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 22:35 UTC
Screener / 385148
D

ROYALE GARDENS HEALTH & REHABILITATION CENTER

snfOR
2075 NW HIGHLAND AVENUE, GRANTS PASS, OR 97526 · CCN 385148 · chain VOLARE HEALTH LLC
Composite
92.0 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
145
Model
v1.2
Reads as: riskier than 92.0% 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.
Score model5ML signals10Components16CHOW radar1Distress radar1Staffing16Penalties2Deficiencies68Licensure0Ownership30Related party6Transactions1Comps12Market rent35

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk91.889.50.300.230821.18in index
financial risk81.768.50.300.230818.85in index
billing conduct70.447.90.300.230816.25in index
chow risk79.059.80.150.11549.12in index
staffing risk15.615.70.250.19233.00in 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

10
KindFindingSignalSubjectFirst seen
connectionOwner fleet risk far above national+20.6 vs natlKNOX DONALD16 facilities
connectionOwner fleet enforcement cluster50% finedSMITH BRIAN14 facilities
connectionOwner fleet enforcement cluster44% finedHAGAR CHAIM18 facilities
connectionOwner fleet enforcement cluster44% finedVOLARE HEALTH LLC16 facilities
connectionOwner fleet enforcement cluster44% finedKNOX DONALD16 facilities
connectionOwner fleet enforcement cluster42% finedPAC 12 HOLDINGS LLC12 facilities
connectionOwner fleet enforcement cluster42% finedPAC 12 OPCO HOLDCO LLC12 facilities
connectionOwner fleet enforcement cluster42% finedPAC 12 PINNACLE HOLDCO LLC12 facilities
connectionOwner fleet enforcement cluster42% finedKNOX HEALTHCARE PAC 12 HOLDINGS LLC12 facilities
connectionOwner fleet enforcement cluster42% finedHAGLER ALEXANDER12 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 conduct47.9Cv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk55.0Cv0.1-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 risk64.5Cv0.6default · in composite
financial risk68.5Dv0.5default · 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 12m0.1—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 risk89.5Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk15.7Av0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk52.3Cv0.1supersededPre-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 risk32.3Bv0.2supersededPre-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 risk54.6Cv0.3supersededPre-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 risk71.9Dv0.4supersededPre-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 risk89.4Fv0.1supersededPre-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 risk89.4Fv0.2supersededPre-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 risk15.7Av0.1supersededPre-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 risk15.7Av0.2supersededPre-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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
17.6
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Never sold on record0.00-1.62
Current owner tenure (years)3.41-1.51
Ownership changes, last 5 years1.00-0.87
Occupancy0.46+0.70
For-profit ownership1.00+0.69
No PBJ staffing report0.00+0.42
Total nurse staffing (HPRD)4.07-0.20
Chain size (log)2.56+0.14
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
20.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Occupancy0.46+1.23
For-profit ownership1.00-0.69
Deficiencies, last 12 months11.00-0.61
No PBJ staffing report0.00+0.39
Total nurse staffing (HPRD)4.07-0.36
Chain size (log)2.56-0.29
Never sold on record0.00-0.28
Current owner tenure (years)3.41-0.25
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 facilityOR medianNational medianNational p25–p75
Total nurse4.074.203.282.90–3.77
RN0.290.410.390.25–0.58
Weekend total3.903.993.11—
Weekday total4.134.273.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49266.24.070.290.842.943.900.2%
2025Q39270.84.010.330.752.933.670.9%
2025Q29168.94.190.210.803.183.929.8%
2025Q19079.73.860.210.812.843.6520.3%
2024Q49279.84.260.310.843.104.0726.2%
2024Q39284.04.050.240.653.163.9126.4%
2024Q29185.23.970.190.693.093.7529.1%
2024Q19183.93.840.160.832.853.7342.8%
2023Q49281.04.470.101.013.363.9656.1%
2023Q39272.42.140.070.401.671.9414.8%
2023Q29162.62.280.030.351.912.300.1%
2023Q19063.43.520.240.682.603.5821.5%
2022Q49268.44.190.360.942.904.0740.0%
2022Q39255.74.700.550.823.334.4031.0%
2022Q29161.14.550.360.793.414.3130.9%
2022Q19062.34.240.500.613.134.0332.1%
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
fines by year
$81.6k$40.8k2324
DateTypeFineSource
2024-01-25Fine$81,613CMS provider data
2023-07-14Fine$71,065CMS provider data
Total fines on record: $152,678

