Composite
50.6 / 100 percentile
Screener / 505236
B
Edmonds Post Acute
snfWA
21400 72ND AVENUE WEST, EDMONDS, WA 98026 · CCN 505236 · chain KALESTA HEALTHCARE GROUP LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
128
Model
v1.2
Reads as: riskier than 50.6% 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 signals2Components16CHOW radar1Distress radar1Staffing16Penalties0Deficiencies91Licensure0Ownership11Related party5Transactions1Comps12Market rent35
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 65.1 | 57.8 | 0.30 | 0.2308 | 15.02 | in index |
| financial risk | 49.3 | 45.1 | 0.30 | 0.2308 | 11.38 | in index |
| chow risk | 85.5 | 66.3 | 0.15 | 0.1154 | 9.87 | in index |
| staffing risk | 39.7 | 39.8 | 0.25 | 0.1923 | 7.63 | in index |
| billing conduct | 20.5 | 25.5 | 0.30 | 0.2308 | 4.73 | 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
2| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner spans multiple chains | 6 chains | WILLIAMS RYAN | 26 facilities |
| connection | Owner fleet enforcement cluster | 41% fined | KALESTA HEALTHCARE GROUP LLC | 17 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 | 25.5 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 55.0 | C | 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 | 77.5 | D | v0.6 | default · in composite | |
| financial risk | 45.1 | C | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.0 | — | v0.1 | default · in composite | R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite. |
| p chow 12m | 0.0 | — | 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 | 57.8 | C | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 39.8 | B | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 80.1 | F | 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 | 60.1 | 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 | 38.9 | 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 | 50.9 | C | v0.4 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 57.8 | C | 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 | 57.8 | C | 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 | 39.8 | B | 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 | 39.8 | B | v0.2 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
CHOW radar — 12-month sale probability
full board →p(CHOW, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
12.1
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Current owner tenure (years) | 1.16 | -1.73 | |
| Never sold on record | 0.00 | -1.62 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| Deficiencies, last 12 months | 32.00 | +0.61 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 2.77 | +0.19 | |
| Occupancy | 0.74 | -0.12 |
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 | |
|---|---|---|---|
| Deficiencies, last 12 months | 32.00 | -4.51 | |
| For-profit ownership | 1.00 | -0.69 | |
| Chain size (log) | 2.77 | -0.41 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 1.16 | -0.28 | |
| Ownership changes, last 5 years | 1.00 | +0.23 | |
| Staffing trend, last 4 quarters | -0.39 | -0.21 |
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
16| 2025Q4 HPRD | This facility | WA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.45 | 3.70 | 3.28 | 2.90–3.77 |
| RN | 0.62 | 0.62 | 0.39 | 0.25–0.58 |
| Weekend total | 3.19 | 3.51 | 3.11 | — |
| Weekday total | 3.55 | 3.79 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 94.4 | 3.45 | 0.62 | 0.63 | 2.20 | 3.19 | 0.4% |
| 2025Q3 | 92 | 81.0 | 3.72 | 0.70 | 0.66 | 2.37 | 3.39 | 3.7% |
| 2025Q2 | 91 | 75.1 | 3.77 | 0.51 | 0.78 | 2.48 | 3.57 | 3.7% |
| 2025Q1 | 90 | 83.2 | 3.84 | 0.34 | 0.97 | 2.53 | 3.70 | 3.1% |
| 2024Q4 | 92 | 89.7 | 3.84 | 0.27 | 0.97 | 2.60 | 3.58 | 8.0% |
| 2024Q3 | 92 | 89.1 | 3.50 | 0.29 | 0.97 | 2.24 | 3.19 | 10.9% |
| 2024Q2 | 91 | 87.5 | 3.40 | 0.33 | 0.92 | 2.15 | 3.32 | 12.9% |
| 2024Q1 | 91 | 83.0 | 3.25 | 0.32 | 0.95 | 1.99 | 3.18 | 24.0% |
| 2023Q4 | 92 | 85.3 | 3.06 | 0.41 | 0.96 | 1.69 | 2.81 | 18.8% |
| 2023Q3 | 92 | 83.2 | 2.94 | 0.43 | 0.93 | 1.57 | 2.62 | 6.4% |
| 2023Q2 | 91 | 80.0 | 2.79 | 0.36 | 0.89 | 1.54 | 2.50 | 9.6% |
| 2023Q1 | 90 | 80.6 | 2.59 | 0.39 | 0.92 | 1.28 | 2.22 | 5.9% |
| 2022Q4 | 92 | 76.9 | 2.61 | 0.45 | 0.78 | 1.38 | 2.35 | 7.5% |
| 2022Q3 | 92 | 70.0 | 2.84 | 0.48 | 0.73 | 1.63 | 2.65 | 1.2% |
| 2022Q2 | 91 | 71.1 | 2.94 | 0.57 | 0.82 | 1.55 | 2.69 | 0.0% |
| 2022Q1 | 90 | 77.9 | 2.94 | 0.82 | 0.73 | 1.40 | 2.62 | 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
0No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
