Composite
85.4 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| billing conduct | 92.7 | 62.5 | 0.30 | 0.2308 | 21.39 | in index |
| regulatory risk | 75.7 | 72.0 | 0.30 | 0.2308 | 17.47 | in index |
| staffing risk | 65.2 | 65.2 | 0.25 | 0.1923 | 12.54 | in index |
| chow risk | 61.5 | 60.3 | 0.15 | 0.1154 | 7.10 | in index |
| financial risk | 21.8 | 28.3 | 0.30 | 0.2308 | 5.03 | in index |
| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +24.4 vs natl | BAIRD GREGORY | 5 facilities |
| connection | Owner fleet risk far above national | +24.3 vs natl | BEAVER VALLEY HOSPITAL | 11 facilities |
| connection | Owner fleet risk far above national | +23.8 vs natl | FULLMER CHAD | 18 facilities |
| connection | Owner fleet risk far above national | +23.3 vs natl | WHITE CRAIG | 6 facilities |
| connection | Owner fleet risk far above national | +20.8 vs natl | SMITH VAL | 14 facilities |
| connection | Owner fleet risk far above national | +20.2 vs natl | MCSPADDEN DARIN | 21 facilities |
| connection | Owner fleet risk far above national | +20.0 vs natl | ROBINSON MATTHEW | 5 facilities |
| connection | Owner spans multiple chains | 5 chains | FULLMER CHAD | 14 facilities |
| connection | Owner spans multiple chains | 5 chains | MCSPADDEN DARIN | 17 facilities |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 62.5 | C | 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 | 95.7 | F | v0.6 | default · in composite | |
| financial risk | 28.3 | B | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.1 | — | 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 | 3.2 | — | 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 | 72.0 | D | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 65.2 | D | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 40.2 | B | 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 | 20.2 | A | 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 | 20.2 | A | 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 | 28.3 | 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 | 71.8 | D | 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 | 71.8 | D | 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 | 65.2 | D | 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 | 65.2 | D | 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. |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| For-profit ownership | 1.00 | +0.69 | |
| Never sold on record | 1.00 | +0.62 | |
| Occupancy | 0.90 | -0.58 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 3.53 | +0.35 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Deficiencies, last 12 months | 0.00 | -0.17 |
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 0.00 | +1.43 | |
| Chain size (log) | 3.53 | -0.85 | |
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.90 | -0.63 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Never sold on record | 1.00 | +0.12 | |
| Current owner tenure (years) | 25.00 | +0.11 |
| 2025Q4 HPRD | This facility | UT median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.06 | 3.19 | 3.28 | 2.90–3.77 |
| RN | 0.76 | 0.78 | 0.39 | 0.25–0.58 |
| Weekend total | 2.79 | 3.04 | 3.11 | — |
| Weekday total | 3.17 | 3.25 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 82.7 | 3.06 | 0.76 | 0.30 | 2.00 | 2.79 | 0.0% |
| 2025Q3 | 92 | 83.5 | 3.08 | 0.73 | 0.27 | 2.08 | 2.85 | 0.0% |
| 2025Q2 | 91 | 81.7 | 2.58 | 0.67 | 0.25 | 1.65 | 2.44 | 0.0% |
| 2025Q1 | 90 | 74.8 | 2.44 | 0.71 | 0.26 | 1.47 | 2.35 | 0.0% |
| 2024Q4 | 92 | 69.4 | 2.90 | 0.71 | 0.29 | 1.90 | 2.71 | 13.5% |
| 2024Q3 | 92 | 72.5 | 2.67 | 0.56 | 0.36 | 1.74 | 2.49 | 15.4% |
| 2024Q2 | 91 | 73.0 | 2.49 | 0.65 | 0.36 | 1.49 | 2.43 | 10.2% |
| 2024Q1 | 91 | 72.6 | 2.50 | 0.68 | 0.27 | 1.55 | 2.43 | 18.7% |
| 2023Q4 | 92 | 66.0 | 2.55 | 0.71 | 0.28 | 1.56 | 2.32 | 26.0% |
| 2023Q3 | 92 | 62.4 | 2.61 | 0.65 | 0.25 | 1.71 | 2.46 | 22.3% |
| 2023Q2 | 91 | 62.3 | 2.30 | 0.60 | 0.26 | 1.45 | 1.87 | 4.0% |
| 2023Q1 | 90 | 57.0 | 2.53 | 0.35 | 0.52 | 1.66 | 2.20 | 2.7% |
