Composite
90.8 / 100 percentile
Screener / 505070
D
LIFE CARE CENTER OF RICHLAND
snfWA
44 GOETHALS DRIVE, RICHLAND, WA 99352 · CCN 505070 · chain LIFE CARE CENTERS OF AMERICA INC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
104
Model
v1.2
Reads as: riskier than 90.8% 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 radar1Staffing16Penalties2Deficiencies71Licensure0Ownership27Related party5Transactions0Comps12Market rent35
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 95.5 | 93.8 | 0.30 | 0.2308 | 22.04 | in index |
| financial risk | 93.0 | 81.3 | 0.30 | 0.2308 | 21.46 | in index |
| billing conduct | 43.4 | 36.7 | 0.30 | 0.2308 | 10.02 | in index |
| staffing risk | 37.8 | 37.8 | 0.25 | 0.1923 | 7.27 | in index |
| chow risk | 57.1 | 56.4 | 0.15 | 0.1154 | 6.59 | 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 | 36.7 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 24.9 | A | 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 | 88.0 | F | v0.6 | default · in composite | |
| financial risk | 81.3 | F | 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 | 10.5 | — | 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 | 93.8 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 37.8 | B | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 90.1 | F | 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 | 70.1 | D | 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 | 64.4 | 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 | 81.9 | F | 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 | 93.7 | F | 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 | 93.7 | F | 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 | 37.8 | B | 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 | 37.8 | B | 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)
10.5%
model v0.1 · computed 2026-07-29
Percentile among SNFs
98.0
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 5.31 | +0.73 | |
| 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 | |
| Ownership changes, last 5 years | 0.00 | +0.20 | |
| Occupancy | 0.63 | +0.19 | |
| Total nurse staffing (HPRD) | 3.50 | -0.09 |
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Distress radar — 12-month termination probability
full board →p(termination, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
10.1
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Chain size (log) | 5.31 | -1.89 | |
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.63 | +0.49 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Fine amount, 12m (log) | 0.00 | +0.18 | |
| Never sold on record | 1.00 | +0.12 | |
| Total nurse staffing (HPRD) | 3.50 | -0.12 | |
| Current owner tenure (years) | 25.00 | +0.11 |
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 | WA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.50 | 3.70 | 3.28 | 2.90–3.77 |
| RN | 0.38 | 0.62 | 0.39 | 0.25–0.58 |
| Weekend total | 3.27 | 3.51 | 3.11 | — |
| Weekday total | 3.58 | 3.79 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 65.8 | 3.50 | 0.38 | 0.84 | 2.28 | 3.27 | 1.3% |
| 2025Q3 | 92 | 66.0 | 3.32 | 0.32 | 0.93 | 2.08 | 2.81 | 4.3% |
| 2025Q2 | 91 | 67.3 | 3.04 | 0.42 | 0.76 | 1.87 | 2.65 | 2.7% |
| 2025Q1 | 90 | 65.3 | 3.03 | 0.47 | 0.75 | 1.82 | 2.83 | 7.1% |
| 2024Q4 | 92 | 51.7 | 3.56 | 0.24 | 1.05 | 2.27 | 3.24 | 0.4% |
| 2024Q3 | 92 | 62.3 | 3.34 | 0.25 | 1.09 | 2.01 | 3.06 | 0.5% |
| 2024Q2 | 91 | 62.4 | 3.23 | 0.38 | 0.92 | 1.93 | 2.90 | 6.5% |
| 2024Q1 | 91 | 60.4 | 3.21 | 0.49 | 0.80 | 1.93 | 2.89 | 7.2% |
| 2023Q4 | 92 | 52.3 | 3.35 | 0.38 | 0.91 | 2.06 | 3.14 | 5.5% |
| 2023Q3 | 92 | 47.7 | 3.70 | 0.52 | 0.91 | 2.27 | 3.29 | 1.0% |
| 2023Q2 | 91 | 40.6 | 3.69 | 0.70 | 0.63 | 2.37 | 3.35 | 3.3% |
| 2023Q1 | 90 | 45.4 | 3.93 | 0.81 | 0.66 | 2.46 | 3.37 | 12.7% |
| 2022Q4 | 92 | 49.2 | 3.63 | 0.69 | 0.60 | 2.34 | 3.25 | 7.0% |
| 2022Q3 | 92 | 53.5 | 3.86 | 0.62 | 0.76 | 2.48 | 3.53 | 16.8% |
| 2022Q2 | 91 | 46.9 | 4.00 | 0.70 | 0.81 | 2.48 | 3.59 | 12.2% |
| 2022Q1 | 90 | 46.9 | 4.03 | 0.81 | 0.81 | 2.41 | 3.69 | 14.1% |
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
2fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-07-23 | Fine | $89,425 | CMS provider data |
| 2023-09-13 | Fine | $51,610 | CMS provider data |
Total fines on record: $141,035
Deficiencies
71D × 51E × 14F × 1G × 5
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-01-15 | Health · complaint | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | 2026-02-18 |
| 2026-01-15 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2026-02-18 |
| 2026-01-15 | Health · complaint | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | 2026-02-18 |
| 2025-12-03 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-01-02 |
| 2025-12-03 | 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 | 2026-01-02 |
| 2025-12-03 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2026-01-02 |
| 2025-12-03 | Health · complaint | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2026-01-02 |
| 2025-08-12 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-09-02 |
| 2025-07-23 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2025-08-20 |
| 2025-07-23 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2025-08-20 |
