CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT 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: 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 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 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)ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT 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: 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 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 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 2026-08-05 11:59 UTC
Screener / 505010
B

GARDEN VILLAGE

snfWA
206 SOUTH TENTH AVENUE, YAKIMA, WA 98902 · CCN 505010
Composite
50.2 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
101
Model
v1.2
Reads as: riskier than 50.2% 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
regulatory risk93.891.60.300.230821.65in index
financial risk76.664.20.300.230817.68in index
staffing risk27.928.00.250.19235.37in index
chow risk32.931.50.150.11543.80in index
billing conduct0.00.00.300.23080.00in 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.

Component scores and registry models

16
Score typeScoreGradeModelStatusRegistry model notes
billing conduct0.0Av0.1-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 risk38.0Bv0.6default · in composite
financial risk64.2Cv0.5default · in compositeR18.
p adverse action 12m0.3v0.1default · 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 12m0.4v0.1default · 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 risk91.6Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk28.0Bv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk65.5Dv0.1supersededPre-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 risk45.5Cv0.2supersededPre-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 risk68.6Dv0.3supersededPre-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 risk63.6Cv0.4supersededPre-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 risk91.5Fv0.1supersededPre-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 risk91.5Fv0.2supersededPre-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 risk28.0Bv0.1supersededPre-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 risk28.0Bv0.2supersededPre-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)
0.4%
model v0.1 · computed 2026-07-29
Percentile among SNFs
49.7
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
For-profit ownership0.00-1.24
Never sold on record1.00+0.62
Current owner tenure (years)25.00+0.57
No PBJ staffing report0.00+0.42
Occupancy0.84-0.40
Chain size (log)0.00-0.40
Ownership changes, last 5 years0.00+0.20
Deficiencies, last 12 months14.00+0.17
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)
0.4%
model v0.1 · computed 2026-07-29
Percentile among SNFs
70.3
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
For-profit ownership0.00+1.62
Chain size (log)0.00+1.20
Deficiencies, last 12 months14.00-1.17
No PBJ staffing report0.00+0.39
Occupancy0.84-0.37
Total nurse staffing (HPRD)3.70-0.21
Fine amount, 12m (log)0.00+0.18
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

12
2025Q4 HPRDThis facilityWA medianNational medianNational p25–p75
Total nurse3.703.703.282.90–3.77
RN0.320.620.390.25–0.58
Weekend total3.443.513.11
Weekday total3.813.793.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49284.53.700.320.652.733.449.5%
2025Q39280.53.650.350.592.703.3014.2%
2025Q29180.33.510.420.472.623.3113.0%
2025Q19082.23.800.380.732.693.4849.3%
2024Q49286.93.440.410.552.483.2144.7%
2024Q29185.54.180.710.622.853.6129.9%
2024Q19187.03.550.500.542.513.0833.0%
2023Q49288.43.160.370.322.472.8218.6%
2023Q39289.62.880.440.322.122.390.8%
2023Q19075.93.230.450.242.542.590.0%
2022Q49272.32.360.350.231.772.050.0%
2022Q19067.51.930.380.221.331.770.0%
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
fines by year
$52.5k$26.3k2324
DateTypeFineSource
2024-10-29Fine$52,507CMS provider data
2024-10-29Payment DenialCMS provider data
2023-08-31Fine$22,164CMS provider data
2023-07-13Fine$27,495CMS provider data
Total fines on record: $102,166

