Composite
62.4 / 100 percentile
Screener / 055147
C
MADERA REHABILITATION & NURSING CENTER
snfCA
517 SOUTH A STREET, MADERA, CA 93638 · CCN 055147 · chain WIN WIN ENTERPRISES LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
176
Model
v1.2
Reads as: riskier than 62.4% 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 signals2Components16CHOW radar1Distress radar1Staffing16Penalties5Deficiencies66Licensure0Ownership44Related party5Transactions0Comps12Market rent35
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 95.3 | 93.5 | 0.30 | 0.2308 | 21.99 | in index |
| billing conduct | 53.8 | 41.0 | 0.30 | 0.2308 | 12.42 | in index |
| financial risk | 40.5 | 39.8 | 0.30 | 0.2308 | 9.35 | in index |
| staffing risk | 26.6 | 26.7 | 0.25 | 0.1923 | 5.12 | in index |
| chow risk | 36.0 | 36.3 | 0.15 | 0.1154 | 4.15 | 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
2| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner spans multiple chains | 5 chains | WINTNER JACOB | 35 facilities |
| connection | Owner spans multiple chains | 5 chains | SMEDRA IRA | 30 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 type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 41.0 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 24.8 | A | v0.1-pos | default · in composite | Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure. |
| chow risk | 47.8 | C | v0.6 | default · in composite | |
| financial risk | 39.8 | 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 | 3.0 | — | 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 | 93.5 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 26.7 | B | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 87.6 | F | 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 | 67.6 | D | 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 | 57.2 | 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 | 42.6 | 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 | 93.5 | 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 | 93.5 | 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. |
| staffing risk | 26.7 | B | v0.1 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| staffing risk | 26.7 | B | v0.2 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
CHOW radar — 12-month sale probability
full board →p(CHOW, 12m)
3.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
77.3
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Occupancy | 0.95 | -0.73 | |
| For-profit ownership | 1.00 | +0.69 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 3.22 | +0.28 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Total nurse staffing (HPRD) | 3.74 | -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
0.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Occupancy | 0.95 | -0.84 | |
| For-profit ownership | 1.00 | -0.69 | |
| Deficiencies, last 12 months | 4.00 | +0.69 | |
| Fine amount, 12m (log) | 11.75 | -0.68 | |
| Chain size (log) | 3.22 | -0.67 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Total nurse staffing (HPRD) | 3.74 | -0.22 | |
| Penalties, last 12 months | 2.00 | -0.17 |
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
16| 2025Q4 HPRD | This facility | CA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.74 | 3.95 | 3.28 | 2.90–3.77 |
| RN | 0.54 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 3.59 | 3.79 | 3.11 | — |
| Weekday total | 3.80 | 4.01 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 167.0 | 3.74 | 0.54 | 0.69 | 2.51 | 3.59 | 0.0% |
| 2025Q3 | 92 | 169.1 | 3.83 | 0.57 | 0.65 | 2.61 | 3.68 | 0.0% |
| 2025Q2 | 91 | 169.8 | 3.78 | 0.51 | 0.71 | 2.56 | 3.64 | 0.0% |
| 2025Q1 | 90 | 162.6 | 3.71 | 0.43 | 0.76 | 2.52 | 3.59 | 0.0% |
| 2024Q4 | 92 | 163.9 | 3.63 | 0.46 | 0.71 | 2.47 | 3.54 | 0.0% |
| 2024Q3 | 92 | 163.9 | 3.58 | 0.44 | 0.65 | 2.48 | 3.48 | 0.0% |
| 2024Q2 | 91 | 164.1 | 3.66 | 0.42 | 0.73 | 2.51 | 3.55 | 0.0% |
| 2024Q1 | 91 | 162.4 | 3.56 | 0.32 | 0.66 | 2.58 | 3.54 | 0.0% |
| 2023Q4 | 92 | 164.8 | 3.55 | 0.35 | 0.60 | 2.61 | 3.56 | 0.0% |
| 2023Q3 | 92 | 165.3 | 3.50 | 0.35 | 0.61 | 2.54 | 3.50 | 0.0% |
| 2023Q2 | 91 | 162.0 | 3.48 | 0.29 | 0.66 | 2.53 | 3.52 | 0.0% |
| 2023Q1 | 90 | 162.9 | 3.46 | 0.16 | 0.73 | 2.57 | 3.49 | 0.0% |
| 2022Q4 | 92 | 166.3 | 3.45 | 0.18 | 0.68 | 2.58 | 3.48 | 0.0% |
| 2022Q3 | 92 | 170.0 | 3.40 | 0.20 | 0.68 | 2.52 | 3.43 | 0.0% |
| 2022Q2 | 91 | 162.5 | 3.39 | 0.22 | 0.72 | 2.45 | 3.41 | 0.0% |
| 2022Q1 | 90 | 160.3 | 3.37 | 0.20 | 0.76 | 2.42 | 3.45 | 0.0% |
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 |
|---|---|---|---|
| 2025-08-14 | Fine | $126,900 | CMS provider data |
| 2025-08-14 | Payment Denial | — | CMS provider data |
| 2025-01-09 | Fine | $194,145 | CMS provider data |
| 2025-01-09 | Payment Denial | — | CMS provider data |
| 2024-03-08 | Fine | $52,688 | CMS provider data |
Total fines on record: $373,733
