7900 WILLOWS ROAD NORTHEAST, REDMOND, WA 98052 · CCN 505181 · chain THE ENSIGN GROUP INC
Composite
31.9 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
139
Model
v1.2
Reads as: riskier than 31.9% 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.
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
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
18 chains
ENSIGN SERVICES INC
286 facilities
connection
Owner spans multiple chains
18 chains
CTR PARTNERSHIP LP
99 facilities
connection
Owner spans multiple chains
17 chains
BURNAM SOON
335 facilities
connection
Owner spans multiple chains
17 chains
KEETCH CHAD
283 facilities
connection
Owner spans multiple chains
15 chains
CARETRUST REIT INC
96 facilities
connection
Owner spans multiple chains
11 chains
CARETRUST GP LLC
89 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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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
WA median
National median
National p25–p75
Total nurse
3.41
3.70
3.28
2.90–3.77
RN
0.77
0.62
0.39
0.25–0.58
Weekend total
3.18
3.51
3.11
—
Weekday total
3.50
3.79
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
83.5
3.41
0.77
0.58
2.06
3.18
0.0%
2025Q3
92
82.2
3.36
0.74
0.59
2.03
3.04
0.0%
2025Q2
91
79.0
3.43
0.72
0.67
2.04
3.19
0.0%
2025Q1
90
81.1
3.31
0.63
0.69
2.00
3.17
0.0%
2024Q4
92
83.3
3.16
0.51
0.74
1.91
2.79
0.0%
2024Q3
92
76.3
3.16
0.52
0.85
1.78
2.83
0.0%
2024Q2
91
77.5
3.17
0.55
0.85
1.76
3.02
0.0%
2024Q1
91
75.5
3.31
0.51
0.90
1.90
3.19
0.0%
2023Q4
92
76.3
3.24
0.46
0.91
1.88
3.10
0.0%
2023Q3
92
74.0
3.36
0.44
0.94
1.98
3.00
0.0%
2023Q2
91
75.2
3.40
0.52
0.93
1.95
3.18
0.0%
2023Q1
90
77.3
3.15
0.42
0.95
1.79
2.98
0.9%
2022Q4
92
80.3
2.98
0.32
0.97
1.69
2.85
0.4%
2022Q3
92
68.4
3.19
0.39
0.94
1.87
3.07
0.2%
2022Q2
91
68.5
3.11
0.34
0.90
1.88
3.04
0.9%
2022Q1
90
68.5
3.06
0.34
0.93
1.80
2.63
5.1%
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
26
D × 22E × 4
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2026-02-13
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2026-03-17
2025-06-13
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.
D
2025-07-23
2025-06-13
Health
F0641
Ensure each resident receives an accurate assessment.
D
2025-07-23
2025-06-13
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2025-07-23
2025-06-13
Health
F0676
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
2025-07-23
2025-06-13
Health
F0761
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
D
2025-07-23
2025-06-13
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2025-07-23
2025-06-13
Health
F0880
Provide and implement an infection prevention and control program.
D
2025-07-23
2025-03-18
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2025-04-09
2024-06-12
Health
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-07-23
2024-06-12
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2024-07-23
2024-06-12
Health
F0685
Assist a resident in gaining access to vision and hearing services.
D
2024-07-23
2024-06-12
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-07-23
2024-06-12
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2024-07-23
2024-06-12
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2024-07-23
2024-06-12
Health
F0850
Hire a qualified full-time social worker in a facility with more than 120 beds.
E
2024-08-05
2024-06-12
Health
F0880
Provide and implement an infection prevention and control program.
D
2024-07-23
2023-05-21
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.
D
2023-06-28
2023-05-21
Health
F0641
Ensure each resident receives an accurate assessment.
D
2023-06-28
2023-05-21
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2023-06-28
2023-05-21
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2023-06-28
2023-05-21
Health
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-06-28
2023-05-21
Health
F0693
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
D
2023-06-28
2023-05-21
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2023-06-28
2023-05-21
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
2023-06-28
2023-05-21
Health
F0814
Dispose of garbage and refuse properly.