| 2022Q4 | 92 | 41.7 | 3.06 | 0.46 | 0.68 | 1.92 | 2.83 | 0.0% |
| 2022Q3 | 92 | 35.4 | 3.15 | 0.43 | 0.73 | 1.98 | 2.90 | 21.4% |
| 2022Q2 | 91 | 46.7 | 4.07 | 0.61 | 0.52 | 2.95 | 3.63 | 48.2% |
| 2022Q1 | 90 | 57.7 | 2.85 | 0.74 | 0.35 | 1.76 | 2.63 | 38.1% |
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-01-11 | Fine | $53,472 | CMS provider data |
| 2024-01-11 | Payment Denial | — | CMS provider data |
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2025-02-03 | Health | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | 2025-03-27 |
| 2025-02-03 | 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 | 2025-03-27 |
| 2025-02-03 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-03-27 |
| 2025-02-03 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2025-03-27 |
| 2025-02-03 | Health | 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 | 2025-03-27 |
| 2025-02-03 | 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 | 2025-03-27 |
| 2025-02-03 | Health | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | 2025-03-27 |
| 2025-02-03 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-03-27 |
| 2025-02-03 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2025-03-27 |
| 2025-02-03 | 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. | E | 2025-03-27 |
| 2025-02-03 | 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 | 2025-03-27 |
| 2025-02-03 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2025-03-27 |
| 2024-01-11 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2024-02-12 |
| 2024-01-11 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2024-02-12 |
| 2024-01-11 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-02-12 |
| 2024-01-11 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-02-12 |
| 2024-01-11 | 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 | 2024-02-12 |
| 2024-01-11 | Health | F0779 | Keep signed and dated reports of x-rays and other diagnostic services in the residents record. | D | 2024-02-12 |
| 2024-01-11 | Health | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | E | 2024-02-12 |
| 2024-01-11 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2024-02-12 |
| 2024-01-11 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | 2024-02-12 |
| 2024-01-11 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2024-02-12 |
| 2024-01-11 | Health | F0811 | Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised. | D | 2024-02-12 |
| 2024-01-11 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-02-12 |
| 2024-01-11 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2024-02-12 |
| 2024-01-11 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2024-02-12 |
| 2024-01-11 | Health | F0881 | Implement a program that monitors antibiotic use. | E | 2024-02-12 |
| 2022-04-13 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2022-06-23 |
| 2022-04-13 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2022-06-23 |
| 2022-04-13 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2022-06-23 |
| 2022-04-13 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2022-06-23 |
| 2022-04-13 | Health | F0567 | Honor the resident's right to manage his or her financial affairs. | E | 2022-06-23 |
| 2022-04-13 | Health | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | 2022-06-23 |
| 2022-04-13 | 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 | 2022-06-23 |
| 2022-04-13 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | G | 2022-06-23 |
| 2022-04-13 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2022-06-23 |
| 2022-04-13 | 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 | 2022-06-23 |
| 2022-04-13 | Health | 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 | 2022-06-23 |
| 2022-04-13 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | 2022-06-23 |
| 2022-04-13 | Health | F0606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | E | 2022-06-23 |
| 2022-04-13 | Health | F0608 | Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | E | 2022-06-23 |
