CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)
AS OF 2026-08-04 21:41 UTC
Screener / 056169
B

ALAMITOS WEST HEALTH & REHABILITATION

snfCA
3902 KATELLA AVENUE, LOS ALAMITOS, CA 90720 · CCN 056169 · chain THE ENSIGN GROUP INC
Composite
46.7 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
150
Model
v1.2
Reads as: riskier than 46.7% 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 model5ML signals1Components16CHOW radar1Distress radar1Staffing16Penalties0Deficiencies77Licensure0Ownership14Related party5Transactions1Comps12Market rent34

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
financial risk69.658.90.300.230816.06in index
regulatory risk60.651.90.300.230813.98in index
billing conduct47.738.40.300.230811.01in index
chow risk27.626.50.150.11543.18in index
staffing risk15.916.00.250.19233.06in index
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.

ML signals — parallel engine

1
KindFindingSignalSubjectFirst seen
connectionOwner spans multiple chains17 chainsBURNAM SOON335 facilities
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.

Component scores and registry models

16
Score typeScoreGradeModelStatusRegistry model notes
billing conduct38.4Bv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk25.0Bv0.1-posdefault · in compositeChange-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure.
chow risk28.0Bv0.6default · in composite
financial risk58.9Cv0.5default · in compositeR18.
p adverse action 12m0.0—v0.1default · in compositeR23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite.
p chow 12m0.0—v0.1default · 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 risk51.9Cv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk16.0Av0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk75.1Dv0.1supersededPre-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 risk55.1Cv0.2supersededPre-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 risk62.9Cv0.3supersededPre-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 risk60.0Cv0.4supersededPre-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 risk51.9Cv0.1supersededPre-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 risk51.9Cv0.2supersededPre-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 risk16.0Av0.1supersededPre-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 risk16.0Av0.2supersededPre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.

CHOW radar — 12-month sale probability

full board →
p(CHOW, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
12.1
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Current owner tenure (years)1.33-1.72
Never sold on record0.00-1.62
Ownership changes, last 5 years1.00-0.87
Chain size (log)5.46+0.76
For-profit ownership1.00+0.69
Occupancy0.93-0.67
Deficiencies, last 12 months29.00+0.53
No PBJ staffing report0.00+0.42
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.

Distress radar — 12-month termination probability

full board →
p(termination, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
0.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Deficiencies, last 12 months29.00-3.95
Chain size (log)5.46-1.98
Occupancy0.93-0.76
For-profit ownership1.00-0.69
No PBJ staffing report0.00+0.39
Total nurse staffing (HPRD)4.06-0.35
Never sold on record0.00-0.28
Current owner tenure (years)1.33-0.28
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 nurse4.063.953.282.90–3.77
RN0.260.380.390.25–0.58
Weekend total3.793.793.11—
Weekday total4.164.013.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q492139.54.060.261.262.543.796.0%
2025Q392135.44.140.261.342.543.8811.2%
2025Q291129.64.240.281.342.623.9511.0%
2025Q190126.73.940.291.162.493.8115.6%
2024Q492121.93.950.291.172.493.8215.3%
2024Q392122.23.820.271.092.473.739.4%
2024Q291120.53.900.281.112.513.797.1%
2024Q191118.64.020.291.142.593.8315.8%
2023Q492124.84.000.241.162.603.9122.9%
2023Q392123.43.840.251.112.483.7519.5%
2023Q291123.23.860.271.092.503.7114.9%
2023Q190117.73.940.281.122.543.8515.8%
2022Q492115.83.790.291.052.463.6916.3%
2022Q392118.03.540.250.992.303.357.7%
2022Q291122.93.720.271.032.423.543.3%
2022Q190120.63.790.261.012.523.691.7%
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

