Composite
44.4 / 100 percentile
Screener / 555070
B
SOUTHLAND
snfCA
11701 STUDEBAKER ROAD, NORWALK, CA 90650 · CCN 555070 · chain THE ENSIGN GROUP INC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
120
Model
v1.2
Reads as: riskier than 44.4% 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 signals10Components16CHOW radar1Distress radar1Staffing16Penalties2Deficiencies87Licensure0Ownership26Related party5Transactions0Comps12Market rent36
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 90.8 | 88.5 | 0.30 | 0.2308 | 20.95 | in index |
| billing conduct | 89.0 | 59.0 | 0.30 | 0.2308 | 20.54 | in index |
| staffing risk | 13.0 | 13.1 | 0.25 | 0.1923 | 2.50 | in index |
| chow risk | 17.0 | 16.6 | 0.15 | 0.1154 | 1.96 | in index |
| financial risk | 1.7 | 8.0 | 0.30 | 0.2308 | 0.39 | 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
10| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner spans multiple chains | 18 chains | ENSIGN SERVICES INC | 286 facilities |
| connection | Owner spans multiple chains | 18 chains | CTR PARTNERSHIP LP | 99 facilities |
| connection | Owner spans multiple chains | 17 chains | BURNAM SOON | 335 facilities |
| connection | Owner spans multiple chains | 17 chains | KEETCH CHAD | 283 facilities |
| connection | Owner spans multiple chains | 15 chains | CARETRUST REIT INC | 96 facilities |
| connection | Owner spans multiple chains | 12 chains | THE ENSIGN GROUP INC | 123 facilities |
| connection | Owner spans multiple chains | 11 chains | CARETRUST GP LLC | 89 facilities |
| connection | Owner spans multiple chains | 11 chains | TWOMAGNETS LLC | 45 facilities |
| connection | Owner spans multiple chains | 5 chains | MORRISON JAMES | 5 facilities |
| connection | Owner fleet enforcement cluster | 43% fined | MORRISON JAMES | 7 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 | 59.0 | 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 | 8.3 | A | v0.6 | default · in composite | |
| financial risk | 8.0 | 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 | 3.8 | — | 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 | 88.5 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 13.1 | A | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 51.8 | C | 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 | 31.8 | B | 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 | 28.2 | 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 | 13.4 | 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 | 88.5 | 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 | 88.5 | 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 | 13.1 | 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 | 13.1 | 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)
3.8%
model v0.1 · computed 2026-07-29
Percentile among SNFs
83.1
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 5.46 | +0.76 | |
| Occupancy | 0.96 | -0.75 | |
| 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 | |
| Total nurse staffing (HPRD) | 4.20 | -0.23 | |
| Ownership changes, last 5 years | 0.00 | +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
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 5.46 | -1.98 | |
| Occupancy | 0.96 | -0.87 | |
| For-profit ownership | 1.00 | -0.69 | |
| Total nurse staffing (HPRD) | 4.20 | -0.41 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Deficiencies, last 12 months | 7.00 | +0.13 | |
| Never sold on record | 1.00 | +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 HPRD | This facility | CA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 4.20 | 3.95 | 3.28 | 2.90–3.77 |
| RN | 0.37 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 4.00 | 3.79 | 3.11 | — |
| Weekday total | 4.27 | 4.01 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 114.7 | 4.20 | 0.37 | 1.22 | 2.61 | 4.00 | 1.8% |
| 2025Q3 | 92 | 114.1 | 4.24 | 0.36 | 1.23 | 2.64 | 3.95 | 2.6% |
| 2025Q2 | 91 | 115.4 | 4.13 | 0.38 | 1.11 | 2.64 | 3.78 | 3.0% |
| 2025Q1 | 90 | 114.8 | 4.16 | 0.35 | 1.14 | 2.66 | 3.79 | 4.3% |
| 2024Q4 | 92 | 112.8 | 4.13 | 0.37 | 1.06 | 2.70 | 3.73 | 11.3% |
| 2024Q3 | 92 | 108.8 | 4.05 | 0.37 | 1.12 | 2.56 | 3.67 | 10.7% |
| 2024Q2 | 91 | 111.9 | 3.77 | 0.39 | 1.02 | 2.35 | 3.39 | 8.0% |
| 2024Q1 | 91 | 112.1 | 3.76 | 0.37 | 1.05 | 2.34 | 3.33 | 5.4% |
| 2023Q4 | 92 | 110.4 | 3.63 | 0.28 | 1.11 | 2.25 | 3.31 | 4.2% |
| 2023Q3 | 92 | 114.1 | 3.53 | 0.29 | 1.04 | 2.20 | 3.20 | 4.4% |
| 2023Q2 | 91 | 111.1 | 3.75 | 0.29 | 1.08 | 2.38 | 3.33 | 6.7% |
