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 21:41 UTC
Screener / 275044
F

MOUNT ASCENSION TRANSITIONAL CARE OF CASCADIA

snfMTSFF: SFF Candidate
2475 WINNE AVE, HELENA, MT 59601 · CCN 275044 · chain CASCADIA HEALTHCARE LLC
Composite
99.2 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
108
Model
v1.2
Reads as: riskier than 99.2% 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 radar1Staffing16Penalties3Deficiencies59Licensure0Ownership22Related party6Transactions1Comps12Market rent36

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk92.790.40.300.230821.39in index
financial risk78.065.30.300.230818.00in index
staffing risk84.884.80.250.192316.31in index
billing conduct61.143.90.300.230814.10in index
chow risk94.476.20.150.115410.89in 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 typeScoreGradeModelStatusRegistry model notes
billing conduct43.9Bv0.1-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 risk97.4Fv0.6default · in composite
financial risk65.3Dv0.5default · 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 12m0.4—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 risk90.4Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk84.8Fv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk96.6Fv0.1supersededPre-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 risk76.6Dv0.2supersededPre-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 risk53.8Cv0.3supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk68.8Dv0.4supersededPre-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 risk90.4Fv0.1supersededPre-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 risk90.4Fv0.2supersededPre-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 risk84.8Fv0.1supersededPre-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 risk84.8Fv0.2supersededPre-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)
0.4%
model v0.1 · computed 2026-07-29
Percentile among SNFs
50.8
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)5.41-1.32
For-profit ownership1.00+0.69
Deficiencies, last 12 months31.00+0.58
No PBJ staffing report0.00+0.42
Chain size (log)3.81+0.41
Contract staffing share0.24+0.28
Ownership changes, last 5 years0.00+0.20
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
DriverValuePull on odds
Deficiencies, last 12 months31.00-4.32
Chain size (log)3.81-1.01
For-profit ownership1.00-0.69
Fine amount, 12m (log)10.59-0.60
No PBJ staffing report0.00+0.39
Never sold on record0.00-0.28
Occupancy0.69+0.25
Total nurse staffing (HPRD)2.69+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

16
2025Q4 HPRDThis facilityMT medianNational medianNational p25–p75
Total nurse2.693.253.282.90–3.77
RN0.500.620.390.25–0.58
Weekend total2.213.123.11—
Weekday total2.883.343.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49274.52.690.500.581.612.2124.1%
2025Q39273.12.850.450.721.672.5222.9%
2025Q29174.52.890.530.571.782.6923.8%
2025Q19073.13.120.510.721.892.8213.0%
2024Q49272.12.550.430.631.482.171.0%
2024Q39267.12.640.310.561.762.044.6%
2024Q29168.22.650.430.461.761.994.7%
2024Q19164.02.650.390.571.682.190.2%
2023Q49261.02.610.410.521.692.169.9%
2023Q39257.62.530.210.591.742.397.1%
2023Q29160.02.900.240.721.942.6311.4%
2023Q19063.23.040.440.592.012.9213.0%
2022Q49257.53.490.680.941.873.1327.4%
2022Q39237.02.620.960.301.352.3121.4%
2022Q29133.43.081.080.321.682.598.3%
2022Q19031.33.490.930.352.213.084.3%
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

3
fines by year
$54.7k$27.3k242526
DateTypeFineSource
2026-02-26Fine$39,560CMS provider data
2024-10-16Fine$25,740CMS provider data
2024-05-21Fine$28,912CMS provider data
Total fines on record: $94,212

