Composite
62.5 / 100 percentile
Screener / 385156
C
GREEN VALLEY REHABILITATION HEALTH CENTER
snfOR
1735 ADKINS STREET, EUGENE, OR 97401 · CCN 385156 · chain VOLARE HEALTH LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
110
Model
v1.2
Reads as: riskier than 62.5% 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 signals12Components16CHOW radar1Distress radar1Staffing16Penalties1Deficiencies89Licensure0Ownership27Related party6Transactions1Comps12Market rent36
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 91.2 | 88.9 | 0.30 | 0.2308 | 21.05 | in index |
| billing conduct | 69.2 | 47.3 | 0.30 | 0.2308 | 15.97 | in index |
| chow risk | 52.3 | 34.4 | 0.15 | 0.1154 | 6.03 | in index |
| financial risk | 24.6 | 30.3 | 0.30 | 0.2308 | 5.68 | in index |
| staffing risk | 22.4 | 22.5 | 0.25 | 0.1923 | 4.31 | in index |
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
ML signals — parallel engine
12| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +20.6 vs natl | KNOX DONALD | 16 facilities |
| connection | Owner spans multiple chains | 6 chains | MORRIS CHRISTOPHER | 18 facilities |
| connection | Owner fleet enforcement cluster | 50% fined | SMITH BRIAN | 14 facilities |
| connection | Owner fleet enforcement cluster | 44% fined | HAGAR CHAIM | 18 facilities |
| connection | Owner fleet enforcement cluster | 44% fined | VOLARE HEALTH LLC | 16 facilities |
| connection | Owner fleet enforcement cluster | 44% fined | KNOX DONALD | 16 facilities |
| connection | Owner fleet enforcement cluster | 42% fined | MORRIS CHRISTOPHER | 19 facilities |
| connection | Owner fleet enforcement cluster | 42% fined | PAC 12 HOLDINGS LLC | 12 facilities |
| connection | Owner fleet enforcement cluster | 42% fined | PAC 12 OPCO HOLDCO LLC | 12 facilities |
| connection | Owner fleet enforcement cluster | 42% fined | PAC 12 PINNACLE HOLDCO LLC | 12 facilities |
| connection | Owner fleet enforcement cluster | 42% fined | KNOX HEALTHCARE PAC 12 HOLDINGS LLC | 12 facilities |
| connection | Owner fleet enforcement cluster | 42% fined | HAGLER ALEXANDER | 12 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 type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 47.3 | C | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 55.0 | C | v0.1-pos | default · in composite | Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure. |
| chow risk | 13.8 | A | v0.6 | default · in composite | |
| financial risk | 30.3 | B | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.0 | — | v0.1 | default · in composite | R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite. |
| p chow 12m | 0.0 | — | v0.1 | default · in composite | R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite. |
| regulatory risk | 88.9 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 22.5 | A | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 48.5 | C | v0.1 | superseded | 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. |
| financial risk | 28.5 | B | v0.2 | superseded | 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. |
| financial risk | 47.5 | C | v0.3 | superseded | 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. |
| financial risk | 34.9 | B | v0.4 | superseded | 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. |
| regulatory risk | 88.9 | F | v0.1 | superseded | Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 88.9 | F | v0.2 | superseded | Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| staffing risk | 22.5 | A | v0.1 | superseded | 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. |
| staffing risk | 22.5 | A | v0.2 | superseded | 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.
