Composite
18.3 / 100 percentile
Screener / 555595
A
SMITH RANCH SKILLED NURSING & REHABILITATION CENTE
snfCA
1550 SILVEIRA PARKWAY, SAN RAFAEL, CA 94903 · CCN 555595 · chain LIFE GENERATIONS HEALTHCARE LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
80
Model
v1.2
Reads as: riskier than 18.3% 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 model5Components16CHOW radar1Distress radar1Staffing16Penalties0Deficiencies49Licensure0Ownership31Related party5Transactions1Comps12Market rent35
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 56.8 | 47.0 | 0.30 | 0.2308 | 13.11 | in index |
| billing conduct | 39.4 | 35.4 | 0.30 | 0.2308 | 9.09 | in index |
| financial risk | 26.8 | 31.8 | 0.30 | 0.2308 | 6.18 | in index |
| chow risk | 34.2 | 32.8 | 0.15 | 0.1154 | 3.95 | in index |
| staffing risk | 14.8 | 14.9 | 0.25 | 0.1923 | 2.85 | 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.
Component scores and registry models
16| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 35.4 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 25.0 | B | 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 | 40.6 | B | v0.6 | default · in composite | |
| financial risk | 31.8 | 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 | 0.1 | — | 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 | 47.0 | C | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 14.9 | A | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 71.3 | D | 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 | 51.3 | C | 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 | 31.8 | B | 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 | 37.9 | 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 | 46.9 | C | 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 | 46.9 | C | 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 | 14.9 | 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 | 14.9 | 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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
22.4
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) | 8.91 | -0.98 | |
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.90 | -0.58 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 3.37 | +0.31 | |
| Total nurse staffing (HPRD) | 4.10 | -0.21 | |
| Ownership changes, last 5 years | 0.00 | +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
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 14.00 | -1.17 | |
| Chain size (log) | 3.37 | -0.76 | |
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.90 | -0.62 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Total nurse staffing (HPRD) | 4.10 | -0.37 | |
| Never sold on record | 0.00 | -0.28 | |
| Fine amount, 12m (log) | 0.00 | +0.18 |
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 | CA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 4.10 | 3.95 | 3.28 | 2.90–3.77 |
| RN | 0.38 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 4.00 | 3.79 | 3.11 | — |
| Weekday total | 4.14 | 4.01 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 71.7 | 4.10 | 0.38 | 1.12 | 2.61 | 4.00 | 0.0% |
| 2025Q3 | 92 | 68.7 | 4.14 | 0.32 | 1.21 | 2.61 | 4.03 | 0.0% |
| 2025Q2 | 91 | 70.1 | 4.24 | 0.27 | 1.30 | 2.66 | 4.03 | 0.0% |
| 2025Q1 | 90 | 71.9 | 4.22 | 0.34 | 1.21 | 2.67 | 3.99 | 0.0% |
| 2024Q4 | 92 | 70.7 | 4.13 | 0.28 | 1.28 | 2.57 | 3.97 | 0.0% |
| 2024Q3 | 92 | 66.6 | 4.06 | 0.21 | 1.31 | 2.54 | 3.97 | 0.0% |
| 2024Q2 | 91 | 67.0 | 4.12 | 0.32 | 1.28 | 2.52 | 4.04 | 0.0% |
| 2024Q1 | 91 | 60.7 | 4.08 | 0.32 | 1.25 | 2.52 | 3.92 | 0.0% |
| 2023Q4 | 92 | 58.6 | 4.19 | 0.37 | 1.22 | 2.59 | 3.99 | 0.0% |
| 2023Q3 | 92 | 55.6 | 4.08 | 0.27 | 1.25 | 2.56 | 3.87 | 0.0% |
| 2023Q2 | 91 | 60.1 | 3.96 | 0.24 | 1.26 | 2.47 | 3.69 | 0.0% |
| 2023Q1 | 90 | 61.0 | 3.85 | 0.23 | 1.23 | 2.39 | 3.70 | 0.0% |
| 2022Q4 | 92 | 63.5 | 3.75 | 0.18 | 1.14 | 2.42 | 3.60 | 0.0% |
| 2022Q3 | 92 | 49.9 | 4.04 | 0.28 | 1.42 | 2.33 | 3.88 | 0.0% |
