CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)
AS OF 2026-08-04 23:53 UTC
Screener / 056266
C

KEYSTONE POST-ACUTE

snfCA
3672 NORTH FIRST STREET, FRESNO, CA 93726 · CCN 056266 · chain EDURO HEALTHCARE LLC
Composite
72.6 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
65
Model
v1.2
Reads as: riskier than 72.6% 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.

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk80.477.20.300.230818.55in index
billing conduct78.351.90.300.230818.07in index
financial risk40.639.90.300.23089.37in index
staffing risk33.833.90.250.19236.50in index
chow risk39.542.50.150.11544.56in 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

7
KindFindingSignalSubjectFirst seen
connectionOwner fleet risk far above national+28.1 vs natlEDURO HEALTHCARE LLC10 facilities
connectionOwner fleet risk far above national+23.6 vs natlMONROE DUSTIN9 facilities
connectionOwner fleet risk far above national+20.2 vs natlBEWSEY MICHAEL31 facilities
connectionOwner spans multiple chains6 chainsBEWSEY MICHAEL29 facilities
connectionOwner fleet enforcement cluster56% finedMONROE DUSTIN9 facilities
connectionOwner fleet enforcement cluster50% finedEDURO HEALTHCARE LLC10 facilities
connectionOwner fleet enforcement cluster48% finedBEWSEY MICHAEL31 facilities
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.

Component scores and registry models

16
Score typeScoreGradeModelStatusRegistry model notes
billing conduct51.9Cv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk24.4Av0.1-posdefault · in compositeChange-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure.
chow risk60.6Cv0.6default · in composite
financial risk39.9Bv0.5default · in compositeR18.
p adverse action 12m0.0v0.1default · in compositeR23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite.
p chow 12m0.1v0.1default · in compositeR22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite.
regulatory risk77.2Dv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk33.9Bv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk83.5Fv0.1supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk63.5Cv0.2supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk59.6Cv0.3supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk42.1Bv0.4supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
regulatory risk77.0Dv0.1supersededPre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
regulatory risk77.0Dv0.2supersededPre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
staffing risk33.9Bv0.1supersededPre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
staffing risk33.9Bv0.2supersededPre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.

CHOW radar — 12-month sale probability

full board →
p(CHOW, 12m)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
17.6
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Never sold on record0.00-1.62
Current owner tenure (years)7.16-1.15
Occupancy0.94-0.69
For-profit ownership1.00+0.69
No PBJ staffing report0.00+0.42
Ownership changes, last 5 years0.00+0.20
Chain size (log)2.71+0.17
Deficiencies, last 12 months1.00-0.15
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
20.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Deficiencies, last 12 months1.00+1.24
Occupancy0.94-0.79
For-profit ownership1.00-0.69
No PBJ staffing report0.00+0.39
Chain size (log)2.71-0.37
Never sold on record0.00-0.28
Current owner tenure (years)7.16-0.18
Fine amount, 12m (log)0.00+0.18
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.

Staffing vs peers

16
2025Q4 HPRDThis facilityCA medianNational medianNational p25–p75
Total nurse3.573.953.282.90–3.77
RN0.180.380.390.25–0.58
Weekend total3.383.793.11
Weekday total3.654.013.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49260.93.570.180.982.403.380.0%
2025Q39259.63.650.201.052.403.451.0%
2025Q29161.03.680.320.802.573.394.0%
2025Q19062.63.590.400.712.483.515.0%
2024Q49261.73.630.400.772.463.538.2%
2024Q39263.53.660.250.842.573.5913.5%
2024Q29160.63.760.290.912.563.5520.3%
2024Q19165.73.310.340.682.293.2120.9%
2023Q49262.23.460.270.852.333.3523.2%
2023Q39263.42.740.290.851.602.530.0%
2023Q29161.73.490.280.832.383.3719.3%
2023Q19066.33.100.220.732.162.9928.8%
2022Q49263.02.830.150.741.932.6030.4%
2022Q39253.43.610.131.222.263.5632.1%
2022Q29148.93.560.051.012.503.2328.6%
2022Q19046.73.490.130.842.513.339.9%
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

