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 2026-08-04 16:14 UTC
Screener / 056267
B

CAMINO HEALTHCARE

snfCA
13922 CERISE AVENUE, HAWTHORNE, CA 90250 · CCN 056267 · chain THE ENSIGN GROUP INC
Composite
51.3 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
99
Model
v1.2
Reads as: riskier than 51.3% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk82.679.50.300.230819.06in index
billing conduct75.350.30.300.230817.38in index
financial risk25.430.90.300.23085.86in index
staffing risk22.422.50.250.19234.31in index
chow risk19.919.30.150.11542.30in 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
KindFindingSignalSubjectFirst seen
connectionOwner spans multiple chains18 chainsENSIGN SERVICES INC 286 facilities
connectionOwner spans multiple chains17 chainsBURNAM SOON335 facilities
connectionOwner spans multiple chains17 chainsKEETCH CHAD283 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 conduct50.3Cv0.1-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 risk13.6Av0.6default · in composite
financial risk30.9Bv0.5default · 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 12m0.1v0.1default · 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 risk79.5Dv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk22.5Av0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk94.7Fv0.1supersededPre-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 risk74.7Dv0.2supersededPre-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 risk44.0Bv0.3supersededPre-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 risk36.1Bv0.4supersededPre-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 risk79.5Dv0.1supersededPre-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 risk79.5Dv0.2supersededPre-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 risk22.5Av0.1supersededPre-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 risk22.5Av0.2supersededPre-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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
30.7
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Never sold on record0.00-1.62
Current owner tenure (years)5.57-1.31
Chain size (log)5.46+0.76
For-profit ownership1.00+0.69
Occupancy0.92-0.66
No PBJ staffing report0.00+0.42
Deficiencies, last 12 months19.00+0.29
Ownership changes, last 5 years0.00+0.20
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.

Distress radar — 12-month termination probability

full board →
p(termination, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
0.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Deficiencies, last 12 months19.00-2.09
Chain size (log)5.46-1.98
Occupancy0.92-0.74
For-profit ownership1.00-0.69
Fine amount, 12m (log)9.12-0.49
No PBJ staffing report0.00+0.39
Never sold on record0.00-0.28
Total nurse staffing (HPRD)3.84-0.26
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 nurse3.843.953.282.90–3.77
RN0.300.380.390.25–0.58
Weekend total3.603.793.11
Weekday total3.944.013.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49291.53.840.301.092.463.600.0%
2025Q39289.13.990.251.132.623.650.0%
2025Q29191.33.920.281.042.603.580.0%
2025Q19092.53.770.271.072.433.510.0%
2024Q49291.43.860.320.972.583.620.0%
2024Q39291.93.980.361.032.583.630.0%
2024Q29190.33.940.351.022.563.580.0%
2024Q19190.73.900.351.022.523.630.0%
2023Q49283.33.890.371.112.413.590.0%
2023Q39284.33.650.351.102.193.200.1%
2023Q29185.93.390.420.922.053.076.3%
2023Q19092.73.130.380.851.912.802.3%
2022Q49290.13.140.240.812.092.842.3%
2022Q39290.53.020.150.822.042.623.3%
2022Q29184.72.870.170.851.862.435.8%
2022Q19077.52.780.110.981.692.480.0%
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