| 2022Q2 | 91 | 50.8 | 4.11 | 0.32 | 1.38 | 2.41 | 3.79 | 0.0% |
| 2022Q1 | 90 | 44.4 | 4.35 | 0.57 | 1.21 | 2.57 | 4.07 | 0.0% |
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
0No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
49D × 23E × 20F × 4G × 2
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-15 | Health · complaint | 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 | 2026-05-07 |
| 2026-04-15 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2026-05-07 |
| 2026-04-15 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2026-05-07 |
| 2026-04-15 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2026-05-07 |
| 2026-04-15 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2026-05-07 |
| 2026-02-12 | 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. | E | 2026-02-24 |
| 2026-02-12 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2026-02-24 |
| 2026-02-12 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2026-02-24 |
| 2026-02-12 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-02-24 |
| 2026-02-12 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2026-02-24 |
| 2026-02-12 | 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 | 2026-02-24 |
| 2026-02-12 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2026-02-24 |
| 2026-02-12 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2026-02-24 |
| 2026-02-12 | Health | F0908 | Keep all essential equipment working safely. | E | 2026-02-24 |
| 2025-05-16 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2025-06-17 |
| 2025-05-16 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-06-17 |
| 2025-05-16 | Health | F0575 | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | F | 2025-06-17 |
| 2025-05-16 | 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 | 2025-06-17 |
| 2025-05-16 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2025-06-17 |
| 2025-05-16 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2025-06-17 |
| 2025-05-16 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-06-17 |
| 2025-05-16 | 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. | E | 2025-06-17 |
| 2025-05-16 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-06-17 |
| 2025-05-16 | 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 | 2025-06-17 |
| 2025-05-16 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2025-06-17 |
| 2025-05-16 | 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 | 2025-06-17 |
| 2025-05-16 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-06-17 |
| 2025-05-16 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | 2025-06-17 |
| 2025-04-22 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2025-05-06 |
| 2023-08-22 | Health | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | E | 2023-09-16 |
| 2023-08-22 | 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. | E | 2023-09-16 |
| 2023-08-22 | Health | F0641 | Ensure each resident receives an accurate assessment. | E | 2023-09-16 |
| 2023-08-22 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2023-09-16 |
| 2023-08-22 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2023-09-16 |
| 2023-08-22 | Health | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2023-09-16 |
| 2023-08-22 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2023-09-16 |
| 2023-08-22 | Health | F0679 | Provide activities to meet all resident's needs. | E | 2023-09-16 |
| 2023-08-22 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-09-16 |
| 2023-08-22 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-09-16 |
| 2023-08-22 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2023-09-16 |
| 2023-08-22 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2023-09-16 |
| 2023-08-22 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-09-16 |
| 2023-08-22 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2023-09-16 |
| 2023-07-05 | Health · complaint | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2023-08-04 |