Deficiencies

68
C × 1D × 44E × 15F × 1G × 7
deficiencies by survey year
341723242526
SurveyTypeTagDeficiencyScopeCorrected
2026-03-13HealthF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.D2026-04-29
2026-03-13HealthF0554Allow residents to self-administer drugs if determined clinically appropriate.D2026-04-29
2026-03-13HealthF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D2026-04-29
2026-03-13HealthF0679Provide activities to meet all resident's needs.D2026-04-29
2026-03-13HealthF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.D2026-04-29
2026-03-13HealthF0760Ensure that residents are free from significant medication errors.G2026-04-29
2026-03-13HealthF0776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.D2026-04-29
2026-03-13HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2026-04-29
2026-03-13HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2026-04-29
2026-03-13Health · complaintF0919Make sure that a working call system is available in each resident's bathroom and bathing area.E2026-04-29
2026-01-28Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2026-02-16
2025-07-23Health · complaintF0552Ensure that residents are fully informed and understand their health status, care and treatments.D2025-08-25
2025-07-23Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2025-08-25
2025-05-01Health · complaintF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E2025-06-03
2025-02-28Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-03-14
2025-01-23Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-02-28
2024-10-29Health · complaintF0558Reasonably accommodate the needs and preferences of each resident.D2024-12-18
2024-10-29HealthF0585Honor 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.D2024-12-18
2024-10-29HealthF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2024-12-18
2024-10-29HealthF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D2024-12-18
2024-10-29Health · complaintF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD2024-12-18
2024-10-29HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2024-12-18
2024-10-29Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2024-12-18
2024-10-29HealthF0679Provide activities to meet all resident's needs.E2024-12-18
2024-10-29Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E2024-12-18
2024-10-29Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2024-12-18
2024-10-29Health · complaintF0699Provide care or services that was trauma informed and/or culturally competent.D2024-12-18
2024-10-29HealthF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.E2024-12-18
2024-10-29HealthF0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.E2024-12-18
2024-10-29Health · complaintF0730Observe each nurse aide's job performance and give regular training.D2024-12-18
2024-10-29Health · complaintF0732Post nurse staffing information every day.C2024-12-18
2024-10-29HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2024-12-18
2024-10-29HealthF0758Implement 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.D2024-12-18
2024-10-29HealthF0759Ensure medication error rates are not 5 percent or greater.E2024-12-18
2024-10-29HealthF0791Provide or obtain dental services for each resident.D2024-12-18
2024-10-29HealthF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.D2024-12-18
2024-10-29HealthF0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.D2024-12-18
2024-10-29HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2024-12-18
2024-01-25Health · 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.E2024-03-15
2024-01-25Health · complaintF0603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).G2024-03-15
2024-01-25Health · complaintF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.G2024-03-15
2024-01-25Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2024-03-15
2024-01-25Health · complaintF0610Respond appropriately to all alleged violations.D2024-03-15
2024-01-25Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2024-03-15
2024-01-25Health · complaintF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.D2024-03-15
2024-01-25Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E2024-03-15
2024-01-25Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G2024-03-15
2024-01-25Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2024-03-15
2024-01-25Health · complaintF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2024-03-15
2024-01-25Health · complaintF0908Keep all essential equipment working safely.E2024-03-15
2023-07-14HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2023-08-29
2023-07-14HealthF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.D2023-08-29
2023-07-14HealthF0554Allow residents to self-administer drugs if determined clinically appropriate.D2023-08-29
2023-07-14Health · complaintF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.D2023-08-29
2023-07-14HealthF0558Reasonably accommodate the needs and preferences of each resident.D2023-08-29
2023-07-14HealthF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.D2023-08-29
2023-07-14HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2023-08-29
2023-07-14HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E2023-08-29
2023-07-14HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.G2023-08-29
2023-07-14HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G2023-08-29
2023-07-14HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2023-08-29
2023-07-14HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2023-08-29
2023-07-14Health · complaintF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E2023-08-29
2023-07-14HealthF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D2023-08-29
2023-07-14HealthF0880Provide and implement an infection prevention and control program.D2023-08-29
2023-07-14HealthF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.E2023-08-29
2023-07-14Health · complaintF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.D2023-08-29
2023-06-07Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2023-07-13
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

