Composite
40.8 / 100 percentile
Screener / 025036
B
Polaris Extended Care
snfAK
920 COMPASSION CIRCLE, ANCHORAGE, AK 99504 · CCN 025036 · chain THE ENSIGN GROUP INC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
96
Model
v1.2
Reads as: riskier than 40.8% 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 signals1Components13CHOW radar1Distress radar1Staffing15Penalties5Deficiencies82Licensure0Ownership16Related party5Transactions1Comps5Market rent35
Composite explanation
4| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 98.2 | 97.2 | 0.30 | 0.2857 | 28.06 | in index |
| financial risk | 27.2 | 32.1 | 0.30 | 0.2857 | 7.77 | in index |
| chow risk | 34.1 | 32.7 | 0.15 | 0.1429 | 4.87 | in index |
| billing conduct | 15.3 | 20.0 | 0.30 | 0.2857 | 4.37 | 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
1| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner spans multiple chains | 17 chains | BURNAM SOON | 335 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 | 20.0 | A | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 25.0 | B | v0.1-pos | default · in composite | Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure. |
| chow risk | 40.5 | B | v0.6 | default · in composite | |
| financial risk | 32.1 | B | 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 | 0.0 | — | 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 | 97.2 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| financial risk | 63.1 | C | v0.1 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 43.1 | B | v0.2 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 54.2 | C | 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 | 35.6 | B | 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 | 97.2 | F | 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 | 97.2 | F | 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)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
7.0
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Current owner tenure (years) | 1.41 | -1.71 | |
| Never sold on record | 0.00 | -1.62 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| Chain size (log) | 5.46 | +0.76 | |
| Occupancy | 0.94 | -0.71 | |
| For-profit ownership | 1.00 | +0.69 | |
| Total nurse staffing (HPRD) | 5.25 | -0.44 | |
| No PBJ staffing report | 0.00 | +0.42 |
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 | |
|---|---|---|---|
| Chain size (log) | 5.46 | -1.98 | |
| Total nurse staffing (HPRD) | 5.25 | -0.85 | |
| Occupancy | 0.94 | -0.82 | |
| For-profit ownership | 1.00 | -0.69 | |
| Deficiencies, last 12 months | 4.00 | +0.69 | |
| Fine amount, 12m (log) | 9.78 | -0.54 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Staffing trend, last 4 quarters | 0.78 | +0.34 |
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 | AK median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 5.25 | 5.91 | 3.28 | 2.90–3.77 |
| RN | 1.79 | 1.50 | 0.39 | 0.25–0.58 |
| Weekend total | 4.64 | 5.78 | 3.11 | — |
| Weekday total | 5.49 | 5.97 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q3 | 92 | 90.6 | 5.25 | 1.79 | 0.88 | 2.57 | 4.64 | 9.2% |
| 2025Q2 | 91 | 91.8 | 5.70 | 2.25 | 0.95 | 2.50 | 5.09 | 6.7% |
| 2025Q1 | 90 | 91.7 | 5.09 | 1.70 | 0.75 | 2.65 | 4.76 | 12.4% |
| 2024Q4 | 92 | 85.7 | 5.15 | 1.63 | 0.61 | 2.91 | 5.03 | 12.1% |
| 2024Q3 | 92 | 91.4 | 4.47 | 1.47 | 0.49 | 2.51 | 4.19 | 7.5% |
| 2024Q2 | 91 | 95.1 | 4.79 | 1.42 | 0.57 | 2.79 | 4.62 | 7.1% |
| 2024Q1 | 91 | 94.6 | 4.98 | 1.38 | 0.61 | 2.99 | 4.92 | 9.0% |
| 2023Q4 | 92 | 95.3 | 5.02 | 1.18 | 0.75 | 3.09 | 4.85 | 14.8% |
| 2023Q3 | 92 | 94.5 | 4.79 | 1.29 | 0.61 | 2.89 | 4.57 | 13.2% |
| 2023Q2 | 91 | 94.5 | 4.79 | 1.14 | 0.70 | 2.96 | 4.52 | 15.3% |
| 2023Q1 | 90 | 94.3 | 4.68 | 1.21 | 0.59 | 2.88 | 4.64 | 19.7% |
| 2022Q4 | 92 | 93.7 | 4.34 | 1.15 | 0.52 | 2.67 | 4.27 | 8.0% |
| 2022Q3 | 92 | 91.7 | 4.38 | 1.08 | 0.36 | 2.94 | 4.10 | 8.3% |
| 2022Q2 | 91 | 90.0 | 4.42 | 1.11 | 0.37 | 2.93 | 4.01 | 0.8% |
| 2022Q1 | 90 | 84.6 | 4.68 | 1.38 | 0.43 | 2.87 | 4.37 | 4.3% |
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
5fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-11-26 | Fine | $17,680 | CMS provider data |
| 2025-05-22 | Fine | $98,865 | CMS provider data |
