Composite
9.7 / 100 percentile
Screener / 505537
A
Montesano Health-Rehab Center
snfWA
800 N MEDCALF LANE, MONTESANO, WA 98563 · CCN 505537 · chain HCCF MANAGEMENT GROUP XI LLC
Peer group
snf n = 14,684
Evidence depth
moderate
Certified beds
94
Model
v1.2
Reads as: riskier than 9.7% 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 model2ML signals8Components6CHOW radar1Distress radar1Penalties0Deficiencies2Licensure0Ownership35Related party0Transactions0Comps12Market rent33
Composite explanation
2| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| chow risk | 84.9 | 45.0 | 0.15 | 0.3333 | 28.30 | in index |
| regulatory risk | 1.4 | 0.9 | 0.30 | 0.6667 | 0.93 | 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
8| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner spans multiple chains | 33 chains | WELLTOWER OP LLC | 147 facilities |
| connection | Owner spans multiple chains | 6 chains | CHHEDA NEEL | 9 facilities |
| connection | Owner spans multiple chains | 4 chains | POWERBACK REHABILITATION LLC | 32 facilities |
| connection | Owner fleet enforcement cluster | 46% fined | GHC HOLDINGS LLC | 11 facilities |
| connection | Owner fleet enforcement cluster | 44% fined | FC GEN OPERATIONS INVESTMENT LLC | 23 facilities |
| connection | Owner fleet enforcement cluster | 40% fined | BQ REALTY HOLDINGS LLC | 5 facilities |
| connection | Owner fleet enforcement cluster | 40% fined | GEN BQ JV HOLDINGS LLC | 20 facilities |
| connection | Owner fleet enforcement cluster | 40% fined | BOLD QUAIL HOLDINGS LLC | 20 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
6| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| chow risk | 45.0 | C | 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. |
| 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 | 2.1 | — | 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 | 0.9 | A | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| regulatory risk | 0.9 | A | 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 | 0.9 | A | 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)
2.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
70.4
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| No PBJ staffing report | 1.00 | -3.61 | |
| Occupancy | 0.00 | +2.02 | |
| Chain size (log) | 5.24 | +0.71 | |
| For-profit ownership | 1.00 | +0.69 | |
| Never sold on record | 1.00 | +0.62 | |
| Total nurse staffing (HPRD) | 0.00 | +0.60 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| Ownership changes, last 5 years | 0.00 | +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
| Driver | Value | Pull on odds | |
|---|---|---|---|
| No PBJ staffing report | 1.00 | -7.43 | |
| Occupancy | 0.00 | +3.15 | |
| Chain size (log) | 5.24 | -1.84 | |
| Total nurse staffing (HPRD) | 0.00 | +1.35 | |
| Deficiencies, last 12 months | 2.00 | +1.06 | |
| For-profit ownership | 1.00 | -0.69 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Never sold on record | 1.00 | +0.12 |
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.
Penalties
0No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
2B × 1D × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-17 | 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 | 2026-04-03 |
| 2025-08-20 | Health | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | B | 2025-08-25 |
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
35| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| BQ OPERATIONS HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2020-02-01 | current | pecos_ownership |
| 800 MEDCALF LANE NORTH PROPERTY LLC | ADP OF THE SNF | — | 2020-02-01 | current | pecos_ownership |
| 9560 PICO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2020-02-01 | current | pecos_ownership |
| BOLD QUAIL HOLDINGS LLC | ADP OF THE SNF | — | 2020-02-01 | current | pecos_ownership |
| BQ REALTY HOLDINGS LLC | ADP OF THE SNF | — | 2026-02-13 | current | pecos_ownership |
| CHHEDA, NEEL | ADP OF THE SNF | — | 2025-01-30 | current | pecos_ownership |
| FC-GEN OPERATIONS INVESTMENT LLC | ADP OF THE SNF | — | 2020-02-01 | current | pecos_ownership |
| FISHMAN, STEVEN | INDIRECT OWNERSHIP INTEREST | — | 2020-02-01 | current | pecos_ownership |
| GEN BQ JV HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2020-02-01 | current | pecos_ownership |
| GEN OPERATIONS II LLC | ADP OF THE SNF | — | 2020-02-01 | current | pecos_ownership |
| GENESIS HEALTHCARE INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2020-02-01 | current | pecos_ownership |
| GENESIS HEALTHCARE LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2020-02-01 | current | pecos_ownership |
| GENESIS HOLDINGS LLC | ADP OF THE SNF | — | 2020-02-01 | current | pecos_ownership |
| GHC HOLDINGS LLC | ADP OF THE SNF | — | 2020-02-01 | current | pecos_ownership |
| GHC JV HOLDINGS LLC | ADP OF THE SNF | — | 2020-02-01 | current | pecos_ownership |
| HCCF MANAGEMENT GROUP XI LLC | ADP OF THE SNF | — | 2020-02-01 | current | pecos_ownership |
| MOEUN, ANDREA | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-05-28 | current | pecos_ownership |
| NEWGEN ADMINISTRATIVE SERVICES, LLC | ADP OF THE SNF | — | 2020-02-01 | current | pecos_ownership |
| NEWGEN LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2020-02-01 | current | pecos_ownership |
| PICO AR LLC | ADP OF THE SNF | — | 2020-02-01 | current | pecos_ownership |
