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 16:12 UTC
Screener / 415049
D

Cedar Haven Operations LLC DBA Lake Forrest Health

snfRI
180 Log Road, Smithfield, RI 02917 · CCN 415049
Composite
93.1 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
133
Model
v1.2
Reads as: riskier than 93.1% 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 signals4Components16CHOW radar1Distress radar1Staffing16Penalties5Deficiencies45Licensure0Ownership28Related party4Transactions1Comps12Market rent28

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk95.193.30.300.230821.95in index
financial risk82.269.00.300.230818.97in index
staffing risk91.591.50.250.192317.60in index
chow risk94.080.20.150.115410.85in index
billing conduct0.00.00.300.23080.00in 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

4
KindFindingSignalSubjectFirst seen
connectionOwner fleet risk far above national+28.0 vs natlCENTRALIZED BUSINESS SERVICES LLC6 facilities
connectionOwner spans multiple chains14 chainsBRAND SONNENSCHINE LLP42 facilities
connectionOwner spans multiple chains5 chainsSHIFTSTER LLC12 facilities
connectionOwner fleet enforcement cluster44% finedSHIFTSTER LLC18 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 conduct0.0Av0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk75.0Dv0.1-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 risk85.4Fv0.6default · in composite
financial risk69.0Dv0.5default · in compositeR18.
p adverse action 12m0.0—v0.1default · 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 12m0.0—v0.1default · 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 risk93.3Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk91.5Fv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk78.4Dv0.1supersededPre-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 risk58.4Cv0.2supersededPre-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 risk70.2Dv0.3supersededPre-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 risk68.1Dv0.4supersededPre-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 risk93.2Fv0.1supersededPre-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 risk93.2Fv0.2supersededPre-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 risk91.5Fv0.1supersededPre-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 risk91.5Fv0.2supersededPre-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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
7.0
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Current owner tenure (years)1.16-1.73
Never sold on record0.00-1.62
Ownership changes, last 5 years1.00-0.87
For-profit ownership1.00+0.69
No PBJ staffing report0.00+0.42
Chain size (log)0.00-0.40
Deficiencies, last 12 months15.00+0.19
Total nurse staffing (HPRD)2.48+0.11
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
DriverValuePull on odds
Deficiencies, last 12 months15.00-1.35
Chain size (log)0.00+1.20
For-profit ownership1.00-0.69
Fine amount, 12m (log)9.61-0.52
No PBJ staffing report0.00+0.39
Total nurse staffing (HPRD)2.48+0.31
Never sold on record0.00-0.28
Current owner tenure (years)1.16-0.28
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 HPRDThis facilityRI medianNational medianNational p25–p75
Total nurse2.483.223.282.90–3.77
RN0.440.530.390.25–0.58
Weekend total2.373.043.11—
Weekday total2.523.283.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49297.32.480.440.501.542.378.2%
2025Q39297.12.710.380.541.802.638.3%
2025Q291102.02.700.310.621.762.521.4%
2025Q190107.32.920.340.661.922.790.5%
2024Q492105.43.020.510.601.902.792.5%
2024Q392107.42.880.470.621.782.610.1%
2024Q291116.22.770.500.531.742.530.1%
2024Q191116.32.490.460.451.582.310.0%
2023Q492116.42.660.300.631.732.454.0%
2023Q392107.12.760.350.611.792.506.5%
2023Q291105.62.700.410.561.732.514.6%
2023Q190101.22.790.420.571.802.543.7%
2022Q492101.12.700.390.561.752.398.8%
2022Q39296.02.820.460.451.912.553.5%
2022Q29192.42.910.420.482.002.592.7%
2022Q19097.92.390.440.381.572.130.0%
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

5
fines by year
$89.6k$44.8k232425
DateTypeFineSource
2025-11-25Fine$14,901CMS provider data
2024-05-01Fine$89,642CMS provider data
2024-05-01Payment Denial—CMS provider data
2023-08-23Fine$7,930CMS provider data
2023-06-29Fine$14,342CMS provider data
Total fines on record: $126,815