Deficiencies

59
B × 2D × 36E × 11F × 7G × 3
deficiencies by survey year
251323242526
SurveyTypeTagDeficiencyScopeCorrected
2026-03-24Health · complaintF0554Allow residents to self-administer drugs if determined clinically appropriate.D2026-05-01
2026-03-24Health · 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.E2026-05-01
2026-03-24Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2026-05-01
2026-03-24Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2026-05-01
2026-03-24Health · complaintF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.F2026-05-01
2026-03-24Health · complaintF0880Provide and implement an infection prevention and control program.E2026-04-08
2026-02-26HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2026-04-08
2026-02-26HealthF0610Respond appropriately to all alleged violations.D2026-04-08
2026-02-26Health · complaintF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D2026-04-08
2026-02-26HealthF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD2026-04-08
2026-02-26HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2026-04-08
2026-02-26HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2026-04-08
2026-02-26Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2026-04-08
2026-02-26HealthF0688Provide 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.D2026-04-08
2026-02-26HealthF0700Try 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.D2026-04-08
2026-02-26Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2026-04-08
2026-02-26HealthF0761Ensure 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.D2026-04-08
2026-02-26Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2026-04-08
2026-02-26HealthF0880Provide and implement an infection prevention and control program.F2026-04-08
2026-02-26HealthF0881Implement a program that monitors antibiotic use.F2026-04-08
2026-02-26HealthF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.D2026-04-08
2026-02-26HealthF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.D2026-04-08
2026-01-07Health · complaintF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.D2026-01-02
2026-01-07Health · complaintF0610Respond appropriately to all alleged violations.D2026-02-13
2026-01-07Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2026-02-13
2025-09-23Health · complaintF0585Honor 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.F2025-10-31
2025-09-23Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E2025-10-31
2025-09-23Health · complaintF0610Respond appropriately to all alleged violations.E2025-10-31
2025-07-30Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2025-09-03
2025-07-30Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-09-03
2025-07-30Health · complaintF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D2025-09-03
2025-01-16Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2025-02-24
2025-01-16Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-02-24
2025-01-16Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2025-02-24
2025-01-16HealthF0727Have 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.F2025-02-24
2025-01-16HealthF0880Provide and implement an infection prevention and control program.E2025-02-24
2025-01-16HealthF0881Implement a program that monitors antibiotic use.E2025-02-24
2025-01-16HealthF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.E2025-02-24
2024-12-17Health · complaintF0695Provide safe and appropriate respiratory care for a resident when needed.E2025-01-21
2024-12-17Health · complaintF0808Ensure 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.D2025-01-21
2024-12-17Health · complaintF0880Provide and implement an infection prevention and control program.D2025-01-21
2024-10-16Health · complaintF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.F2024-11-08
2024-10-16Health · complaintF0585Honor 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.E2024-11-08
2024-10-16Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2024-11-08
2024-10-16Health · complaintF0610Respond appropriately to all alleged violations.D2024-11-08
2024-10-16Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2024-11-08
2024-05-21Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2024-06-19
2024-05-21Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.E2024-06-19
2024-05-21Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G2024-06-19
2024-05-21Health · complaintF0697Provide safe, appropriate pain management for a resident who requires such services.D2024-06-19
2023-12-21HealthF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.B2024-01-27
2023-12-21HealthF0625Notify 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.B2024-01-27
2023-12-21HealthF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD2024-01-27
2023-12-21HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2024-01-27
2023-12-21HealthF0688Provide 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.D2024-02-02
2023-12-21HealthF0728Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.D2024-01-27
2023-12-21HealthF0759Ensure medication error rates are not 5 percent or greater.D2024-01-27
2023-11-08Health · complaintF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D2023-12-06
2023-11-08Health · complaintF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.E2023-12-06
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

22
OwnerRolePctFromStatusSource
BRADY, SHANEADP OF THE SNF—2025-06-20currentpecos_ownership
BRADY, SHANEOPERATIONAL/MANAGERIAL CONTROL—2025-03-03currentpecos_ownership
CASCADIA HC GROUP LLCINDIRECT OWNERSHIP INTEREST—2025-06-05currentpecos_ownership
CASCADIA HEALTHCARE LLCINDIRECT OWNERSHIP INTEREST—2021-03-01currentpecos_ownership
CASCADIA HOLDCO LLCINDIRECT OWNERSHIP INTEREST—2025-06-05currentpecos_ownership
CASCADIA MONTANA OPERATIONS LLCDIRECT OWNERSHIP INTEREST—2021-03-01currentpecos_ownership
CASCADIA SERVICES LLCADP OF THE SNF—2025-01-21currentpecos_ownership
HAMMOND, OWENINDIRECT OWNERSHIP INTEREST—2021-03-01currentpecos_ownership
HEDUM, EMILYOPERATIONAL/MANAGERIAL CONTROL—2021-03-01currentpecos_ownership
HEDUM, EMILYADP OF THE SNF—2025-02-26currentpecos_ownership
LAFORTE, STEPHENOPERATIONAL/MANAGERIAL CONTROL—2025-06-05currentpecos_ownership
NELSON, TIMOTHYINDIRECT OWNERSHIP INTEREST—2025-06-05currentpecos_ownership
TIMBERLINE WESTERN TENANT, LLCADP OF THE SNF—2025-06-05currentpecos_ownership
WHITE OAK HEALTHCARE FINANCE LLC5% OR GREATER SECURITY INTEREST—2022-08-11currentpecos_ownership
CASCADIA HEALTHCARE LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2021-01-15ended 2026-05-18pecos_ownership
OWEN HAMMONDINDIRECT OWNERSHIP INTEREST33%2021-03-01ended 2026-05-18pecos_ownership
STEPHEN LAFORTEINDIRECT OWNERSHIP INTEREST33%2025-06-05ended 2026-05-18pecos_ownership
TIMOTHY NELSONINDIRECT OWNERSHIP INTEREST33%2025-06-05ended 2026-05-18pecos_ownership
EMILY HEDUMADP OF THE SNF—2025-02-26ended 2026-05-18pecos_ownership
EMILY HEDUMOPERATIONAL/MANAGERIAL CONTROL—2021-03-01ended 2026-05-18pecos_ownership
SHANE BRADYADP OF THE SNF—2025-06-20ended 2026-05-18pecos_ownership
SHANE BRADYOPERATIONAL/MANAGERIAL CONTROL—2025-03-03ended 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
2021-03-01—HELENA EAST OF CASCADIA, LLCKISMET HLN2, LLCchow