77
B × 23C × 1D × 49E × 4
deficiencies by survey year
33172223242526
SurveyTypeTagDeficiencyScopeCorrected
2026-04-30Health · complaintF0880Provide and implement an infection prevention and control program.D—
2026-03-20Health · complaintF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D2026-04-10
2026-02-03Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2026-02-13
2026-02-03Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.B2026-02-13
2025-11-19HealthF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.B2025-12-10
2025-11-19HealthF0558Reasonably accommodate the needs and preferences of each resident.D2025-12-10
2025-11-19HealthF0578Honor 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.B2025-12-10
2025-11-19HealthF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.D2025-12-10
2025-11-19HealthF0641Ensure each resident receives an accurate assessment.B2025-12-10
2025-11-19HealthF0645PASARR screening for Mental disorders or Intellectual DisabilitiesB2025-12-10
2025-11-19HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-12-10
2025-11-19HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2025-12-10
2025-11-19HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-12-10
2025-11-19HealthF0695Provide safe and appropriate respiratory care for a resident when needed.B2025-12-10
2025-11-19HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2025-12-10
2025-11-19HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2025-12-10
2025-11-19HealthF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.D2025-12-10
2025-11-19HealthF0759Ensure medication error rates are not 5 percent or greater.D2025-12-10
2025-11-19HealthF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D2025-12-10
2025-11-19HealthF0803Ensure 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.D2025-12-10
2025-11-19HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D2025-12-10
2025-11-19HealthF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.D2025-12-10
2025-11-19HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.B2025-12-10
2025-11-19HealthF0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.B2025-12-10
2025-11-19HealthF0880Provide and implement an infection prevention and control program.D2025-12-10
2025-08-22Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.B—
2025-08-22Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.B—
2025-08-22Health · complaintF0880Provide and implement an infection prevention and control program.B—
2025-08-22Health · complaintF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.B—
2025-07-09Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2025-07-31
2025-07-09Health · complaintF0880Provide and implement an infection prevention and control program.D2025-07-31
2025-04-03Health · complaintF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.B2025-04-16
2025-04-03Health · complaintF0803Ensure 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.B2025-04-16
2025-04-03Health · complaintF0909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.D2025-04-16
2025-01-24Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.B2025-02-19
2025-01-24Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2025-02-19
2025-01-24Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-02-19
2024-12-12Health · complaintF0558Reasonably accommodate the needs and preferences of each resident.B2025-01-08
2024-12-12Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.B2025-01-08
2024-12-12Health · complaintF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2025-01-08
2024-12-12Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.B2025-01-08
2024-12-12Health · complaintF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.D2025-01-08
2024-12-12Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.B2025-01-08
2024-11-06Health · complaintF0558Reasonably accommodate the needs and preferences of each resident.B2024-11-29
2024-11-06Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-11-29
2024-09-27Health · complaintF0558Reasonably accommodate the needs and preferences of each resident.D2024-10-27
2024-09-27HealthF0578Honor 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.D2024-10-27
2024-09-27HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2024-10-27
2024-09-27HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2024-10-27
2024-09-27HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2024-10-27
2024-09-27HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2024-10-27
2024-09-27HealthF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D2024-10-27
2024-09-27HealthF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.D2024-10-27
2024-09-27HealthF0758Implement 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.D2024-10-27
2024-09-27HealthF0759Ensure medication error rates are not 5 percent or greater.D2024-10-27
2024-09-27HealthF0761Ensure 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.D2024-10-27
2024-09-27HealthF0803Ensure 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.D2024-10-27
2024-09-27Health · complaintF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.C2024-10-27
2024-09-27HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2024-10-27
2024-09-27HealthF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.D2024-10-27
2024-09-27Health · complaintF0814Dispose of garbage and refuse properly.B2024-10-27
2024-09-27HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.B2024-10-27
2024-09-27HealthF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D2024-10-27
2024-09-27HealthF0880Provide and implement an infection prevention and control program.E2024-10-27
2024-09-27HealthF0881Implement a program that monitors antibiotic use.D2024-10-27
2024-09-27HealthF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.D2024-10-27
2024-09-27HealthF0908Keep all essential equipment working safely.D2024-10-27
2022-02-22HealthF0578Honor 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.D2022-03-17
2022-02-22HealthF0687Provide appropriate foot care.D2022-03-17
2022-02-22HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2022-03-17
2022-02-22HealthF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2022-03-17
2022-02-22HealthF0761Ensure 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.D2022-03-17
2022-02-22HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D2022-03-17
2022-02-22HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.B2022-03-17
2022-02-22HealthF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D2022-03-17
2022-02-22HealthF0880Provide and implement an infection prevention and control program.E2022-03-17
2022-02-22HealthF0881Implement a program that monitors antibiotic use.E2022-03-17
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

14
OwnerRolePctFromStatusSource
AYELE, ETSEGENETADP OF THE SNF—2025-04-01currentpecos_ownership
BURNAM, SOONCORPORATE OFFICER—2024-04-25currentpecos_ownership
CLUFF, CASEYMANAGING CONTROL - GOVERNING BODY—2025-04-01currentpecos_ownership
LOOPER, WILLIAMCORPORATE OFFICER—2024-04-25currentpecos_ownership
SATO, AMICORPORATE OFFICER—2024-09-09currentpecos_ownership
WILLITS, ADAMCORPORATE OFFICER—2024-04-25currentpecos_ownership
FLAGSTONE HEALTHCARE SOUTH LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2024-04-25ended 2026-05-18pecos_ownership
THE ENSIGN GROUP INC5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2024-04-25ended 2026-05-18pecos_ownership
ADAM WILLITSCORPORATE DIRECTOR0%2024-04-25ended 2026-05-18pecos_ownership
AMI SATOCORPORATE OFFICER0%2024-09-09ended 2026-05-18pecos_ownership
SOON BURNAMCORPORATE OFFICER0%2024-04-25ended 2026-05-18pecos_ownership
WILLIAM LOOPERCORPORATE OFFICER0%2024-04-25ended 2026-05-18pecos_ownership
CASEY CLUFFOPERATIONAL/MANAGERIAL CONTROL—2025-04-01ended 2026-05-18pecos_ownership
ETSEGENET AYELEOPERATIONAL/MANAGERIAL CONTROL—2025-04-01ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