91C × 1D × 69E × 19F × 2
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-04 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2026-04-23 |
| 2026-03-04 | Health | F0583 | Keep residents' personal and medical records private and confidential. | D | 2026-04-23 |
| 2026-03-04 | 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 | 2026-04-23 |
| 2026-03-04 | Health | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | 2026-04-23 |
| 2026-03-04 | Health · complaint | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | 2026-04-23 |
| 2026-03-04 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2026-04-23 |
| 2026-03-04 | Health | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | 2026-04-23 |
| 2026-03-04 | Health | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | 2026-04-23 |
| 2026-03-04 | Health · complaint | F0641 | Ensure each resident receives an accurate assessment. | E | 2026-04-23 |
| 2026-03-04 | 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 | 2026-04-23 |
| 2026-03-04 | 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 | 2026-04-23 |
| 2026-03-04 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2026-04-23 |
| 2026-03-04 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-04-23 |
| 2026-03-04 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2026-04-23 |
| 2026-03-04 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2026-04-23 |
| 2026-03-04 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2026-04-23 |
| 2026-03-04 | Health | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2026-04-23 |
| 2026-03-04 | Health | F0732 | Post nurse staffing information every day. | D | 2026-04-23 |
| 2026-03-04 | 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 | 2026-04-23 |
| 2026-03-04 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2026-04-23 |
| 2026-03-04 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2026-04-23 |
| 2026-03-04 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2026-04-23 |
| 2026-03-04 | Health | F0908 | Keep all essential equipment working safely. | D | 2026-04-23 |
| 2026-03-04 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2026-04-23 |
| 2026-03-04 | Health | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | 2026-04-23 |
| 2026-03-04 | Health | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | 2026-04-23 |
| 2026-02-06 | Health · complaint | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2026-02-27 |
| 2026-02-06 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2026-02-27 |
| 2026-02-06 | Health · complaint | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D | 2026-02-27 |
| 2026-02-06 | 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 | 2026-02-27 |
| 2025-11-24 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-12-12 |
| 2025-11-17 | 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 | 2025-12-12 |
| 2025-04-21 | 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 | 2025-05-20 |
| 2025-04-21 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2025-05-20 |
| 2025-03-14 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-04-03 |
| 2025-03-14 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-04-03 |
| 2025-02-10 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-03-06 |
| 2024-11-26 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-01-10 |
| 2024-11-26 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2025-01-10 |
| 2024-11-26 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2025-01-10 |
| 2024-11-26 | Health | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | 2025-01-10 |
| 2024-11-26 | 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 | 2025-01-10 |
| 2024-11-26 | Health | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | 2025-01-10 |
| 2024-11-26 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2025-01-10 |
| 2024-11-26 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2025-01-10 |
| 2024-11-26 | 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. | D | 2025-01-10 |
| 2024-11-26 | Health | F0637 | Assess the resident when there is a significant change in condition | D | 2025-01-10 |
| 2024-11-26 | Health | F0641 | Ensure each resident receives an accurate assessment. | E | 2025-01-10 |
| 2024-11-26 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2025-01-10 |
| 2024-11-26 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2025-01-10 |
| 2024-11-26 | 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 | 2025-01-10 |
| 2024-11-26 | Health | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2025-01-10 |
