2225 NORTH PERRIS BOULEVARD, PERRIS, CA 92571 · CCN 056186
Composite
8.6 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
109
Model
v1.2
Reads as: riskier than 8.6% 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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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
4.25
3.95
3.28
2.90–3.77
RN
0.36
0.38
0.39
0.25–0.58
Weekend total
3.92
3.79
3.11
—
Weekday total
4.38
4.01
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
100.0
4.25
0.36
0.74
3.15
3.92
0.0%
2025Q3
92
101.1
4.30
0.37
0.78
3.16
4.03
0.0%
2025Q2
91
104.1
4.04
0.34
0.74
2.97
3.64
0.0%
2025Q1
90
104.8
4.00
0.33
0.78
2.89
3.64
0.0%
2024Q4
92
104.7
4.08
0.33
0.79
2.96
3.64
0.0%
2024Q3
92
106.7
3.98
0.32
0.80
2.86
3.65
0.0%
2024Q2
91
100.4
4.13
0.34
0.80
2.99
3.72
0.0%
2024Q1
91
100.9
4.00
0.33
0.75
2.92
3.69
0.0%
2023Q4
92
98.8
4.07
0.34
0.85
2.87
3.73
0.5%
2023Q3
92
101.0
4.08
0.35
0.85
2.89
3.76
0.2%
2023Q2
91
99.4
4.12
0.35
0.81
2.95
3.71
0.0%
2023Q1
90
101.4
4.35
0.36
0.82
3.17
3.77
0.2%
2022Q4
92
99.3
4.36
0.36
0.77
3.23
3.81
0.6%
2022Q3
92
99.7
4.31
0.36
0.81
3.14
3.87
0.6%
2022Q2
91
96.9
4.24
0.39
0.80
3.05
3.65
0.0%
2022Q1
90
97.3
4.34
0.39
0.86
3.09
3.74
0.0%
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
27
D × 14E × 10F × 2G × 1
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-08-04
Health · complaint
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2025-08-27
2025-08-04
Health · complaint
F0742
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
E
2025-08-27
2025-06-09
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-07-03
2025-06-09
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2025-07-03
2024-12-12
Health
F0685
Assist a resident in gaining access to vision and hearing services.
D
2025-01-02
2022-03-18
Health
F0578
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
D
2022-04-08
2022-03-18
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2022-04-08
2022-03-18
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
2022-04-08
2022-03-18
Health
F0692
Provide enough food/fluids to maintain a resident's health.
G
2022-04-13
2022-03-18
Health
F0695
Provide safe and appropriate respiratory care for a resident when needed.
D
2022-04-08
2022-03-18
Health
F0761
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
E
2022-04-08
2022-03-18
Health
F0802
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
E
2022-04-08
2022-03-18
Health
F0803
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
E
2022-04-08
2022-03-18
Health
F0805
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
D
2022-04-08
2022-03-18
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2022-04-08
2022-03-18
Health
F0813
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
E
2022-04-08
2022-03-18
Health
F0908
Keep all essential equipment working safely.
F
2022-04-08
2019-11-08
Health
F0578
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
D
2019-12-20
2019-11-08
Health
F0658
Ensure services provided by the nursing facility meet professional standards of quality.
D
2019-12-20
2019-11-08
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
E
2019-12-20
2019-11-08
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
2019-12-20
2019-11-08
Health
F0757
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
2019-12-20
2019-11-08
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
2019-12-20
2019-11-08
Health
F0760
Ensure that residents are free from significant medication errors.
D
2019-12-20
2019-11-08
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
2019-12-20
2019-11-08
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
2019-12-20
2019-11-08
Health
F0880
Provide and implement an infection prevention and control program.
E
2019-12-20
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
20
Owner
Role
Pct
From
Status
Source
CENTINELA GRAND, INC.
