Composite
88.9 / 100 percentile
Screener / 505246
D
Three Creeks Post Acute
snfWA
NORTHWEST 1310 DEANE, PULLMAN, WA 99163 · CCN 505246 · chain ROP CARE AJH LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
48
Model
v1.2
Reads as: riskier than 88.9% 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 radar1Staffing16Penalties3Deficiencies43Licensure0Ownership17Related party6Transactions1Comps12Market rent36
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 86.7 | 84.0 | 0.30 | 0.2308 | 20.01 | in index |
| financial risk | 60.4 | 52.6 | 0.30 | 0.2308 | 13.94 | in index |
| billing conduct | 55.9 | 41.9 | 0.30 | 0.2308 | 12.90 | in index |
| staffing risk | 66.4 | 66.4 | 0.25 | 0.1923 | 12.77 | in index |
| chow risk | 54.1 | 52.3 | 0.15 | 0.1154 | 6.24 | 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 | 41.9 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 25.0 | B | v0.1-pos | default · in composite | Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure. |
| chow risk | 79.6 | D | v0.6 | default · in composite | |
| financial risk | 52.6 | 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 | 0.1 | — | 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 | 84.0 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 66.4 | D | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 87.0 | 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 | 67.0 | D | 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 | 48.0 | C | 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 | 57.1 | 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 | 83.9 | 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 | 83.9 | 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 | 66.4 | D | 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 | 66.4 | D | 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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
22.4
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 3.36 | -1.52 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| Contract staffing share | 0.38 | +0.49 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Deficiencies, last 12 months | 20.00 | +0.31 | |
| Chain size (log) | 1.10 | -0.17 |
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
10.1
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 | 20.00 | -2.28 | |
| For-profit ownership | 1.00 | -0.69 | |
| Chain size (log) | 1.10 | +0.56 | |
| Fine amount, 12m (log) | 9.82 | -0.54 | |
| Occupancy | 0.65 | +0.41 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Contract staffing share | 0.38 | +0.33 | |
| Never sold on record | 0.00 | -0.28 |
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 | 3.04 | 3.70 | 3.28 | 2.90–3.77 |
| RN | 0.47 | 0.62 | 0.39 | 0.25–0.58 |
| Weekend total | 2.70 | 3.51 | 3.11 | — |
| Weekday total | 3.17 | 3.79 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 31.2 | 3.04 | 0.47 | 0.42 | 2.14 | 2.70 | 37.8% |
| 2025Q3 | 92 | 21.0 | 3.40 | 0.86 | 0.25 | 2.29 | 3.30 | 19.3% |
| 2025Q2 | 91 | 26.9 | 3.29 | 0.64 | 0.27 | 2.39 | 3.21 | 6.6% |
| 2025Q1 | 90 | 29.7 | 3.23 | 0.61 | 0.31 | 2.31 | 3.05 | 0.8% |
| 2024Q4 | 92 | 29.5 | 3.22 | 0.62 | 0.27 | 2.34 | 2.97 | 1.7% |
| 2024Q3 | 92 | 28.9 | 3.10 | 0.47 | 0.45 | 2.18 | 3.03 | 1.8% |
| 2024Q2 | 91 | 29.2 | 2.98 | 0.53 | 0.47 | 1.99 | 2.63 | 3.1% |
| 2024Q1 | 91 | 24.2 | 3.53 | 0.78 | 0.33 | 2.43 | 3.04 | 6.3% |
| 2023Q4 | 92 | 26.4 | 3.41 | 0.56 | 0.44 | 2.41 | 3.25 | 0.0% |
| 2023Q3 | 92 | 27.3 | 3.64 | 0.37 | 0.59 | 2.68 | 3.57 | 15.8% |
| 2023Q2 | 91 | 29.1 | 3.33 | 0.72 | 0.25 | 2.36 | 3.12 | 8.6% |
| 2023Q1 | 90 | 35.0 | 2.89 | 0.63 | 0.11 | 2.15 | 2.71 | 8.3% |
| 2022Q4 | 92 | 32.7 | 2.80 | 0.73 | 0.03 | 2.04 | 2.64 | 8.8% |
| 2022Q3 | 92 | 23.7 | 3.40 | 0.99 | 0.03 | 2.38 | 3.24 | 14.8% |
| 2022Q2 | 91 | 24.1 | 3.61 | 0.81 | 0.36 | 2.44 | 3.56 | 27.2% |
| 2022Q1 | 90 | 20.8 | 3.36 | 0.86 | 0.30 | 2.20 | 3.07 | 12.3% |
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.