CHOW radar — 12-month sale probability
full board →p(CHOW, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
7.0
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 3.41 | -1.51 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| Occupancy | 0.95 | -0.72 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Deficiencies, last 12 months | 23.00 | +0.39 | |
| Total nurse staffing (HPRD) | 3.85 | -0.16 |
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Distress radar — 12-month termination probability
full board →p(termination, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
0.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 23.00 | -2.84 | |
| Occupancy | 0.95 | -0.83 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Chain size (log) | 2.56 | -0.29 | |
| Never sold on record | 0.00 | -0.28 | |
| Total nurse staffing (HPRD) | 3.85 | -0.26 | |
| Current owner tenure (years) | 3.41 | -0.25 |
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 | OR median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.85 | 4.20 | 3.28 | 2.90–3.77 |
| RN | 0.19 | 0.41 | 0.39 | 0.25–0.58 |
| Weekend total | 3.50 | 3.99 | 3.11 | — |
| Weekday total | 3.98 | 4.27 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 104.1 | 3.85 | 0.19 | 1.00 | 2.65 | 3.50 | 0.0% |
| 2025Q3 | 92 | 105.2 | 3.83 | 0.19 | 1.02 | 2.62 | 3.47 | 7.2% |
| 2025Q2 | 91 | 103.6 | 3.88 | 0.17 | 0.97 | 2.74 | 3.65 | 12.5% |
| 2025Q1 | 90 | 101.7 | 3.76 | 0.08 | 0.98 | 2.70 | 3.52 | 16.7% |
| 2024Q4 | 92 | 96.6 | 4.00 | 0.10 | 1.02 | 2.87 | 3.90 | 17.1% |
| 2024Q3 | 92 | 100.2 | 4.03 | 0.17 | 1.02 | 2.84 | 3.77 | 15.7% |
| 2024Q2 | 91 | 99.2 | 3.86 | 0.20 | 0.96 | 2.70 | 3.54 | 16.6% |
| 2024Q1 | 91 | 105.6 | 3.27 | 0.15 | 0.83 | 2.29 | 3.12 | 25.6% |
| 2023Q4 | 92 | 101.4 | 3.76 | 0.25 | 0.85 | 2.66 | 3.69 | 26.3% |
| 2023Q3 | 92 | 99.8 | 2.73 | 0.22 | 0.73 | 1.78 | 2.50 | 5.1% |
| 2023Q2 | 91 | 103.7 | 1.99 | 0.11 | 0.61 | 1.27 | 1.86 | 0.0% |
| 2023Q1 | 90 | 101.6 | 3.32 | 0.16 | 0.84 | 2.31 | 3.27 | 26.4% |
| 2022Q4 | 92 | 101.5 | 3.71 | 0.23 | 0.84 | 2.64 | 3.56 | 33.0% |
| 2022Q3 | 92 | 101.1 | 3.57 | 0.26 | 0.88 | 2.43 | 3.38 | 20.7% |
| 2022Q2 | 91 | 91.2 | 3.46 | 0.23 | 0.88 | 2.35 | 3.25 | 9.6% |
| 2022Q1 | 90 | 90.4 | 3.67 | 0.26 | 0.86 | 2.55 | 3.52 | 6.2% |
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
1| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-09-13 | Fine | $53,024 | CMS provider data |
Total fines on record: $53,024
Deficiencies
89D × 63E × 19F × 5G × 2
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-02-02 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2026-03-13 |
| 2026-02-02 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | E | 2026-03-13 |
| 2026-02-02 | 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 | 2026-03-13 |
| 2026-02-02 | Health | F0583 | Keep residents' personal and medical records private and confidential. | D | 2026-03-13 |
| 2026-02-02 | Health | F0584 | Honor 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. | D | 2026-03-13 |
| 2026-02-02 | 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 | 2026-03-13 |
| 2026-02-02 | Health | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2026-03-13 |
| 2026-02-02 | Health | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2026-03-13 |
| 2026-02-02 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2026-03-13 |
| 2026-02-02 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2026-03-13 |
| 2026-02-02 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2026-03-13 |
| 2026-02-02 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2026-03-13 |
| 2026-02-02 | Health | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2026-03-13 |
| 2026-02-02 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2026-03-13 |
| 2026-02-02 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2026-03-13 |
| 2026-02-02 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2026-03-13 |
| 2026-02-02 | Health | F0887 | Educate 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. | D | 2026-03-13 |
| 2026-01-15 | Health · complaint | F0585 | Honor 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. | D | 2026-02-20 |
| 2026-01-15 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-02-20 |
| 2026-01-15 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2026-02-20 |
| 2026-01-15 | Health · complaint | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | 2026-02-20 |
| 2025-12-09 | Health · complaint | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2025-12-23 |
| 2025-12-09 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-12-23 |
| 2025-02-05 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-03-25 |
| 2025-02-05 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | 2025-03-25 |
| 2024-09-13 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | 2024-10-29 |
| 2024-09-13 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2024-10-29 |
| 2024-09-13 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2024-10-29 |
| 2024-09-13 | 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 | 2024-10-29 |
| 2024-09-13 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-10-29 |
