Composite
78.1 / 100 percentile
Screener / 295050
C
LIFE CARE CENTER OF RENO
snfNVSFF: SFF Candidate
445 W. HOLCOMB LANE, RENO, NV 89511 · CCN 295050 · chain LIFE CARE CENTERS OF AMERICA INC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
198
Model
v1.2
Reads as: riskier than 78.1% 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 model5Components16CHOW radar1Distress radar1Staffing16Penalties0Deficiencies55Licensure0Ownership46Related party5Transactions0Comps12Market rent35
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| billing conduct | 82.5 | 54.5 | 0.30 | 0.2308 | 19.04 | in index |
| regulatory risk | 60.3 | 51.6 | 0.30 | 0.2308 | 13.92 | in index |
| financial risk | 58.0 | 50.9 | 0.30 | 0.2308 | 13.38 | in index |
| staffing risk | 44.7 | 44.7 | 0.25 | 0.1923 | 8.60 | in index |
| chow risk | 39.9 | 38.2 | 0.15 | 0.1154 | 4.60 | 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.
Component scores and registry models
16| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 54.5 | C | 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 | 51.5 | C | v0.6 | default · in composite | |
| financial risk | 50.9 | 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 | 8.8 | — | 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 | 51.6 | C | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 44.7 | B | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 60.3 | C | 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 | 40.3 | B | 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 | 41.5 | 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 | 56.4 | 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 | 51.5 | 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 | 51.5 | 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 | 44.7 | 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 | 44.7 | 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)
8.8%
model v0.1 · computed 2026-07-29
Percentile among SNFs
96.8
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 5.31 | +0.73 | |
| For-profit ownership | 1.00 | +0.69 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Occupancy | 0.60 | +0.27 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Deficiencies, last 12 months | 0.00 | -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
33.6
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 5.31 | -1.89 | |
| Deficiencies, last 12 months | 0.00 | +1.43 | |
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.60 | +0.61 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Facility size (log beds) | 5.29 | -0.20 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Staffing trend, last 4 quarters | -0.23 | -0.13 |
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 | NV median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.37 | 3.62 | 3.28 | 2.90–3.77 |
| RN | 0.83 | 0.64 | 0.39 | 0.25–0.58 |
| Weekend total | 3.17 | 3.46 | 3.11 | — |
| Weekday total | 3.45 | 3.68 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 119.7 | 3.37 | 0.83 | 0.65 | 1.90 | 3.17 | 0.0% |
| 2025Q3 | 92 | 114.6 | 3.51 | 0.76 | 0.70 | 2.05 | 3.29 | 0.0% |
| 2025Q2 | 91 | 113.7 | 3.55 | 0.87 | 0.55 | 2.13 | 3.35 | 0.0% |
| 2025Q1 | 90 | 115.3 | 3.50 | 0.93 | 0.57 | 1.99 | 3.33 | 0.0% |
| 2024Q4 | 92 | 110.4 | 3.60 | 0.97 | 0.53 | 2.10 | 3.43 | 0.0% |
| 2024Q3 | 92 | 113.0 | 3.46 | 0.90 | 0.48 | 2.08 | 3.37 | 0.0% |
| 2024Q2 | 91 | 116.6 | 3.38 | 0.70 | 0.61 | 2.07 | 3.37 | 0.0% |
| 2024Q1 | 91 | 116.8 | 3.27 | 0.70 | 0.60 | 1.97 | 3.20 | 0.0% |
| 2023Q4 | 92 | 118.0 | 3.18 | 0.71 | 0.60 | 1.88 | 3.13 | 0.0% |
| 2023Q3 | 92 | 111.2 | 3.34 | 0.74 | 0.66 | 1.95 | 3.22 | 0.0% |
| 2023Q2 | 91 | 113.7 | 3.24 | 0.78 | 0.69 | 1.77 | 3.10 | 0.0% |
| 2023Q1 | 90 | 129.7 | 2.91 | 0.67 | 0.62 | 1.62 | 2.86 | 0.0% |
| 2022Q4 | 92 | 117.7 | 3.28 | 0.74 | 0.73 | 1.81 | 3.08 | 0.0% |
| 2022Q3 | 92 | 122.9 | 2.96 | 0.58 | 0.63 | 1.74 | 2.87 | 0.0% |
| 2022Q2 | 91 | 120.1 | 2.85 | 0.61 | 0.63 | 1.60 | 2.81 | 0.0% |
| 2022Q1 | 90 | 110.2 | 3.06 | 0.71 | 0.65 | 1.69 | 3.02 | 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
55C × 1D × 44E × 2F × 8
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-07-01 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2025-08-15 |
| 2025-07-01 | Health | F0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | F | 2025-08-20 |
| 2025-07-01 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2025-08-15 |
| 2025-07-01 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2025-07-15 |
