CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)
AS OF 2026-08-05 02:54 UTC
Screener / 056231
B

LASSEN NURSING & REHABILITATION CENTER

snfCA
2005 RIVER STREET, SUSANVILLE, CA 96130 · CCN 056231 · chain WHEATEN LLC
Composite
45.0 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
96
Model
v1.2
Reads as: riskier than 45.0% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk58.649.30.300.230813.52in index
billing conduct56.742.20.300.230813.08in index
financial risk30.934.40.300.23087.13in index
staffing risk33.633.70.250.19236.46in index
chow risk55.653.80.150.11546.42in 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

2
KindFindingSignalSubjectFirst seen
connectionOwner spans multiple chains5 chainsWINTNER JACOB35 facilities
connectionOwner spans multiple chains5 chainsSMEDRA IRA30 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 typeScoreGradeModelStatusRegistry model notes
billing conduct42.2Bv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk25.0Bv0.1-posdefault · in compositeChange-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure.
chow risk82.7Fv0.6default · in composite
financial risk34.4Bv0.5default · in compositeR18.
p adverse action 12m0.0v0.1default · in compositeR23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite.
p chow 12m5.5v0.1default · in compositeR22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite.
regulatory risk49.3Cv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk33.7Bv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk94.6Fv0.1supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk74.6Dv0.2supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk35.8Bv0.3supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk40.4Bv0.4supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
regulatory risk49.3Cv0.1supersededPre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
regulatory risk49.3Cv0.2supersededPre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
staffing risk33.7Bv0.1supersededPre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
staffing risk33.7Bv0.2supersededPre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.

CHOW radar — 12-month sale probability

full board →
p(CHOW, 12m)
5.5%
model v0.1 · computed 2026-07-29
Percentile among SNFs
90.9
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
For-profit ownership1.00+0.69
Never sold on record1.00+0.62
Current owner tenure (years)25.00+0.57
Chain size (log)4.29+0.51
Occupancy0.84-0.42
No PBJ staffing report0.00+0.42
Ownership changes, last 5 years0.00+0.20
Total nurse staffing (HPRD)3.58-0.11
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
10.1
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Chain size (log)4.29-1.29
For-profit ownership1.00-0.69
Occupancy0.84-0.40
No PBJ staffing report0.00+0.39
Deficiencies, last 12 months9.00-0.24
Staffing trend, last 4 quarters0.56+0.24
Fine amount, 12m (log)0.00+0.18
Total nurse staffing (HPRD)3.58-0.15
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 HPRDThis facilityCA medianNational medianNational p25–p75
Total nurse3.583.953.282.90–3.77
RN0.300.380.390.25–0.58
Weekend total3.283.793.11
Weekday total3.704.013.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49281.03.580.300.962.323.289.3%
2025Q39285.33.550.331.032.193.288.0%
2025Q29184.33.250.250.962.043.120.0%
2025Q19086.03.030.350.901.792.810.0%
2024Q49284.23.020.280.911.832.920.0%
2024Q39283.33.240.340.882.023.100.0%
2024Q29180.13.210.260.822.133.050.0%
2024Q19180.12.920.220.791.902.750.0%
2023Q49279.22.730.180.851.702.610.0%
2023Q39275.52.540.200.881.462.310.7%
2023Q29174.32.230.130.911.192.096.4%
2023Q19062.32.740.160.991.592.630.0%
2022Q49251.43.060.091.141.832.800.0%
2022Q39248.53.200.071.271.863.100.0%
2022Q29152.42.730.021.071.642.530.0%
2022Q19051.12.850.071.081.702.460.0%
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