| 2023Q1 | 90 | 111.5 | 3.60 | 0.33 | 1.00 | 2.27 | 3.32 | 14.0% |
| 2022Q4 | 92 | 109.8 | 3.47 | 0.24 | 0.94 | 2.28 | 3.23 | 12.1% |
| 2022Q3 | 92 | 104.4 | 3.67 | 0.27 | 0.94 | 2.47 | 3.42 | 14.8% |
| 2022Q2 | 91 | 109.5 | 3.30 | 0.28 | 0.81 | 2.21 | 3.14 | 18.4% |
| 2022Q1 | 90 | 104.6 | 3.12 | 0.33 | 0.78 | 2.01 | 2.97 | 8.2% |
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 |
|---|---|---|---|
| 2025-01-08 | Fine | $18,564 | CMS provider data |
| 2024-03-29 | Fine | $19,812 | CMS provider data |
Total fines on record: $38,376
Deficiencies
87B × 1D × 34E × 45F × 4G × 3
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-13 | Health · complaint | 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 | 2026-03-31 |
| 2026-03-13 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-03-31 |
| 2026-03-13 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2026-03-31 |
| 2026-01-30 | Health · complaint | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | 2026-02-19 |
| 2025-12-17 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | F | 2026-01-12 |
| 2025-12-12 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-12-22 |
| 2025-12-12 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-12-22 |
| 2025-07-02 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-07-22 |
| 2025-07-02 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2025-07-22 |
| 2025-03-14 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2025-04-07 |
| 2025-03-14 | Health | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | 2025-04-07 |
| 2025-03-14 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | E | 2025-04-07 |
| 2025-03-14 | Health | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2025-04-07 |
| 2025-03-14 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | 2025-04-07 |
| 2025-03-14 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2025-04-07 |
| 2025-03-14 | 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. | E | 2025-04-07 |
| 2025-03-14 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | 2025-04-07 |
| 2025-03-14 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2025-04-07 |
| 2025-03-14 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | E | 2025-04-07 |
| 2025-03-14 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2025-04-07 |
| 2025-03-14 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2025-04-07 |
| 2025-03-14 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2025-04-07 |
| 2025-03-14 | 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. | E | 2025-04-07 |
| 2025-03-14 | 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. | E | 2025-04-07 |
| 2025-03-14 | Health | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | 2025-04-07 |
| 2025-03-14 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | 2025-04-07 |
| 2025-03-14 | Health | 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. | E | 2025-04-07 |
| 2025-03-14 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-04-07 |
| 2025-03-14 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2025-04-07 |
| 2025-03-14 | Health | F0760 | Ensure that residents are free from significant medication errors. | E | 2025-04-07 |
| 2025-03-14 | 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 | 2025-04-07 |
| 2025-03-14 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-04-07 |
| 2025-03-14 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2025-04-07 |
| 2025-03-14 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2025-04-07 |
| 2025-03-14 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | F | 2025-04-07 |
| 2025-03-14 | Health | F0881 | Implement a program that monitors antibiotic use. | E | 2025-04-07 |
| 2025-03-14 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2025-04-07 |
| 2025-03-14 | 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. | E | 2025-04-07 |
| 2025-03-14 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2025-04-07 |
| 2025-03-14 | Health | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | 2025-04-07 |
| 2025-01-30 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2025-02-21 |
| 2025-01-30 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2025-02-21 |
| 2025-01-30 | Health · complaint | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | E | 2025-02-21 |
| 2025-01-08 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-01-28 |
| 2024-09-24 | 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. | E | 2024-10-16 |