Deficiencies

45
D × 24E × 12F × 3H × 1J × 5
deficiencies by survey year
15823242526
SurveyTypeTagDeficiencyScopeCorrected
2026-03-25Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2026-04-10
2026-01-02HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.D2026-02-01
2026-01-02HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E2026-02-01
2026-01-02HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2026-02-01
2026-01-02HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2026-02-01
2026-01-02HealthF0697Provide safe, appropriate pain management for a resident who requires such services.D2026-02-01
2026-01-02HealthF0760Ensure that residents are free from significant medication errors.D2026-02-01
2026-01-02HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2026-02-01
2026-01-02HealthF0880Provide and implement an infection prevention and control program.F2026-02-01
2026-01-02HealthF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.E2026-02-01
2025-12-01Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2025-12-23
2025-12-01Health · complaintF0880Provide and implement an infection prevention and control program.D2025-12-23
2025-11-25Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2025-12-23
2025-11-25Health · complaintF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.J2025-12-23
2025-11-25Health · complaintF0760Ensure that residents are free from significant medication errors.J2025-12-23
2025-03-25Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2025-04-24
2025-03-11Health · complaintF0760Ensure that residents are free from significant medication errors.D2025-04-10
2024-12-31Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2025-01-17
2024-12-31Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2025-01-17
2024-10-10Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.E2024-11-09
2024-10-10HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E2024-11-09
2024-10-10Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-11-09
2024-10-10HealthF0760Ensure that residents are free from significant medication errors.D2024-11-09
2024-10-10HealthF0880Provide and implement an infection prevention and control program.E2024-11-09
2024-08-14Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2024-09-06
2024-07-22Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2024-08-09
2024-07-22Health · complaintF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D2024-08-09
2024-07-17Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2024-07-24
2024-06-24Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J2024-07-24
2024-06-24Health · complaintF0679Provide activities to meet all resident's needs.E2024-07-24
2024-06-04Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.H2024-07-04
2024-05-01Health · complaintF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.F2024-07-24
2023-10-19HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.D2023-11-18
2023-10-19HealthF0679Provide activities to meet all resident's needs.E2023-11-18
2023-10-19HealthF0695Provide safe and appropriate respiratory care for a resident when needed.E2023-11-18
2023-10-19HealthF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.D2023-11-18
2023-10-19HealthF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.D2023-11-18
2023-10-19HealthF0880Provide and implement an infection prevention and control program.E2023-11-18
2023-10-19HealthF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.E2023-11-18
2023-10-19HealthF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E2023-11-18
2023-09-07Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.F2023-09-19
2023-08-23Health · 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.D2023-11-09
2023-07-05Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2023-08-04
2023-07-05Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E2023-08-04
2023-06-29Health · 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.D2023-07-21
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

28
OwnerRolePctFromStatusSource
LAKE VALLEY OPERATIONS HOLDCO LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2025-06-01currentpecos_ownership
YARMUSH, YEHUDA5% OR GREATER INDIRECT OWNERSHIP INTEREST80%2025-06-01currentpecos_ownership
ESRI HOLDCO LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST20%2025-06-01currentpecos_ownership
APONTE, SANDRAOPERATIONAL/MANAGERIAL CONTROL—2025-06-01currentpecos_ownership
BIBEAULT, PAMELAADP OF THE SNF—2025-06-01currentpecos_ownership
BRAND SONNENSCHINE LLPADP OF THE SNF—2025-06-01currentpecos_ownership
CENTRALIZED BUSINESS SERVICES LLCADP OF THE SNF—2024-08-01currentpecos_ownership
DERIENZO, RICHARDADP OF THE SNF—2025-06-01currentpecos_ownership
HELLER, SHLOMOADP OF THE SNF—2025-06-01currentpecos_ownership
LAKE FOREST HEALTH & REHABILITATION PROPCO LLCADP OF THE SNF—2025-06-01currentpecos_ownership
LAKE VALLEY REALTY HOLDCO LLCADP OF THE SNF—2025-06-01currentpecos_ownership
LAKE VALLEY RI MANAGEMENT LLCADP OF THE SNF—2025-06-01currentpecos_ownership
MAJEKODUNMI, AKINDELEADP OF THE SNF—2025-07-08currentpecos_ownership
MAJEKODUNMI, AKINDELEOPERATIONAL/MANAGERIAL CONTROL—2025-06-01currentpecos_ownership
MCALPINE, ULYSSESOPERATIONAL/MANAGERIAL CONTROL—2025-06-01currentpecos_ownership
NUSSBAUM, EPHRAIMADP OF THE SNF—2025-06-01currentpecos_ownership
SHIFTSTER LLCADP OF THE SNF—2025-06-01currentpecos_ownership
STERLING THERAPY SOLUTIONS LLCADP OF THE SNF—2025-06-01currentpecos_ownership
TRIAD HEALTHCARE LLCADP OF THE SNF—2025-06-01currentpecos_ownership
YEHUDA YARMUSH5% OR GREATER INDIRECT OWNERSHIP INTEREST80%2025-06-01ended 2026-05-18pecos_ownership
EPHRAIM NUSSBAUM5% OR GREATER INDIRECT OWNERSHIP INTEREST10%2025-06-01ended 2026-05-18pecos_ownership
SHLOMO HELLER5% OR GREATER INDIRECT OWNERSHIP INTEREST10%2025-06-01ended 2026-05-18pecos_ownership
AKINDELE MAJEKODUNMIOPERATIONAL/MANAGERIAL CONTROL—2025-06-01ended 2026-05-18pecos_ownership
AKINDELE MAJEKODUNMIADP OF THE SNF—2025-07-08ended 2026-05-18pecos_ownership
PAMELA BIBEAULTADP OF THE SNF—2025-06-01ended 2026-05-18pecos_ownership
RICHARD DERIENZOADP OF THE SNF—2025-06-01ended 2026-05-18pecos_ownership
SANDRA APONTEOPERATIONAL/MANAGERIAL CONTROL—2025-06-01ended 2026-05-18pecos_ownership
ULYSSES MCALPINEADP OF THE SNF—2025-06-01ended 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
2025-06-01—CEDAR HAVEN OPERATIONS LLCASLC RI II LLCchow

