Composite
93.8 / 100 percentile
Screener / 135098
D
Timber Springs Transitional Care
snfIDSFF: SFF Candidate
1140 North Allumbaugh Street, Boise, ID 83704 · CCN 135098 · chain EDURO HEALTHCARE LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
120
Model
v1.2
Reads as: riskier than 93.8% 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 model4ML signals5Components13CHOW radar1Distress radar1Staffing15Penalties2Deficiencies67Licensure0Ownership16Related party5Transactions1Comps12Market rent36
Composite explanation
4| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 92.3 | 80.5 | 0.30 | 0.2857 | 26.37 | in index |
| regulatory risk | 80.2 | 76.9 | 0.30 | 0.2857 | 22.91 | in index |
| billing conduct | 55.1 | 41.5 | 0.30 | 0.2857 | 15.74 | in index |
| chow risk | 34.5 | 34.8 | 0.15 | 0.1429 | 4.93 | 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
5| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner spans multiple chains | 18 chains | ENSIGN SERVICES INC | 286 facilities |
| connection | Owner spans multiple chains | 17 chains | BURNAM SOON | 335 facilities |
| connection | Owner spans multiple chains | 17 chains | KEETCH CHAD | 283 facilities |
| connection | Owner spans multiple chains | 12 chains | THE ENSIGN GROUP INC | 123 facilities |
| connection | Owner spans multiple chains | 11 chains | STANDARD BEARER HEALTHCARE OP LP | 83 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
13| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 41.5 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 24.8 | A | 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 | 44.8 | B | v0.6 | default · in composite | |
| financial risk | 80.5 | F | 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 | 76.9 | D | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| financial risk | 65.8 | D | 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 | 45.8 | C | v0.2 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 68.0 | D | 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 | 80.1 | F | 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 | 76.8 | D | 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 | 76.8 | D | 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. |
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
30.7
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) | 5.27 | -1.33 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Occupancy | 0.80 | -0.30 | |
| Deficiencies, last 12 months | 19.00 | +0.29 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Chain size (log) | 2.71 | +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
0.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 19.00 | -2.09 | |
| For-profit ownership | 1.00 | -0.69 | |
| Fine amount, 12m (log) | 10.33 | -0.58 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Chain size (log) | 2.71 | -0.37 | |
| Never sold on record | 0.00 | -0.28 | |
| Occupancy | 0.80 | -0.23 | |
| Current owner tenure (years) | 5.27 | -0.22 |
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
15| 2025Q3 HPRD | This facility | ID median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.98 | 3.34 | 3.28 | 2.90–3.77 |
| RN | 0.37 | 0.51 | 0.39 | 0.25–0.58 |
| Weekend total | 2.63 | 3.05 | 3.11 | — |
| Weekday total | 3.12 | 3.43 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q3 | 92 | 96.3 | 2.98 | 0.37 | 1.01 | 1.59 | 2.63 | 0.0% |
| 2025Q2 | 91 | 90.4 | 3.15 | 0.48 | 0.96 | 1.71 | 2.73 | 10.0% |
| 2025Q1 | 90 | 93.2 | 2.95 | 0.51 | 0.85 | 1.59 | 2.69 | 4.7% |
| 2024Q4 | 92 | 84.4 | 3.06 | 0.40 | 0.88 | 1.78 | 2.74 | 6.7% |
| 2024Q3 | 92 | 64.1 | 3.04 | 0.34 | 0.78 | 1.92 | 2.96 | 8.8% |
| 2024Q2 | 91 | 62.5 | 2.90 | 0.26 | 0.81 | 1.83 | 2.67 | 6.9% |
| 2024Q1 | 91 | 70.0 | 2.86 | 0.23 | 0.84 | 1.78 | 2.79 | 20.3% |
| 2023Q4 | 92 | 68.9 | 2.83 | 0.21 | 0.81 | 1.80 | 2.76 | 32.7% |
| 2023Q3 | 92 | 68.2 | 3.02 | 0.23 | 0.88 | 1.91 | 2.98 | 31.3% |
| 2023Q2 | 91 | 72.8 | 2.97 | 0.36 | 0.80 | 1.81 | 2.80 | 31.3% |
| 2023Q1 | 90 | 74.2 | 2.75 | 0.30 | 0.76 | 1.69 | 2.82 | 24.0% |
| 2022Q4 | 92 | 70.8 | 2.72 | 0.22 | 0.71 | 1.78 | 2.62 | 26.1% |
