Composite
69.2 / 100 percentile
Screener / 055735
C
DELTA OAKS POST ACUTE
snfCA
6940 PACIFIC AVENUE, STOCKTON, CA 95207 · CCN 055735 · chain 9560 PICO LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
128
Model
v1.2
Reads as: riskier than 69.2% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
Score model5Components16CHOW radar1Distress radar1Staffing16Penalties0Deficiencies111Licensure0Ownership20Related party5Transactions0Comps12Market rent35
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| billing conduct | 98.7 | 73.8 | 0.30 | 0.2308 | 22.78 | in index |
| regulatory risk | 65.6 | 58.6 | 0.30 | 0.2308 | 15.14 | in index |
| financial risk | 52.6 | 47.1 | 0.30 | 0.2308 | 12.14 | in index |
| chow risk | 25.1 | 24.2 | 0.15 | 0.1154 | 2.90 | in index |
| staffing risk | 14.0 | 14.1 | 0.25 | 0.1923 | 2.69 | in index |
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
Component scores and registry models
16| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 73.8 | D | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 25.0 | B | v0.1-pos | default · in composite | Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure. |
| chow risk | 23.3 | A | v0.6 | default · in composite | |
| financial risk | 47.1 | C | 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 | 6.7 | — | 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 | 58.6 | C | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 14.1 | A | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 56.7 | C | 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 | 36.7 | B | 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 | 57.4 | C | 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 | 49.8 | 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 | 58.6 | C | v0.1 | superseded | Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 58.6 | C | v0.2 | superseded | Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| staffing risk | 14.1 | A | v0.1 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| staffing risk | 14.1 | A | v0.2 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
CHOW radar — 12-month sale probability
full board →p(CHOW, 12m)
6.7%
model v0.1 · computed 2026-07-29
Percentile among SNFs
94.1
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 36.00 | +0.70 | |
| 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 | |
| Occupancy | 0.84 | -0.41 | |
| Chain size (log) | 3.26 | +0.29 | |
| Total nurse staffing (HPRD) | 4.14 | -0.22 |
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Distress radar — 12-month termination probability
full board →p(termination, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
0.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 36.00 | -5.25 | |
| Chain size (log) | 3.26 | -0.69 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Total nurse staffing (HPRD) | 4.14 | -0.39 | |
| Occupancy | 0.84 | -0.38 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Never sold on record | 1.00 | +0.12 |
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
16| 2025Q4 HPRD | This facility | CA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 4.14 | 3.95 | 3.28 | 2.90–3.77 |
| RN | 0.44 | 0.38 | 0.39 | 0.25–0.58 |
| Weekend total | 4.05 | 3.79 | 3.11 | — |
| Weekday total | 4.18 | 4.01 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 107.4 | 4.14 | 0.44 | 1.34 | 2.36 | 4.05 | 0.0% |
| 2025Q3 | 92 | 101.4 | 4.65 | 0.38 | 1.39 | 2.88 | 4.44 | 0.0% |
| 2025Q2 | 91 | 98.4 | 4.22 | 0.34 | 1.39 | 2.49 | 4.04 | 0.0% |
| 2025Q1 | 90 | 100.3 | 3.98 | 0.30 | 1.37 | 2.31 | 3.83 | 0.0% |
| 2024Q4 | 92 | 105.7 | 4.09 | 0.34 | 1.36 | 2.39 | 4.09 | 0.0% |
| 2024Q3 | 92 | 117.4 | 4.06 | 0.42 | 1.40 | 2.24 | 4.03 | 0.0% |
| 2024Q2 | 91 | 117.1 | 4.17 | 0.44 | 1.49 | 2.24 | 4.04 | 0.0% |
| 2024Q1 | 91 | 113.9 | 4.26 | 0.39 | 1.58 | 2.28 | 4.15 | 0.0% |
| 2023Q4 | 92 | 110.5 | 4.43 | 0.37 | 1.63 | 2.43 | 4.17 | 0.0% |
| 2023Q3 | 92 | 111.3 | 4.31 | 0.34 | 1.64 | 2.33 | 4.00 | 0.0% |
| 2023Q2 | 91 | 111.7 | 4.05 | 0.35 | 1.62 | 2.09 | 3.77 | 0.0% |
| 2023Q1 | 90 | 108.0 | 3.98 | 0.37 | 1.60 | 2.02 | 3.69 | 0.0% |
| 2022Q4 | 92 | 107.3 | 4.06 | 0.35 | 1.63 | 2.08 | 3.71 | 0.0% |
| 2022Q3 | 92 | 107.4 | 4.15 | 0.34 | 1.63 | 2.18 | 3.79 | 0.0% |
| 2022Q2 | 91 | 109.5 | 4.11 | 0.34 | 1.71 | 2.06 | 3.62 | 0.2% |
| 2022Q1 | 90 | 106.2 | 3.95 | 0.35 | 1.59 | 2.00 | 3.52 | 0.1% |
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.
