CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)
AS OF 2026-08-04 22:26 UTC
Screener / 055443
C

WEST VALLEY POST ACUTE

snfCA
7057 SHOUP AVE, WEST HILLS, CA 91307 · CCN 055443 · chain PACS HOLDINGS LLC
Composite
60.8 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
128
Model
v1.2
Reads as: riskier than 60.8% 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.

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
billing conduct98.372.30.300.230822.68in index
regulatory risk93.090.80.300.230821.46in index
chow risk25.724.80.150.11542.97in index
staffing risk14.814.90.250.19232.85in index
financial risk10.719.80.300.23082.47in 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

3
KindFindingSignalSubjectFirst seen
connectionOwner spans multiple chains7 chainsJERGENSEN JOSHUA249 facilities
connectionOwner spans multiple chains7 chainsMITCHELL JOHN264 facilities
connectionOwner spans multiple chains6 chainsAPT FREDERICK254 facilities
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.

Component scores and registry models

16
Score typeScoreGradeModelStatusRegistry model notes
billing conduct72.3Dv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk25.0Bv0.1-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 risk24.6Av0.6default · in composite
financial risk19.8Av0.5default · in compositeR18.
p adverse action 12m0.0v0.1default · 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 12m10.4v0.1default · 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 risk90.8Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk14.9Av0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk59.5Cv0.1supersededPre-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 risk39.5Bv0.2supersededPre-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 risk26.5Bv0.3supersededPre-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 risk24.7Av0.4supersededPre-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 risk90.7Fv0.1supersededPre-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 risk90.7Fv0.2supersededPre-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 risk14.9Av0.1supersededPre-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 risk14.9Av0.2supersededPre-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)
10.4%
model v0.1 · computed 2026-07-29
Percentile among SNFs
98.0
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Chain size (log)5.51+0.77
For-profit ownership1.00+0.69
Never sold on record1.00+0.62
Current owner tenure (years)25.00+0.57
Deficiencies, last 12 months29.00+0.53
No PBJ staffing report0.00+0.42
Occupancy0.79-0.25
Total nurse staffing (HPRD)4.11-0.21
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 months29.00-3.95
Chain size (log)5.51-2.01
For-profit ownership1.00-0.69
No PBJ staffing report0.00+0.39
Total nurse staffing (HPRD)4.11-0.37
Fine amount, 12m (log)0.00+0.18
Occupancy0.79-0.15
Never sold on record1.00+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.

Staffing vs peers

16
2025Q4 HPRDThis facilityCA medianNational medianNational p25–p75
Total nurse4.113.953.282.90–3.77
RN0.380.380.390.25–0.58
Weekend total3.843.793.11
Weekday total4.214.013.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q492100.54.110.381.192.543.840.0%
2025Q39298.34.300.471.282.563.960.0%
2025Q291103.44.170.471.192.503.860.0%
2025Q190113.04.120.491.152.483.740.0%
2024Q492106.24.110.481.182.453.760.3%
2024Q392106.34.150.541.112.503.760.0%
2024Q291106.74.030.471.122.443.710.1%
2024Q191115.33.860.411.052.403.580.5%
2023Q492113.43.900.411.062.433.550.0%
2023Q392102.74.140.411.242.503.770.0%
2023Q291108.04.120.421.192.523.710.0%
2023Q190111.53.620.370.912.343.350.0%
2022Q492103.13.840.440.952.453.710.0%
2022Q392108.63.850.450.952.453.610.0%
2022Q29199.93.920.510.922.503.700.0%
2022Q190105.63.770.400.942.433.630.0%
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

4
DateTypeFineSource
2024-06-07Fine$24,341CMS provider data
2024-06-07Payment DenialCMS provider data
2024-01-10Fine$46,859CMS provider data
2024-01-10Payment DenialCMS provider data
Total fines on record: $71,200