| 2022Q3 | 92 | 70.5 | 2.64 | 0.24 | 0.71 | 1.69 | 2.57 | 26.2% |
| 2022Q2 | 91 | 71.8 | 2.59 | 0.20 | 0.62 | 1.77 | 2.38 | 18.5% |
| 2022Q1 | 90 | 68.7 | 2.77 | 0.20 | 0.72 | 1.84 | 2.47 | 15.4% |
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| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-09-12 | Fine | $15,327 | CMS provider data |
| 2025-09-12 | Fine | $15,327 | CMS provider data |
Total fines on record: $30,654
Deficiencies
67C × 2D × 42E × 14F × 4G × 4J × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-11-20 | Health · complaint | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | 2025-12-12 |
| 2025-11-20 | Health · complaint | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | 2025-12-12 |
| 2025-11-20 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-12-12 |
| 2025-11-20 | Health · complaint | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2025-12-12 |
| 2025-09-12 | 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 | 2025-10-17 |
| 2025-09-12 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2025-12-12 |
| 2025-09-12 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-10-17 |
| 2025-09-12 | Health · complaint | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2025-10-17 |
| 2025-09-12 | Health · complaint | F0641 | Ensure each resident receives an accurate assessment. | D | 2025-10-17 |
| 2025-09-12 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-10-17 |
| 2025-09-12 | Health · complaint | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2025-10-17 |
| 2025-09-12 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-10-17 |
| 2025-09-12 | 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 | 2025-10-17 |
| 2025-09-12 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2025-10-17 |
| 2025-09-12 | Health · complaint | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | 2025-10-17 |
| 2025-09-12 | Health · complaint | F0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | D | 2025-10-17 |
| 2025-09-12 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2025-10-17 |
| 2025-09-12 | Health · complaint | F0839 | Employ staff that are licensed, certified, or registered in accordance with state laws. | D | 2025-10-17 |
| 2025-09-12 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-12-12 |
| 2024-06-28 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-08-02 |
| 2024-06-28 | Health · complaint | 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. | E | 2024-08-02 |
| 2024-06-28 | 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 | 2024-08-02 |
| 2024-06-28 | 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. | E | 2024-08-02 |
| 2024-06-28 | Health · complaint | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | 2024-08-02 |
| 2024-06-28 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2023-10-06 |
| 2024-06-28 | 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. | E | 2024-08-02 |
| 2024-06-28 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-08-02 |
| 2024-06-28 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-08-02 |
| 2024-06-28 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-08-02 |
| 2024-06-28 | Health · complaint | F0700 | Try 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. | D | 2024-08-02 |
| 2024-06-28 | Health · complaint | F0732 | Post nurse staffing information every day. | C | 2024-08-02 |
| 2024-06-28 | 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 | 2024-08-02 |
| 2024-06-28 | Health · complaint | 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 | 2024-08-02 |
| 2024-06-28 | Health · complaint | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | 2024-08-02 |
| 2024-06-28 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-08-02 |
| 2024-06-28 | Health · complaint | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | 2024-08-02 |
| 2023-05-08 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2023-06-09 |
| 2023-05-08 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2023-06-09 |
| 2023-05-08 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2023-06-09 |