1
Close datePriceBuyerSellerEvidence
2025-04-01—MALCOLM HEALTHCARE, INC.KTLA PROPERTIES LIMITED PARTNERSHIPchow

Comparable trades — CA snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-08-01Turlock Nursing & Rehabilitation Center———144TRACY RIDGE HEALTHCARE, INC.
2025-04-01ALAMITOS WEST HEALTH & REHABILITATIONthis facility———150MALCOLM HEALTHCARE, INC.
2025-04-01PACIFIC HAVEN SUBACUTE AND HEALTHCARE CENTER———99STRAWBERRY POND HEALTHCARE LLC
2025-01-16GOLDEN HARBOR HEALTHCARE CENTER———99CEYLON HOLDINGS LLC
2024-12-30GRASS VALLEY HEALTHCARE CENTER———86HEISMAN LLC
2024-10-01REDWOOD GROVE POST ACUTE———144SOQUEL CARE LLC
2024-09-01OAK GROVE POST ACUTE———1194545 SHELLEY COURT OPCO, LLC
2024-08-01WE CARE SKILLED NURSING - FREMONT———99WE CARE SKILLED NURSING-FREMONT, LLC
2024-05-01MAJESTIC MOUNTAIN CARE CENTER———66OAKHURST SKILLED CARE LLC
2024-04-01THE BRADLEY GARDENS———44GHC OF SAN JACINTO LLC
2024-04-01SANTA FE POST-ACUTE———187SKILLED BOBIER LLC
2024-04-01BAYSHIRE SAN DIMAS POST-ACUTE———45SKILLED 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

34
GeoKindBRAmountAs ofSource
county 06059acs median gross0$2,1002024-12-31CENSUS_ACS5
county 06059fmr0$2,6822025-10-01HUD_USER_FMR
county 06059acs median gross1$2,1152024-12-31CENSUS_ACS5
county 06059fmr1$2,7462025-10-01HUD_USER_FMR
county 06059acs median gross2$2,4602024-12-31CENSUS_ACS5
county 06059fmr2$3,2362025-10-01HUD_USER_FMR
county 06059acs median gross3$3,1072024-12-31CENSUS_ACS5
county 06059fmr3$4,3932025-10-01HUD_USER_FMR
county 06059acs median gross4$3,5012024-12-31CENSUS_ACS5
county 06059fmr4$5,2462025-10-01HUD_USER_FMR
county 06059acs median gross5$3,5012024-12-31CENSUS_ACS5
county 06059acs median gross$2,4342024-12-31CENSUS_ACS5
county 06059acs recent mover gross$2,8142024-12-31CENSUS_ACS5
zcta 90720acs median gross1$1,8372024-12-31CENSUS_ACS5
zcta 90720acs median gross2$2,4132024-12-31CENSUS_ACS5
zcta 90720acs median gross3$2,8622024-12-31CENSUS_ACS5
zcta 90720acs median gross4$3,5012024-12-31CENSUS_ACS5
zcta 90720acs median gross$2,4652024-12-31CENSUS_ACS5
zcta 90720acs recent mover gross$2,9262024-12-31CENSUS_ACS5
zip 90720payment standard 1100$2,8822025-10-01HUD_USER_SAFMR
zip 90720payment standard 900$2,3582025-10-01HUD_USER_SAFMR
zip 90720safmr0$2,6202025-10-01HUD_USER_SAFMR
zip 90720payment standard 1101$2,9482025-10-01HUD_USER_SAFMR
zip 90720payment standard 901$2,4122025-10-01HUD_USER_SAFMR
zip 90720safmr1$2,6802025-10-01HUD_USER_SAFMR
zip 90720payment standard 1102$3,4762025-10-01HUD_USER_SAFMR
zip 90720payment standard 902$2,8442025-10-01HUD_USER_SAFMR
zip 90720safmr2$3,1602025-10-01HUD_USER_SAFMR
zip 90720payment standard 1103$4,7192025-10-01HUD_USER_SAFMR
zip 90720payment standard 903$3,8612025-10-01HUD_USER_SAFMR
zip 90720safmr3$4,2902025-10-01HUD_USER_SAFMR
zip 90720payment standard 1104$5,6322025-10-01HUD_USER_SAFMR
zip 90720payment standard 904$4,6082025-10-01HUD_USER_SAFMR
zip 90720safmr4$5,1202025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.
CII Terminal tearsheet · ALAMITOS WEST HEALTH & REHABILITATION (056169) · generated 2026-08-04 · every number derives from public records (CMS Care Compare, PBJ, POS, penalty and survey files, state licensure registers) · scores are published model outputs with holdout metrics disclosed at cii-terminal.vercel.app/transparency