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 01:40 UTC
Screener / 555707
D

IMPERIAL CARE CENTER

snfCASFF: SFF Candidate
11441 VENTURA BLVD, STUDIO CITY, CA 91604 · CCN 555707 · chain FRIEDMAN FAMILY TRUST
Composite
87.9 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
130
Model
v1.2
Reads as: riskier than 87.9% 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 risk99.098.30.300.230822.85in index
financial risk85.772.50.300.230819.78in index
billing conduct57.942.70.300.230813.36in index
staffing risk37.337.30.250.19237.17in index
chow risk17.618.00.150.11542.03in 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 typeScoreGradeModelStatusRegistry model notes
billing conduct42.7Bv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk24.9Av0.1-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 risk11.1Av0.6default · in composite
financial risk72.5Dv0.5default · 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 12m2.5v0.1default · 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 risk98.3Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk37.3Bv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk56.1Cv0.1supersededPre-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 risk36.1Bv0.2supersededPre-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 risk70.8Dv0.3supersededPre-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 risk71.5Dv0.4supersededPre-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 risk98.3Fv0.1supersededPre-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 risk98.3Fv0.2supersededPre-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 risk37.3Bv0.1supersededPre-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 risk37.3Bv0.2supersededPre-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)
2.5%
model v0.1 · computed 2026-07-29
Percentile among SNFs
73.8
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Occupancy0.96-0.77
For-profit ownership1.00+0.69
Never sold on record1.00+0.62
Current owner tenure (years)25.00+0.57
No PBJ staffing report0.00+0.42
Chain size (log)3.26+0.29
Ownership changes, last 5 years0.00+0.20
Contract staffing share0.00-0.10
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
20.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Occupancy0.96-0.90
Chain size (log)3.26-0.69
For-profit ownership1.00-0.69
Deficiencies, last 12 months4.00+0.69
No PBJ staffing report0.00+0.39
Fine amount, 12m (log)0.00+0.18
Never sold on record1.00+0.12
Total nurse staffing (HPRD)3.50-0.12
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 HPRDThis facilityCA medianNational medianNational p25–p75
Total nurse3.503.953.282.90–3.77
RN0.400.380.390.25–0.58
Weekend total3.423.793.11
Weekday total3.544.013.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q492125.23.500.400.632.473.420.0%
2025Q392125.03.460.380.612.473.420.1%
2025Q291123.83.220.350.632.243.240.0%
2025Q190122.43.280.280.702.303.330.0%
2024Q492121.83.390.290.712.383.400.0%
2024Q392121.53.440.300.652.483.380.0%
2024Q291116.83.620.290.732.603.500.0%
2024Q191117.73.580.280.742.553.500.0%
2023Q492115.43.600.330.802.483.520.0%
2023Q39299.63.820.340.842.643.560.0%
2023Q29190.13.550.260.732.573.400.1%
2023Q190116.83.480.160.682.633.5121.2%
2022Q492117.93.390.200.692.513.4622.2%
2022Q392115.72.800.190.522.092.470.0%
2022Q291117.93.150.260.582.323.050.0%
2022Q190120.82.710.250.481.972.630.0%
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

6
fines by year
$134.6k$67.3k232425
DateTypeFineSource
2025-04-27Fine$22,396CMS provider data
2024-05-10Fine$100,975CMS provider data
2024-05-10Payment DenialCMS provider data
2024-03-20Fine$33,608CMS provider data
2024-03-20Payment DenialCMS provider data
2023-12-12Fine$55,770CMS provider data
Total fines on record: $212,749