D
2023-06-28
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
26
Owner
Role
Pct
From
Status
Source
BURNAM, SOON
CORPORATE OFFICER
—
2013-02-19
current
pecos_ownership
CARETRUST GP LLC
ADP OF THE SNF
—
2013-12-01
current
pecos_ownership
CARETRUST REIT INC
ADP OF THE SNF
—
2013-12-01
current
pecos_ownership
CTR PARTNERSHIP LP
ADP OF THE SNF
—
2013-12-01
current
pecos_ownership
ENSIGN SERVICES INC
ADP OF THE SNF
—
2013-04-01
current
pecos_ownership
FARNSWORTH, STEPHEN
CORPORATE DIRECTOR
—
2025-01-01
current
pecos_ownership
HOLMES, NATHAN
CORPORATE OFFICER
—
2025-01-01
current
pecos_ownership
HOLMES, NATHAN
MANAGING CONTROL - GOVERNING BODY
—
2017-07-21
current
pecos_ownership
HOLMES, NATHAN
ADP OF THE SNF
—
2025-07-15
current
pecos_ownership
KEETCH, CHAD
CORPORATE OFFICER
—
2011-03-01
current
pecos_ownership
PORT, BARRY
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
—
2025-07-15
current
pecos_ownership
SATO, AMI
CORPORATE OFFICER
—
2024-09-09
current
pecos_ownership
TALEGHANI, MASOUD
MANAGING CONTROL - GOVERNING BODY
—
2023-07-01
current
pecos_ownership
TALEGHANI, MASOUD
ADP OF THE SNF
—
2025-07-15
current
pecos_ownership
WILLOWS HEALTH HOLDINGS LLC
ADP OF THE SNF
—
2013-12-01
current
pecos_ownership
PENNANT HEALTHCARE LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2013-02-19
ended 2026-05-18
pecos_ownership
THE ENSIGN GROUP INC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2006-01-30
ended 2026-05-18
pecos_ownership
NATHAN HOLMES
OPERATIONAL/MANAGERIAL CONTROL
0%
2017-07-21
ended 2026-05-18
pecos_ownership
SOON BURNAM
CORPORATE OFFICER
0%
2013-02-19
ended 2026-05-18
pecos_ownership
STEPHEN FARNSWORTH
CORPORATE DIRECTOR
0%
2025-01-01
ended 2026-05-18
pecos_ownership
AMI SATO
CORPORATE OFFICER
—
2024-09-09
ended 2026-05-18
pecos_ownership
CHAD KEETCH
CORPORATE OFFICER
—
2011-03-01
ended 2026-05-18
pecos_ownership
MASOUD TALEGHANI
ADP OF THE SNF
—
2025-07-15
ended 2026-05-18
pecos_ownership
MASOUD TALEGHANI
OPERATIONAL/MANAGERIAL CONTROL
—
2023-07-01
ended 2026-05-18
pecos_ownership
NATHAN HOLMES
CORPORATE OFFICER
—
2025-01-01
ended 2026-05-18
pecos_ownership
NATHAN HOLMES
ADP OF THE SNF
—
2025-07-15
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.
Related-party costs
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$1,426,550
—
$1,018,468
—
—
0
—
2023-12-31
$1,199,385
—
$849,321
—
—
0
—
2022-12-31
$1,461,906
—
$795,880
—
—
0
—
2021-12-31
$935,242
—
$599,476
—
—
0
—
2020-12-31
$901,425
—
$605,430
$763
$3,050
0
—
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
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.
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
Geo
Kind
BR
Amount
As of
Source
county 53033
acs median gross
0
$1,721
2024-12-31
CENSUS_ACS5
county 53033
fmr
0
$2,074
2025-10-01
HUD_USER_FMR
county 53033
acs median gross
1
$1,867
2024-12-31
CENSUS_ACS5
county 53033
fmr
1
$2,146
2025-10-01
HUD_USER_FMR
county 53033
acs median gross
2
$2,257
2024-12-31
CENSUS_ACS5
county 53033
fmr
2
$2,501
2025-10-01
HUD_USER_FMR
county 53033
acs median gross
3
$2,706
2024-12-31
CENSUS_ACS5
county 53033
fmr
3
$3,272
2025-10-01
HUD_USER_FMR
county 53033
acs median gross
4
$3,275
2024-12-31
CENSUS_ACS5
county 53033
fmr
4
$3,847
2025-10-01
HUD_USER_FMR
county 53033
acs median gross
5
$3,470
2024-12-31
CENSUS_ACS5
county 53033
acs median gross
$2,092
2024-12-31
CENSUS_ACS5
county 53033
acs recent mover gross
$2,229
2024-12-31
CENSUS_ACS5
zcta 98052
acs median gross
0
$2,170
2024-12-31
CENSUS_ACS5
zcta 98052
acs median gross
1
$2,195
2024-12-31
CENSUS_ACS5
zcta 98052
acs median gross
2
$2,652
2024-12-31
CENSUS_ACS5
zcta 98052
acs median gross
3
$3,244
2024-12-31
CENSUS_ACS5
zcta 98052
acs median gross
4
$3,501
2024-12-31
CENSUS_ACS5
zcta 98052
acs median gross
5
$3,501
2024-12-31
CENSUS_ACS5
zcta 98052
acs median gross
$2,405
2024-12-31
CENSUS_ACS5
zcta 98052
acs recent mover gross
$2,423
2024-12-31
CENSUS_ACS5
zip 98052
payment standard 110
0
$2,838
2025-10-01
HUD_USER_SAFMR
zip 98052
payment standard 90
0
$2,322
2025-10-01
HUD_USER_SAFMR
zip 98052
safmr
0
$2,580
2025-10-01
HUD_USER_SAFMR
zip 98052
payment standard 110
1
$2,937
2025-10-01
HUD_USER_SAFMR
zip 98052
payment standard 90
1
$2,403
2025-10-01
HUD_USER_SAFMR
zip 98052
safmr
1
$2,670
2025-10-01
HUD_USER_SAFMR
zip 98052
payment standard 110
2
$3,421
2025-10-01
HUD_USER_SAFMR
zip 98052
payment standard 90
2
$2,799
2025-10-01
HUD_USER_SAFMR
zip 98052
safmr
2
$3,110
2025-10-01
HUD_USER_SAFMR
zip 98052
payment standard 110
3
$4,477
2025-10-01
HUD_USER_SAFMR
zip 98052
payment standard 90
3
$3,663
2025-10-01
HUD_USER_SAFMR
zip 98052
safmr
3
$4,070
2025-10-01
HUD_USER_SAFMR
zip 98052
payment standard 110
4
$5,258
2025-10-01
HUD_USER_SAFMR
zip 98052
payment standard 90
4
$4,302
2025-10-01
HUD_USER_SAFMR
zip 98052
safmr
4
$4,780
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.