Composite
83.5 / 100 percentile
Screener / 505240
C
Port Washington Post Acute
snfWA
140 SOUTH MARION AVENUE, BREMERTON, WA 98312 · CCN 505240 · chain KALESTA HEALTHCARE GROUP LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
98
Model
v1.2
Reads as: riskier than 83.5% 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 signals3Components16CHOW radar1Distress radar1Staffing16Penalties2Deficiencies114Licensure0Ownership10Related party5Transactions0Comps12Market rent36
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 96.6 | 95.2 | 0.30 | 0.2308 | 22.29 | in index |
| billing conduct | 71.1 | 48.2 | 0.30 | 0.2308 | 16.41 | in index |
| financial risk | 45.7 | 42.9 | 0.30 | 0.2308 | 10.55 | in index |
| staffing risk | 34.9 | 35.0 | 0.25 | 0.1923 | 6.71 | in index |
| chow risk | 55.3 | 55.4 | 0.15 | 0.1154 | 6.38 | 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
3| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| anomaly | Federal penalty spike | 6.5x prior | this facility | 2026-07-29 |
| connection | Owner spans multiple chains | 6 chains | WILLIAMS RYAN | 26 facilities |
| connection | Owner fleet enforcement cluster | 41% fined | KALESTA HEALTHCARE GROUP LLC | 17 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 | 48.2 | C | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 24.8 | A | 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 | 86.0 | F | v0.6 | default · in composite | |
| financial risk | 42.9 | 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 | 4.3 | — | 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 | 95.2 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 35.0 | B | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 86.1 | F | 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 | 66.1 | D | 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 | 42.5 | 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 | 48.3 | C | 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 | 95.2 | 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 | 95.2 | 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 | 35.0 | B | 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 | 35.0 | B | 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)
4.3%
model v0.1 · computed 2026-07-29
Percentile among SNFs
86.3
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Occupancy | 0.96 | -0.75 | |
| For-profit ownership | 1.00 | +0.69 | |
| Never sold on record | 1.00 | +0.62 | |
| Current owner tenure (years) | 25.00 | +0.57 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Chain size (log) | 2.77 | +0.19 | |
| Contract staffing share | 0.18 | +0.19 |
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 | |
|---|---|---|---|
| Occupancy | 0.96 | -0.87 | |
| For-profit ownership | 1.00 | -0.69 | |
| Fine amount, 12m (log) | 11.24 | -0.64 | |
| Deficiencies, last 12 months | 11.00 | -0.61 | |
| Chain size (log) | 2.77 | -0.41 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Staffing trend, last 4 quarters | 0.57 | +0.24 | |
| Total nurse staffing (HPRD) | 3.55 | -0.14 |
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
16| 2025Q4 HPRD | This facility | WA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.55 | 3.70 | 3.28 | 2.90–3.77 |
| RN | 0.21 | 0.62 | 0.39 | 0.25–0.58 |
| Weekend total | 3.38 | 3.51 | 3.11 | — |
| Weekday total | 3.61 | 3.79 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 93.6 | 3.55 | 0.21 | 0.73 | 2.60 | 3.38 | 18.3% |
| 2025Q3 | 92 | 76.0 | 3.33 | 0.11 | 0.76 | 2.45 | 3.20 | 20.7% |
| 2025Q2 | 91 | 64.3 | 3.35 | 0.18 | 0.72 | 2.45 | 3.35 | 22.7% |
| 2025Q1 | 90 | 67.3 | 3.35 | 0.15 | 0.77 | 2.43 | 3.33 | 20.7% |
| 2024Q4 | 92 | 72.8 | 2.98 | 0.18 | 0.71 | 2.09 | 2.90 | 17.8% |
| 2024Q3 | 92 | 68.4 | 3.08 | 0.22 | 0.70 | 2.16 | 2.98 | 14.6% |
| 2024Q2 | 91 | 68.3 | 3.13 | 0.29 | 0.62 | 2.23 | 3.01 | 12.4% |
| 2024Q1 | 91 | 68.4 | 3.15 | 0.21 | 0.77 | 2.16 | 3.00 | 20.7% |
| 2023Q4 | 92 | 71.7 | 3.00 | 0.30 | 0.70 | 1.99 | 2.61 | 25.3% |
| 2023Q3 | 92 | 73.2 | 2.91 | 0.38 | 0.58 | 1.95 | 2.50 | 24.9% |
| 2023Q2 | 91 | 71.9 | 3.09 | 0.31 | 0.65 | 2.13 | 2.69 | 30.4% |
| 2023Q1 | 90 | 70.4 | 2.71 | 0.24 | 0.80 | 1.68 | 2.46 | 29.3% |
| 2022Q4 | 92 | 70.8 | 2.02 | 0.19 | 0.52 | 1.32 | 1.68 | 11.5% |
| 2022Q3 | 92 | 71.3 | 2.08 | 0.29 | 0.50 | 1.29 | 1.77 | 11.6% |
| 2022Q2 | 91 | 66.6 | 2.21 | 0.32 | 0.75 | 1.14 | 1.93 | 2.6% |
| 2022Q1 | 90 | 63.6 | 2.43 | 0.50 | 0.70 | 1.23 | 2.00 | 1.0% |
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
2fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-11-10 | Fine | $76,486 | CMS provider data |
| 2024-05-22 | Fine | $35,178 | CMS provider data |
Total fines on record: $111,664
Deficiencies
114D × 58E × 50F × 3G × 2J × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-06 | 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 | 2026-04-24 |
| 2026-03-20 | Health · complaint | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | F | 2026-04-24 |
| 2026-03-06 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | 2026-04-03 |
