HealthF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D2025-01-10
2025-01-03HealthF0880Provide and implement an infection prevention and control program.E2025-01-10
2025-01-03HealthF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.D2025-01-10
2024-10-28Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2024-10-29
2024-10-28Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2024-10-29
2024-10-28Health · complaintF0919Make sure that a working call system is available in each resident's bathroom and bathing area.D2024-10-29
2024-09-06Health · complaintF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.D2024-09-06
2024-08-09Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.J2024-08-27
2024-08-09Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2024-08-27
2024-06-17Health · 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.D2024-06-20
2024-04-26Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2024-05-02
2024-02-09Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2024-02-27
2023-12-29HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2024-01-26
2023-12-29HealthF0558Reasonably accommodate the needs and preferences of each resident.D2024-01-26
2023-12-29HealthF0576Ensure residents have reasonable access to and privacy in their use of communication methods.E2024-01-26
2023-12-29HealthF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.D2024-01-26
2023-12-29HealthF0641Ensure each resident receives an accurate assessment.B2024-01-26
2023-12-29HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E2024-01-26
2023-12-29HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.E2024-01-26
2023-12-29HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2024-01-26
2023-12-29HealthF0688Provide 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.D2024-01-26
2023-12-29HealthF0732Post nurse staffing information every day.C2024-01-26
2023-12-29HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2024-01-26
2023-12-29HealthF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.E2024-01-26
2023-12-29HealthF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D2024-01-26
2023-12-29HealthF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D2024-01-26
2023-12-29HealthF0880Provide and implement an infection prevention and control program.D2024-01-26
2023-10-13Health · complaintF0695Provide safe and appropriate respiratory care for a resident when needed.D2023-11-12
2023-08-07Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2023-09-06
2023-08-07Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2023-09-06
2023-08-07Health · complaintF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.D2023-09-06
2023-08-07Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2023-09-06
2023-08-07Health · complaintF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D2023-09-06
2023-08-07Health · complaintF0880Provide and implement an infection prevention and control program.D2023-09-06
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

30
OwnerRolePctFromStatusSource
SUMMIT CARE LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2004-07-19currentpecos_ownership
BERG, MICHAELCORPORATE OFFICER—2015-02-02currentpecos_ownership
BRIDGEFORD, LAURACORPORATE OFFICER—2024-06-01currentpecos_ownership
EFTEKHARI, ROSHANAKOPERATIONAL/MANAGERIAL CONTROL—2014-02-01currentpecos_ownership
GEN OPERATIONS I LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST—2015-02-02currentpecos_ownership
GEN OPERATIONS II LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST—2015-02-02currentpecos_ownership
GENESIS ADMINISTRATIVE SERVICES LLCOPERATIONAL/MANAGERIAL CONTROL—2019-01-01currentpecos_ownership
GENESIS ADMINISTRATIVE SERVICES LLCADP OF THE SNF—2025-04-22currentpecos_ownership
GENESIS HEALTHCARE INC5% OR GREATER INDIRECT OWNERSHIP INTEREST—2016-01-01currentpecos_ownership
GENESIS HEALTHCARE LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST—2015-02-02currentpecos_ownership
MAXIMIUK, KATELYNADP OF THE SNF—2022-12-09currentpecos_ownership
MENDELSON, AVICORPORATE OFFICER—2024-06-01currentpecos_ownership
MORRIS, DIANEOPERATIONAL/MANAGERIAL CONTROL—2023-12-27currentpecos_ownership
SKILLED HEALTHCARE LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST—2015-02-02currentpecos_ownership
SUMMIT CARE PARENT LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST—2013-01-01currentpecos_ownership
SUN HEALTHCARE GROUP INC5% OR GREATER INDIRECT OWNERSHIP INTEREST—2016-01-01currentpecos_ownership
WHITMAN, ARNOLD5% OR GREATER INDIRECT OWNERSHIP INTEREST—2015-02-02currentpecos_ownership
AVI MENDELSONCORPORATE OFFICER100%2024-06-01ended 2026-05-18pecos_ownership
FC-GEN OPERATIONS INVESTMENT LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2015-02-02ended 2026-05-18pecos_ownership
LAURA BRIDGEFORDCORPORATE OFFICER100%2024-06-01ended 2026-05-18pecos_ownership
MICHAEL BERGCORPORATE OFFICER100%2015-02-02ended 2026-05-18pecos_ownership
ARNOLD WHITMAN5% OR GREATER INDIRECT OWNERSHIP INTEREST11%2015-02-02ended 2026-05-18pecos_ownership
HCCF MANAGEMENT GROUP XI LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST11%2016-01-01ended 2026-05-18pecos_ownership
STEVEN FISHMAN5% OR GREATER INDIRECT OWNERSHIP INTEREST8%2015-02-02ended 2026-05-18pecos_ownership
ZAC PROPERTIES XI LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST8%2016-01-01ended 2026-05-18pecos_ownership
WELLTOWER OP, LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST5%2024-06-01ended 2026-05-18pecos_ownership
SUNDANCE REHABILITATION HOLDCO INC5% OR GREATER INDIRECT OWNERSHIP INTEREST5%2016-01-01ended 2026-05-18pecos_ownership
DIANE MORRISOPERATIONAL/MANAGERIAL CONTROL0%2023-12-27ended 2026-05-18pecos_ownership
KATELYN MAXIMIUKADP OF THE SNF—2022-12-09ended 2026-05-18pecos_ownership
ROSHANAK EFTEKHARIOPERATIONAL/MANAGERIAL CONTROL—2014-02-01ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