| 2025-07-23 | Health | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | D | 2025-08-20 |
| 2025-07-23 | Health | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D | 2025-08-20 |
| 2025-07-23 | Health | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | 2025-08-20 |
| 2025-07-23 | Health | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | 2025-08-20 |
| 2025-07-23 | Health | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | 2025-08-20 |
| 2025-07-23 | Health | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2025-08-20 |
| 2025-07-23 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2025-08-20 |
| 2025-07-23 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2025-08-20 |
| 2025-07-23 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2025-08-20 |
| 2025-07-23 | 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 | 2025-08-20 |
| 2025-07-23 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-08-20 |
| 2025-07-23 | Health | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2025-08-20 |
| 2025-07-23 | 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 | 2025-08-20 |
| 2025-07-23 | Health | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | 2025-08-20 |
| 2025-07-23 | Health | F0881 | Implement a program that monitors antibiotic use. | D | 2025-08-20 |
| 2025-03-12 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-04-08 |
| 2024-12-05 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-01-10 |
| 2024-12-05 | Health · complaint | F0730 | Observe each nurse aide's job performance and give regular training. | E | 2025-01-10 |
| 2024-10-11 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-11-18 |
| 2024-10-11 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-11-18 |
| 2024-10-11 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2024-11-18 |
| 2024-10-11 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2024-11-18 |
| 2024-07-17 | Health | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | 2024-08-22 |
| 2024-07-17 | 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. | E | 2024-08-22 |
| 2024-07-17 | 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 | 2024-08-22 |
| 2024-07-17 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | 2024-08-22 |
| 2024-07-17 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2024-08-22 |
| 2024-07-17 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2024-08-22 |
| 2024-07-17 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | E | 2024-08-22 |
| 2024-07-17 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2024-08-22 |
| 2024-07-17 | Health | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | 2024-08-22 |
| 2024-07-17 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | 2024-08-22 |
| 2024-07-17 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2024-08-22 |
| 2024-07-17 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | 2024-08-22 |
| 2024-07-17 | Health | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | 2024-08-22 |
| 2024-07-17 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2024-08-22 |
| 2024-07-17 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-08-22 |
| 2024-07-17 | Health | F0685 | Assist a resident in gaining access to vision and hearing services. | D | 2024-08-22 |
| 2024-07-17 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-08-22 |
| 2024-07-17 | 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 | 2024-08-22 |
| 2024-07-17 | 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 | 2024-08-22 |
| 2024-07-17 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2024-08-22 |
| 2024-07-17 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-08-22 |
| 2024-06-05 | 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 | 2024-07-03 |
| 2024-04-16 | 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 | 2024-05-24 |
| 2024-04-16 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-05-24 |
| 2024-04-16 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-05-24 |
| 2024-01-09 | Health · complaint | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | D | 2024-02-15 |
| 2024-01-09 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2024-02-15 |
| 2023-09-27 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2023-11-06 |
| 2023-09-27 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2023-11-06 |
| 2023-09-27 | Health · complaint | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2023-11-06 |
| 2023-09-13 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-10-17 |
| 2023-06-14 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2023-07-24 |
| 2023-06-14 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2023-07-24 |
| 2023-06-14 | Health | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | 2023-07-24 |
| 2023-06-14 | 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 | 2023-07-24 |
| 2023-06-14 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-07-24 |
| 2023-06-14 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2023-07-24 |
| 2023-06-14 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2023-07-24 |
| 2023-06-14 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-07-24 |
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.