| 2026-03-06 | Health · complaint | F0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | E | 2026-04-03 |
| 2026-01-08 | Health · complaint | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2026-01-31 |
| 2025-12-02 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-01-16 |
| 2025-12-02 | Health · complaint | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | E | 2026-01-16 |
| 2025-12-02 | Health · complaint | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | 2026-01-16 |
| 2025-11-10 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2025-12-17 |
| 2025-11-10 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2025-12-17 |
| 2025-09-04 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2025-09-26 |
| 2025-07-29 | Health | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | 2025-08-09 |
| 2025-07-29 | Health | F0583 | Keep residents' personal and medical records private and confidential. | D | 2025-08-09 |
| 2025-07-29 | 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 | 2025-08-09 |
| 2025-07-29 | Health | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | E | 2025-08-09 |
| 2025-07-29 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2025-08-09 |
| 2025-07-29 | Health | F0610 | Respond appropriately to all alleged violations. | E | 2025-08-09 |
| 2025-07-29 | Health | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | E | 2025-08-09 |
| 2025-07-29 | Health | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | 2025-08-09 |
| 2025-07-29 | Health | F0641 | Ensure each resident receives an accurate assessment. | E | 2025-08-09 |
| 2025-07-29 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | 2025-08-09 |
| 2025-07-29 | 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 | 2025-08-09 |
| 2025-07-29 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2025-08-09 |
| 2025-07-29 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2025-08-09 |
| 2025-07-29 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-08-09 |
| 2025-07-29 | 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 | 2025-08-09 |
| 2025-07-29 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2025-08-09 |
| 2025-07-29 | 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 | 2025-08-09 |
| 2025-07-29 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2025-08-09 |
| 2025-07-29 | 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 | 2025-08-09 |
| 2025-07-29 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | E | 2025-08-09 |
| 2025-07-29 | 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. | E | 2025-08-09 |
| 2025-07-29 | 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 | 2025-08-09 |
| 2025-07-29 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2025-08-09 |
| 2025-07-29 | Health | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | 2025-08-09 |
| 2025-07-29 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-08-09 |
| 2025-07-29 | Health | F0881 | Implement a program that monitors antibiotic use. | E | 2025-08-09 |
| 2025-07-29 | Health | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | E | 2025-08-09 |
| 2025-07-29 | 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 | 2025-08-09 |
| 2025-07-29 | Health | F0908 | Keep all essential equipment working safely. | E | 2025-08-09 |
| 2025-07-15 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-08-30 |
| 2025-07-15 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2025-08-30 |
| 2025-05-06 | 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. | D | 2025-05-24 |
| 2025-05-06 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-05-24 |
| 2025-05-06 | Health · complaint | 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 | 2025-05-24 |
| 2025-03-27 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-04-25 |
| 2025-03-27 | Health · complaint | F0908 | Keep all essential equipment working safely. | E | 2025-04-25 |
| 2025-03-12 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2025-04-04 |
| 2024-12-10 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2025-01-16 |
| 2024-12-10 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2025-01-16 |
| 2024-12-10 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-01-16 |
| 2024-09-12 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-10-09 |
| 2024-09-12 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2024-10-09 |
| 2024-08-07 | Health · complaint | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | 2024-08-20 |
| 2024-06-18 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2024-07-31 |
| 2024-06-18 | Health | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | 2024-07-31 |
| 2024-06-18 | Health | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D | 2024-07-31 |
| 2024-06-18 | 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 | 2024-07-31 |
| 2024-06-18 | 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. | D | 2024-07-31 |
| 2024-06-18 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | 2024-07-31 |