Deficiencies
66C × 1D × 20E × 29F × 8G × 6K × 2
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-02-24 | Health · complaint | F0908 | Keep all essential equipment working safely. | E | 2026-03-09 |
| 2026-02-11 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2026-03-06 |
| 2026-02-11 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2026-03-06 |
| 2025-08-14 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2025-09-27 |
| 2025-06-10 | Health · complaint | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | 2025-06-10 |
| 2025-06-10 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2025-06-10 |
| 2025-04-15 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-05-07 |
| 2025-04-15 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2025-05-07 |
| 2025-04-15 | Health · complaint | 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. | E | 2025-05-07 |
| 2025-03-07 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2025-05-07 |
| 2025-03-07 | Health · complaint | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | 2025-05-07 |
| 2025-03-07 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-05-07 |
| 2025-03-07 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2025-05-07 |
| 2025-03-07 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-05-07 |
| 2025-03-07 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | 2025-05-07 |
| 2025-03-07 | Health · complaint | 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. | E | 2025-05-07 |
| 2025-03-07 | Health · complaint | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | 2025-05-07 |
| 2025-03-07 | Health · complaint | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | E | 2025-05-07 |
| 2025-03-07 | Health · complaint | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | E | 2025-05-07 |
| 2025-03-07 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-05-07 |
| 2025-01-09 | Health · complaint | F0641 | Ensure each resident receives an accurate assessment. | D | 2025-05-07 |
| 2025-01-09 | Health · complaint | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | 2025-05-07 |
| 2025-01-09 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2025-05-07 |
| 2025-01-09 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2025-05-07 |
| 2025-01-09 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | F | 2025-05-07 |
| 2024-11-22 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-01-02 |
| 2024-06-21 | Health | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | 2024-07-20 |
| 2024-06-21 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | 2024-07-20 |
| 2024-06-21 | 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 | 2024-07-20 |
| 2024-06-21 | 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 | 2024-07-20 |
| 2024-06-21 | Health | F0840 | Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | D | 2024-07-20 |
| 2024-06-21 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2024-07-20 |
| 2024-06-21 | Health | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | E | 2024-07-20 |
| 2024-05-02 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2024-04-26 |
| 2024-04-04 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | G | 2024-04-26 |
| 2024-04-04 | Health · complaint | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | 2024-04-26 |
| 2024-04-04 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-04-26 |
| 2024-03-08 | Health · complaint | 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 | 2024-04-24 |
| 2023-11-15 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-12-08 |
| 2019-04-26 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2019-06-25 |
| 2019-04-26 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | 2019-06-25 |
| 2019-04-26 | Health | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | F | 2019-06-25 |
| 2019-04-26 | 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 | 2019-06-25 |
| 2019-04-26 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2019-06-25 |
| 2019-04-26 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2019-06-25 |
| 2019-04-26 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2019-06-25 |
| 2019-04-26 | 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 | 2019-06-25 |
| 2019-04-26 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2019-06-25 |
| 2019-04-26 | Health | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | 2019-06-25 |
| 2019-04-26 | Health | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | E | 2019-06-25 |
| 2019-04-26 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2019-06-25 |
| 2018-07-03 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2018-09-14 |
| 2018-07-03 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2018-09-14 |
| 2018-07-03 | 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. | F | 2018-09-14 |
| 2018-07-03 | Health | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | G | 2018-09-14 |
