540 SOUTH MAIN STREET, MOUNT ANGEL, OR 97362 · CCN 385018 · chain THE ENSIGN GROUP INC
Composite
78.8 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
93
Model
v1.2
Reads as: riskier than 78.8% 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.
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
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
17 chains
BURNAM SOON
335 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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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
OR median
National median
National p25–p75
Total nurse
4.95
4.20
3.28
2.90–3.77
RN
0.69
0.41
0.39
0.25–0.58
Weekend total
4.59
3.99
3.11
—
Weekday total
5.08
4.27
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
71.9
4.95
0.69
0.92
3.33
4.59
9.5%
2025Q3
92
72.7
4.95
0.59
1.05
3.31
4.50
20.4%
2025Q2
91
69.2
5.05
0.72
0.93
3.40
4.51
19.4%
2025Q1
90
70.5
5.13
1.05
0.66
3.42
4.73
25.8%
2024Q4
92
73.3
5.41
0.96
0.87
3.58
5.10
31.0%
2024Q3
92
73.1
5.22
0.95
0.85
3.42
4.97
32.9%
2024Q2
91
74.1
4.99
0.90
0.82
3.27
4.61
22.0%
2024Q1
91
70.0
5.37
0.83
0.90
3.64
5.11
20.4%
2023Q4
92
70.0
5.37
0.88
0.81
3.67
5.00
21.3%
2023Q3
92
70.3
5.41
0.89
0.84
3.68
5.03
20.6%
2023Q2
91
66.9
5.52
0.89
0.88
3.75
5.20
24.2%
2023Q1
90
67.4
5.30
0.88
0.59
3.84
5.15
19.5%
2022Q4
92
66.7
4.17
0.56
0.24
3.37
4.13
2.2%
2022Q3
92
61.9
3.28
0.49
0.12
2.67
3.23
0.0%
2022Q2
91
60.5
4.17
0.76
0.19
3.22
4.01
0.0%
2022Q1
90
54.9
5.01
1.08
0.25
3.67
4.79
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.
Protect each resident from the wrongful use of the resident's belongings or money.
D
2025-05-22
2025-02-14
Health
F0625
Notify 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.
B
2025-03-31
2025-02-14
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-03-31
2024-09-19
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
2024-10-31
2024-09-19
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2024-10-31
2024-04-03
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2024-05-03
2024-03-22
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2024-04-30
2024-03-22
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-04-30
2023-09-22
Health · complaint
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2023-05-06
2023-09-22
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.
E
2023-11-10
2023-09-22
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
2023-11-10
2023-09-22
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-11-10
2023-09-22
Health
F0687
Provide appropriate foot care.
D
2023-11-10
2023-09-22
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2023-11-10
2023-09-22
Health · complaint
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
2023-11-10
2023-09-22
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
2023-11-10
2023-09-22
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F
2023-11-10
2022-08-02
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2022-09-16
2022-08-02
Health
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2022-09-16
2022-08-02
Health
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
2022-09-16
2022-08-02
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2022-09-16
2022-08-02
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2022-09-16
2022-08-02
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2022-09-16
2022-08-02
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
G
2022-09-16
2022-08-02
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2022-09-16
2022-08-02
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
2022-09-16
2022-08-02
Health
F0791
Provide or obtain dental services for each resident.
D
2022-09-16
2022-08-02
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2022-09-16
2022-08-02
Health
F0880
Provide and implement an infection prevention and control program.
E
2022-09-16
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.