Penalties
3fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-11-10 | Fine | $18,337 | CMS provider data |
| 2025-11-10 | Payment Denial | — | CMS provider data |
| 2024-05-01 | Fine | $32,175 | CMS provider data |
Total fines on record: $50,512
Deficiencies
43C × 1D × 28E × 11F × 1G × 1L × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-03 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2026-05-01 |
| 2026-03-03 | Health | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | 2026-05-01 |
| 2026-03-03 | Health · complaint | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | 2026-05-01 |
| 2026-03-03 | 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 | 2026-05-01 |
| 2026-03-03 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-05-01 |
| 2026-03-03 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2026-05-01 |
| 2026-03-03 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2026-05-01 |
| 2026-03-03 | Health | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2026-05-01 |
| 2026-03-03 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2026-05-01 |
| 2026-03-03 | Health | F0760 | Ensure that residents are free from significant medication errors. | E | 2026-05-01 |
| 2026-03-03 | Health | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | D | 2026-05-01 |
| 2026-03-03 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2026-05-01 |
| 2026-03-03 | 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 | 2026-05-01 |
| 2026-03-03 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2026-05-01 |
| 2026-02-26 | Health · complaint | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2026-03-20 |
| 2025-12-22 | 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. | C | 2026-01-28 |
| 2025-12-22 | Health · complaint | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2026-01-28 |
| 2025-12-22 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | L | 2026-01-28 |
| 2025-11-10 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-12-17 |
| 2025-11-10 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2026-02-09 |
| 2025-01-10 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2025-02-14 |
| 2024-11-17 | 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 | 2024-12-23 |
| 2024-11-17 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2024-12-23 |
| 2024-11-17 | Health | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | 2024-12-23 |
| 2024-11-17 | 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 | 2024-12-23 |
| 2024-11-17 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-12-23 |
| 2024-11-17 | Health | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | D | 2024-12-23 |
| 2024-11-17 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-12-23 |
| 2024-05-24 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-06-19 |
| 2024-05-24 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-06-19 |
| 2024-05-24 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-06-19 |
| 2024-05-24 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2024-06-19 |
| 2024-05-01 | 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. | E | 2024-06-19 |
| 2024-05-01 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | 2024-06-19 |
| 2023-12-05 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-12-15 |
| 2023-12-05 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-12-15 |
| 2023-11-09 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | F | 2023-12-07 |
| 2023-10-02 | Health · complaint | F0624 | Prepare residents for a safe transfer or discharge from the nursing home. | D | 2023-10-17 |
| 2023-08-19 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2023-09-13 |
| 2023-08-19 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2023-09-13 |
| 2023-08-19 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-09-13 |
| 2023-07-24 | Health · complaint | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | 2023-08-16 |
| 2023-07-24 | Health · complaint | 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 | 2023-08-16 |
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
0No licensure actions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Ownership
17| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| KALESTA HEALTHCARE GROUP, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2025-06-01 | current | pecos_ownership |
| 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 |
| BERG, TRACY | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-06-01 | current | pecos_ownership |
| DURHAM, CANDICE | ADP OF THE SNF | — | 2025-06-01 | current | pecos_ownership |
| PASKUS, ELLIOTT | ADP OF THE SNF | — | 2025-06-01 | current | pecos_ownership |