30
OwnerRolePctFromStatusSource
PAC 12 OPCO HOLDCO LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2023-03-01currentpecos_ownership
GILBERT CREEK PROPCO LLCIndividual has financial interest in both related organization and provider5%2023-03-01currenthcris_a_8_1
GILBERT CREEK PROPCO LLC5% OR GREATER MORTGAGE INTEREST—2023-03-01currentpecos_ownership
GILBERT CREEK PROPCO LLCCorporation, partnership or other organization has financial interest in provider—2024-01-01currenthcris_a_8_1
HAGAR, CHAIMADP OF THE SNF—2023-03-01currentpecos_ownership
HAGLER, ALEXANDER5% OR GREATER INDIRECT OWNERSHIP INTEREST—2023-03-01currentpecos_ownership
HART, KEVINOPERATIONAL/MANAGERIAL CONTROL—2025-08-22currentpecos_ownership
KAHN, KARENADP OF THE SNF—2023-07-03currentpecos_ownership
KNOX HEALTHCARE PAC 12 HOLDINGS LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST—2023-03-01currentpecos_ownership
KNOX, DONALDCORPORATE OFFICER—2023-03-01currentpecos_ownership
PAC 12 HOLDINGS LLCADP OF THE SNF—2023-03-01currentpecos_ownership
PAC 12 PINNACLE HOLDCO LLCADP OF THE SNF—2023-03-01currentpecos_ownership
SCHWARTZ, ELIEZEROPERATIONAL/MANAGERIAL CONTROL—2023-03-01currentpecos_ownership
SMITH, BRIANADP OF THE SNF—2023-03-27currentpecos_ownership
VOLARE HEALTH LLCOPERATIONAL/MANAGERIAL CONTROL—2023-03-01currentpecos_ownership
VOLARE HEALTH LLCADP OF THE SNF—2025-08-19currentpecos_ownership
AVALON REALTY - ROYALE GARDENS LLCCorporation, partnership or other organization has financial interest in provider100%2022-01-01ended 2022-12-31hcris_a_8_1
AVALON REALTY - ROYALE GARDENS LLCCorporation, partnership or other organization has financial interest in provider100%2023-01-01ended 2023-02-28hcris_a_8_1
DONALD KNOXCORPORATE OFFICER100%2023-01-01ended 2026-05-18pecos_ownership
ELIEZER SCHWARTZOPERATIONAL/MANAGERIAL CONTROL100%2023-01-01ended 2026-05-18pecos_ownership
PAC 12 OPCO HOLDCO LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2023-01-01ended 2026-05-18pecos_ownership
PAC 12 PINNACLE HOLDCO LLCOPERATIONAL/MANAGERIAL CONTROL100%2023-01-01ended 2026-05-18pecos_ownership
PAC 12 HOLDINGS LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST62%2023-01-01ended 2026-05-18pecos_ownership
ALEXANDER HAGLER5% OR GREATER INDIRECT OWNERSHIP INTEREST31%2023-01-01ended 2026-05-18pecos_ownership
CHAIM HAGAR5% OR GREATER INDIRECT OWNERSHIP INTEREST31%2023-01-01ended 2026-05-18pecos_ownership
KNOX HEALTHCARE PAC 12 HOLDINGS LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST8%2023-01-01ended 2026-05-18pecos_ownership
AVALON REALTY - ROYALE GARDENS LLCCorporation, partnership or other organization has financial interest in provider—2021-01-01ended 2021-12-31hcris_a_8_1
AVALON REALTY - ROYALE GARDENS LLCCorporation, partnership or other organization has financial interest in provider—2020-01-01ended 2020-12-31hcris_a_8_1
BENJAMIN SPARKSCORPORATE OFFICER—2023-01-01ended 2026-05-18pecos_ownership
VOLARE HEALTH LLCOPERATIONAL/MANAGERIAL CONTROL—2023-01-01ended 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
2023-03-01—GILBERT CREEK HEALTH & REHABILITATION CENTER LLCAVALON HEALTH CARE - ROYALE GARDENS LLCchow