1
DateTypeFineSource
2025-08-07Fine$9,110CMS provider data
Total fines on record: $9,110

Deficiencies

67
D × 58E × 7G × 2
deficiencies by survey year
241223242526
SurveyTypeTagDeficiencyScopeCorrected
2026-04-03Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2026-04-20
2026-03-13HealthF0552Ensure that residents are fully informed and understand their health status, care and treatments.D2026-04-02
2026-03-13HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2026-04-02
2026-03-13HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2026-04-02
2026-03-13HealthF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2026-04-02
2026-03-13HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2026-04-02
2026-03-13HealthF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.D2026-04-02
2026-03-13HealthF0761Ensure 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.D2026-04-02
2026-03-13HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D2026-04-02
2026-03-13HealthF0814Dispose of garbage and refuse properly.D2026-04-02
2026-03-13HealthF0880Provide and implement an infection prevention and control program.D2026-04-02
2026-02-17Health · complaintF0880Provide and implement an infection prevention and control program.D2026-02-26
2025-12-01Health · complaintF0880Provide and implement an infection prevention and control program.D2025-12-12
2025-09-10Health · 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
2025-09-10Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2025-09-25
2025-09-10Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-09-25
2025-09-10Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2025-09-25
2025-08-07Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-09-03
2025-08-07Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2025-09-03
2025-05-22Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2025-06-01
2025-05-22Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2025-06-01
2025-05-22Health · complaintF0880Provide and implement an infection prevention and control program.D2025-06-01
2025-04-30Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-05-15
2025-04-14Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-04-30
2025-04-01Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2025-04-08
2025-04-01Health · complaintF0770Provide timely, quality laboratory services/tests to meet the needs of residents.D2025-04-08
2024-12-20HealthF0584Honor 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.E2025-01-08
2024-12-20HealthF0641Ensure each resident receives an accurate assessment.D2025-01-08
2024-12-20HealthF0645PASARR screening for Mental disorders or Intellectual DisabilitiesD2025-01-08
2024-12-20HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-01-08
2024-12-20HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2025-01-08
2024-12-20HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E2025-01-08
2024-12-20HealthF0692Provide enough food/fluids to maintain a resident's health.D2025-01-08
2024-12-20HealthF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.D2025-01-08
2024-12-20HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2025-01-08
2024-12-20HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2025-01-08
2024-12-20HealthF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.D2025-01-08
2024-12-20HealthF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.D2025-01-08
2024-12-20HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2025-01-08
2024-12-20HealthF0760Ensure that residents are free from significant medication errors.D2025-01-08
2024-12-20HealthF0761Ensure 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.D2025-01-08
2024-12-20HealthF0770Provide timely, quality laboratory services/tests to meet the needs of residents.D2025-01-08
2024-12-20HealthF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D2025-01-08
2024-12-05Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2024-12-23
2024-12-05Health · complaintF0880Provide and implement an infection prevention and control program.D2024-12-23
2024-11-21Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2024-11-30
2024-10-23Health · complaintF0695Provide safe and appropriate respiratory care for a resident when needed.D2024-11-05
2024-10-09Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2024-10-24
2024-07-09Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2024-07-19
2024-02-13Health · complaintF0660Plan the resident's discharge to meet the resident's goals and needs.D2024-02-26
2023-12-15HealthF0558Reasonably accommodate the needs and preferences of each resident.E2023-12-30
2023-12-15HealthF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.D2023-12-30
2023-12-15HealthF0578Honor 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.D2023-12-30
2023-12-15HealthF0645PASARR screening for Mental disorders or Intellectual DisabilitiesD2023-12-30
2023-12-15HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2023-12-30
2023-12-15HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2023-12-30
2023-12-15HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2023-12-30
2023-12-15HealthF0880Provide and implement an infection prevention and control program.E2023-12-30
2023-12-06Health · complaintF0880Provide and implement an infection prevention and control program.E2023-12-07
2023-11-17Health · complaintF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2023-12-07
2023-11-14Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2023-11-29
2023-11-14Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2023-11-29
2023-11-14Health · complaintF0758Implement 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.D2023-11-29
2023-08-24Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.G2023-09-14
2023-07-06Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2023-07-29
2023-06-22Health · complaintF0558Reasonably accommodate the needs and preferences of each resident.E2023-07-10
2023-06-22Health · complaintF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2023-07-10
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