| 2023-07-05 | Health · complaint | F0641 | Ensure each resident receives an accurate assessment. | D | 2023-08-04 |
| 2023-07-05 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2023-08-04 |
| 2023-07-05 | Health · complaint | 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. | E | 2023-08-04 |
| 2023-07-05 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | G | 2023-08-04 |
| 2023-07-05 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2023-08-04 |
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
31| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| AMILCAR, ALBERTA | ADP OF THE SNF | — | 2023-07-11 | current | pecos_ownership |
| ARGUEL, ANGELO CLYDE | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-03-17 | current | pecos_ownership |
| BMO BANK NATIONAL ASSOCIATION | 5% OR GREATER SECURITY INTEREST | — | 2021-10-06 | current | pecos_ownership |
| COLEMAN, KELSEY | ADP OF THE SNF | — | 2016-05-13 | current | pecos_ownership |
| DALY, MEGAN | OPERATIONAL/MANAGERIAL CONTROL | — | 2003-06-30 | current | pecos_ownership |
| DEGUZMAN, DINA | ADP OF THE SNF | — | 2020-01-21 | current | pecos_ownership |
| GUTIERREZ, JESUS | ADP OF THE SNF | — | 2023-10-31 | current | pecos_ownership |
| LIFE GENERATIONS HEALTHCARE, LLC | ADP OF THE SNF | — | 2017-07-20 | current | pecos_ownership |
| MASTROCOLA, LOIS | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-07-20 | current | pecos_ownership |
| NAIN, KABIR | ADP OF THE SNF | — | 2024-01-08 | current | pecos_ownership |
| NIAKI, MICHAEL | ADP OF THE SNF | — | 2017-07-20 | current | pecos_ownership |
| OLDS, THOMAS | ADP OF THE SNF | — | 2017-07-20 | current | pecos_ownership |
| RE 12 | Other (financial or non-financial) | — | 2023-01-01 | current | hcris_a_8_1 |
| RE 12 | Other (financial or non-financial) | — | 2024-01-01 | current | hcris_a_8_1 |
| SAN RAFAEL RE, LLC | ADP OF THE SNF | — | 2026-01-30 | current | pecos_ownership |
| SMITH, FRED | INDIRECT OWNERSHIP INTEREST | — | 2017-07-20 | current | pecos_ownership |
| THERAGEN, LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-07-20 | current | pecos_ownership |
| THOMAS OLDS | INDIRECT OWNERSHIP INTEREST | 78% | 2017-07-20 | ended 2026-05-18 | pecos_ownership |
| FRED SMITH | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 13% | 2017-07-20 | ended 2026-05-18 | pecos_ownership |
| LOIS MASTROCOLA | INDIRECT OWNERSHIP INTEREST | 9% | 2017-07-20 | ended 2026-05-18 | pecos_ownership |
| ALBERTA AMILCAR | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-07-11 | ended 2026-05-18 | pecos_ownership |
| ANGELO CLYDE ARGUEL | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-03-17 | ended 2026-05-18 | pecos_ownership |
| DINA DEGUZMAN | ADP OF THE SNF | — | 2020-01-21 | ended 2026-05-18 | pecos_ownership |
| JESUS GUTIERREZ | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-10-31 | ended 2026-05-18 | pecos_ownership |
| KABIR NAIN | ADP OF THE SNF | — | 2024-01-08 | ended 2026-05-18 | pecos_ownership |
| KELSEY COLEMAN | ADP OF THE SNF | — | 2016-05-13 | ended 2026-05-18 | pecos_ownership |
| MEGAN DALY | ADP OF THE SNF | — | 2003-06-30 | ended 2026-05-18 | pecos_ownership |
| MICHAEL NIAKI | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-07-20 | ended 2026-05-18 | pecos_ownership |
| RE 12 | Other (financial or non-financial) | — | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| RE 12 | Other (financial or non-financial) | — | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| RE 12 | Other (financial or non-financial) | — | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
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 |
|---|---|---|---|---|
| 2017-09-01 | — | GHC OF SAN RAFAEL, LLC | SMITH RANCH CARE CENTER, LLC | chow |
Comparable trades — CA snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-08-01 | Turlock Nursing & Rehabilitation Center | — | — | — | 144 | TRACY RIDGE HEALTHCARE, INC. |
