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 16:14 UTC
Screener / 295020
C

ROSEWOOD REHABILITATION CENTER

snfNV
2045 SILVERADA BLVD, RENO, NV 89512 · CCN 295020 · chain THE ENSIGN GROUP INC
Composite
75.6 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
99
Model
v1.2
Reads as: riskier than 75.6% 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 signals6Components16CHOW radar1Distress radar1Staffing16Penalties0Deficiencies65Licensure0Ownership24Related party5Transactions0Comps12Market rent35

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
billing conduct65.745.70.300.230815.16in index
regulatory risk61.953.40.300.230814.28in index
staffing risk68.568.50.250.192313.17in index
financial risk54.448.40.300.230812.55in index
chow risk28.727.60.150.11543.31in 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

6
KindFindingSignalSubjectFirst seen
connectionOwner spans multiple chains18 chainsENSIGN SERVICES INC 286 facilities
connectionOwner spans multiple chains18 chainsCTR PARTNERSHIP LP99 facilities
connectionOwner spans multiple chains17 chainsBURNAM SOON335 facilities
connectionOwner spans multiple chains17 chainsKEETCH CHAD283 facilities
connectionOwner spans multiple chains15 chainsCARETRUST REIT INC96 facilities
connectionOwner spans multiple chains11 chainsCARETRUST GP LLC89 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 conduct45.7Cv0.1-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 risk30.1Bv0.6default · in composite
financial risk48.4Cv0.5default · in compositeR18.
p adverse action 12m0.0—v0.1default · in compositeR23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite.
p chow 12m9.9—v0.1default · in compositeR22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite.
regulatory risk53.4Cv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk68.5Dv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk58.7Cv0.1supersededPre-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 risk38.7Bv0.2supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk53.1Cv0.3supersededPre-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 risk52.0Cv0.4supersededPre-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 risk53.3Cv0.1supersededPre-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 risk53.3Cv0.2supersededPre-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 risk68.5Dv0.1supersededPre-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 risk68.5Dv0.2supersededPre-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)
9.9%
model v0.1 · computed 2026-07-29
Percentile among SNFs
97.6
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Chain size (log)5.46+0.76
For-profit ownership1.00+0.69
Never sold on record1.00+0.62
Current owner tenure (years)25.00+0.57
Occupancy0.85-0.46
No PBJ staffing report0.00+0.42
Deficiencies, last 12 months23.00+0.39
Ownership changes, last 5 years0.00+0.20
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.

Distress radar — 12-month termination probability

full board →
p(termination, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
0.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Deficiencies, last 12 months23.00-2.84
Chain size (log)5.46-1.98
For-profit ownership1.00-0.69
Occupancy0.85-0.45
No PBJ staffing report0.00+0.39
Fine amount, 12m (log)0.00+0.18
Never sold on record1.00+0.12
Current owner tenure (years)25.00+0.11
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 facilityNV medianNational medianNational p25–p75
Total nurse3.013.623.282.90–3.77
RN0.160.640.390.25–0.58
Weekend total2.743.463.11—
Weekday total3.113.683.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49284.63.010.161.081.762.746.2%
2025Q39284.53.060.220.901.942.807.0%
2025Q29176.53.350.280.912.163.093.3%
2025Q19083.53.280.240.992.063.071.0%
2024Q49279.93.170.190.932.053.030.6%
2024Q39281.53.120.101.022.002.890.0%
2024Q29181.83.230.171.052.022.950.0%
2024Q19183.43.110.250.921.942.912.7%
2023Q49287.43.050.240.931.882.910.0%
2023Q39276.53.320.390.941.993.103.8%
2023Q29172.93.280.201.022.053.073.6%
2023Q19069.83.230.230.942.063.128.1%
2022Q49269.83.350.280.992.083.067.1%
2022Q39271.03.270.390.852.032.926.0%
2022Q29174.23.410.680.632.103.250.0%
2022Q19070.93.600.820.602.173.290.0%
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