23
OwnerRolePctFromStatusSource
13922 CERISE AVENUE, LLCADP OF THE SNF2021-01-01currentpecos_ownership
BURNAM, SOONCORPORATE OFFICER2018-10-31currentpecos_ownership
ENSIGN SERVICES INCADP OF THE SNF2021-01-01currentpecos_ownership
FORSGREN, MICHAELADP OF THE SNF2025-06-24currentpecos_ownership
FORSGREN, MICHAELMANAGING CONTROL - GOVERNING BODY2021-01-01currentpecos_ownership
KEETCH, CHADCORPORATE OFFICER2011-03-01currentpecos_ownership
KIM, JESSECORPORATE OFFICER2024-09-20currentpecos_ownership
PATEL, PARYUSOPERATIONAL/MANAGERIAL CONTROL2021-01-01currentpecos_ownership
PATEL, PARYUSADP OF THE SNF2025-06-21currentpecos_ownership
PORT, BARRYINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF2025-06-21currentpecos_ownership
SATO, AMICORPORATE OFFICER2024-09-09currentpecos_ownership
WILLITS, ADAMCORPORATE DIRECTOR2018-10-31currentpecos_ownership
FLAGSTONE HEALTHCARE SOUTH LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2018-10-31ended 2026-05-18pecos_ownership
THE ENSIGN GROUP INC5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2018-10-31ended 2026-05-18pecos_ownership
MICHAEL FORSGRENOPERATIONAL/MANAGERIAL CONTROL0%2021-01-01ended 2026-05-18pecos_ownership
ADAM WILLITSCORPORATE DIRECTOR2018-10-31ended 2026-05-18pecos_ownership
AMI SATOCORPORATE OFFICER2024-09-09ended 2026-05-18pecos_ownership
CHAD KEETCHCORPORATE OFFICER2011-03-01ended 2026-05-18pecos_ownership
JESSE KIMCORPORATE OFFICER2024-09-20ended 2026-05-18pecos_ownership
MICHAEL FORSGRENADP OF THE SNF2025-06-24ended 2026-05-18pecos_ownership
PARYUS PATELADP OF THE SNF2025-06-21ended 2026-05-18pecos_ownership
PARYUS PATELOPERATIONAL/MANAGERIAL CONTROL2021-01-01ended 2026-05-18pecos_ownership
SOON BURNAMCORPORATE OFFICER2018-10-31ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

1
Close datePriceBuyerSellerEvidence
2021-01-01PINE FOREST HEALTHCARE INCSANDHURST CONVALESCENT GROUP LTDchow

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

36
GeoKindBRAmountAs ofSource
county 06037acs median gross0$1,5232024-12-31CENSUS_ACS5
county 06037fmr0$1,8632025-10-01HUD_USER_FMR
county 06037acs median gross1$1,7242024-12-31CENSUS_ACS5
county 06037fmr1$2,0852025-10-01HUD_USER_FMR
county 06037acs median gross2$2,1272024-12-31CENSUS_ACS5
county 06037fmr2$2,6012025-10-01HUD_USER_FMR
county 06037acs median gross3$2,4842024-12-31CENSUS_ACS5
county 06037fmr3$3,2982025-10-01HUD_USER_FMR
county 06037acs median gross4$2,8662024-12-31CENSUS_ACS5
county 06037fmr4$3,6722025-10-01HUD_USER_FMR
county 06037acs median gross5$2,7672024-12-31CENSUS_ACS5
county 06037acs median gross$1,9542024-12-31CENSUS_ACS5
county 06037acs recent mover gross$2,3582024-12-31CENSUS_ACS5
zcta 90250acs median gross0$1,4182024-12-31CENSUS_ACS5
zcta 90250acs median gross1$1,6682024-12-31CENSUS_ACS5
zcta 90250acs median gross2$1,9442024-12-31CENSUS_ACS5
zcta 90250acs median gross3$2,4642024-12-31CENSUS_ACS5
zcta 90250acs median gross4$3,0582024-12-31CENSUS_ACS5
zcta 90250acs median gross5$2,0832024-12-31CENSUS_ACS5
zcta 90250acs median gross$1,7832024-12-31CENSUS_ACS5
zcta 90250acs recent mover gross$1,8682024-12-31CENSUS_ACS5
zip 90250payment standard 1100$2,1232025-10-01HUD_USER_SAFMR
zip 90250payment standard 900$1,7372025-10-01HUD_USER_SAFMR
zip 90250safmr0$1,9302025-10-01HUD_USER_SAFMR
zip 90250payment standard 1101$2,3762025-10-01HUD_USER_SAFMR
zip 90250payment standard 901$1,9442025-10-01HUD_USER_SAFMR
zip 90250safmr1$2,1602025-10-01HUD_USER_SAFMR
zip 90250payment standard 1102$2,9592025-10-01HUD_USER_SAFMR
zip 90250payment standard 902$2,4212025-10-01HUD_USER_SAFMR
zip 90250safmr2$2,6902025-10-01HUD_USER_SAFMR
zip 90250payment standard 1103$3,7512025-10-01HUD_USER_SAFMR
zip 90250payment standard 903$3,0692025-10-01HUD_USER_SAFMR
zip 90250safmr3$3,4102025-10-01HUD_USER_SAFMR
zip 90250payment standard 1104$4,1802025-10-01HUD_USER_SAFMR
zip 90250payment standard 904$3,4202025-10-01HUD_USER_SAFMR
zip 90250safmr4$3,8002025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.