0
No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.

Deficiencies

56
D × 33E × 19F × 4
deficiencies by survey year
22111921232526
SurveyTypeTagDeficiencyScopeCorrected
2026-04-08Health · complaintF0760Ensure that residents are free from significant medication errors.D2026-04-16
2026-02-04Health · complaintF0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.D2026-02-09
2025-09-12Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2025-09-25
2025-09-12Health · complaintF0637Assess the resident when there is a significant change in conditionD2025-09-25
2025-09-12Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-09-25
2025-09-12Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2025-09-25
2025-09-12Health · complaintF0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.E2025-09-25
2025-09-12Health · complaintF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.E2025-09-25
2025-09-12Health · complaintF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D2025-09-25
2025-07-17Health · complaintF0602Protect each resident from the wrongful use of the resident's belongings or money.D2025-07-30
2025-07-17Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-07-30
2025-07-17Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E2025-07-30
2025-07-17Health · complaintF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.D2025-07-30
2025-04-17Health · complaintF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2025-04-30
2025-04-17Health · complaintF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2025-04-30
2025-04-17Health · complaintF0880Provide and implement an infection prevention and control program.E2025-04-30
2025-04-17Health · complaintF0919Make sure that a working call system is available in each resident's bathroom and bathing area.E2025-04-30
2024-10-24HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2024-11-11
2024-10-24HealthF0584Honor 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.D2024-11-11
2024-10-24HealthF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2024-11-11
2024-10-24HealthF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E2024-11-11
2024-10-24HealthF0759Ensure medication error rates are not 5 percent or greater.D2024-11-11
2024-10-24HealthF0761Ensure 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.D2024-11-11
2024-10-24HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2024-11-11
2024-10-24HealthF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.D2024-11-11
2024-10-24HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2024-11-11
2024-10-24HealthF0880Provide and implement an infection prevention and control program.E2024-11-11
2024-07-31Health · complaintF0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.D2024-08-08
2024-05-21Health · complaintF0565Honor the resident's right to organize and participate in resident/family groups in the facility.E2024-05-29
2024-05-21Health · complaintF0697Provide safe, appropriate pain management for a resident who requires such services.D2024-05-29
2024-05-21Health · complaintF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E2024-05-29
2024-05-21Health · complaintF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D2024-05-29
2024-05-21Health · complaintF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.D2024-05-29
2024-05-21Health · complaintF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D2024-05-29
2024-05-21Health · complaintF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.D2024-05-29
2024-05-21Health · complaintF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.D2024-05-29
2024-04-04Health · complaintF0552Ensure that residents are fully informed and understand their health status, care and treatments.E2024-05-02
2024-04-04Health · complaintF0641Ensure each resident receives an accurate assessment.E2024-04-29
2024-04-04Health · complaintF0791Provide or obtain dental services for each resident.E2024-05-03
2023-12-13Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2023-12-29
2023-08-04HealthF0584Honor 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.D2023-08-21
2023-08-04HealthF0637Assess the resident when there is a significant change in conditionD2023-08-21
2023-08-04HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2023-08-21
2023-08-04HealthF0727Have 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.E2023-08-21
2023-08-04HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2023-08-22
2023-08-04HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2023-08-23
2023-08-04HealthF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.D2023-08-23
2023-08-04HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D2023-08-23
2019-09-12HealthF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D2019-10-24
2019-09-12HealthF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D2019-10-24
2019-09-12HealthF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.F2019-10-24
2019-09-12HealthF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.F2019-10-24
2019-09-12HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2019-10-24
2019-09-12HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2019-10-24
2019-09-12HealthF0908Keep all essential equipment working safely.F2019-10-24
2019-09-12HealthF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E2019-10-24
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.