| 2024-06-18 | 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 | 2024-07-31 |
| 2024-06-18 | Health | F0637 | Assess the resident when there is a significant change in condition | D | 2024-07-31 |
| 2024-06-18 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-07-31 |
| 2024-06-18 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2024-07-31 |
| 2024-06-18 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-07-31 |
| 2024-06-18 | 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 | 2024-07-31 |
| 2024-06-18 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-07-31 |
| 2024-06-18 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-07-31 |
| 2024-06-18 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2024-07-31 |
| 2024-06-18 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2024-07-31 |
| 2024-06-18 | 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 | 2024-07-31 |
| 2024-06-18 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2024-07-31 |
| 2024-06-18 | 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 | 2024-07-31 |
| 2024-06-18 | Health | F0772 | Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. | D | 2024-07-31 |
| 2024-06-18 | Health | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | 2024-07-31 |
| 2024-06-18 | Health | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | D | 2024-07-31 |
| 2024-06-18 | Health · complaint | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | J | 2024-07-31 |
| 2024-06-18 | Health | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | 2024-07-31 |
| 2024-06-18 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-07-31 |
| 2024-05-22 | 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 | 2024-06-21 |
| 2024-05-22 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2024-06-21 |
| 2024-05-22 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-06-21 |
| 2024-03-14 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-04-02 |
| 2024-03-14 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-04-02 |
| 2024-02-27 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2024-03-14 |
| 2024-02-27 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-03-14 |
| 2024-01-24 | Health · complaint | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2024-03-07 |
| 2024-01-24 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2024-03-07 |
| 2023-10-04 | 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 | 2023-10-24 |
| 2023-09-14 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2023-10-04 |
| 2023-07-18 | Health · complaint | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2023-08-08 |
| 2023-07-18 | Health · complaint | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | 2023-08-08 |
| 2023-06-07 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-07-25 |
| 2023-06-07 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2023-07-25 |
| 2023-06-07 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2023-07-25 |
| 2023-06-07 | Health | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | 2023-07-25 |
| 2023-06-07 | 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 | 2023-07-25 |
| 2023-06-07 | 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 | 2023-07-25 |
| 2023-06-07 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2023-07-25 |
| 2023-06-07 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2023-07-25 |
| 2023-06-07 | 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 | 2023-07-25 |
| 2023-06-07 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2023-07-25 |
| 2023-06-07 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2023-07-25 |
| 2023-06-07 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2023-07-25 |
| 2023-06-07 | 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. | E | 2023-07-25 |
| 2023-06-07 | 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 | 2023-07-25 |
| 2023-06-07 | 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 | 2023-07-25 |
| 2023-06-07 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2023-07-25 |
| 2023-06-07 | Health | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | 2023-07-25 |
| 2023-06-07 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2023-07-25 |
| 2023-06-07 | Health | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | E | 2023-07-25 |
| 2023-06-07 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2023-07-25 |
| 2023-06-07 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2023-07-25 |
| 2023-06-07 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2023-07-25 |
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
10| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| KALESTA HEALTHCARE GROUP, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2025-06-01 | current | pecos_ownership |
| CLAWSON, SCOTT | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 44% | 2025-06-01 | current | pecos_ownership |
| WILLIAMS, RYAN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 44% | 2025-06-01 | current | pecos_ownership |
| MASON, MONIQUE | ADP OF THE SNF | — | 2025-06-01 | current | pecos_ownership |
