340 VICTORIA STREET, COSTA MESA, CA 92627 · CCN 055237 · chain THE ENSIGN GROUP INC
Composite
13.0 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
79
Model
v1.2
Reads as: riskier than 13.0% 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.
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
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
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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
CA median
National median
National p25–p75
Total nurse
4.19
3.95
3.28
2.90–3.77
RN
0.39
0.38
0.39
0.25–0.58
Weekend total
4.05
3.79
3.11
—
Weekday total
4.25
4.01
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
71.1
4.19
0.39
1.10
2.70
4.05
0.0%
2025Q3
92
72.3
4.33
0.39
1.12
2.83
4.02
0.0%
2025Q2
91
74.4
4.23
0.32
1.11
2.80
3.89
0.0%
2025Q1
90
77.4
4.09
0.35
1.02
2.72
3.80
0.0%
2024Q4
92
75.9
4.05
0.38
0.98
2.68
3.82
0.0%
2024Q3
92
74.1
4.30
0.38
1.06
2.86
3.95
0.0%
2024Q2
91
76.5
4.13
0.37
0.96
2.79
3.66
0.0%
2024Q1
91
72.0
4.17
0.41
0.94
2.83
3.81
0.0%
2023Q4
92
73.2
4.14
0.40
0.96
2.79
3.79
0.0%
2023Q3
92
75.0
4.19
0.37
1.03
2.79
3.81
0.0%
2023Q2
91
71.9
4.16
0.28
1.09
2.79
3.79
0.0%
2023Q1
90
75.9
3.93
0.27
1.02
2.65
3.60
0.0%
2022Q4
92
72.6
3.95
0.24
0.96
2.76
3.61
0.0%
2022Q3
92
75.7
3.75
0.21
0.89
2.65
3.38
0.6%
2022Q2
91
70.3
4.14
0.30
0.91
2.92
3.77
0.8%
2022Q1
90
69.5
4.32
0.33
0.99
3.00
3.89
0.8%
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
0
No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
28
B × 7D × 20E × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-09-04
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2025-09-18
2025-07-23
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
B
2025-08-08
2025-07-23
Health
F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
B
2025-08-08
2025-07-23
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-08-08
2025-07-23
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
2025-08-08
2025-07-23
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
B
2025-08-08
2025-07-23
Health
F0697
Provide safe, appropriate pain management for a resident who requires such services.
D
2025-08-08
2025-07-23
Health
F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
2025-08-08
2025-07-23
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2025-08-08
2025-07-23
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
2025-08-08
2025-07-23
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-08-08
2025-07-23
Health
F0814
Dispose of garbage and refuse properly.
B
2025-08-08
2024-04-29
Health · complaint
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
B
2024-05-16
2023-10-31
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2023-11-19
2023-10-31
Health
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2023-11-19
2023-10-23
Health · complaint
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2023-11-10
2023-06-28
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-07-28
2021-07-09
Health
F0558
Reasonably accommodate the needs and preferences of each resident.
D
2021-08-09
2021-07-09
Health
F0583
Keep residents' personal and medical records private and confidential.
D
2021-08-09
2021-07-09
Health
F0637
Assess the resident when there is a significant change in condition
B
2021-08-09
2021-07-09
Health
F0641
Ensure each resident receives an accurate assessment.
B
2021-08-09
2021-07-09
Health
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
2021-08-09
2021-07-09
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2021-08-09
2021-07-09
Health
F0759
Ensure medication error rates are not 5 percent or greater.
D
2021-08-09
2021-07-09
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
2021-08-09
2021-07-09
Health
F0842
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
2021-08-09
2021-07-09
Health
F0880
Provide and implement an infection prevention and control program.
D
2021-08-09
2021-07-09
Health
F0881
Implement a program that monitors antibiotic use.