0
No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.

Deficiencies

65
C × 2D × 57E × 1F × 5
deficiencies by survey year
2613232425
SurveyTypeTagDeficiencyScopeCorrected
2025-12-11HealthF0558Reasonably accommodate the needs and preferences of each resident.D2026-01-25
2025-12-11Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2026-01-25
2025-12-11HealthF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD2026-01-25
2025-12-11Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2026-01-25
2025-12-11HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.D2026-01-25
2025-12-11HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2026-01-25
2025-12-11HealthF0692Provide enough food/fluids to maintain a resident's health.D2026-01-25
2025-12-11HealthF0693Ensure 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.D2026-01-25
2025-12-11HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2026-01-25
2025-12-11HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2026-01-25
2025-12-11Health · complaintF0699Provide care or services that was trauma informed and/or culturally competent.D2026-01-25
2025-12-11HealthF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D2026-01-25
2025-12-11Health · complaintF0732Post nurse staffing information every day.C2026-01-25
2025-12-11Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2026-01-25
2025-12-11HealthF0761Ensure 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.F2026-01-25
2025-12-11HealthF0803Ensure 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.D2026-01-25
2025-12-11HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D2026-01-25
2025-12-11Health · complaintF0838Conduct 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.C2026-01-25
2025-12-11HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2026-01-25
2025-12-11Health · complaintF0880Provide and implement an infection prevention and control program.F2026-01-25
2025-12-11Health · complaintF0881Implement a program that monitors antibiotic use.D2026-01-25
2025-12-11Health · complaintF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F2026-01-25
2025-12-11HealthF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.D2026-01-25
2025-04-24Health · complaintF0610Respond appropriately to all alleged violations.D2025-06-01
2025-04-24Health · complaintF0693Ensure 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.D2025-06-01
2025-04-24Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2025-06-01
2024-12-18Health · complaintF0572Give residents a notice of rights, rules, services and charges.D2025-01-31
2024-10-10HealthF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D2024-11-11
2024-10-10HealthF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2024-11-11
2024-10-10HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2024-11-11
2024-10-10HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-11-11
2024-10-10Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2024-11-11
2024-10-10Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-11-11
2024-10-10HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2024-11-11
2024-10-10HealthF0761Ensure 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.D2024-11-11
2024-10-10HealthF0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.D2024-11-11
2024-10-10HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2024-11-11
2024-10-10HealthF0880Provide and implement an infection prevention and control program.D2024-12-01
2024-10-10HealthF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.D2024-11-11
2024-08-01Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2024-08-19
2023-11-02HealthF0583Keep residents' personal and medical records private and confidential.D2023-12-15
2023-11-02Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2023-12-15
2023-11-02HealthF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2023-12-15
2023-11-02HealthF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.D2023-12-15
2023-11-02Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2023-12-15
2023-11-02HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.D2023-12-15
2023-11-02HealthF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D2023-12-15
2023-11-02HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2023-12-15
2023-11-02HealthF0697Provide safe, appropriate pain management for a resident who requires such services.D2023-12-15
2023-11-02HealthF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.D2023-12-15
2023-11-02HealthF0758Implement 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.D2023-12-15
2023-11-02HealthF0759Ensure medication error rates are not 5 percent or greater.D2023-12-15
2023-11-02HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2023-12-15
2023-11-02HealthF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.D2023-12-15
2023-11-02HealthF0880Provide and implement an infection prevention and control program.D2023-12-15
2023-11-02HealthF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.E2023-12-15
2023-11-02HealthF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.D2023-12-15
2023-11-02HealthF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.D2023-12-15
2023-08-31Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2023-09-28
2023-08-31Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2023-09-28
2023-08-31Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2023-09-28
2023-08-31Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2023-09-28
2023-06-22Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2023-07-28
2023-06-22Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2023-07-28
2023-06-22Health · complaintF0610Respond appropriately to all alleged violations.D2023-07-28
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

