Composite
31.8 / 100 percentile
Screener / 555659
B
SAN DIEGO POST-ACUTE CENTER
snfCA
1201 SOUTH ORANGE AVE., EL CAJON, CA 92020 · CCN 555659 · chain PACS HOLDINGS LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
240
Model
v1.2
Reads as: riskier than 31.8% 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.
Score model5ML signals5Components16CHOW radar1Distress radar1Staffing15Penalties3Deficiencies88Licensure0Ownership17Related party5Transactions0Comps12Market rent35
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 88.4 | 85.8 | 0.30 | 0.2308 | 20.40 | in index |
| billing conduct | 52.1 | 40.2 | 0.30 | 0.2308 | 12.02 | in index |
| chow risk | 43.0 | 41.2 | 0.15 | 0.1154 | 4.96 | in index |
| staffing risk | 15.8 | 15.9 | 0.25 | 0.1923 | 3.04 | in index |
| financial risk | 4.2 | 12.6 | 0.30 | 0.2308 | 0.97 | 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
5| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner spans multiple chains | 7 chains | JERGENSEN JOSHUA | 249 facilities |
| connection | Owner spans multiple chains | 7 chains | MITCHELL JOHN | 264 facilities |
| connection | Owner spans multiple chains | 6 chains | APT FREDERICK | 254 facilities |
| connection | Owner spans multiple chains | 5 chains | HANCOCK MARK | 158 facilities |
| connection | Owner fleet enforcement cluster | 40% fined | MICHLIN BERNARD | 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 | 40.2 | B | 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 | 57.5 | C | v0.6 | default · in composite | |
| financial risk | 12.6 | A | 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 | 4.8 | — | 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 | 85.8 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 15.9 | A | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 78.8 | 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 | 58.8 | 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 | 33.3 | B | 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 | 18.7 | A | 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 | 85.7 | 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 | 85.7 | 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 | 15.9 | 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 | 15.9 | 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)
4.8%
model v0.1 · computed 2026-07-29
Percentile among SNFs
88.6
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Occupancy | 0.97 | -0.80 | |
| Chain size (log) | 5.51 | +0.77 | |
| For-profit ownership | 1.00 | +0.69 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Total nurse staffing (HPRD) | 4.06 | -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
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 5.51 | -2.01 | |
| Occupancy | 0.97 | -0.94 | |
| Deficiencies, last 12 months | 12.00 | -0.80 | |
| For-profit ownership | 1.00 | -0.69 | |
| Fine amount, 12m (log) | 10.47 | -0.59 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Total nurse staffing (HPRD) | 4.06 | -0.36 | |
| Facility size (log beds) | 5.48 | -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
15| 2025Q4 HPRD | This facility | CA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 4.06 | 3.95 | 3.28 | 2.90–3.77 |
| RN | 0.50 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 3.89 | 3.79 | 3.11 | — |
| Weekday total | 4.13 | 4.01 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 233.4 | 4.06 | 0.50 | 1.04 | 2.52 | 3.89 | 0.0% |
| 2025Q3 | 92 | 234.3 | 4.24 | 0.49 | 1.07 | 2.67 | 3.95 | 0.0% |
| 2025Q2 | 91 | 235.5 | 3.96 | 0.40 | 1.17 | 2.39 | 3.74 | 0.0% |
| 2025Q1 | 90 | 237.2 | 3.95 | 0.38 | 1.38 | 2.19 | 3.67 | 0.0% |
| 2024Q4 | 92 | 236.2 | 4.15 | 0.45 | 1.40 | 2.30 | 3.58 | 0.0% |
| 2024Q3 | 92 | 237.1 | 4.04 | 0.38 | 1.37 | 2.29 | 3.57 | 0.0% |
| 2024Q2 | 91 | 234.7 | 4.09 | 0.57 | 1.21 | 2.31 | 3.83 | 0.0% |
| 2024Q1 | 91 | 232.1 | 3.96 | 0.38 | 1.33 | 2.25 | 3.92 | 0.0% |
| 2023Q4 | 92 | 230.8 | 3.79 | 0.28 | 1.33 | 2.18 | 3.55 | 0.0% |
| 2023Q3 | 92 | 227.4 | 3.79 | 0.26 | 1.38 | 2.14 | 3.57 | 0.0% |
| 2023Q2 | 91 | 228.8 | 3.95 | 0.33 | 1.22 | 2.40 | 3.76 | 0.0% |
| 2023Q1 | 90 | 218.7 | 4.13 | 0.39 | 1.20 | 2.53 | 3.85 | 0.0% |
| 2022Q3 | 92 | 206.2 | 3.75 | 0.42 | 1.16 | 2.17 | 3.63 | 0.0% |
| 2022Q2 | 91 | 195.9 | 2.88 | 0.43 | 0.94 | 1.51 | 2.77 | 0.0% |
| 2022Q1 | 90 | 183.0 | 3.13 | 0.62 | 0.98 | 1.52 | 2.99 | 0.0% |
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
3fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2026-01-23 | Fine | $35,282 | CMS provider data |
| 2026-01-23 | Payment Denial | — | CMS provider data |