| 2025-07-01 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2025-08-15 |
| 2025-07-01 | 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 | 2025-08-15 |
| 2025-07-01 | Health | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | D | 2025-08-15 |
| 2025-07-01 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-08-15 |
| 2025-07-01 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-08-15 |
| 2025-07-01 | Health | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2025-08-15 |
| 2025-07-01 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-08-15 |
| 2025-07-01 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2025-08-15 |
| 2025-07-01 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2025-08-15 |
| 2025-07-01 | Health | F0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | D | 2025-08-15 |
| 2025-07-01 | Health | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | 2025-08-15 |
| 2025-07-01 | 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 | 2025-08-15 |
| 2025-07-01 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-08-15 |
| 2025-07-01 | Health | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | 2025-08-15 |
| 2025-07-01 | Health | F0836 | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | D | 2025-08-15 |
| 2025-07-01 | 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 | 2025-08-15 |
| 2025-07-01 | Health | F0844 | Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel. | D | 2025-07-01 |
| 2025-07-01 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | 2025-08-15 |
| 2025-07-01 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2025-08-15 |
| 2025-07-01 | Health | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | 2025-08-15 |
| 2025-07-01 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2025-08-15 |
| 2025-07-01 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | F | 2025-08-20 |
| 2025-04-08 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-04-08 |
| 2024-08-01 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-09-15 |
| 2024-08-01 | 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 | 2024-09-15 |
| 2024-08-01 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2024-09-06 |
| 2024-08-01 | Health | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | 2024-09-15 |
| 2024-08-01 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-09-15 |
| 2024-08-01 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | D | 2024-09-06 |
| 2024-08-01 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2024-09-06 |
| 2024-08-01 | 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 | 2024-09-06 |
| 2024-08-01 | Health | F0814 | Dispose of garbage and refuse properly. | F | 2024-09-15 |
| 2024-08-01 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-09-06 |
| 2024-08-01 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | 2024-09-06 |
| 2024-08-01 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2024-09-06 |
| 2024-03-13 | 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 | 2024-04-17 |
| 2024-03-13 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-04-17 |
| 2024-03-13 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2024-04-17 |
| 2023-10-03 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-11-04 |
| 2023-10-03 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2023-11-04 |
| 2023-08-17 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2023-09-15 |
| 2023-08-17 | Health · complaint | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2023-09-15 |
| 2023-08-17 | 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 | 2023-09-15 |
| 2023-08-17 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-09-15 |
| 2023-08-17 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-09-15 |
| 2023-08-17 | Health · complaint | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | 2023-09-15 |
| 2023-08-17 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | D | 2023-09-15 |
| 2023-08-17 | 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 | 2023-09-15 |
| 2023-08-17 | 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 | 2023-09-15 |
| 2023-08-17 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2023-09-15 |
| 2023-08-17 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2023-09-15 |
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
46| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| BOISE SNF REAL ESTATE LLC | Individual has financial interest in both related organization and provider | 100% | 2024-01-01 | current | hcris_a_8_1 |