Licensure actions
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
27| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| RICHLAND REAL ESTATE LLC | Individual has financial interest in both related organization and provider | 100% | 2023-10-01 | current | hcris_a_8_1 |
| RICHLAND REAL ESTATE LLC | Individual has financial interest in both related organization and provider | 100% | 2022-10-01 | current | hcris_a_8_1 |
| BUTNER, NANCY | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-09-16 | current | pecos_ownership |
| CROSS, CINDY | CORPORATE OFFICER | — | 2006-01-01 | current | pecos_ownership |
| FLETCHER, TODD | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-05-01 | current | pecos_ownership |
| HENRY, TERRY | CORPORATE OFFICER | — | 2006-01-01 | current | pecos_ownership |
| KRAMER, EMILY | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-10-31 | current | pecos_ownership |
| LAY, LISA | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-04-24 | current | pecos_ownership |
| LIFE CARE CENTERS OF AMERICA, INC. | ADP OF THE SNF | — | 2004-05-07 | current | pecos_ownership |
| LIFE CARE CENTERS OF AMERICA, INC. | OPERATIONAL/MANAGERIAL CONTROL | — | 2005-04-01 | current | pecos_ownership |
| PRESTON, AUBREY | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-03-06 | current | pecos_ownership |
| PRESTON, FORREST | ADP OF THE SNF | — | 2004-05-07 | current | pecos_ownership |
| SWANKER, RICHARD | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-01-01 | current | pecos_ownership |
| THURMOND, JOAN | CORPORATE OFFICER | — | 2006-01-01 | current | pecos_ownership |
| TRINNAMAN, MATTHEW | MANAGING CONTROL - GOVERNING BODY | — | 2024-01-17 | current | pecos_ownership |
| TRINNAMAN, MATTHEW | ADP OF THE SNF | — | 2025-03-10 | current | pecos_ownership |
| WATSON, BROOKS | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-11-07 | current | pecos_ownership |
| WATSON, BROOKS | ADP OF THE SNF | — | 2025-03-10 | current | pecos_ownership |
| ZIEGLER, JAMES | OPERATIONAL/MANAGERIAL CONTROL | — | 2006-01-01 | current | pecos_ownership |
| FORREST PRESTON | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2005-04-01 | ended 2026-05-18 | pecos_ownership |
| RICHLAND REAL ESTATE LLC | Individual has financial interest in both related organization and provider | 100% | 2020-10-01 | ended 2021-09-30 | hcris_a_8_1 |
| RICHLAND REAL ESTATE LLC | Individual has financial interest in both related organization and provider | 100% | 2019-10-01 | ended 2020-09-30 | hcris_a_8_1 |
| RICHLAND REAL ESTATE LLC | Individual has financial interest in both related organization and provider | 100% | 2021-10-01 | ended 2022-09-30 | hcris_a_8_1 |
| CINDY CROSS | CORPORATE OFFICER | — | 2005-04-01 | ended 2026-05-18 | pecos_ownership |
| JOAN THURMOND | CORPORATE OFFICER | — | 2005-04-01 | ended 2026-05-18 | pecos_ownership |
| JOSEPH LILIENTHAL | W-2 MANAGING EMPLOYEE | — | 2021-11-09 | ended 2026-05-18 | pecos_ownership |
| LIFE CARE CENTERS OF AMERICA, INC. | OPERATIONAL/MANAGERIAL CONTROL | — | 2006-01-01 | 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.