Penalties
0No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
111D × 69E × 37F × 2G × 3
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-21 | Health · complaint | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2026-04-24 |
| 2026-04-21 | Health · complaint | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2026-04-24 |
| 2026-04-15 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | — |
| 2026-04-15 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | — |
| 2026-04-15 | 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 | — |
| 2026-04-15 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | — |
| 2026-04-02 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-04-24 |
| 2026-04-02 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2026-04-24 |
| 2026-04-02 | Health · complaint | F0637 | Assess the resident when there is a significant change in condition | D | 2026-04-24 |
| 2026-04-02 | Health · complaint | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | 2026-04-24 |
| 2026-03-05 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2026-03-06 |
| 2026-02-17 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2026-02-18 |
| 2026-02-17 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2026-02-18 |
| 2025-12-30 | Health · complaint | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2026-02-10 |
| 2025-12-04 | Health · complaint | F0814 | Dispose of garbage and refuse properly. | D | 2025-12-08 |
| 2025-11-24 | Health · complaint | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | 2025-12-08 |
| 2025-10-02 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2025-10-27 |
| 2025-10-02 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2025-10-27 |
| 2025-10-02 | 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 | 2025-10-27 |
| 2025-10-02 | 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. | D | 2025-10-27 |
| 2025-10-02 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2025-10-27 |
| 2025-10-02 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-10-27 |
| 2025-10-02 | Health | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | 2025-10-27 |
| 2025-10-02 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2025-10-27 |
| 2025-10-02 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2025-10-27 |
| 2025-10-02 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2025-10-27 |
| 2025-10-02 | 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 | 2025-10-27 |
| 2025-10-02 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-10-27 |
| 2025-10-02 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2025-10-27 |
| 2025-10-02 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2025-10-27 |
| 2025-10-02 | 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. | D | 2025-10-27 |
| 2025-09-25 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2025-10-03 |
| 2025-09-25 | 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 | 2025-10-03 |
| 2025-09-25 | Health · complaint | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2025-10-03 |
| 2025-08-22 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-08-23 |
| 2025-08-08 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-08-09 |
| 2025-06-25 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-06-11 |
| 2025-06-18 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2025-06-19 |
| 2025-06-05 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-06-06 |
| 2025-05-27 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-06-10 |
| 2025-05-15 | Health · complaint | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | 2025-05-16 |
| 2025-04-08 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2025-04-09 |
| 2025-02-06 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-02-28 |
| 2024-11-05 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-10-30 |
| 2024-11-05 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-10-30 |
| 2024-11-05 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-10-30 |
| 2024-10-22 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-11-15 |
| 2024-10-22 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-11-15 |
| 2024-10-22 | Health · complaint | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2024-11-15 |
| 2024-10-22 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-11-15 |
| 2024-10-18 | 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. | D | 2024-10-07 |
| 2024-10-18 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2024-10-07 |
| 2024-09-04 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2024-09-05 |
| 2024-08-22 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-08-23 |
| 2024-08-01 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-08-12 |
| 2024-08-01 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | 2024-08-12 |
| 2024-08-01 | Health | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | 2024-08-12 |
| 2024-08-01 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-08-12 |
| 2024-08-01 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-08-12 |
| 2024-08-01 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2024-08-12 |
| 2024-08-01 | 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 | 2024-08-12 |