| 2024-09-13 | Health · complaint | F0584 | Honor 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. | E | 2024-10-29 |
| 2024-09-13 | Health · complaint | F0585 | Honor 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. | E | 2024-10-29 |
| 2024-09-13 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2024-10-29 |
| 2024-09-13 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-10-29 |
| 2024-09-13 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2024-10-29 |
| 2024-09-13 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2024-10-29 |
| 2024-09-13 | 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 | 2024-10-29 |
| 2024-09-13 | Health | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2024-10-29 |
| 2024-09-13 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-07-03 |
| 2024-09-13 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-10-29 |
| 2024-09-13 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2024-10-29 |
| 2024-09-13 | Health | F0680 | Ensure the activities program is directed by a qualified professional. | E | 2024-10-29 |
| 2024-09-13 | Health | F0685 | Assist a resident in gaining access to vision and hearing services. | D | 2024-10-29 |
| 2024-09-13 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-10-29 |
| 2024-09-13 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2024-10-29 |
| 2024-09-13 | Health · complaint | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2024-10-29 |
| 2024-09-13 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-10-29 |
| 2024-09-13 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2024-10-29 |
| 2024-09-13 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2024-10-29 |
| 2024-09-13 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2024-10-29 |
| 2024-09-13 | Health · complaint | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | E | 2024-10-29 |
| 2024-09-13 | Health · complaint | F0732 | Post nurse staffing information every day. | E | 2024-10-29 |
| 2024-09-13 | Health · complaint | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | 2024-10-29 |
| 2024-09-13 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-10-29 |
| 2024-09-13 | Health | F0758 | Implement 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. | D | 2024-10-29 |
| 2024-09-13 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2024-07-03 |
| 2024-09-13 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-10-29 |
| 2024-09-13 | Health | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | E | 2024-10-29 |
| 2024-09-13 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-10-29 |
| 2024-02-29 | Health · complaint | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | E | 2024-04-02 |
| 2024-02-29 | Health · complaint | F0732 | Post nurse staffing information every day. | E | 2024-04-02 |
| 2023-11-28 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-01-10 |
| 2023-11-28 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-01-10 |
| 2023-11-28 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-01-10 |
| 2023-11-28 | Health · complaint | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2024-01-10 |
| 2023-11-28 | Health · complaint | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | 2024-01-10 |
| 2023-11-28 | Health · complaint | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2024-01-10 |
| 2023-05-22 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2023-07-03 |
| 2023-05-22 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2023-07-03 |
| 2023-05-22 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2023-07-03 |
| 2023-05-22 | 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 | 2023-07-03 |
| 2023-05-22 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2023-07-03 |
| 2023-05-22 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2023-07-03 |
| 2023-05-22 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2023-07-03 |
| 2023-05-22 | 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 | 2023-07-03 |
| 2023-05-22 | Health | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | 2023-07-03 |
| 2023-05-22 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-07-03 |
| 2023-05-22 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2023-07-03 |
| 2023-05-22 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-07-03 |
| 2023-05-22 | Health | F0685 | Assist a resident in gaining access to vision and hearing services. | D | 2023-07-03 |
| 2023-05-22 | Health | F0688 | Provide 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. | D | 2023-07-03 |
| 2023-05-22 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-07-03 |
| 2023-05-22 | Health | F0700 | Try 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. | D | 2023-07-03 |
| 2023-05-22 | Health | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2023-07-03 |
| 2023-05-22 | Health | F0732 | Post nurse staffing information every day. | E | 2023-07-03 |
| 2023-05-22 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | 2023-07-03 |
| 2023-05-22 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2023-07-03 |
| 2023-05-22 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-07-03 |
| 2023-05-22 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2023-07-03 |
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.