| 2022-04-13 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | K | 2022-06-23 |
| 2022-04-13 | Health | F0610 | Respond appropriately to all alleged violations. | K | 2022-06-23 |
| 2022-04-13 | Health | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | 2022-06-23 |
| 2022-04-13 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | G | 2022-06-23 |
| 2022-04-13 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2022-06-23 |
| 2022-04-13 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | 2022-06-23 |
| 2022-04-13 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2022-06-23 |
| 2022-04-13 | Health | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | E | 2022-06-23 |
| 2022-04-13 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2022-06-23 |
| 2022-04-13 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | K | 2022-06-23 |
| 2022-04-13 | Health | F0685 | Assist a resident in gaining access to vision and hearing services. | D | 2022-06-23 |
| 2022-04-13 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | 2022-06-23 |
| 2022-04-13 | 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. | G | 2022-06-23 |
| 2022-04-13 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | 2022-06-23 |
| 2022-04-13 | Health | 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 | 2022-06-23 |
| 2022-04-13 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | H | 2022-06-23 |
| 2022-04-13 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2022-06-23 |
| 2022-04-13 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | H | 2022-06-23 |
| 2022-04-13 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2022-06-23 |
| 2022-04-13 | Health | F0710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | G | 2022-06-23 |
| 2022-04-13 | 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. | H | 2022-06-23 |
| 2022-04-13 | Health | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | H | 2022-06-23 |
| 2022-04-13 | Health | 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 | 2022-06-23 |
| 2022-04-13 | Health | F0732 | Post nurse staffing information every day. | D | 2022-06-23 |
| 2022-04-13 | Health | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | J | 2022-06-23 |
| 2022-04-13 | Health | F0741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | H | 2022-06-23 |
| 2022-04-13 | Health | F0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | G | 2022-06-23 |
| 2022-04-13 | Health | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | H | 2022-06-23 |
| 2022-04-13 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2022-06-23 |
| 2022-04-13 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2022-06-23 |
| 2022-04-13 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2022-06-23 |
| 2022-04-13 | Health | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | 2022-06-23 |
| 2022-04-13 | Health | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | G | 2022-06-23 |
| 2022-04-13 | Health | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | 2022-06-23 |
| 2022-04-13 | Health | F0775 | Keep complete, dated laboratory records in the resident's record. | D | 2022-06-23 |
| 2022-04-13 | Health | F0779 | Keep signed and dated reports of x-rays and other diagnostic services in the residents record. | D | 2022-06-23 |
| 2022-04-13 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2022-06-23 |
| 2022-04-13 | Health | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | 2022-06-23 |
| 2022-04-13 | Health | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | H | 2022-06-23 |
| 2022-04-13 | Health | F0837 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | H | 2022-06-23 |
| 2022-04-13 | Health | F0838 | Conduct 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. | F | 2022-06-23 |
| 2022-04-13 | Health | F0841 | Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | H | 2022-06-23 |
| 2022-04-13 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2022-06-23 |
| 2022-04-13 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | H | 2022-06-23 |