| WEDGEWOOD MEDICAL INV | Individual has financial interest in both related organization and provider | 100% | 2023-01-01 | current | hcris_a_8_1 |
| BUTNER, NANCY | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-09-16 | current | pecos_ownership |
| CROSS, CINDY | CORPORATE OFFICER | — | 1994-04-21 | current | pecos_ownership |
| DEVELOPERS INVESTMENT COMPANY INC | OPERATIONAL/MANAGERIAL CONTROL | — | 1993-06-01 | current | pecos_ownership |
| FLETCHER, TODD | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-13 | current | pecos_ownership |
| HENRY, TERRY | CORPORATE OFFICER | — | 1999-08-16 | current | pecos_ownership |
| JULIAN, DAVID | ADP OF THE SNF | — | 2025-04-07 | current | pecos_ownership |
| JULIAN, DAVID | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-03-01 | current | pecos_ownership |
| LAY, LISA | CORPORATE DIRECTOR | — | 2017-04-24 | current | pecos_ownership |
| LAY, LISA | CORPORATE OFFICER | — | 2018-02-09 | current | pecos_ownership |
| LIFE CARE AFFILIATES II | ADP OF THE SNF | — | 2000-08-31 | current | pecos_ownership |
| LIFE CARE AFFILIATES II | OPERATIONAL/MANAGERIAL CONTROL | — | 1993-06-01 | current | pecos_ownership |
| LIFE CARE CENTERS OF AMERICA, INC. | ADP OF THE SNF | — | 2025-03-20 | current | pecos_ownership |
| LIFE CARE CENTERS OF AMERICA, INC. | OPERATIONAL/MANAGERIAL CONTROL | — | 1991-09-01 | current | pecos_ownership |
| MAYHEW, COLLEEN | MANAGING CONTROL - GOVERNING BODY | — | 2024-10-07 | current | pecos_ownership |
| MCBRIDE, CAROLYN | MANAGING CONTROL - GOVERNING BODY | — | 2024-07-15 | current | pecos_ownership |
| MCBRIDE, CAROLYN | ADP OF THE SNF | — | 2025-03-20 | current | pecos_ownership |
| PRESTON, AUBREY | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-13 | current | pecos_ownership |
| SWANKER, RICHARD | CORPORATE OFFICER | — | 2011-04-01 | current | pecos_ownership |
| SWANKER, RICHARD | CORPORATE DIRECTOR | — | 2022-01-01 | current | pecos_ownership |
| THURMOND, JOAN | CORPORATE OFFICER | — | 2000-09-22 | current | pecos_ownership |
| WEDGWOOD GROUP, LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 1991-09-01 | current | pecos_ownership |
| WEDGWOOD GROUP, LLC | ADP OF THE SNF | — | 2000-08-31 | current | pecos_ownership |
| ZIEGLER, JAMES | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-13 | current | pecos_ownership |
| WEDGEWOOD MEDICAL INV | Individual has financial interest in both related organization and provider | 100% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| WEDGEWOOD MEDICAL INV. | Individual has financial interest in both related organization and provider | 100% | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| WEDGEWOOD MEDICAL INV. | Individual has financial interest in both related organization and provider | 100% | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| FORREST PRESTON | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 51% | — | ended 2026-05-18 | pecos_ownership |
| FORREST PRESTON | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 49% | 1993-06-01 | ended 2026-05-18 | pecos_ownership |
| AUBREY PRESTON | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-13 | ended 2026-05-18 | pecos_ownership |
| CAROLYN MCBRIDE | MANAGING CONTROL - GOVERNING BODY | — | 2024-07-15 | ended 2026-05-18 | pecos_ownership |
| CAROLYN MCBRIDE | ADP OF THE SNF | — | 2025-03-20 | ended 2026-05-18 | pecos_ownership |
| CINDY CROSS | CORPORATE OFFICER | — | 1994-04-21 | ended 2026-05-18 | pecos_ownership |
| COLLEEN MAYHEW | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-10-07 | ended 2026-05-18 | pecos_ownership |
| DAVID JULIAN | ADP OF THE SNF | — | 2025-04-07 | ended 2026-05-18 | pecos_ownership |
| DAVID JULIAN | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-03-01 | ended 2026-05-18 | pecos_ownership |
| JAMES ZIEGLER | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-13 | ended 2026-05-18 | pecos_ownership |
| JOAN THURMOND | CORPORATE OFFICER | — | 2000-09-22 | ended 2026-05-18 | pecos_ownership |
| LISA LAY | CORPORATE DIRECTOR | — | 2017-04-24 | ended 2026-05-18 | pecos_ownership |
| LISA LAY | CORPORATE OFFICER | — | 2018-02-09 | ended 2026-05-18 | pecos_ownership |
| NANCY BUTNER | MANAGING CONTROL - GOVERNING BODY | — | 2018-09-16 | ended 2026-05-18 | pecos_ownership |
| RICHARD SWANKER | CORPORATE OFFICER | — | 2011-04-01 | ended 2026-05-18 | pecos_ownership |
| RICHARD SWANKER | CORPORATE DIRECTOR | — | 2022-01-01 | ended 2026-05-18 | pecos_ownership |