Comparable trades — MT snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2024-03-01NORTHERN MONTANA CARE CENTER———135NORTHERN MONTANA CARE CENTER INC
2023-10-01RIVER RIDGE REHABILITATION AND NURSING LLC———129RIVER RIDGE REHABILITATION AND NURSING LLC
2023-08-31ASPEN MEADOWS HEALTH AND REHABILITATION CENTER———90ASPEN MEADOWS SNF OPERATIONS, LLC
2023-08-31LIVINGSTON HEALTH & REHABILITATION CENTER———115LIVINGSTON SNF OPERATIONS LLC
2023-08-31POLSON HEALTH & REHABILITATION CENTER———70POLSON SNF OPERATIONS LLC
2023-08-31MISSOULA HEALTH & REHABILITATION CENTER———53MISSOULA SNF OPERATIONS LLC
2023-08-31LAUREL HEALTH & REHABILITATION CENTER———79LAUREL SNF OPERATIONS LLC
2023-08-31HOT SPRINGS HEALTH & REHABILITATION CENTER———40HOT SPRINGS SNF OPERATIONS LLC
2023-07-01KALISPELL REHABILITATION AND NURSING LLC———140KALISPELL REHABILITATION AND NURSING LLC
2023-07-01NORTHERN PINES REHABILITATION AND NURSING———41NORTHERN PINES REHABILITATION AND NURSING
2023-07-01BILLINGS REHABILITATION AND NURSING LLC———100BILLINGS REHABILITATION AND NURSING LLC
2023-07-01VALLE VISTA REHABILITATION AND NURSING LLC———101VALLE VISTA REHABILITATION AND NURSING 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
GeoKindBRAmountAs ofSource
county 30049acs median gross0$7362024-12-31CENSUS_ACS5
county 30049fmr0$1,1362025-10-01HUD_USER_FMR
county 30049acs median gross1$8752024-12-31CENSUS_ACS5
county 30049fmr1$1,3192025-10-01HUD_USER_FMR
county 30049acs median gross2$1,1262024-12-31CENSUS_ACS5
county 30049fmr2$1,6472025-10-01HUD_USER_FMR
county 30049acs median gross3$1,5832024-12-31CENSUS_ACS5
county 30049fmr3$2,2502025-10-01HUD_USER_FMR
county 30049acs median gross4$1,4242024-12-31CENSUS_ACS5
county 30049fmr4$2,4962025-10-01HUD_USER_FMR
county 30049acs median gross5$7142024-12-31CENSUS_ACS5
county 30049acs median gross$1,1022024-12-31CENSUS_ACS5
county 30049acs recent mover gross$1,5712024-12-31CENSUS_ACS5
zcta 59601acs median gross0$7092024-12-31CENSUS_ACS5
zcta 59601acs median gross1$8882024-12-31CENSUS_ACS5
zcta 59601acs median gross2$1,1182024-12-31CENSUS_ACS5
zcta 59601acs median gross3$1,5672024-12-31CENSUS_ACS5
zcta 59601acs median gross4$1,3242024-12-31CENSUS_ACS5
zcta 59601acs median gross5$7142024-12-31CENSUS_ACS5
zcta 59601acs median gross$1,0462024-12-31CENSUS_ACS5
zcta 59601acs recent mover gross$1,4262024-12-31CENSUS_ACS5
zip 59601payment standard 1100$1,2432025-10-01HUD_USER_SAFMR
zip 59601payment standard 900$1,0172025-10-01HUD_USER_SAFMR
zip 59601safmr0$1,1302025-10-01HUD_USER_SAFMR
zip 59601payment standard 1101$1,4412025-10-01HUD_USER_SAFMR
zip 59601payment standard 901$1,1792025-10-01HUD_USER_SAFMR
zip 59601safmr1$1,3102025-10-01HUD_USER_SAFMR
zip 59601payment standard 1102$1,8042025-10-01HUD_USER_SAFMR
zip 59601payment standard 902$1,4762025-10-01HUD_USER_SAFMR
zip 59601safmr2$1,6402025-10-01HUD_USER_SAFMR
zip 59601payment standard 1103$2,4642025-10-01HUD_USER_SAFMR
zip 59601payment standard 903$2,0162025-10-01HUD_USER_SAFMR
zip 59601safmr3$2,2402025-10-01HUD_USER_SAFMR
zip 59601payment standard 1104$2,7392025-10-01HUD_USER_SAFMR
zip 59601payment standard 904$2,2412025-10-01HUD_USER_SAFMR
zip 59601safmr4$2,4902025-10-01HUD_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 · MOUNT ASCENSION TRANSITIONAL CARE OF CASCADIA (275044) · 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