| 2022-04-13 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | H | 2022-06-23 |
| 2022-04-13 | Health | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | H | 2022-06-23 |
| 2022-04-13 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2022-06-23 |
| 2022-04-13 | Health | F0881 | Implement a program that monitors antibiotic use. | D | 2022-06-23 |
| 2022-04-13 | Health | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | 2022-06-23 |
| 2022-04-13 | Health | F0886 | Perform COVID19 testing on residents and staff. | E | 2022-06-23 |
| 2022-04-13 | 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. | E | 2022-06-23 |
| 2022-04-13 | Health | F0888 | Ensure staff are vaccinated for COVID-19 | E | 2022-06-23 |
| 2022-04-13 | Health | F0908 | Keep all essential equipment working safely. | F | 2022-06-23 |
| 2022-04-13 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | 2022-06-23 |
| 2022-04-13 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2022-06-23 |
| 2022-04-13 | Health | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | F | 2022-06-23 |
| 2022-04-13 | Health | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | 2022-06-23 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| BAIRD, GREGORY | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-01-01 | current | pecos_ownership |
| BARNEY, JANETT | CORPORATE DIRECTOR | — | 2018-09-18 | current | pecos_ownership |
| BEAVER VALLEY HOSPITAL | DIRECT OWNERSHIP INTEREST | — | 2018-09-18 | current | pecos_ownership |
| BROWN, GARY | CORPORATE DIRECTOR | — | 2018-09-18 | current | pecos_ownership |
| CASCADES HEALTHCARE LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-01-01 | current | pecos_ownership |
| CASCADES HEALTHCARE LLC | ADP OF THE SNF | — | 2025-04-15 | current | pecos_ownership |
| FULLMER, CHAD | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-09-18 | current | pecos_ownership |
| FULLMER, CHAD | ADP OF THE SNF | — | 2023-01-01 | current | pecos_ownership |
| LANGFORD, SCOTT | MANAGING CONTROL - GOVERNING BODY | — | 2018-09-18 | current | pecos_ownership |
| MCSPADDEN, DARIN | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-09-18 | current | pecos_ownership |
| MCSPADDEN, DARIN | ADP OF THE SNF | — | 2023-01-01 | current | pecos_ownership |
| OAKDEN, RICHARD | CORPORATE DIRECTOR | — | 2018-09-18 | current | pecos_ownership |
| ROBINSON, MATTHEW | CORPORATE DIRECTOR | — | 2018-09-18 | current | pecos_ownership |
| S CREEK HOLDINGS LLC | Corporation, partnership or other organization has financial interest in provider | — | 2024-01-01 | current | hcris_a_8_1 |
| SMITH, VAL | CORPORATE DIRECTOR | — | 2018-09-18 | current | pecos_ownership |
| TAYLOR, RICHARD | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-29 | current | pecos_ownership |
| WHITE, CRAIG | CORPORATE DIRECTOR | — | 2018-09-18 | current | pecos_ownership |
| SCOTT LANGFORD | CORPORATE OFFICER | 50% | 2018-09-18 | ended 2026-05-18 | pecos_ownership |
| CRAIG WHITE | CORPORATE DIRECTOR | 14% | 2018-09-18 | ended 2026-05-18 | pecos_ownership |
| GARY BROWN | CORPORATE DIRECTOR | 14% | 2018-09-18 | ended 2026-05-18 | pecos_ownership |
| JANETT BARNEY | CORPORATE DIRECTOR | 14% | 2018-09-18 | ended 2026-05-18 | pecos_ownership |
| MATTHEW ROBINSON | CORPORATE DIRECTOR | 14% | 2018-09-18 | ended 2026-05-18 | pecos_ownership |
| RICHARD OAKDEN | CORPORATE DIRECTOR | 14% | 2018-09-18 | ended 2026-05-18 | pecos_ownership |
| VAL SMITH | CORPORATE DIRECTOR | 14% | 2018-09-18 | ended 2026-05-18 | pecos_ownership |
| CHAD FULLMER | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-09-18 | ended 2026-05-18 | pecos_ownership |
| CHAD FULLMER | ADP OF THE SNF | — | 2023-01-01 | ended 2026-05-18 | pecos_ownership |
| DARIN MCSPADDEN | MANAGING CONTROL - GOVERNING BODY | — | 2023-01-01 | ended 2026-05-18 | pecos_ownership |
| DARIN MCSPADDEN | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-09-18 | ended 2026-05-18 | pecos_ownership |
| GREGORY BAIRD | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-01-01 | ended 2026-05-18 | pecos_ownership |