| TERRY HENRY | CORPORATE OFFICER | — | 1999-08-16 | ended 2026-05-18 | pecos_ownership |
| TODD FLETCHER | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-13 | 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
0No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Comparable trades — NV snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-04-17 | OASIS NURSING & REHAB OF GREEN VALLEY | — | — | — | 242 | HENDERSON DELMAR NV OPCO LLC |
| 2024-08-01 | NORTHERN NEVADA STATE VETERANS HOME | — | — | — | 96 | DIMENSIONS MANAGEMENT OF NORTHERN NEVADA LLC |
| 2024-04-18 | HIGHLAND MANOR OF ELKO REHABILITATION LLC | — | — | — | 146 | HIGHLAND MANOR OF ELKO REHABILITATION LLC |
| 2024-04-18 | HIGHLAND MANOR OF FALLON REHABILITATION LLC | — | — | — | 102 | HIGHLAND MANOR OF FALLON REHABILITATION LLC |
| 2024-04-18 | HIGHLAND MANOR OF MESQUITE REHABILITATION LLC | — | — | — | 112 | HIGHLAND MANOR OF MESQUITE REHABILITATION LLC |
| 2024-01-01 | HEARTHSTONE | — | — | — | 125 | TRUCKEE MEADOWS HEALTHCARE, INC. |
| 2023-09-07 | TLC CARE CENTER | — | — | — | 255 | TLC SNF OPERATIONS LLC |
| 2023-08-31 | PAHRUMP HEALTH AND REHABILITATION CENTER | — | — | — | 120 | PAHRUMP SNF OPERATIONS, LLC |
| 2023-08-31 | MOUNTAIN VIEW HEALTH AND REHABILITATION | — | — | — | 146 | MV SNF OPERATIONS LLC |
| 2023-08-31 | GARDNERVILLE HEALTH & REHABILITATION CENTER | — | — | — | 60 | GARDNERVILLE SNF OPERATIONS LLC |
| 2023-08-31 | ORMSBY POST ACUTE REHABILITATION | — | — | — | 120 | ORMSBY SNF OPERATIONS LLC |
| 2023-06-01 | MOUNTAIN VIEW CARE CENTER | — | — | — | 87 | BOULDER CITY NV OPCO 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 32031 | acs median gross | 0 | $1,083 | 2024-12-31 | CENSUS_ACS5 |
| county 32031 | fmr | 0 | $1,289 | 2025-10-01 | HUD_USER_FMR |
| county 32031 | acs median gross | 1 | $1,335 | 2024-12-31 | CENSUS_ACS5 |
| county 32031 | fmr | 1 | $1,489 | 2025-10-01 | HUD_USER_FMR |
| county 32031 | acs median gross | 2 | $1,661 | 2024-12-31 | CENSUS_ACS5 |
| county 32031 | fmr | 2 | $1,870 | 2025-10-01 | HUD_USER_FMR |
| county 32031 | acs median gross | 3 | $2,013 | 2024-12-31 | CENSUS_ACS5 |
| county 32031 | fmr | 3 | $2,539 | 2025-10-01 | HUD_USER_FMR |
| county 32031 | acs median gross | 4 | $2,347 | 2024-12-31 | CENSUS_ACS5 |
| county 32031 | fmr | 4 | $2,949 | 2025-10-01 | HUD_USER_FMR |
| county 32031 | acs median gross | 5 | $2,485 | 2024-12-31 | CENSUS_ACS5 |
| county 32031 | acs median gross | $1,608 | 2024-12-31 | CENSUS_ACS5 | |
| county 32031 | acs recent mover gross | $1,704 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 89511 | acs median gross | 0 | $1,693 | 2024-12-31 | CENSUS_ACS5 |
| zcta 89511 | acs median gross | 1 | $1,622 | 2024-12-31 | CENSUS_ACS5 |
| zcta 89511 | acs median gross | 2 | $1,995 | 2024-12-31 | CENSUS_ACS5 |
| zcta 89511 | acs median gross | 3 | $2,386 | 2024-12-31 | CENSUS_ACS5 |
| zcta 89511 | acs median gross | 4 | $2,713 | 2024-12-31 | CENSUS_ACS5 |
| zcta 89511 | acs median gross | $1,925 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 89511 | acs recent mover gross | $2,269 | 2024-12-31 | CENSUS_ACS5 | |
| zip 89511 | payment standard 110 | 0 | $1,738 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89511 | payment standard 90 | 0 | $1,422 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89511 | safmr | 0 | $1,580 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89511 | payment standard 110 | 1 | $2,002 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89511 | payment standard 90 | 1 | $1,638 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89511 | safmr | 1 | $1,820 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89511 | payment standard 110 | 2 | $2,519 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89511 | payment standard 90 | 2 | $2,061 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89511 | safmr | 2 | $2,290 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89511 | payment standard 110 | 3 | $3,421 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89511 | payment standard 90 | 3 | $2,799 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89511 | safmr | 3 | $3,110 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89511 | payment standard 110 | 4 | $3,971 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89511 | payment standard 90 | 4 | $3,249 | 2025-10-01 | HUD_USER_SAFMR |
| zip 89511 | safmr | 4 | $3,610 | 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.