| 2023-05-08 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2023-08-28 |
| 2023-05-08 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | 2023-06-09 |
| 2023-05-08 | 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 | 2023-08-28 |
| 2023-05-08 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2023-06-09 |
| 2023-05-08 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-06-09 |
| 2023-05-08 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2023-06-09 |
| 2023-05-08 | 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 | 2023-06-09 |
| 2023-05-08 | Health | F0637 | Assess the resident when there is a significant change in condition | D | 2023-06-09 |
| 2023-05-08 | 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. | E | 2023-06-09 |
| 2023-05-08 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2023-06-09 |
| 2023-05-08 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2023-08-28 |
| 2023-05-08 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2023-06-09 |
| 2023-05-08 | 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 | 2023-06-09 |
| 2023-05-08 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2023-06-09 |
| 2023-05-08 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-06-09 |
| 2023-05-08 | Health | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | 2023-06-09 |
| 2023-05-08 | Health | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | E | 2023-06-09 |
| 2023-05-08 | Health | F0732 | Post nurse staffing information every day. | C | 2023-06-09 |
| 2023-05-08 | Health | 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 | 2023-06-09 |
| 2023-05-08 | 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. | E | 2023-08-28 |
| 2023-05-08 | Health | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | F | 2023-06-09 |
| 2023-05-08 | 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 | 2023-08-28 |
| 2023-05-08 | Health | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | F | 2023-06-09 |
| 2023-05-08 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2023-06-09 |
| 2023-05-08 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | 2023-06-09 |
| 2023-05-08 | Health | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | E | 2023-06-09 |
| 2023-05-08 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | J | 2023-06-09 |
| 2023-05-08 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2023-08-28 |
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
16| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| ALLEN, DANIEL | ADP OF THE SNF | — | 2025-06-25 | current | pecos_ownership |
| ALLEN, DANIEL | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-07-01 | current | pecos_ownership |
| ARNELL, PAUL | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-07-01 | current | pecos_ownership |
| ARNELL, PAUL | ADP OF THE SNF | — | 2025-06-25 | current | pecos_ownership |
| BURNAM, SOON | MANAGING CONTROL - GOVERNING BODY | — | 2025-05-22 | current | pecos_ownership |
| CRANE CREEK HEALTH HOLDINGS LLC | ADP OF THE SNF | — | 2025-07-01 | current | pecos_ownership |
| ENSIGN SERVICES INC | ADP OF THE SNF | — | 2025-05-22 | current | pecos_ownership |
| FARNSWORTH, STEPHEN | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-07-29 | current | pecos_ownership |
| KEETCH, CHAD | CORPORATE OFFICER | — | 2011-03-01 | current | pecos_ownership |
| PENNANT HEALTHCARE LLC | DIRECT OWNERSHIP INTEREST | — | 2025-05-22 | current | pecos_ownership |
| PORT, BARRY | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | 2025-06-25 | current | pecos_ownership |
| STANDARD BEARER HEALTHCARE OP LP | ADP OF THE SNF | — | 2025-04-01 | current | pecos_ownership |
| THE ENSIGN GROUP INC | INDIRECT OWNERSHIP INTEREST | — | 2025-05-22 | current | pecos_ownership |
| EDURO HEALTHCARE LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2021-01-01 | ended 2026-05-18 | pecos_ownership |
| MICHAEL BEWSEY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2021-01-01 | ended 2026-05-18 | pecos_ownership |
| DUSTIN MONROE | CORPORATE OFFICER | 0% | 2022-07-19 | 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 |
|---|---|---|---|---|