D
2021-08-09
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
20
Owner
Role
Pct
From
Status
Source
BASHANDY, HANY
OPERATIONAL/MANAGERIAL CONTROL
—
2019-10-30
current
pecos_ownership
BURNAM, SOON
CORPORATE OFFICER
—
2006-01-30
current
pecos_ownership
ENSIGN SERVICES INC
ADP OF THE SNF
—
2003-07-01
current
pecos_ownership
EUGENE WAHL TRUST
Corporation, partnership or other organization has financial interest in provider
—
2023-01-01
current
hcris_a_8_1
EUGENE WAHL TRUST
Corporation, partnership or other organization has financial interest in provider
—
2024-01-01
current
hcris_a_8_1
FLAGSTONE HEALTHCARE SOUTH LLC
DIRECT OWNERSHIP INTEREST
—
2006-01-30
current
pecos_ownership
KEETCH, CHAD
CORPORATE OFFICER
—
2011-03-01
current
pecos_ownership
MARGARET L WOODS TRUST
ADP OF THE SNF
—
2003-07-01
current
pecos_ownership
PORT, BARRY
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2026-04-13
current
pecos_ownership
THE ENSIGN GROUP INC
INDIRECT OWNERSHIP INTEREST
—
2006-01-30
current
pecos_ownership
WAHL INVESTMENTS, LLC
ADP OF THE SNF
—
2003-07-01
current
pecos_ownership
WAHL PROPERTIES, LLC
ADP OF THE SNF
—
2003-07-01
current
pecos_ownership
WILLITS, ADAM
CORPORATE OFFICER
—
2019-01-01
current
pecos_ownership
YUHAS, MICHAEL
OPERATIONAL/MANAGERIAL CONTROL
—
2016-07-13
current
pecos_ownership
ADAM WILLITS
CORPORATE DIRECTOR
0%
2019-01-01
ended 2026-05-18
pecos_ownership
MICHAEL YUHAS
W-2 MANAGING EMPLOYEE
0%
2016-07-13
ended 2026-05-18
pecos_ownership
SOON BURNAM
CORPORATE OFFICER
0%
2006-01-30
ended 2026-05-18
pecos_ownership
EUGENE WAHL TRUST
Corporation, partnership or other organization has financial interest in provider
—
2020-01-01
ended 2020-12-31
hcris_a_8_1
EUGENE WAHL TRUST
Corporation, partnership or other organization has financial interest in provider
—
2021-01-01
ended 2021-12-31
hcris_a_8_1
EUGENE WAHL TRUST
Corporation, partnership or other organization has financial interest in provider
—
2022-01-01
ended 2022-12-31
hcris_a_8_1
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Related-party costs
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$1,601,938
—
$954,242
—
—
4
propco
2023-12-31
$2,313,742
—
$1,019,886
—
—
4
propco
2022-12-31
$1,638,545
—
$822,380
—
—
4
propco
2021-12-31
$1,215,853
—
$767,152
—
—
4
propco
2020-12-31
$999,559
—
$660,166
—
$637
4
propco
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
Transactions
0
No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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 06059
acs median gross
0
$2,100
2024-12-31
CENSUS_ACS5
county 06059
fmr
0
$2,682
2025-10-01
HUD_USER_FMR
county 06059
acs median gross
1
$2,115
2024-12-31
CENSUS_ACS5
county 06059
fmr
1
$2,746
2025-10-01
HUD_USER_FMR
county 06059
acs median gross
2
$2,460
2024-12-31
CENSUS_ACS5
county 06059
fmr
2
$3,236
2025-10-01
HUD_USER_FMR
county 06059
acs median gross
3
$3,107
2024-12-31
CENSUS_ACS5
county 06059
fmr
3
$4,393
2025-10-01
HUD_USER_FMR
county 06059
acs median gross
4
$3,501
2024-12-31
CENSUS_ACS5
county 06059
fmr
4
$5,246
2025-10-01
HUD_USER_FMR
county 06059
acs median gross
5
$3,501
2024-12-31
CENSUS_ACS5
county 06059
acs median gross
$2,434
2024-12-31
CENSUS_ACS5
county 06059
acs recent mover gross
$2,814
2024-12-31
CENSUS_ACS5
zcta 92627
acs median gross
0
$1,345
2024-12-31
CENSUS_ACS5
zcta 92627
acs median gross
1
$2,002
2024-12-31
CENSUS_ACS5
zcta 92627
acs median gross
2
$2,409
2024-12-31
CENSUS_ACS5
zcta 92627
acs median gross
3
$3,501
2024-12-31
CENSUS_ACS5
zcta 92627
acs median gross
4
$3,501
2024-12-31
CENSUS_ACS5
zcta 92627
acs median gross
$2,365
2024-12-31
CENSUS_ACS5
zcta 92627
acs recent mover gross
$2,487
2024-12-31
CENSUS_ACS5
zip 92627
payment standard 110
0
$2,904
2025-10-01
HUD_USER_SAFMR
zip 92627
payment standard 90
0
$2,376
2025-10-01
HUD_USER_SAFMR
zip 92627
safmr
0
$2,640
2025-10-01
HUD_USER_SAFMR
zip 92627
payment standard 110
1
$2,981
2025-10-01
HUD_USER_SAFMR
zip 92627
payment standard 90
1
$2,439
2025-10-01
HUD_USER_SAFMR
zip 92627
safmr
1
$2,710
2025-10-01
HUD_USER_SAFMR
zip 92627
payment standard 110
2
$3,509
2025-10-01
HUD_USER_SAFMR
zip 92627
payment standard 90
2
$2,871
2025-10-01
HUD_USER_SAFMR
zip 92627
safmr
2
$3,190
2025-10-01
HUD_USER_SAFMR
zip 92627
payment standard 110
3
$4,763
2025-10-01
HUD_USER_SAFMR
zip 92627
payment standard 90
3
$3,897
2025-10-01
HUD_USER_SAFMR
zip 92627
safmr
3
$4,330
2025-10-01
HUD_USER_SAFMR
zip 92627
payment standard 110
4
$5,687
2025-10-01
HUD_USER_SAFMR
zip 92627
payment standard 90
4
$4,653
2025-10-01
HUD_USER_SAFMR
zip 92627
safmr
4
$5,170
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.