Licensure actions
0No licensure actions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Ownership
27| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| PAC 12 OPCO HOLDCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2023-03-01 | current | pecos_ownership |
| KENSINGTON OR PROPCO LLC | Individual has financial interest in both related organization and provider | 5% | 2023-03-01 | current | hcris_a_8_1 |
| HAGAR, CHAIM | ADP OF THE SNF | — | 2023-03-01 | current | pecos_ownership |
| HAGLER, ALEXANDER | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-03-01 | current | pecos_ownership |
| KENSINGTON OR PROPCO LLC | Corporation, partnership or other organization has financial interest in provider | — | 2024-01-01 | current | hcris_a_8_1 |
| KENSINGTON OR PROPCO LLC | ADP OF THE SNF | — | 2023-03-01 | current | pecos_ownership |
| KNOX HEALTHCARE PAC 12 HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-03-01 | current | pecos_ownership |
| KNOX, DONALD | CORPORATE OFFICER | — | 2023-03-01 | current | pecos_ownership |
| MAHEIA, JASON | ADP OF THE SNF | — | 2025-04-07 | current | pecos_ownership |
| MORRIS, CHRISTOPHER | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-08-22 | current | pecos_ownership |
| PAC 12 HOLDINGS LLC | ADP OF THE SNF | — | 2023-03-01 | current | pecos_ownership |
| PAC 12 PINNACLE HOLDCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-03-01 | current | pecos_ownership |
| SCHWARTZ, ELIEZER | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-03-01 | current | pecos_ownership |
| SMITH, BRIAN | ADP OF THE SNF | — | 2023-03-27 | current | pecos_ownership |
| VOLARE HEALTH LLC | ADP OF THE SNF | — | 2025-08-19 | current | pecos_ownership |
| VOLARE HEALTH LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-03-01 | current | pecos_ownership |
| AVALON REALTY - GREEN VALLEY LLC | Corporation, partnership or other organization has financial interest in provider | 100% | 2023-01-01 | ended 2023-02-28 | hcris_a_8_1 |
| AVALON REALTY - GREEN VALLEY LLC | Corporation, partnership or other organization has financial interest in provider | 100% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| BRIAN SMITH | CORPORATE OFFICER | 100% | 2023-03-27 | ended 2026-05-18 | pecos_ownership |
| DONALD KNOX | CORPORATE OFFICER | 100% | 2023-03-01 | ended 2026-05-18 | pecos_ownership |
| ELIEZER SCHWARTZ | OPERATIONAL/MANAGERIAL CONTROL | 100% | 2023-03-01 | ended 2026-05-18 | pecos_ownership |
| CHAIM HAGAR | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 31% | 2023-03-01 | ended 2026-05-18 | pecos_ownership |
| ALEXANDER HAGLER | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 24% | 2023-03-01 | ended 2026-05-18 | pecos_ownership |
| AVALON REALTY - GREEN VALLEY LLC | Corporation, partnership or other organization has financial interest in provider | — | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| AVALON REALTY - GREEN VALLEY LLC | Corporation, partnership or other organization has financial interest in provider | — | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| CHRISTOPHER MORRIS | ADP OF THE SNF | — | 2025-08-22 | ended 2026-05-18 | pecos_ownership |
| JASON MAHEIA | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-04-07 | ended 2026-05-18 | pecos_ownership |
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Transactions
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2023-03-01 | — | KENSINGTON REHABILITATION HEALTH CENTER LLC | AVALON HEALTH CARE - GREEN VALLEY LLC | chow |
Comparable trades — OR snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-08-04 | Mt. Tabor Health & Rehabilitation | — | — | — | 120 | MT TABOR SNF OPERATIONS LLC |