Deficiencies

83
B × 7D × 40E × 32G × 3J × 1
deficiencies by survey year
36182223242526
SurveyTypeTagDeficiencyScopeCorrected
2026-02-09Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2026-02-26
2025-12-17Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2025-12-18
2025-11-17Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G2025-12-10
2025-11-17Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-12-10
2025-08-14HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E2025-09-12
2025-08-14HealthF0558Reasonably accommodate the needs and preferences of each resident.D2025-09-12
2025-08-14HealthF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.E2025-09-12
2025-08-14HealthF0578Honor 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.E2025-09-12
2025-08-14HealthF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2025-09-12
2025-08-14HealthF0583Keep residents' personal and medical records private and confidential.E2025-09-12
2025-08-14HealthF0641Ensure each resident receives an accurate assessment.B2025-09-12
2025-08-14HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E2025-09-12
2025-08-14HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-09-12
2025-08-14HealthF0688Provide 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.E2025-09-12
2025-08-14HealthF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.E2025-09-12
2025-08-14HealthF0692Provide enough food/fluids to maintain a resident's health.E2025-09-12
2025-08-14HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2025-09-12
2025-08-14HealthF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D2025-09-12
2025-08-14HealthF0759Ensure medication error rates are not 5 percent or greater.E2025-09-12
2025-08-14HealthF0760Ensure that residents are free from significant medication errors.E2025-09-12
2025-08-14HealthF0761Ensure 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.E2025-09-12
2025-08-14HealthF0803Ensure 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.E2025-09-19
2025-08-14HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2025-09-12
2025-08-14HealthF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.E2025-09-12
2025-08-14HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2025-09-19
2025-08-14HealthF0814Dispose of garbage and refuse properly.E2025-09-12
2025-08-14HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E2025-09-12
2025-08-14HealthF0880Provide and implement an infection prevention and control program.E2025-09-12
2025-08-14HealthF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.B
2025-07-22Health · complaintF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D2025-08-19
2025-07-22Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-08-19
2025-06-26Health · complaintF0558Reasonably accommodate the needs and preferences of each resident.D2025-07-23
2025-06-26Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2025-07-23
2025-06-26Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-07-23
2025-06-26Health · complaintF0697Provide safe, appropriate pain management for a resident who requires such services.E2025-07-23
2025-06-26Health · complaintF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.D2025-07-23
2025-06-26Health · complaintF0760Ensure that residents are free from significant medication errors.D2025-07-23
2024-11-05Health · 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.D2024-11-29
2024-10-23Health · complaintF0837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.D2024-11-18
2024-09-05HealthF0552Ensure that residents are fully informed and understand their health status, care and treatments.D2024-09-20
2024-09-05HealthF0578Honor 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.E2024-09-20
2024-09-05HealthF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.B2024-09-20
2024-09-05HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2024-09-20
2024-09-05HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2024-09-20
2024-09-05HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.E2024-09-20
2024-09-05HealthF0697Provide safe, appropriate pain management for a resident who requires such services.D2024-09-20
2024-09-05HealthF0790Provide routine and 24-hour emergency dental care for each resident.D2024-09-20
2024-09-05HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.D2024-09-20
2024-09-05HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2024-09-20
2024-09-05HealthF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.B2024-09-20
2024-08-29Health · 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.D2024-09-14
2024-08-01Health · complaintF0880Provide and implement an infection prevention and control program.E2024-08-05
2024-06-07Health · complaintF0558Reasonably accommodate the needs and preferences of each resident.D2024-08-06
2024-06-07Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E2024-08-06
2024-06-07Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-08-06
2024-06-07Health · complaintF0770Provide timely, quality laboratory services/tests to meet the needs of residents.J2024-06-24
2024-02-20Health · complaintF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.D2024-03-15
2024-01-25Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G2024-02-20
2024-01-25Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2024-02-20
2024-01-10Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2024-02-06
2024-01-10Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2024-02-06
2024-01-10Health · complaintF0692Provide enough food/fluids to maintain a resident's health.E2024-02-06
2024-01-10Health · complaintF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.D2024-02-06
2023-06-01Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2023-06-24
2023-06-01Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2023-06-24
2022-01-28HealthF0554Allow residents to self-administer drugs if determined clinically appropriate.D2022-02-25
2022-01-28HealthF0558Reasonably accommodate the needs and preferences of each resident.D2022-02-25
2022-01-28HealthF0578Honor 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.D2022-02-25
2022-01-28HealthF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.B2022-02-25
2022-01-28HealthF0641Ensure each resident receives an accurate assessment.B2022-02-25
2022-01-28HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.D2022-02-25
2022-01-28HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2022-02-25
2022-01-28HealthF0697Provide safe, appropriate pain management for a resident who requires such services.E2022-02-25
2022-01-28HealthF0741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.E2022-02-25
2022-01-28HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2022-02-25
2022-01-28HealthF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D2022-02-25
2022-01-28HealthF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.D2022-02-25
2022-01-28HealthF0758Implement 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.D2022-02-25
2022-01-28HealthF0761Ensure 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.E2022-02-25
2022-01-28HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2022-02-25
2022-01-28HealthF0880Provide and implement an infection prevention and control program.E2022-02-25
2022-01-28HealthF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.B2022-02-25
2022-01-28HealthF0919Make sure that a working call system is available in each resident's bathroom and bathing area.D2022-02-25
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

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

14
OwnerRolePctFromStatusSource
PROVIDENCE GROUP NORTH LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2015-08-06currentpecos_ownership
AGUINAGA, EDWARDOW-2 MANAGING EMPLOYEE2017-04-17currentpecos_ownership
APT, FREDERICKCORPORATE OFFICER2024-01-01currentpecos_ownership
JERGENSEN, JOSHUACORPORATE OFFICER2024-01-01currentpecos_ownership
MITCHELL, JOHNCORPORATE OFFICER2024-01-01currentpecos_ownership
PACS GROUP, INC.5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2023-06-30ended 2026-05-18pecos_ownership
PACS HOLDINGS, LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2023-06-30ended 2026-05-18pecos_ownership
PROVIDENCE GROUP INC5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2015-08-01ended 2026-05-18pecos_ownership
JASON MURRAY5% OR GREATER INDIRECT OWNERSHIP INTEREST42%2024-04-15ended 2026-05-18pecos_ownership
MARK HANCOCK5% OR GREATER INDIRECT OWNERSHIP INTEREST42%2024-04-15ended 2026-05-18pecos_ownership
EDWARDO AGUINAGAOPERATIONAL/MANAGERIAL CONTROL2017-04-17ended 2026-05-18pecos_ownership
FREDERICK APTCORPORATE OFFICER2024-01-01ended 2026-05-18pecos_ownership
JOHN MITCHELLCORPORATE OFFICER2024-01-01ended 2026-05-18pecos_ownership
JOSHUA JERGENSENCORPORATE OFFICER2024-01-01ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