Licensure actions
0
No licensure actions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Ownership
14
Owner
Role
Pct
From
Status
Source
BURNAM, SOON
CORPORATE OFFICER
—
2024-09-12
current
pecos_ownership
FARNSWORTH, STEPHEN
CORPORATE OFFICER
—
2024-09-12
current
pecos_ownership
HORN, DAVID
MANAGING CONTROL - GOVERNING BODY
—
2025-04-01
current
pecos_ownership
JAMIL, FAHAD
MANAGING CONTROL - GOVERNING BODY
—
2025-04-01
current
pecos_ownership
ROSS, STEVE
CORPORATE OFFICER
—
2024-09-12
current
pecos_ownership
SATO, AMI
CORPORATE OFFICER
—
2024-09-12
current
pecos_ownership
PENNANT HEALTHCARE LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2024-09-12
ended 2026-05-18
pecos_ownership
THE ENSIGN GROUP INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2024-09-12
ended 2026-05-18
pecos_ownership
AMI SATO
CORPORATE OFFICER
0%
2024-09-12
ended 2026-05-18
pecos_ownership
SOON BURNAM
CORPORATE OFFICER
0%
2024-09-12
ended 2026-05-18
pecos_ownership
STEPHEN FARNSWORTH
CORPORATE OFFICER
0%
2024-09-12
ended 2026-05-18
pecos_ownership
STEVE ROSS
CORPORATE OFFICER
0%
2024-09-12
ended 2026-05-18
pecos_ownership
DAVID HORN
MANAGING CONTROL - GOVERNING BODY
—
2025-04-01
ended 2026-05-18
pecos_ownership
FAHAD JAMIL
ADP OF THE SNF
—
2025-04-01
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.
Related-party costs
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$7,769,090
—
—
—
—
1
—
2023-12-31
$7,395,433
—
—
—
$4,176,539
1
—
2022-12-31
$8,077,346
—
—
—
$4,090,748
1
—
2021-12-31
$7,995,099
—
—
—
$4,719,067
2
—
2020-12-31
$7,633,093
—
—
—
$5,011,266
3
—
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
32
Geo
Kind
BR
Amount
As of
Source
county 41047
acs median gross
0
$1,161
2024-12-31
CENSUS_ACS5
county 41047
fmr
0
$1,181
2025-10-01
HUD_USER_FMR
county 41047
acs median gross
1
$1,101
2024-12-31
CENSUS_ACS5
county 41047
fmr
1
$1,201
2025-10-01
HUD_USER_FMR
county 41047
acs median gross
2
$1,419
2024-12-31
CENSUS_ACS5
county 41047
fmr
2
$1,560
2025-10-01
HUD_USER_FMR
county 41047
acs median gross
3
$1,771
2024-12-31
CENSUS_ACS5
county 41047
fmr
3
$2,159
2025-10-01
HUD_USER_FMR
county 41047
acs median gross
4
$1,908
2024-12-31
CENSUS_ACS5
county 41047
fmr
4
$2,338
2025-10-01
HUD_USER_FMR
county 41047
acs median gross
5
$1,908
2024-12-31
CENSUS_ACS5
county 41047
acs median gross
$1,414
2024-12-31
CENSUS_ACS5
county 41047
acs recent mover gross
$1,673
2024-12-31
CENSUS_ACS5
zcta 97362
acs median gross
1
$1,093
2024-12-31
CENSUS_ACS5
zcta 97362
acs median gross
2
$1,071
2024-12-31
CENSUS_ACS5
zcta 97362
acs median gross
3
$1,598
2024-12-31
CENSUS_ACS5
zcta 97362
acs median gross
$1,279
2024-12-31
CENSUS_ACS5
zip 97362
payment standard 110
0
$1,617
2025-10-01
HUD_USER_SAFMR
zip 97362
payment standard 90
0
$1,323
2025-10-01
HUD_USER_SAFMR
zip 97362
safmr
0
$1,470
2025-10-01
HUD_USER_SAFMR
zip 97362
payment standard 110
1
$1,738
2025-10-01
HUD_USER_SAFMR
zip 97362
payment standard 90
1
$1,422
2025-10-01
HUD_USER_SAFMR
zip 97362
safmr
1
$1,580
2025-10-01
HUD_USER_SAFMR
zip 97362
payment standard 110
2
$1,980
2025-10-01
HUD_USER_SAFMR
zip 97362
payment standard 90
2
$1,620
2025-10-01
HUD_USER_SAFMR
zip 97362
safmr
2
$1,800
2025-10-01
HUD_USER_SAFMR
zip 97362
payment standard 110
3
$2,717
2025-10-01
HUD_USER_SAFMR
zip 97362
payment standard 90
3
$2,223
2025-10-01
HUD_USER_SAFMR
zip 97362
safmr
3
$2,470
2025-10-01
HUD_USER_SAFMR
zip 97362
payment standard 110
4
$3,190
2025-10-01
HUD_USER_SAFMR
zip 97362
payment standard 90
4
$2,610
2025-10-01
HUD_USER_SAFMR
zip 97362
safmr
4
$2,900
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.