| 2021-04-22 | — | BOISE NURSING AND REHAB CENTER LLC | BOISE NURSING AND REHAB CENTER LLC | chow |
Comparable trades — ID snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-06-01 | Lakeside Rehabilitation and Care Center | — | — | — | 100 | MASON PARK HEALTHCARE, INC. |
| 2024-09-01 | Orchard View Post Acute | — | — | — | 127 | ORCHARD VIEW SNF HEALTHCARE LLC |
| 2023-05-01 | Paradise Creek Health and Rehab of Cascadia | — | — | — | 63 | MOSCOW NORTH OF CASCADIA LLC |
| 2023-03-01 | Silverton Health and Rehabilitation of Cascadia | — | — | — | 55 | SILVERTON OF CASCADIA LLC |
| 2023-03-01 | Eagle Rock Health and Rehabilitation of Cascadia | — | — | — | 113 | IDAHO FALLS NORTH OF CASCADIA LLC |
| 2023-01-01 | Cascades at Desert View | — | — | — | 57 | CASCADES AT DESERT VIEW LLC |
| 2023-01-01 | Lincoln County Care Center | — | — | — | 36 | CASCADES AT LINCOLN COUNTY, LLC |
| 2022-03-01 | Cascadia of Lewiston | — | — | — | 34 | LEWISTON NORTH OF CASCADIA, LLC |
| 2022-03-01 | Grangeville Health & Rehabilitation of Cascadia | — | — | — | 60 | GRANGEVILLE OF CASCADIA, LLC |
| 2022-02-01 | Royal Plaza Health and Rehabilitation of Cascadia | — | — | — | 76 | LEWISTON CENTER OF CASCADIA, LLC |
| 2022-02-01 | Teton Healthcare of Cascadia | — | — | — | 88 | IDAHO FALLS OF CASCADIA LLC |
| 2022-01-01 | Sunny Ridge | — | — | — | 43 | CASCADES AT SUNNY RIDGE 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 16001 | acs median gross | 0 | $1,235 | 2024-12-31 | CENSUS_ACS5 |
| county 16001 | fmr | 0 | $1,170 | 2025-10-01 | HUD_USER_FMR |
| county 16001 | acs median gross | 1 | $1,277 | 2024-12-31 | CENSUS_ACS5 |
| county 16001 | fmr | 1 | $1,381 | 2025-10-01 | HUD_USER_FMR |
| county 16001 | acs median gross | 2 | $1,487 | 2024-12-31 | CENSUS_ACS5 |
| county 16001 | fmr | 2 | $1,655 | 2025-10-01 | HUD_USER_FMR |
| county 16001 | acs median gross | 3 | $1,899 | 2024-12-31 | CENSUS_ACS5 |
| county 16001 | fmr | 3 | $2,318 | 2025-10-01 | HUD_USER_FMR |
| county 16001 | acs median gross | 4 | $2,264 | 2024-12-31 | CENSUS_ACS5 |
| county 16001 | fmr | 4 | $2,772 | 2025-10-01 | HUD_USER_FMR |
| county 16001 | acs median gross | 5 | $2,624 | 2024-12-31 | CENSUS_ACS5 |
| county 16001 | acs median gross | $1,577 | 2024-12-31 | CENSUS_ACS5 | |
| county 16001 | acs recent mover gross | $1,748 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 83704 | acs median gross | 0 | $1,193 | 2024-12-31 | CENSUS_ACS5 |
| zcta 83704 | acs median gross | 1 | $1,240 | 2024-12-31 | CENSUS_ACS5 |
| zcta 83704 | acs median gross | 2 | $1,496 | 2024-12-31 | CENSUS_ACS5 |
| zcta 83704 | acs median gross | 3 | $1,699 | 2024-12-31 | CENSUS_ACS5 |
| zcta 83704 | acs median gross | 4 | $1,880 | 2024-12-31 | CENSUS_ACS5 |
| zcta 83704 | acs median gross | 5 | $2,007 | 2024-12-31 | CENSUS_ACS5 |
| zcta 83704 | acs median gross | $1,490 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 83704 | acs recent mover gross | $1,622 | 2024-12-31 | CENSUS_ACS5 | |
| zip 83704 | payment standard 110 | 0 | $1,287 | 2025-10-01 | HUD_USER_SAFMR |
| zip 83704 | payment standard 90 | 0 | $1,053 | 2025-10-01 | HUD_USER_SAFMR |
| zip 83704 | safmr | 0 | $1,170 | 2025-10-01 | HUD_USER_SAFMR |
| zip 83704 | payment standard 110 | 1 | $1,529 | 2025-10-01 | HUD_USER_SAFMR |
| zip 83704 | payment standard 90 | 1 | $1,251 | 2025-10-01 | HUD_USER_SAFMR |
| zip 83704 | safmr | 1 | $1,390 | 2025-10-01 | HUD_USER_SAFMR |
| zip 83704 | payment standard 110 | 2 | $1,826 | 2025-10-01 | HUD_USER_SAFMR |
| zip 83704 | payment standard 90 | 2 | $1,494 | 2025-10-01 | HUD_USER_SAFMR |
| zip 83704 | safmr | 2 | $1,660 | 2025-10-01 | HUD_USER_SAFMR |
| zip 83704 | payment standard 110 | 3 | $2,552 | 2025-10-01 | HUD_USER_SAFMR |
| zip 83704 | payment standard 90 | 3 | $2,088 | 2025-10-01 | HUD_USER_SAFMR |
| zip 83704 | safmr | 3 | $2,320 | 2025-10-01 | HUD_USER_SAFMR |
| zip 83704 | payment standard 110 | 4 | $3,058 | 2025-10-01 | HUD_USER_SAFMR |
| zip 83704 | payment standard 90 | 4 | $2,502 | 2025-10-01 | HUD_USER_SAFMR |
| zip 83704 | safmr | 4 | $2,780 | 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.