Deficiencies

108
B × 5D × 52E × 42G × 5J × 2K × 2
deficiencies by survey year
4623212223242526
SurveyTypeTagDeficiencyScopeCorrected
2026-04-10Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2026-04-24
2026-02-09Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2026-02-28
2025-12-23Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2026-01-12
2025-08-14Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-09-06
2025-07-24Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-09-06
2025-07-10Health · complaintF0697Provide safe, appropriate pain management for a resident who requires such services.D2025-08-01
2025-07-10Health · complaintF0760Ensure that residents are free from significant medication errors.D2025-08-01
2025-07-10Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2025-08-01
2025-07-10Health · complaintF0880Provide and implement an infection prevention and control program.D2025-08-01
2025-06-25Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2025-06-30
2025-06-20HealthF0558Reasonably accommodate the needs and preferences of each resident.D2025-07-02
2025-06-20HealthF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.B2025-07-02
2025-06-20Health · complaintF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.E2025-07-02
2025-06-20HealthF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.D2025-07-02
2025-06-20HealthF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-07-02
2025-06-20HealthF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.B2025-07-02
2025-06-20HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E2025-07-02
2025-06-20HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.D2025-07-02
2025-06-20HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E2025-07-02
2025-06-20HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2025-07-02
2025-06-20HealthF0688Provide 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.D2025-07-02
2025-06-20HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E2025-07-02
2025-06-20HealthF0692Provide enough food/fluids to maintain a resident's health.D2025-07-02
2025-06-20HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2025-07-02
2025-06-20HealthF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.D2025-07-02
2025-06-20HealthF0759Ensure medication error rates are not 5 percent or greater.E2025-07-02
2025-06-20HealthF0760Ensure that residents are free from significant medication errors.E2025-07-02
2025-06-20HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2025-07-02
2025-06-20HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E2025-07-02
2025-06-20HealthF0880Provide and implement an infection prevention and control program.E2025-07-02
2025-06-20HealthF0881Implement a program that monitors antibiotic use.E2025-07-02
2025-06-20HealthF0908Keep all essential equipment working safely.E2025-07-02
2025-06-20HealthF0911Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.B2025-07-02
2025-06-20HealthF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.B2025-07-02
2025-06-05Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-06-09
2025-04-27Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-05-15
2025-04-27Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2025-05-15
2025-04-27Health · complaintF0837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.D2025-05-15
2025-04-27Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2025-05-15
2025-02-03Health · complaintF0554Allow residents to self-administer drugs if determined clinically appropriate.D2025-02-21
2025-02-03Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-02-21
2025-02-03Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-02-21
2025-02-03Health · complaintF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.D2025-02-21
2025-02-03Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2025-02-21
2025-02-03Health · complaintF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D2025-02-21
2025-02-03Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D2025-02-21
2025-02-03Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2025-02-21
2025-01-07Health · complaintF0880Provide and implement an infection prevention and control program.E2025-02-01
2024-12-13Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2025-01-02
2024-10-18Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2024-11-18
2024-07-12Health · complaintF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.D2024-08-02
2024-07-12Health · complaintF0578Honor 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.E2024-08-02
2024-07-12Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2024-08-02
2024-07-12Health · complaintF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.E2024-08-02
2024-07-12Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E2024-08-02
2024-07-12Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.E2024-08-02
2024-07-12Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.E2024-08-02
2024-07-12Health · complaintF0688Provide 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.D2024-08-02
2024-07-12Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E2024-08-02
2024-07-12Health · complaintF0693Ensure 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.D2024-08-02
2024-07-12Health · complaintF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.E2024-08-02
2024-07-12Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2024-08-02
2024-07-12Health · 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.D2024-08-02
2024-07-12Health · complaintF0760Ensure that residents are free from significant medication errors.E2024-08-02
2024-07-12Health · complaintF0761Ensure 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.E2024-08-02
2024-07-12Health · complaintF0790Provide routine and 24-hour emergency dental care for each resident.D2024-08-02
2024-07-12Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2024-08-02
2024-07-12Health · complaintF0880Provide and implement an infection prevention and control program.E2024-08-02
2024-07-12Health · complaintF0908Keep all essential equipment working safely.D2024-08-02
2024-07-12Health · complaintF0911Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.E2024-08-02
2024-07-12Health · complaintF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.E2024-08-02
2024-06-13Health · complaintF0558Reasonably accommodate the needs and preferences of each resident.D2024-06-29
2024-06-13Health · 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.E2024-06-29
2024-05-10Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J2024-06-06
2024-04-02Health · complaintF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.G2024-04-19
2024-03-20Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.K2024-04-19
2024-03-20Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2024-04-19
2024-03-20Health · complaintF0610Respond appropriately to all alleged violations.E2024-04-19
2024-03-20Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E2024-04-19
2024-03-20Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.K2024-04-19
2023-12-12Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G2024-01-11
2023-12-12Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2024-01-11
2023-12-01Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2023-12-08
2023-12-01Health · complaintF0880Provide and implement an infection prevention and control program.E2023-12-08
2023-11-09Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G2023-11-30
2023-06-18Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E2023-07-13
2023-06-18Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.E2023-07-13
2023-06-18Health · complaintF0688Provide 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.D2023-07-13
2023-06-18Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2023-07-13
2023-06-18Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2023-07-13
2023-06-18Health · complaintF0759Ensure medication error rates are not 5 percent or greater.D2023-07-13
2023-06-18Health · complaintF0776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.D2023-07-13
2023-06-18Health · complaintF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.E2023-07-13
2021-05-20HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E2021-06-14
2021-05-20HealthF0552Ensure that residents are fully informed and understand their health status, care and treatments.D2021-06-14
2021-05-20HealthF0558Reasonably accommodate the needs and preferences of each resident.E2021-06-14
2021-05-20HealthF0578Honor 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.D2021-06-14
2021-05-20HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2021-06-14
2021-05-20HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2021-06-14
2021-05-20HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.E2021-06-14
2021-05-20HealthF0660Plan the resident's discharge to meet the resident's goals and needs.D2021-06-14
2021-05-20HealthF0679Provide activities to meet all resident's needs.D2021-06-14
2021-05-20HealthF0761Ensure 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.E2021-06-14
2021-05-20HealthF0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.D2021-06-14
2021-05-20HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2021-06-14
2021-05-20HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E2021-06-14
2021-05-20HealthF0880Provide and implement an infection prevention and control program.E2021-06-14
2021-05-20HealthF0911Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.B
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