| 2024-07-17 | Fine | $11,213 | CMS provider data |
Total fines on record: $46,495
Deficiencies
88D × 76E × 8F × 2G × 2
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-16 | Health · complaint | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2026-05-16 |
| 2026-03-10 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2026-04-02 |
| 2026-03-04 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2026-03-20 |
| 2026-01-23 | Health · complaint | F0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | 2026-02-22 |
| 2026-01-23 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2026-02-22 |
| 2026-01-23 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2026-02-22 |
| 2026-01-23 | Health · complaint | F0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | D | 2026-02-22 |
| 2026-01-23 | Health · complaint | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | 2026-02-22 |
| 2026-01-23 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2026-02-22 |
| 2025-12-02 | 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 | 2025-12-12 |
| 2025-12-02 | Health · complaint | 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 | 2025-12-12 |
| 2025-09-18 | Health · complaint | 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 | 2025-09-30 |
| 2025-07-14 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | — |
| 2025-07-14 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | — |
| 2025-06-03 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-06-27 |
| 2025-05-15 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-06-09 |
| 2025-05-15 | Health · complaint | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | 2025-06-09 |
| 2025-03-19 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-04-16 |
| 2025-02-27 | Health | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | 2025-03-27 |
| 2025-02-27 | 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 | 2025-03-27 |
| 2025-02-27 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-03-27 |
| 2025-02-27 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-03-27 |
| 2025-02-27 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-03-27 |
| 2025-02-27 | Health | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2025-03-27 |
| 2025-02-27 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-03-27 |
| 2025-02-27 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2025-03-27 |
| 2025-02-27 | 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 | 2025-03-27 |
| 2025-02-27 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2025-03-27 |
| 2025-02-27 | 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. | E | 2025-03-27 |
| 2025-02-27 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2025-03-27 |
| 2025-02-27 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-03-27 |
| 2025-02-27 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | E | 2025-03-27 |
| 2025-02-27 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2025-03-27 |
| 2025-02-27 | Health | F0908 | Keep all essential equipment working safely. | D | 2025-03-27 |
| 2025-01-24 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-02-14 |
| 2024-09-05 | Health · complaint | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | 2024-10-04 |
| 2024-07-17 | Health · complaint | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2024-07-31 |
| 2024-07-17 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2024-07-31 |
| 2024-05-28 | Health · complaint | F0583 | Keep residents' personal and medical records private and confidential. | D | 2024-06-26 |
| 2024-05-01 | Health · complaint | 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 | 2024-05-31 |
| 2024-02-20 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-03-12 |
| 2024-02-09 | 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 | 2024-02-22 |
| 2023-12-28 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-01-15 |
| 2023-12-28 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-01-15 |
| 2023-10-30 | 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 | 2023-11-10 |
| 2023-10-05 | Health · complaint | 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 | 2023-10-23 |
| 2023-10-05 | Health · complaint | F0710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | D | 2023-10-23 |
| 2023-10-05 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2023-10-23 |
| 2023-08-28 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-09-11 |
| 2023-08-10 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-09-07 |
| 2023-08-10 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2023-09-07 |
| 2023-08-10 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2023-09-07 |