| 2024-11-26 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2025-01-10 |
| 2024-11-26 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-01-10 |
| 2024-11-26 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-01-10 |
| 2024-11-26 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-01-10 |
| 2024-11-26 | Health | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | D | 2025-01-10 |
| 2024-11-26 | Health | F0732 | Post nurse staffing information every day. | E | 2025-01-10 |
| 2024-11-26 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2025-01-10 |
| 2024-11-26 | 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 | 2025-01-10 |
| 2024-11-26 | 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 | 2025-01-10 |
| 2024-11-26 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-01-10 |
| 2024-11-26 | Health | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | C | 2025-01-10 |
| 2024-11-26 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2025-01-10 |
| 2024-11-26 | Health | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | 2025-01-10 |
| 2024-11-26 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2025-01-10 |
| 2024-11-26 | 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 | 2025-01-10 |
| 2024-09-26 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-10-14 |
| 2024-06-05 | 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 | 2024-07-03 |
| 2024-06-05 | 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 | 2024-07-03 |
| 2024-05-28 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-07-03 |
| 2024-04-08 | 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 | 2024-05-22 |
| 2024-04-08 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2024-05-22 |
| 2023-11-30 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-01-11 |
| 2023-08-30 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2023-10-12 |
| 2023-08-30 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2023-10-12 |
| 2023-08-30 | 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. | D | 2023-10-12 |
| 2023-08-30 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2023-10-12 |
| 2023-08-30 | 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 | 2023-10-12 |
| 2023-08-30 | Health | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | 2023-10-12 |
| 2023-08-30 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-10-12 |
| 2023-08-30 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2023-10-12 |
| 2023-08-30 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-10-12 |
| 2023-08-30 | 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 | 2023-10-12 |
| 2023-08-30 | Health | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | 2023-10-12 |
| 2023-08-30 | 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 | 2023-10-12 |
| 2023-08-30 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-10-12 |
| 2023-08-30 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2023-10-12 |
| 2023-08-30 | Health | F0908 | Keep all essential equipment working safely. | E | 2023-10-12 |
| 2023-08-30 | Health | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | 2023-10-12 |
| 2023-08-21 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-10-12 |
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
11| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| CLAWSON, SCOTT | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 44% | 2025-06-01 | current | pecos_ownership |
| WILLIAMS, RYAN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 44% | 2025-06-01 | current | pecos_ownership |
| FRYLING, ALARIK | ADP OF THE SNF | — | 2025-06-01 | current | pecos_ownership |
| KALESTA HEALTHCARE GROUP, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2025-06-01 | current | pecos_ownership |
| PORTER, MICAH | INDIRECT OWNERSHIP INTEREST | — | 2025-06-01 | current | pecos_ownership |
| REEDY-MATRONE, BRANDON | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-06-01 | current | pecos_ownership |
| RYAN WILLIAMS | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 44% | 2025-06-01 | ended 2026-05-18 | pecos_ownership |
| SCOTT CLAWSON | INDIRECT OWNERSHIP INTEREST | 44% | 2025-06-01 | ended 2026-05-18 | pecos_ownership |
| MICAH PORTER | INDIRECT OWNERSHIP INTEREST | 7% | 2025-06-01 | ended 2026-05-18 | pecos_ownership |
| ALARIK FRYLING | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-06-01 | ended 2026-05-18 | pecos_ownership |
| BRANDON REEDY-MATRONE | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-06-01 | 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.