| 2025-03-17 | Fine | $10,358 | CMS provider data |
| 2024-07-19 | Fine | $111,150 | CMS provider data |
| 2024-07-19 | Payment Denial | — | CMS provider data |
Total fines on record: $238,053
Deficiencies
82B × 1C × 1D × 41E × 19F × 10G × 6H × 2I × 2
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-01-06 | Health · complaint | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2026-01-12 |
| 2026-01-06 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2026-01-12 |
| 2026-01-06 | Health · complaint | 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 | 2026-01-12 |
| 2025-11-26 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2025-12-03 |
| 2025-07-29 | Health · complaint | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | E | 2025-07-30 |
| 2025-07-29 | Health · complaint | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | 2025-07-30 |
| 2025-07-15 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | F | 2025-07-16 |
| 2025-05-22 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-07-09 |
| 2025-05-22 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2025-07-09 |
| 2025-05-22 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-07-09 |
| 2025-05-22 | Health · complaint | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | 2025-07-09 |
| 2025-05-22 | Health | F0567 | Honor the resident's right to manage his or her financial affairs. | D | 2025-07-09 |
| 2025-05-22 | Health | 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. | F | 2025-07-09 |
| 2025-05-22 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2025-07-09 |
| 2025-05-22 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | F | 2025-07-09 |
| 2025-05-22 | Health | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2025-07-09 |
| 2025-05-22 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2025-07-09 |
| 2025-05-22 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-07-09 |
| 2025-05-22 | Health | F0679 | Provide activities to meet all resident's needs. | F | 2025-07-09 |
| 2025-05-22 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2025-07-09 |
| 2025-05-22 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-07-09 |
| 2025-05-22 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-07-09 |
| 2025-05-22 | Health · complaint | 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. | G | 2025-07-09 |
| 2025-05-22 | 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 | 2025-07-09 |
| 2025-05-22 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-07-09 |
| 2025-05-22 | Health | F0710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | D | 2025-07-09 |
| 2025-05-22 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2025-07-09 |
| 2025-05-22 | Health | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | 2025-07-09 |
| 2025-05-22 | 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 | 2025-07-09 |
| 2025-05-22 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | F | 2025-07-09 |
| 2025-05-22 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2025-07-09 |
| 2025-05-22 | 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. | E | 2025-07-09 |
| 2025-05-22 | Health | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | 2025-07-09 |
| 2025-05-22 | Health | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | 2025-07-09 |
| 2025-05-22 | Health | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | F | 2025-07-09 |
| 2025-05-22 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2025-07-09 |
| 2025-05-22 | Health | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | C | 2025-07-09 |
| 2025-05-22 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2025-07-09 |
| 2025-05-22 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2025-07-09 |
| 2025-05-22 | Health | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | F | 2025-07-09 |
| 2025-03-17 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | G | 2025-04-04 |
| 2025-03-17 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | G | 2025-04-04 |
| 2025-03-17 | 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 | 2025-04-04 |
| 2024-11-26 | Health · complaint | F0555 | Honor the resident's right to choose his or her attending physician. | D | 2024-10-30 |