2
DateTypeFineSource
2023-11-15Fine$42,764CMS provider data
2023-11-15Payment DenialCMS provider data
Total fines on record: $42,764

Deficiencies

47
D × 19E × 16F × 9G × 3
deficiencies by survey year
20102223242526
SurveyTypeTagDeficiencyScopeCorrected
2026-02-05Health · complaintF0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.D2026-02-27
2025-05-30HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2025-06-26
2025-05-30HealthF0551Give the resident's representative the ability to exercise the resident's rights.D2025-06-26
2025-05-30HealthF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.D2025-06-26
2025-05-30HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-06-26
2025-05-30HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.D2025-06-26
2025-05-30HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2025-06-26
2025-05-30HealthF0760Ensure that residents are free from significant medication errors.E2025-06-26
2025-05-30HealthF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.E2025-06-26
2025-05-30HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2025-06-26
2025-05-30HealthF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.D2025-06-26
2025-05-30HealthF0880Provide and implement an infection prevention and control program.D2025-06-26
2025-05-30HealthF0919Make sure that a working call system is available in each resident's bathroom and bathing area.D2025-06-26
2025-03-13Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-04-02
2024-10-03Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2024-10-22
2024-10-03Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2024-10-22
2024-08-21Health · complaintF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E2024-09-13
2024-06-13Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2024-07-05
2024-04-26HealthF0552Ensure that residents are fully informed and understand their health status, care and treatments.E2024-05-31
2024-04-26HealthF0584Honor 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.E2024-05-31
2024-04-26HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E2024-05-31
2024-04-26HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.E2024-05-31
2024-04-26HealthF0692Provide enough food/fluids to maintain a resident's health.D2024-05-31
2024-04-26HealthF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.F2024-05-31
2024-04-26HealthF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.E2024-05-31
2024-04-26HealthF0727Have 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.F2024-05-31
2024-04-26HealthF0758Implement 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.F2024-05-31
2024-04-26HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2024-05-31
2024-04-26HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E2024-05-31
2024-04-26HealthF0880Provide and implement an infection prevention and control program.E2024-05-31
2024-04-26HealthF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.D2024-05-31
2024-04-26HealthF0908Keep all essential equipment working safely.D2024-05-31
2024-04-26HealthF0924Put firmly secured handrails on each side of hallways.D2024-05-31
2024-04-26HealthF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.E2024-05-31
2023-11-15Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2023-12-28
2023-10-17Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2023-11-02
2022-08-05HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.G2022-08-30
2022-08-05HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.E2022-08-30
2022-08-05HealthF0679Provide activities to meet all resident's needs.E2022-08-30
2022-08-05HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2022-11-22
2022-08-05HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2022-08-30
2022-08-05HealthF0761Ensure 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.D2022-11-22
2022-08-05HealthF0803Ensure 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.E2022-08-30
2022-08-05HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2022-08-30
2022-08-05HealthF0880Provide and implement an infection prevention and control program.E2022-08-30
2022-08-05HealthF0881Implement a program that monitors antibiotic use.F2022-08-30
2022-08-05HealthF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F2022-08-30
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

8
OwnerRolePctFromStatusSource
EDURO HEALTHCARE LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2019-06-01currentpecos_ownership
FRESNO NURSING AND REHAB CENTER LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2019-06-01currentpecos_ownership
BEWSEY, MICHAELCORPORATE OFFICER2019-06-01currentpecos_ownership
CARTER, BRAEDENW-2 MANAGING EMPLOYEE2024-02-01currentpecos_ownership
MONROE, DUSTINCORPORATE OFFICER2022-07-19currentpecos_ownership
MICHAEL BEWSEYCORPORATE OFFICER100%2019-06-01ended 2026-05-18pecos_ownership
BRAEDEN CARTERW-2 MANAGING EMPLOYEE2024-02-01ended 2026-05-18pecos_ownership
DUSTIN MONROECORPORATE OFFICER2022-07-19ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

1
Close datePriceBuyerSellerEvidence
2019-06-01FRESNO NURSING AND REHAB CENTER LLCDYCORA TRANSITIONAL HEALTH COMMUNITY CARE LLCchow