45
OwnerRolePctFromStatusSource
FRIEDMAN RATNER SLOMOVIC & SLOMOVIIndividual has financial interest in both related organization and provider100%2024-01-01currenthcris_a_8_1
FRIEDMAN RATNER SLOMOVIC & SLOMOVIIndividual has financial interest in both related organization and provider100%2023-01-01currenthcris_a_8_1
FRIEDMAN, AARON5% OR GREATER INDIRECT OWNERSHIP INTEREST20%2023-06-30currentpecos_ownership
FRIEDMAN FAMILY TRUST5% OR GREATER DIRECT OWNERSHIP INTEREST5%2023-06-30currentpecos_ownership
IRA D FRIEDMAN 1991 TRUST5% OR GREATER DIRECT OWNERSHIP INTEREST5%2023-06-30currentpecos_ownership
KLAVAN, RACHEL5% OR GREATER INDIRECT OWNERSHIP INTEREST5%2023-06-30currentpecos_ownership
LEHMANN FAMILY 1991 TRUST5% OR GREATER DIRECT OWNERSHIP INTEREST5%2023-06-30currentpecos_ownership
LEHMANN, LIBBY5% OR GREATER INDIRECT OWNERSHIP INTEREST5%2023-06-30currentpecos_ownership
NOTIS, SHMUEL5% OR GREATER INDIRECT OWNERSHIP INTEREST5%2023-06-30currentpecos_ownership
THE KLAVAN FAMILY TRUST5% OR GREATER DIRECT OWNERSHIP INTEREST5%2023-06-30currentpecos_ownership
THE TZIPPY FRIEDMAN NOTIS 1990 TRUST5% OR GREATER DIRECT OWNERSHIP INTEREST5%2023-06-30currentpecos_ownership
DEVORAH DANZIGER GROUP A BUSINESS ASSETS TRUSTDIRECT OWNERSHIP INTEREST2023-06-30currentpecos_ownership
ELKA KAPLAN GROUP A BUSINESS ASSETS TRUSTDIRECT OWNERSHIP INTEREST2023-06-30currentpecos_ownership
ESTHER HOFF GROUP A BUSINESS ASSETS TRUSTDIRECT OWNERSHIP INTEREST2023-06-30currentpecos_ownership
FRIEDMAN, AARONINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF2026-03-04currentpecos_ownership
FRIEDMAN, IRATRUSTEE OF THE SNF2023-06-30currentpecos_ownership
GANDHI, DEVINDERADP OF THE SNF2004-01-22currentpecos_ownership
GEROLAGA, MARISSAOPERATIONAL/MANAGERIAL CONTROL2025-10-04currentpecos_ownership
GEROLAGA, MARISSAADP OF THE SNF2019-07-03currentpecos_ownership
IMPERIAL CARE CENTER LLCADP OF THE SNF2023-06-30currentpecos_ownership
KLAVAN, JOSHUAADP OF THE SNFcurrentpecos_ownership
KLAVAN, JOSHUAOPERATIONAL/MANAGERIAL CONTROL2022-12-01currentpecos_ownership
LONGWOOD MANAGEMENT LLCADP OF THE SNF2023-01-01currentpecos_ownership
MORDECHAI NOTIS GROUP A BUSINESS ASSETS TRUSTDIRECT OWNERSHIP INTEREST2023-06-30currentpecos_ownership
PERVAIZ, ZAIDTRUSTEE OF THE SNF2023-06-30currentpecos_ownership
PERVAIZ, ZAIDADP OF THE SNF2013-01-01currentpecos_ownership
POSADA, ELVIRAOPERATIONAL/MANAGERIAL CONTROL2024-05-20currentpecos_ownership
RACHEL NOTIS GROUP A BUSINESS ASSETS TRUSTDIRECT OWNERSHIP INTEREST2023-06-30currentpecos_ownership
SARAH DUNNER GROUP A BUSINESS ASSETS TRUSTDIRECT OWNERSHIP INTEREST2023-06-30currentpecos_ownership
THE AARON FRIEDMAN GROUP A BUSINESS ASSETS TRUSTADP OF THE SNF2023-06-30currentpecos_ownership
THE IRA DAVID FRIEDMAN GROUP A BUSINESS ASSETS TRUSTADP OF THE SNF2023-06-30currentpecos_ownership
THE LIBBY FRIEDMAN LEHMANN GROUP A BUSINESS ASSETS TRUSTADP OF THE SNF2023-06-30currentpecos_ownership
THE RUCHEL FRIEDMAN KLAVAN GROUP A BUSINESS ASSETS TRUSTADP OF THE SNF2023-06-30currentpecos_ownership
YEHOSHUA NOTIS GROUP A BUSINESS ASSETS TRUSTDIRECT OWNERSHIP INTEREST2023-06-30currentpecos_ownership
YISROEL NOTIS GROUP A BUSINESS ASSETS TRUSTDIRECT OWNERSHIP INTEREST2023-06-30currentpecos_ownership
FRIEDMAN RATNER SLOMOVIC & SLOMOVIIndividual has financial interest in both related organization and provider100%2020-01-01ended 2020-12-31hcris_a_8_1
FRIEDMAN RATNER SLOMOVIC & SLOMOVIIndividual has financial interest in both related organization and provider100%2022-01-01ended 2022-12-31hcris_a_8_1
FRIEDMAN RATNER SLOMOVIC & SLOMOVIIndividual has financial interest in both related organization and provider100%2021-01-01ended 2021-12-31hcris_a_8_1
AARON FRIEDMAN5% OR GREATER INDIRECT OWNERSHIP INTEREST20%2023-06-30ended 2026-05-18pecos_ownership
IRA FRIEDMAN5% OR GREATER INDIRECT OWNERSHIP INTEREST20%2023-06-30ended 2026-05-18pecos_ownership
LIBBY LEHMANN5% OR GREATER INDIRECT OWNERSHIP INTEREST20%2023-06-30ended 2026-05-18pecos_ownership
RACHEL KLAVAN5% OR GREATER INDIRECT OWNERSHIP INTEREST20%2023-06-30ended 2026-05-18pecos_ownership
LONGWOOD MANAGEMENT LLCOTHER0%2023-06-30ended 2026-05-18pecos_ownership
ZAID PERVAIZOTHER0%2023-06-30ended 2026-05-18pecos_ownership
AILEEN TALAROCW-2 MANAGING EMPLOYEE2023-06-26ended 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