| 2024-11-26 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-10-30 |
| 2024-07-19 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2024-09-02 |
| 2024-07-19 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | 2024-09-02 |
| 2024-07-19 | Health | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | B | 2024-09-02 |
| 2024-07-19 | 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. | E | 2024-08-27 |
| 2024-07-19 | Health | F0610 | Respond appropriately to all alleged violations. | G | 2024-09-02 |
| 2024-07-19 | Health | F0625 | Notify 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. | E | 2024-09-02 |
| 2024-07-19 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2024-08-30 |
| 2024-07-19 | Health | F0675 | Honor each resident's preferences, choices, values and beliefs. | H | 2024-09-02 |
| 2024-07-19 | Health | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | H | 2024-09-02 |
| 2024-07-19 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2024-09-02 |
| 2024-07-19 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | 2024-09-02 |
| 2024-07-19 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | 2024-09-02 |
| 2024-07-19 | Health | F0710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | D | 2024-09-02 |
| 2024-07-19 | 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. | I | 2024-09-02 |
| 2024-07-19 | 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. | F | 2024-07-28 |
| 2024-07-19 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-09-02 |
| 2024-07-19 | Health | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | 2024-09-02 |
| 2024-07-19 | Health | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | D | 2024-08-27 |
| 2024-07-19 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | 2024-08-27 |
| 2024-07-19 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2024-08-27 |
| 2024-07-19 | Health | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | I | 2024-09-02 |
| 2024-07-19 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-09-02 |
| 2023-04-14 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-05-29 |
| 2023-04-14 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2023-05-29 |
| 2023-04-14 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2023-05-29 |
| 2023-04-14 | 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 | 2023-05-29 |
| 2023-04-14 | Health | 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 | 2023-05-29 |
| 2023-04-14 | Health | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2023-05-29 |
| 2023-04-14 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2023-05-29 |
| 2023-04-14 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2023-05-29 |
| 2023-04-14 | 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. | D | 2023-05-29 |
| 2023-04-14 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-05-29 |
| 2023-04-14 | Health | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | 2023-05-29 |
| 2023-04-14 | 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. | E | 2023-07-19 |
| 2023-04-14 | Health | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | 2023-05-29 |
| 2023-04-14 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2023-05-29 |
| 2023-04-14 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2023-05-29 |
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 |
|---|---|---|---|---|---|
| BURNAM, SOON | CORPORATE OFFICER | — | 2024-09-12 | current | pecos_ownership |
| CULLIFER, JARED | CORPORATE OFFICER | — | 2024-09-12 | current | pecos_ownership |
| HANCOX, NEIL | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-03-01 | current | pecos_ownership |
| HANCOX, NEIL | ADP OF THE SNF | — | 2025-02-17 | current | pecos_ownership |
| SATO, AMI | CORPORATE OFFICER | — | 2024-09-12 | current | pecos_ownership |
| TIEVA, DANIEL | MANAGING CONTROL - GOVERNING BODY | — | 2025-03-01 | current | pecos_ownership |
| WILLITS, ADAM | CORPORATE DIRECTOR | — | 2024-09-12 | current | pecos_ownership |
| FLAGSTONE HEALTHCARE CENTRAL LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2024-09-12 | ended 2026-05-18 | pecos_ownership |
| THE ENSIGN GROUP INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2024-09-12 | ended 2026-05-18 | pecos_ownership |