Comparable trades — CA snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-08-01Turlock Nursing & Rehabilitation Center144TRACY RIDGE HEALTHCARE, INC.
2025-04-01ALAMITOS WEST HEALTH & REHABILITATION150MALCOLM HEALTHCARE, INC.
2025-04-01PACIFIC HAVEN SUBACUTE AND HEALTHCARE CENTER99STRAWBERRY POND HEALTHCARE LLC
2025-01-16GOLDEN HARBOR HEALTHCARE CENTER99CEYLON HOLDINGS LLC
2024-12-30GRASS VALLEY HEALTHCARE CENTER86HEISMAN LLC
2024-10-01REDWOOD GROVE POST ACUTE144SOQUEL CARE LLC
2024-09-01OAK GROVE POST ACUTE1194545 SHELLEY COURT OPCO, LLC
2024-08-01WE CARE SKILLED NURSING - FREMONT99WE CARE SKILLED NURSING-FREMONT, LLC
2024-05-01MAJESTIC MOUNTAIN CARE CENTER66OAKHURST SKILLED CARE LLC
2024-04-01THE BRADLEY GARDENS44GHC OF SAN JACINTO LLC
2024-04-01SANTA FE POST-ACUTE187SKILLED BOBIER LLC
2024-04-01BAYSHIRE SAN DIMAS POST-ACUTE45SKILLED 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
GeoKindBRAmountAs ofSource
county 06019acs median gross0$1,1322024-12-31CENSUS_ACS5
county 06019fmr0$1,3472025-10-01HUD_USER_FMR
county 06019acs median gross1$1,0942024-12-31CENSUS_ACS5
county 06019fmr1$1,3552025-10-01HUD_USER_FMR
county 06019acs median gross2$1,3372024-12-31CENSUS_ACS5
county 06019fmr2$1,6642025-10-01HUD_USER_FMR
county 06019acs median gross3$1,7052024-12-31CENSUS_ACS5
county 06019fmr3$2,3142025-10-01HUD_USER_FMR
county 06019acs median gross4$1,9342024-12-31CENSUS_ACS5
county 06019fmr4$2,6602025-10-01HUD_USER_FMR
county 06019acs median gross5$2,2472024-12-31CENSUS_ACS5
county 06019acs median gross$1,3922024-12-31CENSUS_ACS5
county 06019acs recent mover gross$1,6982024-12-31CENSUS_ACS5
zcta 93726acs median gross0$1,1552024-12-31CENSUS_ACS5
zcta 93726acs median gross1$1,0452024-12-31CENSUS_ACS5
zcta 93726acs median gross2$1,3172024-12-31CENSUS_ACS5
zcta 93726acs median gross3$1,7952024-12-31CENSUS_ACS5
zcta 93726acs median gross4$2,1192024-12-31CENSUS_ACS5
zcta 93726acs median gross$1,3662024-12-31CENSUS_ACS5
zcta 93726acs recent mover gross$1,4762024-12-31CENSUS_ACS5
zip 93726payment standard 1100$1,4412025-10-01HUD_USER_SAFMR
zip 93726payment standard 900$1,1792025-10-01HUD_USER_SAFMR
zip 93726safmr0$1,3102025-10-01HUD_USER_SAFMR
zip 93726payment standard 1101$1,4522025-10-01HUD_USER_SAFMR
zip 93726payment standard 901$1,1882025-10-01HUD_USER_SAFMR
zip 93726safmr1$1,3202025-10-01HUD_USER_SAFMR
zip 93726payment standard 1102$1,7822025-10-01HUD_USER_SAFMR
zip 93726payment standard 902$1,4582025-10-01HUD_USER_SAFMR
zip 93726safmr2$1,6202025-10-01HUD_USER_SAFMR
zip 93726payment standard 1103$2,4752025-10-01HUD_USER_SAFMR
zip 93726payment standard 903$2,0252025-10-01HUD_USER_SAFMR
zip 93726safmr3$2,2502025-10-01HUD_USER_SAFMR
zip 93726payment standard 1104$2,8492025-10-01HUD_USER_SAFMR
zip 93726payment standard 904$2,3312025-10-01HUD_USER_SAFMR
zip 93726safmr4$2,5902025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.