| 2018-07-03 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2018-09-14 |
| 2018-07-03 | 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. | K | 2018-09-14 |
| 2018-07-03 | Health | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | F | 2018-09-14 |
| 2018-07-03 | Health | F0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | E | 2018-09-14 |
| 2018-07-03 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2018-09-14 |
| 2018-07-03 | Health | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | F | 2018-09-14 |
| 2018-07-03 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2018-09-14 |
| 2018-07-03 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2018-09-14 |
| 2018-07-03 | Health | F0908 | Keep all essential equipment working safely. | D | 2018-09-14 |
| 2018-07-03 | Health | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | C | 2018-09-14 |
| 2018-07-03 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | 2018-09-14 |
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
44| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| CRESCENT FACILITIES OPERATIONS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2006-12-19 | current | pecos_ownership |
| WIN WIN ENTERPRISES, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 35% | 2007-02-01 | current | pecos_ownership |
| JENMAX ENTERPRISES LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 23% | 2007-02-01 | current | pecos_ownership |
| JK-CSH JV LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 12% | 2006-11-01 | current | pecos_ownership |
| MANHATTAN FIVE PARTNERS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 7% | 2006-11-01 | current | pecos_ownership |
| BERING PROPERTIES LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6% | 2013-10-10 | current | pecos_ownership |
| 517 S. A STREET LLC | Other (financial or non-financial) | — | 2023-01-01 | current | hcris_a_8_1 |
| 517 S. A STREET LLC | ADP OF THE SNF | — | 2006-12-15 | current | pecos_ownership |
| 517 S. A STREET LLC | Other (financial or non-financial) | — | 2024-01-01 | current | hcris_a_8_1 |
| BH ALLIANCE | INDIRECT OWNERSHIP INTEREST | — | 2006-11-01 | current | pecos_ownership |
| BRETSCH, GREGORY | ADP OF THE SNF | — | 2019-02-25 | current | pecos_ownership |
| BULOSAN, JULIA | ADP OF THE SNF | — | 2025-05-27 | current | pecos_ownership |
| BUTENKO, JULIE | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-07-24 | current | pecos_ownership |
| CAMBRIDGE HEALTHCARE SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2014-04-01 | current | pecos_ownership |
| CAMBRIDGE HEALTHCARE SERVICES LLC | ADP OF THE SNF | — | 2025-07-24 | current | pecos_ownership |
| CAPELA, HEIDI | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-04-03 | current | pecos_ownership |
| HASSELL, LANCE | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-04-25 | current | pecos_ownership |
| JENMAX ENTERPRISES LLC | ADP OF THE SNF | — | 2006-12-15 | current | pecos_ownership |
| JK-CSH JV LLC | ADP OF THE SNF | — | 2006-12-15 | current | pecos_ownership |
| LAL, AKASH | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-10-28 | current | pecos_ownership |
| LAL, AKASH | ADP OF THE SNF | — | 2025-07-22 | current | pecos_ownership |
| LUTZ, LINDA | OPERATIONAL/MANAGERIAL CONTROL | — | 2012-02-01 | current | pecos_ownership |
| SALAZAR, PAULINA | ADP OF THE SNF | — | 2020-12-14 | current | pecos_ownership |
| SINGH, RANJEET | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-04-08 | current | pecos_ownership |
| SMEDRA, IRA | ADP OF THE SNF | — | 2007-02-01 | current | pecos_ownership |
| THE JACOB WINTNER TRUST | INDIRECT OWNERSHIP INTEREST | — | 2006-11-01 | current | pecos_ownership |
| THE WINTNER LIVING TRUST DATED 7/08/1992 | INDIRECT OWNERSHIP INTEREST | — | 2007-02-01 | current | pecos_ownership |
| WIN WIN ENTERPRISES, LLC | ADP OF THE SNF | — | 2006-12-15 | current | pecos_ownership |
| WINTNER, JACOB | ADP OF THE SNF | — | 2007-02-01 | current | pecos_ownership |
| JACOB WINTNER | CORPORATE OFFICER | 50% | 2007-02-01 | ended 2026-05-18 | pecos_ownership |
| IRA SMEDRA | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6% | 2007-02-01 | ended 2026-05-18 | pecos_ownership |
| 517 S. A STREET LLC | Other (financial or non-financial) | — | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| 517 S. A STREET LLC | Other (financial or non-financial) | — | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| 517 S. A STREET LLC | Other (financial or non-financial) | — | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| AKASH LAL | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-10-28 | ended 2026-05-18 | pecos_ownership |
| AKASH LAL | ADP OF THE SNF | — | 2025-07-22 | ended 2026-05-18 | pecos_ownership |
| GREGORY BRETSCH | MANAGING CONTROL - GOVERNING BODY | — | 2019-02-25 | ended 2026-05-18 | pecos_ownership |