| 2025-08-01 | LAURELHURST POST ACUTE & REHABILITATION | — | — | — | 159 | LAURELHURST SNF OPERATIONS LLC |
| 2025-06-01 | SAINT HELENS POST ACUTE | — | — | — | 92 | MAVERICKS BEACH, LLC |
| 2025-04-01 | MT ANGEL HEALTH AND REHABILITATION | — | — | — | 93 | REX ROAD HEALTHCARE LLC |
| 2024-12-01 | VILLAGE HEALTH CARE | — | — | — | 106 | VILLAGE SNF OPERATIONS LLC |
| 2024-10-01 | ROBISON JEWISH HEALTH CENTER | — | — | — | 92 | BOUNDARY STREET SNF, LLC |
| 2024-09-01 | WILLOWBROOK POST ACUTE | — | — | — | 59 | WILLOWBROOK SNF HEALTHCARE LLC |
| 2024-09-01 | REEDWOOD POST ACUTE | — | — | — | 64 | CRESTON SNF HEALTHCARE LLC |
| 2024-09-01 | COTTAGE GROVE POST ACUTE | — | — | — | 80 | COTTAGE GROVE SNF HEALTHCARE LLC |
| 2024-09-01 | FOREST GROVE POST ACUTE | — | — | — | 114 | FOREST GROVE SNF HEALTHCARE LLC |
| 2024-09-01 | EVERGREEN POST ACUTE | — | — | — | 55 | EVERGREEN SNF HEALTHCARE LLC |
| 2024-09-01 | HOOD RIVER POST ACUTE | — | — | — | 100 | HOOD RIVER 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| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 41039 | acs median gross | 0 | $1,088 | 2024-12-31 | CENSUS_ACS5 |
| county 41039 | fmr | 0 | $1,223 | 2025-10-01 | HUD_USER_FMR |
| county 41039 | acs median gross | 1 | $1,023 | 2024-12-31 | CENSUS_ACS5 |
| county 41039 | fmr | 1 | $1,286 | 2025-10-01 | HUD_USER_FMR |
| county 41039 | acs median gross | 2 | $1,370 | 2024-12-31 | CENSUS_ACS5 |
| county 41039 | fmr | 2 | $1,688 | 2025-10-01 | HUD_USER_FMR |
| county 41039 | acs median gross | 3 | $1,693 | 2024-12-31 | CENSUS_ACS5 |
| county 41039 | fmr | 3 | $2,348 | 2025-10-01 | HUD_USER_FMR |
| county 41039 | acs median gross | 4 | $1,504 | 2024-12-31 | CENSUS_ACS5 |
| county 41039 | fmr | 4 | $2,832 | 2025-10-01 | HUD_USER_FMR |
| county 41039 | acs median gross | 5 | $1,388 | 2024-12-31 | CENSUS_ACS5 |
| county 41039 | acs median gross | $1,355 | 2024-12-31 | CENSUS_ACS5 | |
| county 41039 | acs recent mover gross | $1,532 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 97401 | acs median gross | 0 | $1,144 | 2024-12-31 | CENSUS_ACS5 |
| zcta 97401 | acs median gross | 1 | $1,165 | 2024-12-31 | CENSUS_ACS5 |
| zcta 97401 | acs median gross | 2 | $1,459 | 2024-12-31 | CENSUS_ACS5 |
| zcta 97401 | acs median gross | 3 | $1,721 | 2024-12-31 | CENSUS_ACS5 |
| zcta 97401 | acs median gross | 4 | $1,123 | 2024-12-31 | CENSUS_ACS5 |
| zcta 97401 | acs median gross | 5 | $1,311 | 2024-12-31 | CENSUS_ACS5 |
| zcta 97401 | acs median gross | $1,366 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 97401 | acs recent mover gross | $1,432 | 2024-12-31 | CENSUS_ACS5 | |
| zip 97401 | payment standard 110 | 0 | $1,452 | 2025-10-01 | HUD_USER_SAFMR |
| zip 97401 | payment standard 90 | 0 | $1,188 | 2025-10-01 | HUD_USER_SAFMR |
| zip 97401 | safmr | 0 | $1,320 | 2025-10-01 | HUD_USER_SAFMR |
| zip 97401 | payment standard 110 | 1 | $1,529 | 2025-10-01 | HUD_USER_SAFMR |
| zip 97401 | payment standard 90 | 1 | $1,251 | 2025-10-01 | HUD_USER_SAFMR |
| zip 97401 | safmr | 1 | $1,390 | 2025-10-01 | HUD_USER_SAFMR |
| zip 97401 | payment standard 110 | 2 | $2,002 | 2025-10-01 | HUD_USER_SAFMR |
| zip 97401 | payment standard 90 | 2 | $1,638 | 2025-10-01 | HUD_USER_SAFMR |
| zip 97401 | safmr | 2 | $1,820 | 2025-10-01 | HUD_USER_SAFMR |
| zip 97401 | payment standard 110 | 3 | $2,783 | 2025-10-01 | HUD_USER_SAFMR |
| zip 97401 | payment standard 90 | 3 | $2,277 | 2025-10-01 | HUD_USER_SAFMR |
| zip 97401 | safmr | 3 | $2,530 | 2025-10-01 | HUD_USER_SAFMR |
| zip 97401 | payment standard 110 | 4 | $3,355 | 2025-10-01 | HUD_USER_SAFMR |
| zip 97401 | payment standard 90 | 4 | $2,745 | 2025-10-01 | HUD_USER_SAFMR |
| zip 97401 | safmr | 4 | $3,050 | 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.