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 91604acs median gross0$1,9552024-12-31CENSUS_ACS5
zcta 91604acs median gross1$2,1502024-12-31CENSUS_ACS5
zcta 91604acs median gross2$2,8712024-12-31CENSUS_ACS5
zcta 91604acs median gross3$3,5012024-12-31CENSUS_ACS5
zcta 91604acs median gross4$3,5012024-12-31CENSUS_ACS5
zcta 91604acs median gross5$3,5012024-12-31CENSUS_ACS5
zcta 91604acs median gross$2,5352024-12-31CENSUS_ACS5
zcta 91604acs recent mover gross$3,0632024-12-31CENSUS_ACS5
zip 91604payment standard 1100$3,0802025-10-01HUD_USER_SAFMR
zip 91604payment standard 900$2,5202025-10-01HUD_USER_SAFMR
zip 91604safmr0$2,8002025-10-01HUD_USER_SAFMR
zip 91604payment standard 1101$3,4432025-10-01HUD_USER_SAFMR
zip 91604payment standard 901$2,8172025-10-01HUD_USER_SAFMR
zip 91604safmr1$3,1302025-10-01HUD_USER_SAFMR
zip 91604payment standard 1102$4,3012025-10-01HUD_USER_SAFMR
zip 91604payment standard 902$3,5192025-10-01HUD_USER_SAFMR
zip 91604safmr2$3,9102025-10-01HUD_USER_SAFMR
zip 91604payment standard 1103$5,4562025-10-01HUD_USER_SAFMR
zip 91604payment standard 903$4,4642025-10-01HUD_USER_SAFMR
zip 91604safmr3$4,9602025-10-01HUD_USER_SAFMR
zip 91604payment standard 1104$6,0722025-10-01HUD_USER_SAFMR
zip 91604payment standard 904$4,9682025-10-01HUD_USER_SAFMR
zip 91604safmr4$5,5202025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.