| 2024-08-01 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-08-12 |
| 2024-08-01 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-08-12 |
| 2024-08-01 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-08-12 |
| 2024-08-01 | Health | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | 2024-08-12 |
| 2024-08-01 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2024-08-12 |
| 2024-08-01 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2024-08-12 |
| 2024-08-01 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2024-08-12 |
| 2024-08-01 | Health | F0760 | Ensure that residents are free from significant medication errors. | E | 2024-08-12 |
| 2024-08-01 | Health | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | 2024-08-12 |
| 2024-08-01 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2024-08-12 |
| 2024-08-01 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-08-12 |
| 2024-08-01 | Health | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E | 2024-08-12 |
| 2024-08-01 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-08-12 |
| 2024-07-17 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-08-07 |
| 2024-07-17 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2024-08-07 |
| 2024-07-17 | Health · complaint | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | 2024-08-07 |
| 2024-07-17 | Health · complaint | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | 2024-08-07 |
| 2024-07-16 | Health · complaint | F0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D | 2024-08-07 |
| 2024-06-11 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-06-28 |
| 2024-06-11 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-06-28 |
| 2024-06-10 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-06-17 |
| 2024-05-30 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-06-27 |
| 2024-05-30 | Health · complaint | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E | 2024-06-27 |
| 2024-05-28 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | 2024-06-02 |
| 2024-05-28 | 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 | 2024-06-02 |
| 2024-03-18 | Health · complaint | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2024-04-04 |
| 2024-03-15 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | 2024-04-04 |
| 2024-03-15 | Health · complaint | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | 2024-04-04 |
| 2024-01-03 | 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 | 2024-01-26 |
| 2023-12-28 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2024-01-26 |
| 2023-11-08 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-11-22 |
| 2023-10-24 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2023-10-26 |
| 2023-09-26 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-10-17 |
| 2023-07-20 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2023-08-01 |
| 2023-07-20 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2023-08-01 |
| 2023-07-20 | 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 | 2023-08-01 |
| 2023-07-20 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2023-08-01 |
| 2023-07-20 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2023-08-01 |
| 2023-07-20 | 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 | 2023-08-01 |
| 2023-07-20 | Health | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2023-08-01 |
| 2023-07-20 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | E | 2023-08-01 |
| 2023-07-20 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2023-08-01 |
| 2023-07-20 | 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 | 2023-08-01 |
| 2023-07-20 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2023-08-01 |
| 2023-07-20 | Health | F0760 | Ensure that residents are free from significant medication errors. | E | 2023-08-01 |
| 2023-07-20 | 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 | 2023-08-01 |
| 2023-07-20 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-08-01 |
| 2023-07-20 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2023-08-01 |
| 2023-07-20 | Health | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | 2023-08-01 |
| 2023-07-20 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2023-08-01 |
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
20| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| WINDSOR NORCAL 13 HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2007-01-04 | current | pecos_ownership |
| 9560 PICO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-06-30 | current | pecos_ownership |
| ANTELOPE HOLDINGS I, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-06-30 | current | pecos_ownership |
| GOLDEN, OTASHE | ADP OF THE SNF | — | 2024-08-01 | current | pecos_ownership |
| NEWGEN ADMINISTRATIVE SERVICES, LLC | ADP OF THE SNF | — | 2025-05-12 | current | pecos_ownership |
| NEWGEN ADMINISTRATIVE SERVICES, LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-06-30 | current | pecos_ownership |
| PICO AR LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-06-30 | current | pecos_ownership |
| POOLE FORD, KAROL | ADP OF THE SNF | — | 2024-06-17 | current | pecos_ownership |
| ROBIN, AARON | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-06-30 | current | pecos_ownership |