| 2024-09-05 | 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 | 2024-10-02 |
| 2024-09-05 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-10-02 |
| 2024-06-17 | Health · complaint | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | E | 2024-07-05 |
| 2024-05-13 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2024-05-30 |
| 2024-03-29 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2024-04-19 |
| 2024-03-29 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-04-19 |
| 2024-03-29 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | 2024-04-19 |
| 2024-03-29 | 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 | 2024-04-19 |
| 2024-03-29 | 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. | E | 2024-04-19 |
| 2024-03-29 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2024-04-19 |
| 2024-03-29 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2024-04-19 |
| 2024-03-29 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2024-04-19 |
| 2024-03-29 | 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. | E | 2024-04-19 |
| 2024-03-29 | Health | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | 2024-04-19 |
| 2024-03-29 | Health | F0803 | Ensure 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. | E | 2024-04-19 |
| 2024-03-29 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-04-19 |
| 2024-03-29 | Health | F0814 | Dispose of garbage and refuse properly. | E | 2024-04-19 |
| 2024-03-29 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2024-04-19 |
| 2024-03-29 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2024-04-19 |
| 2024-01-26 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-02-14 |
| 2024-01-10 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-02-01 |
| 2023-12-04 | 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 | 2023-12-22 |
| 2023-11-28 | 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 | 2023-12-22 |
| 2023-11-28 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2023-12-22 |
| 2023-11-21 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-12-18 |
| 2023-11-08 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-12-07 |
| 2023-11-08 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2023-12-07 |
| 2023-07-28 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-08-07 |
| 2022-04-08 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2022-04-29 |
| 2022-04-08 | Health | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | B | 2022-04-29 |
| 2022-04-08 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2022-04-29 |
| 2022-04-08 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2022-04-29 |
| 2022-04-08 | Health | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | 2022-04-29 |
| 2022-04-08 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2022-04-29 |
| 2022-04-08 | Health | 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 | 2022-04-29 |
| 2022-04-08 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2022-04-29 |
| 2022-04-08 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2022-04-29 |
| 2022-04-08 | 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 | 2022-04-29 |
| 2022-04-08 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2022-04-29 |
| 2022-04-08 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2022-04-29 |
| 2022-04-08 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2022-04-29 |
| 2022-04-08 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2022-04-29 |
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
26| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| 1-CALL STAFFING SERVICES | OPERATIONAL/MANAGERIAL CONTROL | — | 1999-12-16 | current | pecos_ownership |
| BURNAM, SOON | CORPORATE OFFICER | — | 2006-01-30 | current | pecos_ownership |
| BURNAM, SOON | ADP OF THE SNF | — | 2025-07-11 | current | pecos_ownership |
| CARETRUST GP LLC | ADP OF THE SNF | — | 1999-12-16 | current | pecos_ownership |
| CARETRUST REIT INC | ADP OF THE SNF | — | 1999-12-16 | current | pecos_ownership |
| CTR PARTNERSHIP LP | ADP OF THE SNF | — | 1999-12-16 | current | pecos_ownership |
| ENSIGN SERVICES INC | ADP OF THE SNF | — | 2002-08-01 | current | pecos_ownership |
| FLAGSTONE HEALTHCARE SOUTH LLC | DIRECT OWNERSHIP INTEREST | — | 2006-01-30 | current | pecos_ownership |
| KEETCH, CHAD | CORPORATE OFFICER | — | 2011-03-01 | current | pecos_ownership |
| MORRISON, JAMES | ADP OF THE SNF | — | 2025-07-11 | current | pecos_ownership |