Licensure actions

0
No licensure actions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.

Ownership

40
OwnerRolePctFromStatusSource
CRESCENT FACILITIES OPERATIONS LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2006-12-19currentpecos_ownership
WIN WIN ENTERPRISES, LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST35%2007-02-01currentpecos_ownership
JENMAX ENTERPRISES LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST23%2007-02-01currentpecos_ownership
JK-CSH JV LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST12%2006-11-01currentpecos_ownership
MANHATTAN FIVE PARTNERS LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST7%2006-11-01currentpecos_ownership
BERING PROPERTIES LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST6%2007-02-01currentpecos_ownership
2005 RIVER LLCOther (financial or non-financial)2024-01-01currenthcris_a_8_1
2005 RIVER LLCOther (financial or non-financial)2023-01-01currenthcris_a_8_1
2005 RIVER, LLCADP OF THE SNF2010-12-01currentpecos_ownership
BH ALLIANCEINDIRECT OWNERSHIP INTEREST2006-11-01currentpecos_ownership
BRETSCH, GREGORYOPERATIONAL/MANAGERIAL CONTROL2019-02-25currentpecos_ownership
BUTENKO, JULIEADP OF THE SNF2023-07-24currentpecos_ownership
CAMBRIDGE HEALTHCARE SERVICES LLCOPERATIONAL/MANAGERIAL CONTROL2014-04-01currentpecos_ownership
CAMBRIDGE HEALTHCARE SERVICES LLCADP OF THE SNF2025-07-17currentpecos_ownership
CAPELA, HEIDIADP OF THE SNF2023-04-03currentpecos_ownership
FITZGERALD, LORRIEOPERATIONAL/MANAGERIAL CONTROL2024-02-04currentpecos_ownership
FITZGERALD, LORRIEADP OF THE SNF2025-07-16currentpecos_ownership
HASSELL, LANCEOPERATIONAL/MANAGERIAL CONTROL2022-04-25currentpecos_ownership
LUTZ, LINDAADP OF THE SNF2012-02-01currentpecos_ownership
SALAZAR, PAULINAADP OF THE SNF2020-12-14currentpecos_ownership
SHARMA, AISHWARYAOPERATIONAL/MANAGERIAL CONTROL2025-11-01currentpecos_ownership
SMEDRA, IRAOPERATIONAL/MANAGERIAL CONTROL2007-01-01currentpecos_ownership
SMEDRA, IRAADP OF THE SNF2007-02-01currentpecos_ownership
SWARTZ, MELISSAOPERATIONAL/MANAGERIAL CONTROL2019-07-02currentpecos_ownership
THE JACOB WINTNER TRUSTINDIRECT OWNERSHIP INTEREST2006-11-01currentpecos_ownership
THE WINTNER LIVING TRUST DATED 7/08/1992INDIRECT OWNERSHIP INTEREST2007-02-01currentpecos_ownership
WINTNER, JACOBINDIRECT OWNERSHIP INTEREST2007-02-01currentpecos_ownership
WHEATEN LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST12%2007-02-01ended 2026-05-18pecos_ownership
JENNIFER NURIT SMEDRA TRUST 1997 TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST12%2007-02-01ended 2026-05-18pecos_ownership
JENNIFER SMEDRA5% OR GREATER INDIRECT OWNERSHIP INTEREST12%2007-02-01ended 2026-05-18pecos_ownership
FRANCINE WINTNER5% OR GREATER INDIRECT OWNERSHIP INTEREST9%2007-02-01ended 2026-05-18pecos_ownership
JACOB WINTNER5% OR GREATER INDIRECT OWNERSHIP INTEREST9%2007-02-01ended 2026-05-18pecos_ownership
THE HYMAN & BETTY INGBER FAMILY TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST6%2013-10-10ended 2026-05-18pecos_ownership
IRA SMEDRA5% OR GREATER INDIRECT OWNERSHIP INTEREST6%2007-02-01ended 2026-05-18pecos_ownership
IRA & RACHEL SMEDRA FAMILY IRREVOCABLE GIFT TRUST5% OR GREATER INDIRECT OWNERSHIP INTEREST6%2007-02-01ended 2026-05-18pecos_ownership
2005 RIVER LLCOther (financial or non-financial)2021-01-01ended 2021-12-31hcris_a_8_1
2005 RIVER LLCOther (financial or non-financial)2020-01-01ended 2020-12-31hcris_a_8_1
2005 RIVER LLCOther (financial or non-financial)2022-01-01ended 2022-12-31hcris_a_8_1
CASSANDRA GARRARDOPERATIONAL/MANAGERIAL CONTROL2017-04-06ended 2026-05-18pecos_ownership
HEATHER LANGFORDOTHER2017-05-01ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