Deficiencies

65
C × 2D × 37E × 16F × 5G × 3J × 1K × 1
deficiencies by survey year
2814232425
SurveyTypeTagDeficiencyScopeCorrected
2025-12-17Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2026-01-12
2025-09-09HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2025-10-17
2025-09-09HealthF0583Keep residents' personal and medical records private and confidential.D2025-10-17
2025-09-09HealthF0584Honor 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.E2025-10-17
2025-09-09HealthF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.D2025-10-17
2025-09-09HealthF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D2025-10-17
2025-09-09Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-10-17
2025-09-09HealthF0692Provide enough food/fluids to maintain a resident's health.D2025-10-17
2025-09-09HealthF0732Post nurse staffing information every day.C2025-10-17
2025-09-09HealthF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.D2025-10-17
2025-09-09HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2025-10-17
2025-09-09HealthF0838Conduct 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.C2025-10-17
2025-09-09HealthF0880Provide and implement an infection prevention and control program.E2025-10-17
2025-09-09HealthF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.D2025-10-17
2025-04-16Health · complaintF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.D2025-04-29
2025-03-06Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2025-03-27
2024-12-20Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2025-01-09
2024-10-29HealthF0569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.D2025-01-09
2024-10-29HealthF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2025-01-09
2024-10-29Health · complaintF0583Keep residents' personal and medical records private and confidential.D2025-01-09
2024-10-29HealthF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-01-09
2024-10-29Health · complaintF0610Respond appropriately to all alleged violations.D2025-01-09
2024-10-29Health · complaintF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.E2025-01-09
2024-10-29Health · complaintF0625Notify 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.E2025-01-09
2024-10-29HealthF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.D2025-01-09
2024-10-29Health · complaintF0637Assess the resident when there is a significant change in conditionD2025-01-09
2024-10-29HealthF0638Assure that each resident’s assessment is updated at least once every 3 months.E2025-01-09
2024-10-29HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-01-09
2024-10-29HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2025-01-09
2024-10-29Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G2025-01-09
2024-10-29HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2025-01-09
2024-10-29HealthF0688Provide 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.D2025-01-09
2024-10-29Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2025-01-09
2024-10-29Health · complaintF0692Provide enough food/fluids to maintain a resident's health.D2025-01-09
2024-10-29HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2025-01-09
2024-10-29Health · complaintF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F2025-01-09
2024-10-29Health · complaintF0760Ensure that residents are free from significant medication errors.G2025-01-09
2024-10-29HealthF0761Ensure 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.D2025-01-09
2024-10-29HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2025-01-09
2024-10-29HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2025-01-09
2024-10-29HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2025-01-09
2024-10-29HealthF0880Provide and implement an infection prevention and control program.E2025-01-09
2024-05-16Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2024-06-07
2024-03-19Health · complaintF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.D2024-04-05
2023-12-08Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2024-01-05
2023-12-08Health · complaintF0699Provide care or services that was trauma informed and/or culturally competent.D2024-01-05
2023-10-05Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G2023-10-14
2023-08-31HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2023-10-14
2023-08-31HealthF0558Reasonably accommodate the needs and preferences of each resident.D2023-10-14
2023-08-31HealthF0584Honor 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.E2023-10-14
2023-08-31HealthF0585Honor 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.E2023-10-14
2023-08-31Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2023-10-14
2023-08-31Health · complaintF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.E2023-10-14
2023-08-31HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2023-10-14
2023-08-31HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2023-10-14
2023-08-31HealthF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2023-10-14
2023-08-31Health · complaintF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.E2023-10-14
2023-08-31HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2023-10-14
2023-08-31HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2023-10-14
2023-08-31HealthF0880Provide and implement an infection prevention and control program.F2023-10-14
2023-08-31HealthF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.D2023-10-14
2023-08-31Health · complaintF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.E2023-10-14
2023-08-31HealthF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.E2023-10-14
2023-07-13Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E2023-08-11
2023-07-13Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.K2023-08-11
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
OwnerRolePctFromStatusSource
MULTICARE HEALTH SYSTEM5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2010-07-01currentpecos_ownership
YAKIMA VALLEY MEMORIAL HOSPITAL ASSOCIATION5% OR GREATER DIRECT OWNERSHIP INTEREST100%2025-09-01currentpecos_ownership
AVALON CARE CENTER - YAKIMA LLCADP OF THE SNF2024-10-01currentpecos_ownership
AVALON HEALTH CARE MANAGEMENT INCADP OF THE SNF2025-11-10currentpecos_ownership
AVALON HEALTH CARE MANAGEMENT INCOPERATIONAL/MANAGERIAL CONTROL2025-06-12currentpecos_ownership
BORISEVICH, MARIAADP OF THE SNF2025-06-12currentpecos_ownership
CASTANEDA AVILA, MIGUELOPERATIONAL/MANAGERIAL CONTROL2025-04-07currentpecos_ownership
HASH, ALANADP OF THE SNF2025-06-12currentpecos_ownership
HASH, ALANCORPORATE OFFICER2024-10-01currentpecos_ownership
OWENS, MAXWELLMANAGING CONTROL - GOVERNING BODY2024-07-01currentpecos_ownership
SIEDENSTRANG, LYNNMANAGING CONTROL - GOVERNING BODY2023-05-01currentpecos_ownership
SMITH, NICOLEADP OF THE SNF2025-06-12currentpecos_ownership
STENGEL, LAURAMANAGING CONTROL - GOVERNING BODY2025-09-01currentpecos_ownership
WATSON, BROOKSADP OF THE SNF2025-08-01currentpecos_ownership
WILSON, HELENADP OF THE SNF2025-07-07currentpecos_ownership
YAKIMA ASSOCIATES LPADP OF THE SNF1996-06-14currentpecos_ownership
ALAN HASHCORPORATE OFFICER2024-10-01ended 2026-05-18pecos_ownership
ALAN HASHADP OF THE SNF2025-06-12ended 2026-05-18pecos_ownership
BROOKS WATSONADP OF THE SNF2025-08-01ended 2026-05-18pecos_ownership
HELEN WILSONADP OF THE SNF2025-07-07ended 2026-05-18pecos_ownership
LAURA STENGELMANAGING CONTROL - GOVERNING BODY2025-09-01ended 2026-05-18pecos_ownership
LYNN SIEDENSTRANGMANAGING CONTROL - GOVERNING BODY2023-05-01ended 2026-05-18pecos_ownership
MARIA BORISEVICHADP OF THE SNF2025-06-12ended 2026-05-18pecos_ownership
MAXWELL OWENSMANAGING CONTROL - GOVERNING BODY2024-07-01ended 2026-05-18pecos_ownership
MIGUEL CASTANEDA AVILAOPERATIONAL/MANAGERIAL CONTROL2025-04-07ended 2026-05-18pecos_ownership
NICOLE SMITHADP OF THE SNF2025-06-12ended 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 — WA snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-06-01Bremerton Trails Post Acute125RINCON BEACH, LLC
2025-06-01Othello Post Acute39DOHENY BEACH, LLC
2025-06-01Edmonds Post Acute128SALT CREEK BEACH, LLC
2025-05-21AURORA VALLEY CARE124AURORA VALLEY CARE LLC
2025-05-21THREE RIVERS CARE83THREE RIVERS CARE LLC
2025-05-21FIR LANE CARE135FIR LANE CARE LLC
2025-05-21SPOKANE FALLS CARE100SPOKANE FALLS CARE LLC
2025-05-01MARIANWOOD HEALTH AND REHABILITATION117LUNA VEGA HEALTHCARE LLC
2025-04-01WOODARD CREEK HEALTH & REHABILITATION152WOODARD SNF OPERATIONS LLC
2025-03-12Avalon Healthcare - Tacoma81AVALON HEALTHCARE-TACOMA LLC
2025-03-01SOUTH HILL REHABILITATION AND CARE CENTER113LAST EMPIRE HEALTHCARE LLC
2024-08-01PINE RIDGE POST ACUTE80PINE 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