| AVALON REALTY - PULLMAN | Corporation, partnership or other organization has financial interest in provider | 100% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| AVALON REALTY - PULLMAN | Corporation, partnership or other organization has financial interest in provider | 100% | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| AVALON REALTY - PULLMAN | Corporation, partnership or other organization has financial interest in provider | 100% | 2023-01-01 | ended 2023-03-19 | hcris_a_8_1 |
| AVALON REALTY - PULLMAN | Corporation, partnership or other organization has financial interest in provider | 100% | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| WASHINGTON 3 PACK LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2023-03-20 | ended 2026-05-18 | pecos_ownership |
| ASHER HANDLER | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2023-03-20 | ended 2026-05-18 | pecos_ownership |
| ROP CARE AJH LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2023-03-20 | ended 2026-05-18 | pecos_ownership |
| ROP OPCO HOLDINGS, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2023-03-20 | ended 2026-05-18 | pecos_ownership |
| CHAIM WOLMARK | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25% | 2023-03-20 | ended 2026-05-18 | pecos_ownership |
| RAPHAEL OSCHEROWITZ | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25% | 2023-03-20 | ended 2026-05-18 | pecos_ownership |
| AUDRA GUTIERREZ-RITARI | W-2 MANAGING EMPLOYEE | — | 2023-03-20 | 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 |
|---|---|---|---|---|
| 2023-03-20 | — | PULLMAN NURSING & REHAB LLC | AVALON CARE CENTER - PULLMAN, 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 Acute | — | — | — | 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
36| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 53075 | acs median gross | 0 | $772 | 2024-12-31 | CENSUS_ACS5 |
| county 53075 | fmr | 0 | $806 | 2025-10-01 | HUD_USER_FMR |
| county 53075 | acs median gross | 1 | $887 | 2024-12-31 | CENSUS_ACS5 |
| county 53075 | fmr | 1 | $891 | 2025-10-01 | HUD_USER_FMR |
| county 53075 | acs median gross | 2 | $1,051 | 2024-12-31 | CENSUS_ACS5 |
| county 53075 | fmr | 2 | $1,169 | 2025-10-01 | HUD_USER_FMR |
| county 53075 | acs median gross | 3 | $1,552 | 2024-12-31 | CENSUS_ACS5 |
| county 53075 | fmr | 3 | $1,626 | 2025-10-01 | HUD_USER_FMR |
| county 53075 | acs median gross | 4 | $1,215 | 2024-12-31 | CENSUS_ACS5 |
| county 53075 | fmr | 4 | $1,961 | 2025-10-01 | HUD_USER_FMR |
| county 53075 | acs median gross | 5 | $1,510 | 2024-12-31 | CENSUS_ACS5 |
| county 53075 | acs median gross | $1,049 | 2024-12-31 | CENSUS_ACS5 | |
| county 53075 | acs recent mover gross | $1,120 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 99163 | acs median gross | 0 | $768 | 2024-12-31 | CENSUS_ACS5 |
| zcta 99163 | acs median gross | 1 | $904 | 2024-12-31 | CENSUS_ACS5 |
| zcta 99163 | acs median gross | 2 | $1,064 | 2024-12-31 | CENSUS_ACS5 |
| zcta 99163 | acs median gross | 3 | $1,667 | 2024-12-31 | CENSUS_ACS5 |
| zcta 99163 | acs median gross | 4 | $1,243 | 2024-12-31 | CENSUS_ACS5 |
| zcta 99163 | acs median gross | 5 | $1,539 | 2024-12-31 | CENSUS_ACS5 |
| zcta 99163 | acs median gross | $1,062 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 99163 | acs recent mover gross | $1,126 | 2024-12-31 | CENSUS_ACS5 | |
| zip 99163 | payment standard 110 | 0 | $913 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99163 | payment standard 90 | 0 | $747 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99163 | safmr | 0 | $830 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99163 | payment standard 110 | 1 | $1,001 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99163 | payment standard 90 | 1 | $819 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99163 | safmr | 1 | $910 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99163 | payment standard 110 | 2 | $1,320 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99163 | payment standard 90 | 2 | $1,080 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99163 | safmr | 2 | $1,200 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99163 | payment standard 110 | 3 | $1,837 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99163 | payment standard 90 | 3 | $1,503 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99163 | safmr | 3 | $1,670 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99163 | payment standard 110 | 4 | $2,211 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99163 | payment standard 90 | 4 | $1,809 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99163 | safmr | 4 | $2,010 | 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.