Transactions
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2025-06-01 | — | SALT CREEK BEACH, LLC | ALDERCREST HEALTH - EDMONDS, LLC | chow |
Comparable trades — WA snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-06-01 | Bremerton Trails Post Acute | — | — | — | 125 | RINCON BEACH, LLC |
| 2025-06-01 | Othello Post Acute | — | — | — | 39 | DOHENY BEACH, LLC |
| 2025-06-01 | Edmonds Post Acutethis facility | — | — | — | 128 | SALT CREEK BEACH, LLC |
| 2025-05-21 | AURORA VALLEY CARE | — | — | — | 124 | AURORA VALLEY CARE LLC |
| 2025-05-21 | THREE RIVERS CARE | — | — | — | 83 | THREE RIVERS CARE LLC |
| 2025-05-21 | FIR LANE CARE | — | — | — | 135 | FIR LANE CARE LLC |
| 2025-05-21 | SPOKANE FALLS CARE | — | — | — | 100 | SPOKANE FALLS CARE LLC |
| 2025-05-01 | MARIANWOOD HEALTH AND REHABILITATION | — | — | — | 117 | LUNA VEGA HEALTHCARE LLC |
| 2025-04-01 | WOODARD CREEK HEALTH & REHABILITATION | — | — | — | 152 | WOODARD SNF OPERATIONS LLC |
| 2025-03-12 | Avalon Healthcare - Tacoma | — | — | — | 81 | AVALON HEALTHCARE-TACOMA LLC |
| 2025-03-01 | SOUTH HILL REHABILITATION AND CARE CENTER | — | — | — | 113 | LAST EMPIRE HEALTHCARE LLC |
| 2024-08-01 | PINE RIDGE POST ACUTE | — | — | — | 80 | PINE RIDGE SNF HEALTHCARE LLC |
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
35| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 53061 | acs median gross | 0 | $1,577 | 2024-12-31 | CENSUS_ACS5 |
| county 53061 | fmr | 0 | $2,074 | 2025-10-01 | HUD_USER_FMR |
| county 53061 | acs median gross | 1 | $1,637 | 2024-12-31 | CENSUS_ACS5 |
| county 53061 | fmr | 1 | $2,146 | 2025-10-01 | HUD_USER_FMR |
| county 53061 | acs median gross | 2 | $1,936 | 2024-12-31 | CENSUS_ACS5 |
| county 53061 | fmr | 2 | $2,501 | 2025-10-01 | HUD_USER_FMR |
| county 53061 | acs median gross | 3 | $2,366 | 2024-12-31 | CENSUS_ACS5 |
| county 53061 | fmr | 3 | $3,272 | 2025-10-01 | HUD_USER_FMR |
| county 53061 | acs median gross | 4 | $2,922 | 2024-12-31 | CENSUS_ACS5 |
| county 53061 | fmr | 4 | $3,847 | 2025-10-01 | HUD_USER_FMR |
| county 53061 | acs median gross | 5 | $3,283 | 2024-12-31 | CENSUS_ACS5 |
| county 53061 | acs median gross | $1,949 | 2024-12-31 | CENSUS_ACS5 | |
| county 53061 | acs recent mover gross | $2,089 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 98026 | acs median gross | 0 | $1,749 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98026 | acs median gross | 1 | $1,734 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98026 | acs median gross | 2 | $1,926 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98026 | acs median gross | 3 | $2,681 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98026 | acs median gross | 4 | $2,793 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98026 | acs median gross | $1,957 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 98026 | acs recent mover gross | $1,915 | 2024-12-31 | CENSUS_ACS5 | |
| zip 98026 | payment standard 110 | 0 | $2,101 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98026 | payment standard 90 | 0 | $1,719 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98026 | safmr | 0 | $1,910 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98026 | payment standard 110 | 1 | $2,167 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98026 | payment standard 90 | 1 | $1,773 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98026 | safmr | 1 | $1,970 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98026 | payment standard 110 | 2 | $2,530 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98026 | payment standard 90 | 2 | $2,070 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98026 | safmr | 2 | $2,300 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98026 | payment standard 110 | 3 | $3,311 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98026 | payment standard 90 | 3 | $2,709 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98026 | safmr | 3 | $3,010 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98026 | payment standard 110 | 4 | $3,894 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98026 | payment standard 90 | 4 | $3,186 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98026 | safmr | 4 | $3,540 | 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.