| 2023-08-10 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2023-09-07 |
| 2023-08-10 | Health · complaint | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | 2023-09-07 |
| 2023-06-30 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2023-07-14 |
| 2023-06-27 | 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 | 2023-07-12 |
| 2022-06-16 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2022-08-23 |
| 2022-06-16 | 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 | 2022-08-23 |
| 2022-06-16 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2022-08-23 |
| 2022-06-16 | Health | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2022-08-23 |
| 2022-06-16 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2022-08-23 |
| 2022-06-16 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2022-08-23 |
| 2022-06-16 | Health | F0693 | Ensure 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. | D | 2022-08-23 |
| 2022-06-16 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2022-08-23 |
| 2022-06-16 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2022-08-23 |
| 2022-06-16 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2022-08-23 |
| 2022-06-16 | Health | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | D | 2022-08-23 |
| 2022-06-16 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2022-08-23 |
| 2022-06-16 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2022-08-23 |
| 2022-06-16 | Health | F0886 | Perform COVID19 testing on residents and staff. | D | 2022-08-23 |
| 2022-06-16 | Health | F0887 | Educate 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. | D | 2022-08-23 |
| 2019-05-23 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2019-06-23 |
| 2019-05-23 | 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 | 2019-06-23 |
| 2019-05-23 | Health | F0584 | Honor 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. | D | 2019-06-23 |
| 2019-05-23 | 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 | 2019-06-23 |
| 2019-05-23 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2019-06-23 |
| 2019-05-23 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2019-06-23 |
| 2019-05-23 | Health | F0688 | Provide 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. | D | 2019-06-23 |
| 2019-05-23 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2019-06-23 |
| 2019-05-23 | Health | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | 2019-06-23 |
| 2019-05-23 | Health | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | 2019-06-23 |
| 2019-05-23 | 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 | 2019-06-23 |
| 2019-05-23 | Health | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | D | 2019-06-23 |
| 2019-05-23 | Health | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | 2019-06-23 |
| 2019-05-23 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2019-06-23 |
| 2019-05-23 | Health | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | 2019-06-23 |
| 2019-05-23 | Health | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | 2019-06-23 |
| 2019-05-23 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2019-06-23 |
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.
Licensure actions
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
17| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| APT, FREDERICK | CORPORATE OFFICER | — | 2024-01-01 | current | pecos_ownership |
| HANCOCK, MARK | CORPORATE OFFICER | — | 2021-11-05 | current | pecos_ownership |
| JENKINS, WILLIAM | W-2 MANAGING EMPLOYEE | — | 2024-01-15 | current | pecos_ownership |
| JERGENSEN, JOSHUA | CORPORATE OFFICER | — | 2024-01-01 | current | pecos_ownership |
| MICHLIN, BERNARD | CONTRACTED MANAGING EMPLOYEE | — | 2022-12-01 | current | pecos_ownership |
| MITCHELL, JOHN | CORPORATE OFFICER | — | 2024-01-01 | current | pecos_ownership |
| PACS GROUP, INC. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2023-06-30 | ended 2026-05-18 | pecos_ownership |
| PACS HOLDINGS, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2023-06-30 | ended 2026-05-18 | pecos_ownership |
| PROVIDENCE GROUP NH, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2023-06-30 | ended 2026-05-18 | pecos_ownership |
| JASON MURRAY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 42% | 2024-04-15 | ended 2026-05-18 | pecos_ownership |
| MARK HANCOCK | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 42% | 2024-04-15 | ended 2026-05-18 | pecos_ownership |
| BERNARD MICHLIN | CONTRACTED MANAGING EMPLOYEE | — | 2022-12-01 | ended 2026-05-18 | pecos_ownership |