| POWERBACK REHABILITATION LLC | ADP OF THE SNF | — | 2020-02-01 | current | pecos_ownership |
| ROBIN, AARON | ADP OF THE SNF | — | 2020-02-01 | current | pecos_ownership |
| ROLFING, MEGAN | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-08-12 | current | pecos_ownership |
| SUN HEALTHCARE GROUP INC | ADP OF THE SNF | — | 2020-02-01 | current | pecos_ownership |
| SUNDANCE REHABILITATION HOLDCO INC | INDIRECT OWNERSHIP INTEREST | — | 2020-02-01 | current | pecos_ownership |
| TRESS, AVROHOM | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2020-02-01 | current | pecos_ownership |
| WELLTOWER OP, LLC | INDIRECT OWNERSHIP INTEREST | — | 2020-02-01 | current | pecos_ownership |
| WHITMAN, ARNOLD | ADP OF THE SNF | — | 2020-02-01 | current | pecos_ownership |
| ZAC PROPERTIES XI LLC | INDIRECT OWNERSHIP INTEREST | — | 2020-02-01 | current | pecos_ownership |
| AVROHOM TRESS | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25% | 2020-02-01 | ended 2026-05-18 | pecos_ownership |
| ARNOLD WHITMAN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | 2020-02-01 | ended 2026-05-18 | pecos_ownership |
| STEVEN FISHMAN | INDIRECT OWNERSHIP INTEREST | 4% | 2020-02-01 | ended 2026-05-18 | pecos_ownership |
| AARON ROBIN | ADP OF THE SNF | — | 2020-02-01 | ended 2026-05-18 | pecos_ownership |
| ANDREA MOEUN | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-05-28 | ended 2026-05-18 | pecos_ownership |
| NEEL CHHEDA | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-30 | 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 — WA snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-06-01 | Bremerton Trails Post Acute | — | — | — | 125 | RINCON BEACH, LLC |
| 2025-06-01 | Othello Post Acute | — | — | — | 39 | DOHENY BEACH, LLC |
| 2025-06-01 | Edmonds Post Acute | — | — | — | 128 | SALT CREEK BEACH, LLC |
| 2025-05-21 | AURORA VALLEY CARE | — | — | — | 124 | AURORA VALLEY CARE LLC |
| 2025-05-21 | THREE RIVERS CARE | — | — | — | 83 | THREE RIVERS CARE LLC |
| 2025-05-21 | FIR LANE CARE | — | — | — | 135 | FIR LANE CARE LLC |
| 2025-05-21 | SPOKANE FALLS CARE | — | — | — | 100 | SPOKANE FALLS CARE LLC |
| 2025-05-01 | MARIANWOOD HEALTH AND REHABILITATION | — | — | — | 117 | LUNA VEGA HEALTHCARE LLC |
| 2025-04-01 | WOODARD CREEK HEALTH & REHABILITATION | — | — | — | 152 | WOODARD SNF OPERATIONS LLC |
| 2025-03-12 | Avalon Healthcare - Tacoma | — | — | — | 81 | AVALON HEALTHCARE-TACOMA LLC |
| 2025-03-01 | SOUTH HILL REHABILITATION AND CARE CENTER | — | — | — | 113 | LAST EMPIRE HEALTHCARE LLC |
| 2024-08-01 | PINE RIDGE POST ACUTE | — | — | — | 80 | PINE RIDGE SNF HEALTHCARE LLC |
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
33| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 53027 | acs median gross | 0 | $683 | 2024-12-31 | CENSUS_ACS5 |
| county 53027 | fmr | 0 | $838 | 2025-10-01 | HUD_USER_FMR |
| county 53027 | acs median gross | 1 | $786 | 2024-12-31 | CENSUS_ACS5 |
| county 53027 | fmr | 1 | $927 | 2025-10-01 | HUD_USER_FMR |
| county 53027 | acs median gross | 2 | $1,084 | 2024-12-31 | CENSUS_ACS5 |
| county 53027 | fmr | 2 | $1,216 | 2025-10-01 | HUD_USER_FMR |
| county 53027 | acs median gross | 3 | $1,316 | 2024-12-31 | CENSUS_ACS5 |
| county 53027 | fmr | 3 | $1,691 | 2025-10-01 | HUD_USER_FMR |
| county 53027 | acs median gross | 4 | $1,512 | 2024-12-31 | CENSUS_ACS5 |
| county 53027 | fmr | 4 | $1,869 | 2025-10-01 | HUD_USER_FMR |
| county 53027 | acs median gross | 5 | $1,259 | 2024-12-31 | CENSUS_ACS5 |
| county 53027 | acs median gross | $1,062 | 2024-12-31 | CENSUS_ACS5 | |
| county 53027 | acs recent mover gross | $1,116 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 98563 | acs median gross | 1 | $984 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98563 | acs median gross | 2 | $1,165 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98563 | acs median gross | 3 | $1,335 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98563 | acs median gross | $1,132 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 98563 | acs recent mover gross | $1,139 | 2024-12-31 | CENSUS_ACS5 | |
| zip 98563 | payment standard 110 | 0 | $1,100 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98563 | payment standard 90 | 0 | $900 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98563 | safmr | 0 | $1,000 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98563 | payment standard 110 | 1 | $1,221 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98563 | payment standard 90 | 1 | $999 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98563 | safmr | 1 | $1,110 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98563 | payment standard 110 | 2 | $1,595 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98563 | payment standard 90 | 2 | $1,305 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98563 | safmr | 2 | $1,450 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98563 | payment standard 110 | 3 | $2,222 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98563 | payment standard 90 | 3 | $1,818 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98563 | safmr | 3 | $2,020 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98563 | payment standard 110 | 4 | $2,453 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98563 | payment standard 90 | 4 | $2,007 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98563 | 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.