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 — WA snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-06-01 | Bremerton Trails Post Acute | — | — | — | 125 | RINCON BEACH, LLC |
| 2025-06-01 | Othello Post Acute | — | — | — | 39 | DOHENY BEACH, LLC |
| 2025-06-01 | Edmonds Post Acute | — | — | — | 128 | SALT CREEK BEACH, LLC |
| 2025-05-21 | AURORA VALLEY CARE | — | — | — | 124 | AURORA VALLEY CARE LLC |
| 2025-05-21 | THREE RIVERS CARE | — | — | — | 83 | THREE RIVERS CARE LLC |
| 2025-05-21 | FIR LANE CARE | — | — | — | 135 | FIR LANE CARE LLC |
| 2025-05-21 | SPOKANE FALLS CARE | — | — | — | 100 | SPOKANE FALLS CARE LLC |
| 2025-05-01 | MARIANWOOD HEALTH AND REHABILITATION | — | — | — | 117 | LUNA VEGA HEALTHCARE LLC |
| 2025-04-01 | WOODARD CREEK HEALTH & REHABILITATION | — | — | — | 152 | WOODARD SNF OPERATIONS LLC |
| 2025-03-12 | Avalon Healthcare - Tacoma | — | — | — | 81 | AVALON HEALTHCARE-TACOMA LLC |
| 2025-03-01 | SOUTH HILL REHABILITATION AND CARE CENTER | — | — | — | 113 | LAST EMPIRE HEALTHCARE LLC |
| 2024-08-01 | PINE RIDGE POST ACUTE | — | — | — | 80 | PINE RIDGE SNF HEALTHCARE 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 53005 | acs median gross | 0 | $1,025 | 2024-12-31 | CENSUS_ACS5 |
| county 53005 | fmr | 0 | $1,122 | 2025-10-01 | HUD_USER_FMR |
| county 53005 | acs median gross | 1 | $1,098 | 2024-12-31 | CENSUS_ACS5 |
| county 53005 | fmr | 1 | $1,268 | 2025-10-01 | HUD_USER_FMR |
| county 53005 | acs median gross | 2 | $1,333 | 2024-12-31 | CENSUS_ACS5 |
| county 53005 | fmr | 2 | $1,538 | 2025-10-01 | HUD_USER_FMR |
| county 53005 | acs median gross | 3 | $1,626 | 2024-12-31 | CENSUS_ACS5 |
| county 53005 | fmr | 3 | $2,071 | 2025-10-01 | HUD_USER_FMR |
| county 53005 | acs median gross | 4 | $1,942 | 2024-12-31 | CENSUS_ACS5 |
| county 53005 | fmr | 4 | $2,385 | 2025-10-01 | HUD_USER_FMR |
| county 53005 | acs median gross | 5 | $1,822 | 2024-12-31 | CENSUS_ACS5 |
| county 53005 | acs median gross | $1,306 | 2024-12-31 | CENSUS_ACS5 | |
| county 53005 | acs recent mover gross | $1,480 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 99352 | acs median gross | 0 | $1,386 | 2024-12-31 | CENSUS_ACS5 |
| zcta 99352 | acs median gross | 1 | $1,332 | 2024-12-31 | CENSUS_ACS5 |
| zcta 99352 | acs median gross | 2 | $1,513 | 2024-12-31 | CENSUS_ACS5 |
| zcta 99352 | acs median gross | 3 | $1,964 | 2024-12-31 | CENSUS_ACS5 |
| zcta 99352 | acs median gross | 4 | $2,548 | 2024-12-31 | CENSUS_ACS5 |
| zcta 99352 | acs median gross | $1,563 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 99352 | acs recent mover gross | $1,739 | 2024-12-31 | CENSUS_ACS5 | |
| zip 99352 | payment standard 110 | 0 | $1,408 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99352 | payment standard 90 | 0 | $1,152 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99352 | safmr | 0 | $1,280 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99352 | payment standard 110 | 1 | $1,595 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99352 | payment standard 90 | 1 | $1,305 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99352 | safmr | 1 | $1,450 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99352 | payment standard 110 | 2 | $1,936 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99352 | payment standard 90 | 2 | $1,584 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99352 | safmr | 2 | $1,760 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99352 | payment standard 110 | 3 | $2,607 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99352 | payment standard 90 | 3 | $2,133 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99352 | safmr | 3 | $2,370 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99352 | payment standard 110 | 4 | $3,003 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99352 | payment standard 90 | 4 | $2,457 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99352 | safmr | 4 | $2,730 | 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.