| 2025-04-01 | ALAMITOS WEST HEALTH & REHABILITATION | — | — | — | 150 | MALCOLM HEALTHCARE, INC. |
| 2025-04-01 | PACIFIC HAVEN SUBACUTE AND HEALTHCARE CENTER | — | — | — | 99 | STRAWBERRY POND HEALTHCARE LLC |
| 2025-01-16 | GOLDEN HARBOR HEALTHCARE CENTER | — | — | — | 99 | CEYLON HOLDINGS LLC |
| 2024-12-30 | GRASS VALLEY HEALTHCARE CENTER | — | — | — | 86 | HEISMAN LLC |
| 2024-10-01 | REDWOOD GROVE POST ACUTE | — | — | — | 144 | SOQUEL CARE LLC |
| 2024-09-01 | OAK GROVE POST ACUTE | — | — | — | 119 | 4545 SHELLEY COURT OPCO, LLC |
| 2024-08-01 | WE CARE SKILLED NURSING - FREMONT | — | — | — | 99 | WE CARE SKILLED NURSING-FREMONT, LLC |
| 2024-05-01 | MAJESTIC MOUNTAIN CARE CENTER | — | — | — | 66 | OAKHURST SKILLED CARE LLC |
| 2024-04-01 | THE BRADLEY GARDENS | — | — | — | 44 | GHC OF SAN JACINTO LLC |
| 2024-04-01 | SANTA FE POST-ACUTE | — | — | — | 187 | SKILLED BOBIER LLC |
| 2024-04-01 | BAYSHIRE SAN DIMAS POST-ACUTE | — | — | — | 45 | SKILLED SAN DIMAS LLC |
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
35| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 06041 | acs median gross | 0 | $1,892 | 2024-12-31 | CENSUS_ACS5 |
| county 06041 | fmr | 0 | $2,485 | 2025-10-01 | HUD_USER_FMR |
| county 06041 | acs median gross | 1 | $2,145 | 2024-12-31 | CENSUS_ACS5 |
| county 06041 | fmr | 1 | $2,977 | 2025-10-01 | HUD_USER_FMR |
| county 06041 | acs median gross | 2 | $2,794 | 2024-12-31 | CENSUS_ACS5 |
| county 06041 | fmr | 2 | $3,604 | 2025-10-01 | HUD_USER_FMR |
| county 06041 | acs median gross | 3 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| county 06041 | fmr | 3 | $4,604 | 2025-10-01 | HUD_USER_FMR |
| county 06041 | acs median gross | 4 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| county 06041 | fmr | 4 | $4,772 | 2025-10-01 | HUD_USER_FMR |
| county 06041 | acs median gross | 5 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| county 06041 | acs median gross | $2,668 | 2024-12-31 | CENSUS_ACS5 | |
| county 06041 | acs recent mover gross | $2,934 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 94903 | acs median gross | 0 | $2,032 | 2024-12-31 | CENSUS_ACS5 |
| zcta 94903 | acs median gross | 2 | $3,088 | 2024-12-31 | CENSUS_ACS5 |
| zcta 94903 | acs median gross | 3 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| zcta 94903 | acs median gross | 4 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| zcta 94903 | acs median gross | 5 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| zcta 94903 | acs median gross | $2,993 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 94903 | acs recent mover gross | $3,501 | 2024-12-31 | CENSUS_ACS5 | |
| zip 94903 | payment standard 110 | 0 | $3,168 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94903 | payment standard 90 | 0 | $2,592 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94903 | safmr | 0 | $2,880 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94903 | payment standard 110 | 1 | $3,795 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94903 | payment standard 90 | 1 | $3,105 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94903 | safmr | 1 | $3,450 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94903 | payment standard 110 | 2 | $4,598 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94903 | payment standard 90 | 2 | $3,762 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94903 | safmr | 2 | $4,180 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94903 | payment standard 110 | 3 | $5,874 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94903 | payment standard 90 | 3 | $4,806 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94903 | safmr | 3 | $5,340 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94903 | payment standard 110 | 4 | $6,083 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94903 | payment standard 90 | 4 | $4,977 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94903 | safmr | 4 | $5,530 | 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.