5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
2009-12-11
current
pecos_ownership
CENTINELA GRAND PROPERTY, LLC
5% OR GREATER MORTGAGE INTEREST
—
2009-12-01
current
pecos_ownership
MAKANDURA, LAKSHMAN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-06
current
pecos_ownership
NELSON, WILLIAM
CORPORATE OFFICER
—
2009-12-11
current
pecos_ownership
NELSON, WILLIAM
5% OR GREATER MORTGAGE INTEREST
—
2009-12-01
current
pecos_ownership
RIZZO, MARICRIS
CORPORATE DIRECTOR
—
2009-12-01
current
pecos_ownership
RIZZO, MARICRIS
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-07
current
pecos_ownership
ROLLINS, VICKI
CORPORATE OFFICER
—
2009-12-11
current
pecos_ownership
ROLLINS, VICKI
OPERATIONAL/MANAGERIAL CONTROL
—
2009-12-01
current
pecos_ownership
SIREGAR, GEORGE
CORPORATE DIRECTOR
—
2021-12-01
current
pecos_ownership
SIREGAR, GEORGE
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-06
current
pecos_ownership
VICKI ROLLINS
CORPORATE OFFICER
50%
2009-12-11
ended 2026-05-18
pecos_ownership
WILLIAM NELSON
5% OR GREATER MORTGAGE INTEREST
50%
2009-12-01
ended 2026-05-18
pecos_ownership
WILLIAM NELSON
CORPORATE DIRECTOR
50%
2009-12-11
ended 2026-05-18
pecos_ownership
GEORGE SIREGAR
CORPORATE DIRECTOR
—
2021-12-01
ended 2026-05-18
pecos_ownership
GEORGE SIREGAR
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-06
ended 2026-05-18
pecos_ownership
LAKSHMAN MAKANDURA
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-06
ended 2026-05-18
pecos_ownership
MARICRIS RIZZO
ADP OF THE SNF
—
2025-01-07
ended 2026-05-18
pecos_ownership
MARICRIS RIZZO
CORPORATE DIRECTOR
—
2009-12-01
ended 2026-05-18
pecos_ownership
VICKI ROLLINS
OPERATIONAL/MANAGERIAL CONTROL
—
2009-12-01
ended 2026-05-18
pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Related-party costs
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$182,203
—
—
—
—
1
—
2023-12-31
$222,098
—
—
—
—
1
—
2022-12-31
$209,106
—
—
—
—
1
—
2021-12-31
$242,976
—
—
—
—
1
—
2020-12-31
$279,163
—
—
—
—
1
—
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
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.
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
36
Geo
Kind
BR
Amount
As of
Source
county 06065
acs median gross
0
$1,372
2024-12-31
CENSUS_ACS5
county 06065
fmr
0
$1,692
2025-10-01
HUD_USER_FMR
county 06065
acs median gross
1
$1,440
2024-12-31
CENSUS_ACS5
county 06065
fmr
1
$1,777
2025-10-01
HUD_USER_FMR
county 06065
acs median gross
2
$1,810
2024-12-31
CENSUS_ACS5
county 06065
fmr
2
$2,201
2025-10-01
HUD_USER_FMR
county 06065
acs median gross
3
$2,166
2024-12-31
CENSUS_ACS5
county 06065
fmr
3
$2,912
2025-10-01
HUD_USER_FMR
county 06065
acs median gross
4
$2,666
2024-12-31
CENSUS_ACS5
county 06065
fmr
4
$3,514
2025-10-01
HUD_USER_FMR
county 06065
acs median gross
5
$3,157
2024-12-31
CENSUS_ACS5
county 06065
acs median gross
$1,901
2024-12-31
CENSUS_ACS5
county 06065
acs recent mover gross
$2,268
2024-12-31
CENSUS_ACS5
zcta 92571
acs median gross
0
$1,352
2024-12-31
CENSUS_ACS5
zcta 92571
acs median gross
1
$1,095
2024-12-31
CENSUS_ACS5
zcta 92571
acs median gross
2
$1,781
2024-12-31
CENSUS_ACS5
zcta 92571
acs median gross
3
$2,159
2024-12-31
CENSUS_ACS5
zcta 92571
acs median gross
4
$2,368
2024-12-31
CENSUS_ACS5
zcta 92571
acs median gross
5
$2,472
2024-12-31
CENSUS_ACS5
zcta 92571
acs median gross
$2,076
2024-12-31
CENSUS_ACS5
zcta 92571
acs recent mover gross
$2,648
2024-12-31
CENSUS_ACS5
zip 92571
payment standard 110
0
$2,079
2025-10-01
HUD_USER_SAFMR
zip 92571
payment standard 90
0
$1,701
2025-10-01
HUD_USER_SAFMR
zip 92571
safmr
0
$1,890
2025-10-01
HUD_USER_SAFMR
zip 92571
payment standard 110
1
$2,189
2025-10-01
HUD_USER_SAFMR
zip 92571
payment standard 90
1
$1,791
2025-10-01
HUD_USER_SAFMR
zip 92571
safmr
1
$1,990
2025-10-01
HUD_USER_SAFMR
zip 92571
payment standard 110
2
$2,706
2025-10-01
HUD_USER_SAFMR
zip 92571
payment standard 90
2
$2,214
2025-10-01
HUD_USER_SAFMR
zip 92571
safmr
2
$2,460
2025-10-01
HUD_USER_SAFMR
zip 92571
payment standard 110
3
$3,575
2025-10-01
HUD_USER_SAFMR
zip 92571
payment standard 90
3
$2,925
2025-10-01
HUD_USER_SAFMR
zip 92571
safmr
3
$3,250
2025-10-01
HUD_USER_SAFMR
zip 92571
payment standard 110
4
$4,323
2025-10-01
HUD_USER_SAFMR
zip 92571
payment standard 90
4
$3,537
2025-10-01
HUD_USER_SAFMR
zip 92571
safmr
4
$3,930
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.