| MORRISON, JAMES | OPERATIONAL/MANAGERIAL CONTROL | — | 2008-12-24 | current | pecos_ownership |
| NGUYEN, HUNG MANH | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-03-13 | current | pecos_ownership |
| NGUYEN, HUNG MANH | ADP OF THE SNF | — | 2025-07-21 | current | pecos_ownership |
| PORT, BARRY | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-07-11 | current | pecos_ownership |
| SOUTHLAND MANAGEMENT, LLC | ADP OF THE SNF | — | 1999-12-16 | current | pecos_ownership |
| THE ENSIGN GROUP INC | INDIRECT OWNERSHIP INTEREST | — | 2006-01-30 | current | pecos_ownership |
| TWOMAGNETS LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 1999-12-16 | current | pecos_ownership |
| WILLITS, ADAM | CORPORATE OFFICER | — | 2023-01-01 | current | pecos_ownership |
| ADAM WILLITS | CORPORATE OFFICER | 0% | 2023-01-01 | ended 2026-05-18 | pecos_ownership |
| JAMES MORRISON | OPERATIONAL/MANAGERIAL CONTROL | 0% | 2008-12-24 | ended 2026-05-18 | pecos_ownership |
| SOON BURNAM | CORPORATE OFFICER | 0% | 2006-01-30 | ended 2026-05-18 | pecos_ownership |
| CHAD KEETCH | CORPORATE OFFICER | — | 2011-03-01 | ended 2026-05-18 | pecos_ownership |
| HUNG MANH NGUYEN | ADP OF THE SNF | — | 2025-07-21 | ended 2026-05-18 | pecos_ownership |
| HUNG MANH NGUYEN | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-03-13 | ended 2026-05-18 | pecos_ownership |
| JAMES MORRISON | ADP OF THE SNF | — | 2025-07-11 | ended 2026-05-18 | pecos_ownership |
| SOON BURNAM | ADP OF THE SNF | — | 2025-07-11 | 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
36| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 06037 | acs median gross | 0 | $1,523 | 2024-12-31 | CENSUS_ACS5 |
| county 06037 | fmr | 0 | $1,863 | 2025-10-01 | HUD_USER_FMR |
| county 06037 | acs median gross | 1 | $1,724 | 2024-12-31 | CENSUS_ACS5 |
| county 06037 | fmr | 1 | $2,085 | 2025-10-01 | HUD_USER_FMR |
| county 06037 | acs median gross | 2 | $2,127 | 2024-12-31 | CENSUS_ACS5 |
| county 06037 | fmr | 2 | $2,601 | 2025-10-01 | HUD_USER_FMR |
| county 06037 | acs median gross | 3 | $2,484 | 2024-12-31 | CENSUS_ACS5 |
| county 06037 | fmr | 3 | $3,298 | 2025-10-01 | HUD_USER_FMR |
| county 06037 | acs median gross | 4 | $2,866 | 2024-12-31 | CENSUS_ACS5 |
| county 06037 | fmr | 4 | $3,672 | 2025-10-01 | HUD_USER_FMR |
| county 06037 | acs median gross | 5 | $2,767 | 2024-12-31 | CENSUS_ACS5 |
| county 06037 | acs median gross | $1,954 | 2024-12-31 | CENSUS_ACS5 | |
| county 06037 | acs recent mover gross | $2,358 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 90650 | acs median gross | 0 | $1,551 | 2024-12-31 | CENSUS_ACS5 |
| zcta 90650 | acs median gross | 1 | $1,647 | 2024-12-31 | CENSUS_ACS5 |
| zcta 90650 | acs median gross | 2 | $2,127 | 2024-12-31 | CENSUS_ACS5 |
| zcta 90650 | acs median gross | 3 | $2,674 | 2024-12-31 | CENSUS_ACS5 |
| zcta 90650 | acs median gross | 4 | $2,696 | 2024-12-31 | CENSUS_ACS5 |
| zcta 90650 | acs median gross | 5 | $1,886 | 2024-12-31 | CENSUS_ACS5 |
| zcta 90650 | acs median gross | $2,090 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 90650 | acs recent mover gross | $2,459 | 2024-12-31 | CENSUS_ACS5 | |
| zip 90650 | payment standard 110 | 0 | $2,211 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90650 | payment standard 90 | 0 | $1,809 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90650 | safmr | 0 | $2,010 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90650 | payment standard 110 | 1 | $2,475 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90650 | payment standard 90 | 1 | $2,025 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90650 | safmr | 1 | $2,250 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90650 | payment standard 110 | 2 | $3,080 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90650 | payment standard 90 | 2 | $2,520 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90650 | safmr | 2 | $2,800 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90650 | payment standard 110 | 3 | $3,905 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90650 | payment standard 90 | 3 | $3,195 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90650 | safmr | 3 | $3,550 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90650 | payment standard 110 | 4 | $4,345 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90650 | payment standard 90 | 4 | $3,555 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90650 | safmr | 4 | $3,950 | 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.