0
No 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
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-08-01Turlock Nursing & Rehabilitation Center144TRACY RIDGE HEALTHCARE, INC.
2025-04-01ALAMITOS WEST HEALTH & REHABILITATION150MALCOLM HEALTHCARE, INC.
2025-04-01PACIFIC HAVEN SUBACUTE AND HEALTHCARE CENTER99STRAWBERRY POND HEALTHCARE LLC
2025-01-16GOLDEN HARBOR HEALTHCARE CENTER99CEYLON HOLDINGS LLC
2024-12-30GRASS VALLEY HEALTHCARE CENTER86HEISMAN LLC
2024-10-01REDWOOD GROVE POST ACUTE144SOQUEL CARE LLC
2024-09-01OAK GROVE POST ACUTE1194545 SHELLEY COURT OPCO, LLC
2024-08-01WE CARE SKILLED NURSING - FREMONT99WE CARE SKILLED NURSING-FREMONT, LLC
2024-05-01MAJESTIC MOUNTAIN CARE CENTER66OAKHURST SKILLED CARE LLC
2024-04-01THE BRADLEY GARDENS44GHC OF SAN JACINTO LLC
2024-04-01SANTA FE POST-ACUTE187SKILLED BOBIER LLC
2024-04-01BAYSHIRE SAN DIMAS POST-ACUTE45SKILLED 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

36
GeoKindBRAmountAs ofSource
county 06037acs median gross0$1,5232024-12-31CENSUS_ACS5
county 06037fmr0$1,8632025-10-01HUD_USER_FMR
county 06037acs median gross1$1,7242024-12-31CENSUS_ACS5
county 06037fmr1$2,0852025-10-01HUD_USER_FMR
county 06037acs median gross2$2,1272024-12-31CENSUS_ACS5
county 06037fmr2$2,6012025-10-01HUD_USER_FMR
county 06037acs median gross3$2,4842024-12-31CENSUS_ACS5
county 06037fmr3$3,2982025-10-01HUD_USER_FMR
county 06037acs median gross4$2,8662024-12-31CENSUS_ACS5
county 06037fmr4$3,6722025-10-01HUD_USER_FMR
county 06037acs median gross5$2,7672024-12-31CENSUS_ACS5
county 06037acs median gross$1,9542024-12-31CENSUS_ACS5
county 06037acs recent mover gross$2,3582024-12-31CENSUS_ACS5
zcta 91307acs median gross0$2,3572024-12-31CENSUS_ACS5
zcta 91307acs median gross1$2,5432024-12-31CENSUS_ACS5
zcta 91307acs median gross2$3,5012024-12-31CENSUS_ACS5
zcta 91307acs median gross3$3,5012024-12-31CENSUS_ACS5
zcta 91307acs median gross4$3,5012024-12-31CENSUS_ACS5
zcta 91307acs median gross5$3,5012024-12-31CENSUS_ACS5
zcta 91307acs median gross$3,5012024-12-31CENSUS_ACS5
zcta 91307acs recent mover gross$3,5012024-12-31CENSUS_ACS5
zip 91307payment standard 1100$2,7722025-10-01HUD_USER_SAFMR
zip 91307payment standard 900$2,2682025-10-01HUD_USER_SAFMR
zip 91307safmr0$2,5202025-10-01HUD_USER_SAFMR
zip 91307payment standard 1101$3,1022025-10-01HUD_USER_SAFMR
zip 91307payment standard 901$2,5382025-10-01HUD_USER_SAFMR
zip 91307safmr1$2,8202025-10-01HUD_USER_SAFMR
zip 91307payment standard 1102$3,8942025-10-01HUD_USER_SAFMR
zip 91307payment standard 902$3,1862025-10-01HUD_USER_SAFMR
zip 91307safmr2$3,5402025-10-01HUD_USER_SAFMR
zip 91307payment standard 1103$4,9722025-10-01HUD_USER_SAFMR
zip 91307payment standard 903$4,0682025-10-01HUD_USER_SAFMR
zip 91307safmr3$4,5202025-10-01HUD_USER_SAFMR
zip 91307payment standard 1104$5,5442025-10-01HUD_USER_SAFMR
zip 91307payment standard 904$4,5362025-10-01HUD_USER_SAFMR
zip 91307safmr4$5,0402025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.