| FREDERICK APT | CORPORATE OFFICER | — | 2024-01-01 | ended 2026-05-18 | pecos_ownership |
| JOHN MITCHELL | CORPORATE OFFICER | — | 2024-01-01 | ended 2026-05-18 | pecos_ownership |
| JOSHUA JERGENSEN | CORPORATE OFFICER | — | 2024-01-01 | ended 2026-05-18 | pecos_ownership |
| MARK HANCOCK | CORPORATE OFFICER | — | 2021-11-05 | ended 2026-05-18 | pecos_ownership |
| WILLIAM JENKINS | W-2 MANAGING EMPLOYEE | — | 2024-01-15 | 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
0No 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| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-08-01 | Turlock Nursing & Rehabilitation Center | — | — | — | 144 | TRACY RIDGE HEALTHCARE, INC. |
| 2025-04-01 | ALAMITOS WEST HEALTH & REHABILITATION | — | — | — | 150 | MALCOLM HEALTHCARE, INC. |
| 2025-04-01 | PACIFIC HAVEN SUBACUTE AND HEALTHCARE CENTER | — | — | — | 99 | STRAWBERRY POND HEALTHCARE LLC |
| 2025-01-16 | GOLDEN HARBOR HEALTHCARE CENTER | — | — | — | 99 | CEYLON HOLDINGS LLC |
| 2024-12-30 | GRASS VALLEY HEALTHCARE CENTER | — | — | — | 86 | HEISMAN LLC |
| 2024-10-01 | REDWOOD GROVE POST ACUTE | — | — | — | 144 | SOQUEL CARE LLC |
| 2024-09-01 | OAK GROVE POST ACUTE | — | — | — | 119 | 4545 SHELLEY COURT OPCO, LLC |
| 2024-08-01 | WE CARE SKILLED NURSING - FREMONT | — | — | — | 99 | WE CARE SKILLED NURSING-FREMONT, LLC |
| 2024-05-01 | MAJESTIC MOUNTAIN CARE CENTER | — | — | — | 66 | OAKHURST SKILLED CARE LLC |
| 2024-04-01 | THE BRADLEY GARDENS | — | — | — | 44 | GHC OF SAN JACINTO LLC |
| 2024-04-01 | SANTA FE POST-ACUTE | — | — | — | 187 | SKILLED BOBIER LLC |
| 2024-04-01 | BAYSHIRE SAN DIMAS POST-ACUTE | — | — | — | 45 | SKILLED SAN DIMAS LLC |
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
35| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 06073 | acs median gross | 0 | $1,761 | 2024-12-31 | CENSUS_ACS5 |
| county 06073 | fmr | 0 | $2,288 | 2025-10-01 | HUD_USER_FMR |
| county 06073 | acs median gross | 1 | $1,888 | 2024-12-31 | CENSUS_ACS5 |
| county 06073 | fmr | 1 | $2,459 | 2025-10-01 | HUD_USER_FMR |
| county 06073 | acs median gross | 2 | $2,290 | 2024-12-31 | CENSUS_ACS5 |
| county 06073 | fmr | 2 | $3,001 | 2025-10-01 | HUD_USER_FMR |
| county 06073 | acs median gross | 3 | $2,826 | 2024-12-31 | CENSUS_ACS5 |
| county 06073 | fmr | 3 | $3,998 | 2025-10-01 | HUD_USER_FMR |
| county 06073 | acs median gross | 4 | $3,451 | 2024-12-31 | CENSUS_ACS5 |
| county 06073 | fmr | 4 | $4,845 | 2025-10-01 | HUD_USER_FMR |
| county 06073 | acs median gross | 5 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| county 06073 | acs median gross | $2,246 | 2024-12-31 | CENSUS_ACS5 | |
| county 06073 | acs recent mover gross | $2,729 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 92020 | acs median gross | 0 | $1,598 | 2024-12-31 | CENSUS_ACS5 |
| zcta 92020 | acs median gross | 1 | $1,660 | 2024-12-31 | CENSUS_ACS5 |
| zcta 92020 | acs median gross | 2 | $1,983 | 2024-12-31 | CENSUS_ACS5 |
| zcta 92020 | acs median gross | 3 | $2,394 | 2024-12-31 | CENSUS_ACS5 |
| zcta 92020 | acs median gross | 4 | $2,909 | 2024-12-31 | CENSUS_ACS5 |
| zcta 92020 | acs median gross | $1,865 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 92020 | acs recent mover gross | $2,181 | 2024-12-31 | CENSUS_ACS5 | |
| zip 92020 | payment standard 110 | 0 | $2,244 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92020 | payment standard 90 | 0 | $1,836 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92020 | safmr | 0 | $2,040 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92020 | payment standard 110 | 1 | $2,409 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92020 | payment standard 90 | 1 | $1,971 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92020 | safmr | 1 | $2,190 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92020 | payment standard 110 | 2 | $2,937 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92020 | payment standard 90 | 2 | $2,403 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92020 | safmr | 2 | $2,670 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92020 | payment standard 110 | 3 | $3,916 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92020 | payment standard 90 | 3 | $3,204 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92020 | safmr | 3 | $3,560 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92020 | payment standard 110 | 4 | $4,741 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92020 | payment standard 90 | 4 | $3,879 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92020 | safmr | 4 | $4,310 | 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.