Comparable trades — RI snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-06-01Cedar Haven Operations LLC DBA Lake Forrest Healththis facility———133CEDAR HAVEN OPERATIONS LLC
2025-05-23Warren Operations RI, LLC DBA Warren Center———63WARREN OPERATIONS RI LLC
2025-02-01Adviniacare Providence Dodge Rehab Center, LLC———161ADVINIACARE PROVIDENCE DODGE REHAB CENTER LLC
2025-02-01Adviniacare Pawtucket Pleasant Rehab Center, LLC———129ADVINIACARE PAWTUCKET PLEASANT REHAB CENTER LLC
2024-01-31The Friendly Home———126FRIENDLY EDEN OPERATIONS LLC
2024-01-01Pawtucket Falls Healthcare Center———154VIOLET SNF HOLDCO LLC
2022-11-01Riverview Healthcare Community———190RIVERVIEW OPERATOR LLC
2022-11-01Morgan Health Center———120MORGAN OPERATOR LLC
2022-11-01Westerly Health Center———120WESTERLY OPERATOR LLC
2022-11-01Heritage Hills Nursing & Rehabilitation Center———100HERITAGE HILLS OPERATOR LLC
2022-08-19South County Eden Operations LLC DBA Lakeside Nurs———120SOUTH COUNTY EDEN OPERATIONS LLC
2022-06-07Brentwood Health Center———964000 POST ROAD EDEN OPERATIONS 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

28
GeoKindBRAmountAs ofSource
county 44007acs median gross0$9632024-12-31CENSUS_ACS5
county 44007acs median gross1$9522024-12-31CENSUS_ACS5
county 44007acs median gross2$1,3972024-12-31CENSUS_ACS5
county 44007acs median gross3$1,5972024-12-31CENSUS_ACS5
county 44007acs median gross4$1,6472024-12-31CENSUS_ACS5
county 44007acs median gross5$1,8082024-12-31CENSUS_ACS5
county 44007acs median gross$1,3122024-12-31CENSUS_ACS5
county 44007acs recent mover gross$1,6772024-12-31CENSUS_ACS5
zcta 02917acs median gross1$9282024-12-31CENSUS_ACS5
zcta 02917acs median gross2$1,2102024-12-31CENSUS_ACS5
zcta 02917acs median gross3$2,0142024-12-31CENSUS_ACS5
zcta 02917acs median gross4$1,8192024-12-31CENSUS_ACS5
zcta 02917acs median gross$1,0012024-12-31CENSUS_ACS5
zip 02917payment standard 1100$1,2212025-10-01HUD_USER_SAFMR
zip 02917payment standard 900$9992025-10-01HUD_USER_SAFMR
zip 02917safmr0$1,1102025-10-01HUD_USER_SAFMR
zip 02917payment standard 1101$1,3092025-10-01HUD_USER_SAFMR
zip 02917payment standard 901$1,0712025-10-01HUD_USER_SAFMR
zip 02917safmr1$1,1902025-10-01HUD_USER_SAFMR
zip 02917payment standard 1102$1,6062025-10-01HUD_USER_SAFMR
zip 02917payment standard 902$1,3142025-10-01HUD_USER_SAFMR
zip 02917safmr2$1,4602025-10-01HUD_USER_SAFMR
zip 02917payment standard 1103$1,9362025-10-01HUD_USER_SAFMR
zip 02917payment standard 903$1,5842025-10-01HUD_USER_SAFMR
zip 02917safmr3$1,7602025-10-01HUD_USER_SAFMR
zip 02917payment standard 1104$2,3432025-10-01HUD_USER_SAFMR
zip 02917payment standard 904$1,9172025-10-01HUD_USER_SAFMR
zip 02917safmr4$2,1302025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.
CII Terminal tearsheet · Cedar Haven Operations LLC DBA Lake Forrest Health (415049) · generated 2026-08-04 · every number derives from public records (CMS Care Compare, PBJ, POS, penalty and survey files, state licensure registers) · scores are published model outputs with holdout metrics disclosed at cii-terminal.vercel.app/transparency