| ROBIN, AARON | CORPORATE OFFICER | — | 2023-08-14 | current | pecos_ownership |
| SHAW, PAMELA | ADP OF THE SNF | — | 2023-06-30 | current | pecos_ownership |
| TRESS, AVROHOM | CORPORATE OFFICER | — | 2023-08-14 | current | pecos_ownership |
| TRESS, AVROHOM | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-06-30 | current | pecos_ownership |
| AARON ROBIN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2023-06-30 | ended 2026-05-18 | pecos_ownership |
| AVROHOM TRESS | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2023-06-30 | ended 2026-05-18 | pecos_ownership |
| AARON ROBIN | CORPORATE OFFICER | — | 2023-08-14 | ended 2026-05-18 | pecos_ownership |
| AVROHOM TRESS | CORPORATE OFFICER | — | 2023-08-14 | ended 2026-05-18 | pecos_ownership |
| KAROL POOLE FORD | ADP OF THE SNF | — | 2024-06-17 | ended 2026-05-18 | pecos_ownership |
| OTASHE GOLDEN | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-08-01 | ended 2026-05-18 | pecos_ownership |
| PAMELA SHAW | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-06-30 | 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 — CA snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-08-01 | Turlock Nursing & Rehabilitation Center | — | — | — | 144 | TRACY RIDGE HEALTHCARE, INC. |
| 2025-04-01 | ALAMITOS WEST HEALTH & REHABILITATION | — | — | — | 150 | MALCOLM HEALTHCARE, INC. |
| 2025-04-01 | PACIFIC HAVEN SUBACUTE AND HEALTHCARE CENTER | — | — | — | 99 | STRAWBERRY POND HEALTHCARE LLC |
| 2025-01-16 | GOLDEN HARBOR HEALTHCARE CENTER | — | — | — | 99 | CEYLON HOLDINGS LLC |
| 2024-12-30 | GRASS VALLEY HEALTHCARE CENTER | — | — | — | 86 | HEISMAN LLC |
| 2024-10-01 | REDWOOD GROVE POST ACUTE | — | — | — | 144 | SOQUEL CARE LLC |
| 2024-09-01 | OAK GROVE POST ACUTE | — | — | — | 119 | 4545 SHELLEY COURT OPCO, LLC |
| 2024-08-01 | WE CARE SKILLED NURSING - FREMONT | — | — | — | 99 | WE CARE SKILLED NURSING-FREMONT, LLC |
| 2024-05-01 | MAJESTIC MOUNTAIN CARE CENTER | — | — | — | 66 | OAKHURST SKILLED CARE LLC |
| 2024-04-01 | THE BRADLEY GARDENS | — | — | — | 44 | GHC OF SAN JACINTO LLC |
| 2024-04-01 | SANTA FE POST-ACUTE | — | — | — | 187 | SKILLED BOBIER LLC |
| 2024-04-01 | BAYSHIRE SAN DIMAS POST-ACUTE | — | — | — | 45 | SKILLED SAN DIMAS LLC |
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
35| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 06077 | acs median gross | 0 | $1,255 | 2024-12-31 | CENSUS_ACS5 |
| county 06077 | fmr | 0 | $1,288 | 2025-10-01 | HUD_USER_FMR |
| county 06077 | acs median gross | 1 | $1,299 | 2024-12-31 | CENSUS_ACS5 |
| county 06077 | fmr | 1 | $1,395 | 2025-10-01 | HUD_USER_FMR |
| county 06077 | acs median gross | 2 | $1,609 | 2024-12-31 | CENSUS_ACS5 |
| county 06077 | fmr | 2 | $1,742 | 2025-10-01 | HUD_USER_FMR |
| county 06077 | acs median gross | 3 | $1,983 | 2024-12-31 | CENSUS_ACS5 |
| county 06077 | fmr | 3 | $2,423 | 2025-10-01 | HUD_USER_FMR |
| county 06077 | acs median gross | 4 | $2,532 | 2024-12-31 | CENSUS_ACS5 |
| county 06077 | fmr | 4 | $2,922 | 2025-10-01 | HUD_USER_FMR |
| county 06077 | acs median gross | 5 | $3,190 | 2024-12-31 | CENSUS_ACS5 |
| county 06077 | acs median gross | $1,734 | 2024-12-31 | CENSUS_ACS5 | |
| county 06077 | acs recent mover gross | $2,130 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 95207 | acs median gross | 0 | $1,459 | 2024-12-31 | CENSUS_ACS5 |
| zcta 95207 | acs median gross | 1 | $1,397 | 2024-12-31 | CENSUS_ACS5 |
| zcta 95207 | acs median gross | 2 | $1,624 | 2024-12-31 | CENSUS_ACS5 |
| zcta 95207 | acs median gross | 3 | $2,044 | 2024-12-31 | CENSUS_ACS5 |
| zcta 95207 | acs median gross | 4 | $2,350 | 2024-12-31 | CENSUS_ACS5 |
| zcta 95207 | acs median gross | $1,648 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 95207 | acs recent mover gross | $1,709 | 2024-12-31 | CENSUS_ACS5 | |
| zip 95207 | payment standard 110 | 0 | $1,430 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95207 | payment standard 90 | 0 | $1,170 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95207 | safmr | 0 | $1,300 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95207 | payment standard 110 | 1 | $1,551 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95207 | payment standard 90 | 1 | $1,269 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95207 | safmr | 1 | $1,410 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95207 | payment standard 110 | 2 | $1,936 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95207 | payment standard 90 | 2 | $1,584 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95207 | safmr | 2 | $1,760 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95207 | payment standard 110 | 3 | $2,695 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95207 | payment standard 90 | 3 | $2,205 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95207 | safmr | 3 | $2,450 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95207 | payment standard 110 | 4 | $3,245 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95207 | payment standard 90 | 4 | $2,655 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95207 | safmr | 4 | $2,950 | 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.