| RICHARD TAYLOR | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-29 | ended 2026-05-18 | pecos_ownership |
| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-11-01 | Stonehenge of South Jordan | — | — | — | 32 | TRILITHON HEALTHCARE LLC |
| 2025-11-01 | Stonehenge of Orem | — | — | — | 34 | SARSEN HEALTHCARE LLC |
| 2024-06-05 | Midtown Manor | — | — | — | 82 | MILFORD MEMORIAL HOSPITAL |
| 2024-05-01 | South Davis Specialty Care | — | — | — | 95 | HOLBROOK HEALTHCARE LLC |
| 2024-02-01 | Monument Healthcare Bountiful | — | — | — | 100 | MILFORD MEMORIAL HOSPITAL |
| 2024-02-01 | Monument Healthcare Millcreek | — | — | — | 120 | MILFORD MEMORIAL HOSPITAL |
| 2022-10-02 | Sunshine Terrace Skilled Nursing | — | — | — | 172 | MILFORD MEMORIAL HOSPITAL |
| 2020-07-01 | Monument Healthcare Stonecreek | — | — | — | 122 | GUNNISON VALLEY HOSPITAL |
| 2020-07-01 | Monument Healthcare Canyon Rim | — | — | — | 90 | GUNNISON VALLEY HOSPITAL |
| 2020-07-01 | Monument Healthcare American Fork | — | — | — | 106 | GUNNISON VALLEY HOSPITAL |
| 2020-07-01 | Mission at Richfield Nursing and Rehabilitation | — | — | — | 98 | GUNNISON VALLEY HOSPITAL |
| 2020-07-01 | Monument Healthcare Cottonwood Creek | — | — | — | 77 | GUNNISON VALLEY HOSPITAL |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 49035 | acs median gross | 0 | $1,256 | 2024-12-31 | CENSUS_ACS5 |
| county 49035 | fmr | 0 | $1,259 | 2025-10-01 | HUD_USER_FMR |
| county 49035 | acs median gross | 1 | $1,328 | 2024-12-31 | CENSUS_ACS5 |
| county 49035 | fmr | 1 | $1,456 | 2025-10-01 | HUD_USER_FMR |
| county 49035 | acs median gross | 2 | $1,605 | 2024-12-31 | CENSUS_ACS5 |
| county 49035 | fmr | 2 | $1,747 | 2025-10-01 | HUD_USER_FMR |
| county 49035 | acs median gross | 3 | $1,930 | 2024-12-31 | CENSUS_ACS5 |
| county 49035 | fmr | 3 | $2,333 | 2025-10-01 | HUD_USER_FMR |
| county 49035 | acs median gross | 4 | $2,187 | 2024-12-31 | CENSUS_ACS5 |
| county 49035 | fmr | 4 | $2,666 | 2025-10-01 | HUD_USER_FMR |
| county 49035 | acs median gross | 5 | $2,322 | 2024-12-31 | CENSUS_ACS5 |
| county 49035 | acs median gross | $1,592 | 2024-12-31 | CENSUS_ACS5 | |
| county 49035 | acs recent mover gross | $1,743 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 84117 | acs median gross | 0 | $1,747 | 2024-12-31 | CENSUS_ACS5 |
| zcta 84117 | acs median gross | 1 | $1,315 | 2024-12-31 | CENSUS_ACS5 |
| zcta 84117 | acs median gross | 2 | $1,677 | 2024-12-31 | CENSUS_ACS5 |
| zcta 84117 | acs median gross | 3 | $1,910 | 2024-12-31 | CENSUS_ACS5 |
| zcta 84117 | acs median gross | 4 | $2,196 | 2024-12-31 | CENSUS_ACS5 |
| zcta 84117 | acs median gross | 5 | $2,627 | 2024-12-31 | CENSUS_ACS5 |
| zcta 84117 | acs median gross | $1,699 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 84117 | acs recent mover gross | $1,725 | 2024-12-31 | CENSUS_ACS5 | |
| zip 84117 | payment standard 110 | 0 | $1,540 | 2025-10-01 | HUD_USER_SAFMR |
| zip 84117 | payment standard 90 | 0 | $1,260 | 2025-10-01 | HUD_USER_SAFMR |
| zip 84117 | safmr | 0 | $1,400 | 2025-10-01 | HUD_USER_SAFMR |
| zip 84117 | payment standard 110 | 1 | $1,782 | 2025-10-01 | HUD_USER_SAFMR |
| zip 84117 | payment standard 90 | 1 | $1,458 | 2025-10-01 | HUD_USER_SAFMR |
| zip 84117 | safmr | 1 | $1,620 | 2025-10-01 | HUD_USER_SAFMR |
| zip 84117 | payment standard 110 | 2 | $2,134 | 2025-10-01 | HUD_USER_SAFMR |
| zip 84117 | payment standard 90 | 2 | $1,746 | 2025-10-01 | HUD_USER_SAFMR |
| zip 84117 | safmr | 2 | $1,940 | 2025-10-01 | HUD_USER_SAFMR |
| zip 84117 | payment standard 110 | 3 | $2,849 | 2025-10-01 | HUD_USER_SAFMR |
| zip 84117 | payment standard 90 | 3 | $2,331 | 2025-10-01 | HUD_USER_SAFMR |
| zip 84117 | safmr | 3 | $2,590 | 2025-10-01 | HUD_USER_SAFMR |
| zip 84117 | payment standard 110 | 4 | $3,256 | 2025-10-01 | HUD_USER_SAFMR |
| zip 84117 | payment standard 90 | 4 | $2,664 | 2025-10-01 | HUD_USER_SAFMR |
| zip 84117 | safmr | 4 | $2,960 | 2025-10-01 | HUD_USER_SAFMR |