| ADAM WILLITS | CORPORATE DIRECTOR | 0% | 2024-09-12 | ended 2026-05-18 | pecos_ownership |
| AMI SATO | CORPORATE OFFICER | 0% | 2024-09-12 | ended 2026-05-18 | pecos_ownership |
| JARED CULLIFER | CORPORATE OFFICER | 0% | 2024-09-12 | ended 2026-05-18 | pecos_ownership |
| SOON BURNAM | CORPORATE OFFICER | 0% | 2024-09-12 | ended 2026-05-18 | pecos_ownership |
| DANIEL TIEVA | ADP OF THE SNF | — | 2025-03-01 | ended 2026-05-18 | pecos_ownership |
| NEIL HANCOX | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-03-01 | ended 2026-05-18 | pecos_ownership |
| NEIL HANCOX | ADP OF THE SNF | — | 2025-02-17 | 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 |
|---|---|---|---|---|
| 2025-03-01 | — | KORSIN HEALTHCARE LLC | PROVIDENCE HEALTH & SERVICES WASHINGTON | chow |
Comparable trades — AK snf
5| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-03-01 | POLARIS TRANSITIONAL CARE | — | — | — | 50 | KORSIN HEALTHCARE LLC |
| 2025-03-01 | Polaris Extended Carethis facility | — | — | — | 96 | KORSIN HEALTHCARE LLC |
| 2023-07-10 | WILDFLOWER COURT | — | — | — | 57 | BARTLETT REGIONAL HOSPITAL |
| 2019-08-01 | SEARHC SITKA LONG TERM CARE | — | — | — | 19 | SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM |
| 2018-11-01 | WRANGELL MEDICAL CENTER LTC | — | — | — | 18 | SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM |
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 02020 | acs median gross | 0 | $1,052 | 2024-12-31 | CENSUS_ACS5 |
| county 02020 | fmr | 0 | $1,152 | 2025-10-01 | HUD_USER_FMR |
| county 02020 | acs median gross | 1 | $1,053 | 2024-12-31 | CENSUS_ACS5 |
| county 02020 | fmr | 1 | $1,243 | 2025-10-01 | HUD_USER_FMR |
| county 02020 | acs median gross | 2 | $1,476 | 2024-12-31 | CENSUS_ACS5 |
| county 02020 | fmr | 2 | $1,631 | 2025-10-01 | HUD_USER_FMR |
| county 02020 | acs median gross | 3 | $1,915 | 2024-12-31 | CENSUS_ACS5 |
| county 02020 | fmr | 3 | $2,268 | 2025-10-01 | HUD_USER_FMR |
| county 02020 | acs median gross | 4 | $2,425 | 2024-12-31 | CENSUS_ACS5 |
| county 02020 | fmr | 4 | $2,736 | 2025-10-01 | HUD_USER_FMR |
| county 02020 | acs median gross | 5 | $1,785 | 2024-12-31 | CENSUS_ACS5 |
| county 02020 | acs median gross | $1,489 | 2024-12-31 | CENSUS_ACS5 | |
| county 02020 | acs recent mover gross | $1,557 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 99504 | acs median gross | 0 | $632 | 2024-12-31 | CENSUS_ACS5 |
| zcta 99504 | acs median gross | 1 | $927 | 2024-12-31 | CENSUS_ACS5 |
| zcta 99504 | acs median gross | 2 | $1,517 | 2024-12-31 | CENSUS_ACS5 |
| zcta 99504 | acs median gross | 3 | $1,823 | 2024-12-31 | CENSUS_ACS5 |
| zcta 99504 | acs median gross | 4 | $2,926 | 2024-12-31 | CENSUS_ACS5 |
| zcta 99504 | acs median gross | $1,573 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 99504 | acs recent mover gross | $1,303 | 2024-12-31 | CENSUS_ACS5 | |
| zip 99504 | payment standard 110 | 0 | $1,342 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99504 | payment standard 90 | 0 | $1,098 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99504 | safmr | 0 | $1,220 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99504 | payment standard 110 | 1 | $1,452 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99504 | payment standard 90 | 1 | $1,188 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99504 | safmr | 1 | $1,320 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99504 | payment standard 110 | 2 | $1,903 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99504 | payment standard 90 | 2 | $1,557 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99504 | safmr | 2 | $1,730 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99504 | payment standard 110 | 3 | $2,651 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99504 | payment standard 90 | 3 | $2,169 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99504 | safmr | 3 | $2,410 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99504 | payment standard 110 | 4 | $3,190 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99504 | payment standard 90 | 4 | $2,610 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99504 | safmr | 4 | $2,900 | 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.