24
OwnerRolePctFromStatusSource
APPALACHIAN SPEECH PATHOLOGY ASSOCIATES INCOPERATIONAL/MANAGERIAL CONTROL—2011-12-02currentpecos_ownership
BURNAM, SOONCORPORATE OFFICER—2011-09-27currentpecos_ownership
CARETRUST GP LLCADP OF THE SNF—2011-12-02currentpecos_ownership
CARETRUST REIT INCADP OF THE SNF—2011-12-02currentpecos_ownership
CTR PARTNERSHIP LPADP OF THE SNF—2011-12-02currentpecos_ownership
ENSIGN SERVICES INCADP OF THE SNF—2011-12-02currentpecos_ownership
FARNSWORTH, STEPHENCORPORATE OFFICER—2018-07-27currentpecos_ownership
HAWKINS, ISAIAHCORPORATE OFFICER—2024-09-09currentpecos_ownership
KEETCH, CHADCORPORATE OFFICER—2011-03-01currentpecos_ownership
MAGBOO, MELOPERATIONAL/MANAGERIAL CONTROL—2015-12-15currentpecos_ownership
NURSA INCOPERATIONAL/MANAGERIAL CONTROL—2011-12-02currentpecos_ownership
PORT, BARRYINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF—2025-07-09currentpecos_ownership
SATO, AMICORPORATE OFFICER—2024-09-09currentpecos_ownership
SILVERADA HEALTH HOLDINGS LLCADP OF THE SNF—2011-12-02currentpecos_ownership
WELKER, DAVIDADP OF THE SNF—2022-11-01currentpecos_ownership
PENNANT HEALTHCARE LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2014-02-01ended 2026-05-18pecos_ownership
THE ENSIGN GROUP INC5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2006-01-30ended 2026-05-18pecos_ownership
SOON BURNAMCORPORATE OFFICER0%2011-09-27ended 2026-05-18pecos_ownership
AMI SATOCORPORATE OFFICER—2024-09-09ended 2026-05-18pecos_ownership
CHAD KEETCHCORPORATE OFFICER—2011-03-01ended 2026-05-18pecos_ownership
DAVID WELKEROPERATIONAL/MANAGERIAL CONTROL—2022-11-01ended 2026-05-18pecos_ownership
ISAIAH HAWKINSCORPORATE OFFICER—2024-09-09ended 2026-05-18pecos_ownership
MEL MAGBOOADP OF THE SNF—2015-12-15ended 2026-05-18pecos_ownership
STEPHEN FARNSWORTHCORPORATE OFFICER—2018-07-27ended 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 — NV snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-04-17OASIS NURSING & REHAB OF GREEN VALLEY———242HENDERSON DELMAR NV OPCO LLC
2024-08-01NORTHERN NEVADA STATE VETERANS HOME———96DIMENSIONS MANAGEMENT OF NORTHERN NEVADA LLC
2024-04-18HIGHLAND MANOR OF ELKO REHABILITATION LLC———146HIGHLAND MANOR OF ELKO REHABILITATION LLC
2024-04-18HIGHLAND MANOR OF FALLON REHABILITATION LLC———102HIGHLAND MANOR OF FALLON REHABILITATION LLC
2024-04-18HIGHLAND MANOR OF MESQUITE REHABILITATION LLC———112HIGHLAND MANOR OF MESQUITE REHABILITATION LLC
2024-01-01HEARTHSTONE———125TRUCKEE MEADOWS HEALTHCARE, INC.
2023-09-07TLC CARE CENTER———255TLC SNF OPERATIONS LLC
2023-08-31PAHRUMP HEALTH AND REHABILITATION CENTER———120PAHRUMP SNF OPERATIONS, LLC
2023-08-31MOUNTAIN VIEW HEALTH AND REHABILITATION———146MV SNF OPERATIONS LLC
2023-08-31GARDNERVILLE HEALTH & REHABILITATION CENTER———60GARDNERVILLE SNF OPERATIONS LLC
2023-08-31ORMSBY POST ACUTE REHABILITATION———120ORMSBY SNF OPERATIONS LLC
2023-06-01MOUNTAIN VIEW CARE CENTER———87BOULDER CITY NV OPCO 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
GeoKindBRAmountAs ofSource
county 32031acs median gross0$1,0832024-12-31CENSUS_ACS5
county 32031fmr0$1,2892025-10-01HUD_USER_FMR
county 32031acs median gross1$1,3352024-12-31CENSUS_ACS5
county 32031fmr1$1,4892025-10-01HUD_USER_FMR
county 32031acs median gross2$1,6612024-12-31CENSUS_ACS5
county 32031fmr2$1,8702025-10-01HUD_USER_FMR
county 32031acs median gross3$2,0132024-12-31CENSUS_ACS5
county 32031fmr3$2,5392025-10-01HUD_USER_FMR
county 32031acs median gross4$2,3472024-12-31CENSUS_ACS5
county 32031fmr4$2,9492025-10-01HUD_USER_FMR
county 32031acs median gross5$2,4852024-12-31CENSUS_ACS5
county 32031acs median gross$1,6082024-12-31CENSUS_ACS5
county 32031acs recent mover gross$1,7042024-12-31CENSUS_ACS5
zcta 89512acs median gross0$6432024-12-31CENSUS_ACS5
zcta 89512acs median gross1$1,0112024-12-31CENSUS_ACS5
zcta 89512acs median gross2$1,3932024-12-31CENSUS_ACS5
zcta 89512acs median gross3$1,5742024-12-31CENSUS_ACS5
zcta 89512acs median gross4$1,8892024-12-31CENSUS_ACS5
zcta 89512acs median gross$1,2002024-12-31CENSUS_ACS5
zcta 89512acs recent mover gross$1,4732024-12-31CENSUS_ACS5
zip 89512payment standard 1100$1,2872025-10-01HUD_USER_SAFMR
zip 89512payment standard 900$1,0532025-10-01HUD_USER_SAFMR
zip 89512safmr0$1,1702025-10-01HUD_USER_SAFMR
zip 89512payment standard 1101$1,4852025-10-01HUD_USER_SAFMR
zip 89512payment standard 901$1,2152025-10-01HUD_USER_SAFMR
zip 89512safmr1$1,3502025-10-01HUD_USER_SAFMR
zip 89512payment standard 1102$1,8702025-10-01HUD_USER_SAFMR
zip 89512payment standard 902$1,5302025-10-01HUD_USER_SAFMR
zip 89512safmr2$1,7002025-10-01HUD_USER_SAFMR
zip 89512payment standard 1103$2,5412025-10-01HUD_USER_SAFMR
zip 89512payment standard 903$2,0792025-10-01HUD_USER_SAFMR
zip 89512safmr3$2,3102025-10-01HUD_USER_SAFMR
zip 89512payment standard 1104$2,9482025-10-01HUD_USER_SAFMR
zip 89512payment standard 904$2,4122025-10-01HUD_USER_SAFMR
zip 89512safmr4$2,6802025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.
CII Terminal tearsheet · ROSEWOOD REHABILITATION CENTER (295020) · generated 2026-08-04 · every number derives from public records (CMS Care Compare, PBJ, POS, penalty and survey files, state licensure registers) · scores are published model outputs with holdout metrics disclosed at cii-terminal.vercel.app/transparency