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

Comparable trades — CA snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-08-01Turlock Nursing & Rehabilitation Center———144TRACY RIDGE HEALTHCARE, INC.
2025-04-01ALAMITOS WEST HEALTH & REHABILITATION———150MALCOLM HEALTHCARE, INC.
2025-04-01PACIFIC HAVEN SUBACUTE AND HEALTHCARE CENTER———99STRAWBERRY POND HEALTHCARE LLC
2025-01-16GOLDEN HARBOR HEALTHCARE CENTER———99CEYLON HOLDINGS LLC
2024-12-30GRASS VALLEY HEALTHCARE CENTER———86HEISMAN LLC
2024-10-01REDWOOD GROVE POST ACUTE———144SOQUEL CARE LLC
2024-09-01OAK GROVE POST ACUTE———1194545 SHELLEY COURT OPCO, LLC
2024-08-01WE CARE SKILLED NURSING - FREMONT———99WE CARE SKILLED NURSING-FREMONT, LLC
2024-05-01MAJESTIC MOUNTAIN CARE CENTER———66OAKHURST SKILLED CARE LLC
2024-04-01THE BRADLEY GARDENS———44GHC OF SAN JACINTO LLC
2024-04-01SANTA FE POST-ACUTE———187SKILLED BOBIER LLC
2024-04-01BAYSHIRE SAN DIMAS POST-ACUTE———45SKILLED SAN DIMAS LLC
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.

Market rent context

36
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 90027acs median gross0$1,4422024-12-31CENSUS_ACS5
zcta 90027acs median gross1$1,8762024-12-31CENSUS_ACS5
zcta 90027acs median gross2$2,5062024-12-31CENSUS_ACS5
zcta 90027acs median gross3$2,4122024-12-31CENSUS_ACS5
zcta 90027acs median gross4$3,5012024-12-31CENSUS_ACS5
zcta 90027acs median gross5$3,5012024-12-31CENSUS_ACS5
zcta 90027acs median gross$1,9402024-12-31CENSUS_ACS5
zcta 90027acs recent mover gross$2,4082024-12-31CENSUS_ACS5
zip 90027payment standard 1100$2,7062025-10-01HUD_USER_SAFMR
zip 90027payment standard 900$2,2142025-10-01HUD_USER_SAFMR
zip 90027safmr0$2,4602025-10-01HUD_USER_SAFMR
zip 90027payment standard 1101$3,0362025-10-01HUD_USER_SAFMR
zip 90027payment standard 901$2,4842025-10-01HUD_USER_SAFMR
zip 90027safmr1$2,7602025-10-01HUD_USER_SAFMR
zip 90027payment standard 1102$3,7842025-10-01HUD_USER_SAFMR
zip 90027payment standard 902$3,0962025-10-01HUD_USER_SAFMR
zip 90027safmr2$3,4402025-10-01HUD_USER_SAFMR
zip 90027payment standard 1103$4,7962025-10-01HUD_USER_SAFMR
zip 90027payment standard 903$3,9242025-10-01HUD_USER_SAFMR
zip 90027safmr3$4,3602025-10-01HUD_USER_SAFMR
zip 90027payment standard 1104$5,3462025-10-01HUD_USER_SAFMR
zip 90027payment standard 904$4,3742025-10-01HUD_USER_SAFMR
zip 90027safmr4$4,8602025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.
CII Terminal tearsheet · The Meadows on Sunset Post Acute (056056) · generated 2026-08-04 · every number derives from public records (CMS Care Compare, PBJ, POS, penalty and survey files, state licensure registers) · scores are published model outputs with holdout metrics disclosed at cii-terminal.vercel.app/transparency