0
No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.

Comparable trades — CA snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-08-01Turlock Nursing & Rehabilitation Center144TRACY RIDGE HEALTHCARE, INC.
2025-04-01ALAMITOS WEST HEALTH & REHABILITATION150MALCOLM HEALTHCARE, INC.
2025-04-01PACIFIC HAVEN SUBACUTE AND HEALTHCARE CENTER99STRAWBERRY POND HEALTHCARE LLC
2025-01-16GOLDEN HARBOR HEALTHCARE CENTER99CEYLON HOLDINGS LLC
2024-12-30GRASS VALLEY HEALTHCARE CENTER86HEISMAN LLC
2024-10-01REDWOOD GROVE POST ACUTE144SOQUEL CARE LLC
2024-09-01OAK GROVE POST ACUTE1194545 SHELLEY COURT OPCO, LLC
2024-08-01WE CARE SKILLED NURSING - FREMONT99WE CARE SKILLED NURSING-FREMONT, LLC
2024-05-01MAJESTIC MOUNTAIN CARE CENTER66OAKHURST SKILLED CARE LLC
2024-04-01THE BRADLEY GARDENS44GHC OF SAN JACINTO LLC
2024-04-01SANTA FE POST-ACUTE187SKILLED BOBIER LLC
2024-04-01BAYSHIRE SAN DIMAS POST-ACUTE45SKILLED 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

32
GeoKindBRAmountAs ofSource
county 06035acs median gross0$5832024-12-31CENSUS_ACS5
county 06035fmr0$8822025-10-01HUD_USER_FMR
county 06035acs median gross1$6872024-12-31CENSUS_ACS5
county 06035fmr1$1,0162025-10-01HUD_USER_FMR
county 06035acs median gross2$9722024-12-31CENSUS_ACS5
county 06035fmr2$1,2792025-10-01HUD_USER_FMR
county 06035acs median gross3$1,3772024-12-31CENSUS_ACS5
county 06035fmr3$1,7792025-10-01HUD_USER_FMR
county 06035fmr4$2,1462025-10-01HUD_USER_FMR
county 06035acs median gross$1,0002024-12-31CENSUS_ACS5
county 06035acs recent mover gross$1,0742024-12-31CENSUS_ACS5
zcta 96130acs median gross0$5812024-12-31CENSUS_ACS5
zcta 96130acs median gross1$6782024-12-31CENSUS_ACS5
zcta 96130acs median gross2$9282024-12-31CENSUS_ACS5
zcta 96130acs median gross3$1,4552024-12-31CENSUS_ACS5
zcta 96130acs median gross$9602024-12-31CENSUS_ACS5
zcta 96130acs recent mover gross$1,1482024-12-31CENSUS_ACS5
zip 96130payment standard 1100$9462025-10-01HUD_USER_SAFMR
zip 96130payment standard 900$7742025-10-01HUD_USER_SAFMR
zip 96130safmr0$8602025-10-01HUD_USER_SAFMR
zip 96130payment standard 1101$1,0892025-10-01HUD_USER_SAFMR
zip 96130payment standard 901$8912025-10-01HUD_USER_SAFMR
zip 96130safmr1$9902025-10-01HUD_USER_SAFMR
zip 96130payment standard 1102$1,3752025-10-01HUD_USER_SAFMR
zip 96130payment standard 902$1,1252025-10-01HUD_USER_SAFMR
zip 96130safmr2$1,2502025-10-01HUD_USER_SAFMR
zip 96130payment standard 1103$1,9142025-10-01HUD_USER_SAFMR
zip 96130payment standard 903$1,5662025-10-01HUD_USER_SAFMR
zip 96130safmr3$1,7402025-10-01HUD_USER_SAFMR
zip 96130payment standard 1104$2,3102025-10-01HUD_USER_SAFMR
zip 96130payment standard 904$1,8902025-10-01HUD_USER_SAFMR
zip 96130safmr4$2,1002025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.