| HEIDI CAPELA | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-04-03 | ended 2026-05-18 | pecos_ownership |
| JULIA BULOSAN | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-05-27 | ended 2026-05-18 | pecos_ownership |
| JULIE BUTENKO | ADP OF THE SNF | — | 2023-07-24 | ended 2026-05-18 | pecos_ownership |
| LANCE HASSELL | ADP OF THE SNF | — | 2022-04-25 | ended 2026-05-18 | pecos_ownership |
| LINDA LUTZ | OPERATIONAL/MANAGERIAL CONTROL | — | 2012-02-01 | ended 2026-05-18 | pecos_ownership |
| PAULINA SALAZAR | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-12-14 | ended 2026-05-18 | pecos_ownership |
| RANJEET SINGH | ADP OF THE SNF | — | 2024-04-08 | 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
0No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Comparable trades — CA snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-08-01 | Turlock Nursing & Rehabilitation Center | — | — | — | 144 | TRACY RIDGE HEALTHCARE, INC. |
| 2025-04-01 | ALAMITOS WEST HEALTH & REHABILITATION | — | — | — | 150 | MALCOLM HEALTHCARE, INC. |
| 2025-04-01 | PACIFIC HAVEN SUBACUTE AND HEALTHCARE CENTER | — | — | — | 99 | STRAWBERRY POND HEALTHCARE LLC |
| 2025-01-16 | GOLDEN HARBOR HEALTHCARE CENTER | — | — | — | 99 | CEYLON HOLDINGS LLC |
| 2024-12-30 | GRASS VALLEY HEALTHCARE CENTER | — | — | — | 86 | HEISMAN LLC |
| 2024-10-01 | REDWOOD GROVE POST ACUTE | — | — | — | 144 | SOQUEL CARE LLC |
| 2024-09-01 | OAK GROVE POST ACUTE | — | — | — | 119 | 4545 SHELLEY COURT OPCO, LLC |
| 2024-08-01 | WE CARE SKILLED NURSING - FREMONT | — | — | — | 99 | WE CARE SKILLED NURSING-FREMONT, LLC |
| 2024-05-01 | MAJESTIC MOUNTAIN CARE CENTER | — | — | — | 66 | OAKHURST SKILLED CARE LLC |
| 2024-04-01 | THE BRADLEY GARDENS | — | — | — | 44 | GHC OF SAN JACINTO LLC |
| 2024-04-01 | SANTA FE POST-ACUTE | — | — | — | 187 | SKILLED BOBIER LLC |
| 2024-04-01 | BAYSHIRE SAN DIMAS POST-ACUTE | — | — | — | 45 | SKILLED SAN DIMAS 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| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 06039 | acs median gross | 0 | $1,184 | 2024-12-31 | CENSUS_ACS5 |
| county 06039 | fmr | 0 | $1,055 | 2025-10-01 | HUD_USER_FMR |
| county 06039 | acs median gross | 1 | $898 | 2024-12-31 | CENSUS_ACS5 |
| county 06039 | fmr | 1 | $1,062 | 2025-10-01 | HUD_USER_FMR |
| county 06039 | acs median gross | 2 | $1,199 | 2024-12-31 | CENSUS_ACS5 |
| county 06039 | fmr | 2 | $1,376 | 2025-10-01 | HUD_USER_FMR |
| county 06039 | acs median gross | 3 | $1,561 | 2024-12-31 | CENSUS_ACS5 |
| county 06039 | fmr | 3 | $1,914 | 2025-10-01 | HUD_USER_FMR |
| county 06039 | acs median gross | 4 | $1,912 | 2024-12-31 | CENSUS_ACS5 |
| county 06039 | fmr | 4 | $2,275 | 2025-10-01 | HUD_USER_FMR |
| county 06039 | acs median gross | 5 | $2,427 | 2024-12-31 | CENSUS_ACS5 |
| county 06039 | acs median gross | $1,390 | 2024-12-31 | CENSUS_ACS5 | |
| county 06039 | acs recent mover gross | $1,597 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 93638 | acs median gross | 0 | $1,233 | 2024-12-31 | CENSUS_ACS5 |
| zcta 93638 | acs median gross | 1 | $797 | 2024-12-31 | CENSUS_ACS5 |
| zcta 93638 | acs median gross | 2 | $1,269 | 2024-12-31 | CENSUS_ACS5 |
| zcta 93638 | acs median gross | 3 | $1,520 | 2024-12-31 | CENSUS_ACS5 |
| zcta 93638 | acs median gross | 4 | $1,823 | 2024-12-31 | CENSUS_ACS5 |
| zcta 93638 | acs median gross | $1,397 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 93638 | acs recent mover gross | $1,721 | 2024-12-31 | CENSUS_ACS5 | |
| zip 93638 | payment standard 110 | 0 | $1,144 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93638 | payment standard 90 | 0 | $936 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93638 | safmr | 0 | $1,040 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93638 | payment standard 110 | 1 | $1,144 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93638 | payment standard 90 | 1 | $936 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93638 | safmr | 1 | $1,040 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93638 | payment standard 110 | 2 | $1,485 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93638 | payment standard 90 | 2 | $1,215 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93638 | safmr | 2 | $1,350 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93638 | payment standard 110 | 3 | $2,068 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93638 | payment standard 90 | 3 | $1,692 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93638 | safmr | 3 | $1,880 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93638 | payment standard 110 | 4 | $2,453 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93638 | payment standard 90 | 4 | $2,007 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93638 | safmr | 4 | $2,230 | 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.