36
GeoKindBRAmountAs ofSource
county 53077acs median gross0$9202024-12-31CENSUS_ACS5
county 53077fmr0$1,0402025-10-01HUD_USER_FMR
county 53077acs median gross1$8262024-12-31CENSUS_ACS5
county 53077fmr1$1,0472025-10-01HUD_USER_FMR
county 53077acs median gross2$1,1062024-12-31CENSUS_ACS5
county 53077fmr2$1,3742025-10-01HUD_USER_FMR
county 53077acs median gross3$1,3612024-12-31CENSUS_ACS5
county 53077fmr3$1,9112025-10-01HUD_USER_FMR
county 53077acs median gross4$1,4902024-12-31CENSUS_ACS5
county 53077fmr4$2,0932025-10-01HUD_USER_FMR
county 53077acs median gross5$1,4472024-12-31CENSUS_ACS5
county 53077acs median gross$1,1092024-12-31CENSUS_ACS5
county 53077acs recent mover gross$1,2142024-12-31CENSUS_ACS5
zcta 98902acs median gross0$9212024-12-31CENSUS_ACS5
zcta 98902acs median gross1$8192024-12-31CENSUS_ACS5
zcta 98902acs median gross2$1,1272024-12-31CENSUS_ACS5
zcta 98902acs median gross3$1,4512024-12-31CENSUS_ACS5
zcta 98902acs median gross4$1,7152024-12-31CENSUS_ACS5
zcta 98902acs median gross5$1,3172024-12-31CENSUS_ACS5
zcta 98902acs median gross$1,0932024-12-31CENSUS_ACS5
zcta 98902acs recent mover gross$1,2052024-12-31CENSUS_ACS5
zip 98902payment standard 1100$1,1552025-10-01HUD_USER_SAFMR
zip 98902payment standard 900$9452025-10-01HUD_USER_SAFMR
zip 98902safmr0$1,0502025-10-01HUD_USER_SAFMR
zip 98902payment standard 1101$1,1662025-10-01HUD_USER_SAFMR
zip 98902payment standard 901$9542025-10-01HUD_USER_SAFMR
zip 98902safmr1$1,0602025-10-01HUD_USER_SAFMR
zip 98902payment standard 1102$1,5292025-10-01HUD_USER_SAFMR
zip 98902payment standard 902$1,2512025-10-01HUD_USER_SAFMR
zip 98902safmr2$1,3902025-10-01HUD_USER_SAFMR
zip 98902payment standard 1103$2,1232025-10-01HUD_USER_SAFMR
zip 98902payment standard 903$1,7372025-10-01HUD_USER_SAFMR
zip 98902safmr3$1,9302025-10-01HUD_USER_SAFMR
zip 98902payment standard 1104$2,3322025-10-01HUD_USER_SAFMR
zip 98902payment standard 904$1,9082025-10-01HUD_USER_SAFMR
zip 98902safmr4$2,1202025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.