Comparable trades — OR snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-08-04Mt. Tabor Health & Rehabilitation———120MT TABOR SNF OPERATIONS LLC
2025-08-01LAURELHURST POST ACUTE & REHABILITATION———159LAURELHURST SNF OPERATIONS LLC
2025-06-01SAINT HELENS POST ACUTE———92MAVERICKS BEACH, LLC
2025-04-01MT ANGEL HEALTH AND REHABILITATION———93REX ROAD HEALTHCARE LLC
2024-12-01VILLAGE HEALTH CARE———106VILLAGE SNF OPERATIONS LLC
2024-10-01ROBISON JEWISH HEALTH CENTER———92BOUNDARY STREET SNF, LLC
2024-09-01WILLOWBROOK POST ACUTE———59WILLOWBROOK SNF HEALTHCARE LLC
2024-09-01REEDWOOD POST ACUTE———64CRESTON SNF HEALTHCARE LLC
2024-09-01COTTAGE GROVE POST ACUTE———80COTTAGE GROVE SNF HEALTHCARE LLC
2024-09-01FOREST GROVE POST ACUTE———114FOREST GROVE SNF HEALTHCARE LLC
2024-09-01EVERGREEN POST ACUTE———55EVERGREEN SNF HEALTHCARE LLC
2024-09-01HOOD RIVER POST ACUTE———100HOOD RIVER SNF HEALTHCARE LLC
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.

Market rent context

35
GeoKindBRAmountAs ofSource
county 41033acs median gross0$6662024-12-31CENSUS_ACS5
county 41033fmr0$9402025-10-01HUD_USER_FMR
county 41033acs median gross1$7842024-12-31CENSUS_ACS5
county 41033fmr1$1,0392025-10-01HUD_USER_FMR
county 41033acs median gross2$1,1442024-12-31CENSUS_ACS5
county 41033fmr2$1,3632025-10-01HUD_USER_FMR
county 41033acs median gross3$1,6202024-12-31CENSUS_ACS5
county 41033fmr3$1,8962025-10-01HUD_USER_FMR
county 41033acs median gross4$1,4252024-12-31CENSUS_ACS5
county 41033fmr4$2,0142025-10-01HUD_USER_FMR
county 41033acs median gross5$1,9972024-12-31CENSUS_ACS5
county 41033acs median gross$1,1942024-12-31CENSUS_ACS5
county 41033acs recent mover gross$1,4752024-12-31CENSUS_ACS5
zcta 97526acs median gross0$6992024-12-31CENSUS_ACS5
zcta 97526acs median gross1$7682024-12-31CENSUS_ACS5
zcta 97526acs median gross2$1,1552024-12-31CENSUS_ACS5
zcta 97526acs median gross3$1,6162024-12-31CENSUS_ACS5
zcta 97526acs median gross5$2,4622024-12-31CENSUS_ACS5
zcta 97526acs median gross$1,1442024-12-31CENSUS_ACS5
zcta 97526acs recent mover gross$1,3622024-12-31CENSUS_ACS5
zip 97526payment standard 1100$9902025-10-01HUD_USER_SAFMR
zip 97526payment standard 900$8102025-10-01HUD_USER_SAFMR
zip 97526safmr0$9002025-10-01HUD_USER_SAFMR
zip 97526payment standard 1101$1,1332025-10-01HUD_USER_SAFMR
zip 97526payment standard 901$9272025-10-01HUD_USER_SAFMR
zip 97526safmr1$1,0302025-10-01HUD_USER_SAFMR
zip 97526payment standard 1102$1,4522025-10-01HUD_USER_SAFMR
zip 97526payment standard 902$1,1882025-10-01HUD_USER_SAFMR
zip 97526safmr2$1,3202025-10-01HUD_USER_SAFMR
zip 97526payment standard 1103$2,0242025-10-01HUD_USER_SAFMR
zip 97526payment standard 903$1,6562025-10-01HUD_USER_SAFMR
zip 97526safmr3$1,8402025-10-01HUD_USER_SAFMR
zip 97526payment standard 1104$2,3872025-10-01HUD_USER_SAFMR
zip 97526payment standard 904$1,9532025-10-01HUD_USER_SAFMR
zip 97526safmr4$2,1702025-10-01HUD_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 · ROYALE GARDENS HEALTH & REHABILITATION CENTER (385148) · 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