| MONUMA-GUIRAND, FABIENNE | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-06-01 | current | pecos_ownership |
| RYAN WILLIAMS | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 44% | 2025-06-01 | ended 2026-05-18 | pecos_ownership |
| SCOTT CLAWSON | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 44% | 2025-06-01 | ended 2026-05-18 | pecos_ownership |
| MICAH PORTER | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 7% | 2025-06-01 | ended 2026-05-18 | pecos_ownership |
| FABIENNE MONUMA-GUIRAND | ADP OF THE SNF | — | 2025-06-01 | ended 2026-05-18 | pecos_ownership |
| MONIQUE MASON | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-06-01 | 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
0No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Comparable trades — WA snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-06-01 | Bremerton Trails Post Acute | — | — | — | 125 | RINCON BEACH, LLC |
| 2025-06-01 | Othello Post Acute | — | — | — | 39 | DOHENY BEACH, LLC |
| 2025-06-01 | Edmonds Post Acute | — | — | — | 128 | SALT CREEK BEACH, LLC |
| 2025-05-21 | AURORA VALLEY CARE | — | — | — | 124 | AURORA VALLEY CARE LLC |
| 2025-05-21 | THREE RIVERS CARE | — | — | — | 83 | THREE RIVERS CARE LLC |
| 2025-05-21 | FIR LANE CARE | — | — | — | 135 | FIR LANE CARE LLC |
| 2025-05-21 | SPOKANE FALLS CARE | — | — | — | 100 | SPOKANE FALLS CARE LLC |
| 2025-05-01 | MARIANWOOD HEALTH AND REHABILITATION | — | — | — | 117 | LUNA VEGA HEALTHCARE LLC |
| 2025-04-01 | WOODARD CREEK HEALTH & REHABILITATION | — | — | — | 152 | WOODARD SNF OPERATIONS LLC |
| 2025-03-12 | Avalon Healthcare - Tacoma | — | — | — | 81 | AVALON HEALTHCARE-TACOMA LLC |
| 2025-03-01 | SOUTH HILL REHABILITATION AND CARE CENTER | — | — | — | 113 | LAST EMPIRE HEALTHCARE LLC |
| 2024-08-01 | PINE RIDGE POST ACUTE | — | — | — | 80 | PINE RIDGE SNF HEALTHCARE LLC |
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
36| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 53035 | acs median gross | 0 | $1,379 | 2024-12-31 | CENSUS_ACS5 |
| county 53035 | fmr | 0 | $1,400 | 2025-10-01 | HUD_USER_FMR |
| county 53035 | acs median gross | 1 | $1,448 | 2024-12-31 | CENSUS_ACS5 |
| county 53035 | fmr | 1 | $1,548 | 2025-10-01 | HUD_USER_FMR |
| county 53035 | acs median gross | 2 | $1,780 | 2024-12-31 | CENSUS_ACS5 |
| county 53035 | fmr | 2 | $2,031 | 2025-10-01 | HUD_USER_FMR |
| county 53035 | acs median gross | 3 | $2,217 | 2024-12-31 | CENSUS_ACS5 |
| county 53035 | fmr | 3 | $2,676 | 2025-10-01 | HUD_USER_FMR |
| county 53035 | acs median gross | 4 | $2,360 | 2024-12-31 | CENSUS_ACS5 |
| county 53035 | fmr | 4 | $2,941 | 2025-10-01 | HUD_USER_FMR |
| county 53035 | acs median gross | 5 | $2,331 | 2024-12-31 | CENSUS_ACS5 |
| county 53035 | acs median gross | $1,822 | 2024-12-31 | CENSUS_ACS5 | |
| county 53035 | acs recent mover gross | $2,007 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 98312 | acs median gross | 0 | $1,465 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98312 | acs median gross | 1 | $1,278 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98312 | acs median gross | 2 | $1,691 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98312 | acs median gross | 3 | $2,146 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98312 | acs median gross | 4 | $2,308 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98312 | acs median gross | 5 | $2,549 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98312 | acs median gross | $1,739 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 98312 | acs recent mover gross | $2,015 | 2024-12-31 | CENSUS_ACS5 | |
| zip 98312 | payment standard 110 | 0 | $1,452 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98312 | payment standard 90 | 0 | $1,188 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98312 | safmr | 0 | $1,320 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98312 | payment standard 110 | 1 | $1,606 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98312 | payment standard 90 | 1 | $1,314 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98312 | safmr | 1 | $1,460 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98312 | payment standard 110 | 2 | $2,101 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98312 | payment standard 90 | 2 | $1,719 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98312 | safmr | 2 | $1,910 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98312 | payment standard 110 | 3 | $2,772 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98312 | payment standard 90 | 3 | $2,268 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98312 | safmr | 3 | $2,520 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98312 | payment standard 110 | 4 | $3,069 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98312 | payment standard 90 | 4 | $2,511 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98312 | safmr | 4 | $2,790 | 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.