410 East North Second Street, Grangeville, ID 83530 · CCN 135080 · chain CASCADIA HEALTHCARE LLC
Composite
60.7 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
60
Model
v1.2
Reads as: riskier than 60.7% 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.
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure.
R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite.
R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
16
2025Q4 HPRD
This facility
ID median
National median
National p25–p75
Total nurse
2.84
3.34
3.28
2.90–3.77
RN
0.59
0.51
0.39
0.25–0.58
Weekend total
2.60
3.05
3.11
—
Weekday total
2.93
3.43
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
40.3
2.84
0.59
0.32
1.93
2.60
33.1%
2025Q3
92
43.6
2.87
0.46
0.41
2.00
2.68
50.0%
2025Q2
91
44.5
2.91
0.42
0.41
2.08
2.63
55.0%
2025Q1
90
47.5
2.75
0.35
0.48
1.93
2.53
60.9%
2024Q4
92
45.4
2.97
0.18
0.59
2.20
2.65
61.4%
2024Q3
92
36.7
3.01
0.39
0.55
2.06
2.63
35.7%
2024Q2
91
38.9
3.20
0.49
0.71
2.00
2.78
36.0%
2024Q1
91
38.3
2.84
0.75
0.53
1.56
2.46
3.8%
2023Q4
92
37.3
3.20
0.64
0.78
1.78
3.00
24.7%
2023Q3
92
38.1
2.94
0.57
0.65
1.72
2.68
39.0%
2023Q2
91
37.7
2.95
0.50
0.60
1.85
2.69
48.6%
2023Q1
90
40.4
3.20
0.51
0.55
2.14
2.78
48.1%
2022Q4
92
40.5
3.09
0.68
0.56
1.85
2.62
50.4%
2022Q3
92
37.1
3.48
0.89
0.66
1.93
3.02
41.5%
2022Q2
91
33.5
3.52
1.02
0.59
1.90
3.17
21.7%
2022Q1
90
30.9
4.50
0.87
0.54
3.10
4.28
17.1%
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
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
13
D × 9E × 1F × 3
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-08-08
Health · complaint
F0641
Ensure each resident receives an accurate assessment.
D
2025-09-10
2025-08-08
Health · complaint
F0726
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
D
2025-09-10
2025-08-08
Health · complaint
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2025-09-10
2025-08-08
Health · complaint
F0880
Provide and implement an infection prevention and control program.
D
2025-09-10
2025-08-08
Health · complaint
F0883
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
2025-09-10
2025-08-08
Health · complaint
F0887
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
D
2025-09-10
2024-10-25
Health · complaint
F0645
PASARR screening for Mental disorders or Intellectual Disabilities
D
2024-11-18
2024-10-25
Health · complaint
F0727
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
F
2024-11-18
2020-02-06
Health
F0552
Ensure that residents are fully informed and understand their health status, care and treatments.
D
2020-03-10
2020-02-06
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2020-03-10
2020-02-06
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
2020-03-10
2020-02-06
Health
F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
2020-03-10
2020-02-06
Health
F0880
Provide and implement an infection prevention and control program.
E
2020-03-10
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
29
Owner
Role
Pct
From
Status
Source
CASCADIA GRANGEVILLE REAL ESTATE HOL
Director, officer, administrator or key person of provider or organization
—
2023-01-01
current
hcris_a_8_1
CASCADIA GRANGEVILLE REAL ESTATE HOL
Director, officer, administrator or key person of provider or organization
—
2024-01-01
current
hcris_a_8_1
CASCADIA HC GROUP LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-06-05
current
pecos_ownership
CASCADIA HEALTHCARE LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2021-09-17
current
pecos_ownership
CASCADIA HOLDCO LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-06-05
current
pecos_ownership
CASCADIA SERVICES LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2025-01-21
current
pecos_ownership
GRANGEVILLE 410 REALTY, LLC
ADP OF THE SNF
—
2025-06-05
current
pecos_ownership
HAMMOND, OWEN
INDIRECT OWNERSHIP INTEREST
—
2022-03-01
current
pecos_ownership
JENKINS, ADAM
ADP OF THE SNF
—
2025-02-26
current
pecos_ownership
JENKINS, ADAM
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-17
current
pecos_ownership
LAFORTE, STEPHEN
INDIRECT OWNERSHIP INTEREST
—
2025-06-05
current
pecos_ownership
NELSON, TIMOTHY
INDIRECT OWNERSHIP INTEREST
—
2025-06-05
current
pecos_ownership
RUDOLPH, JOHN
ADP OF THE SNF
—
2025-08-07
current
pecos_ownership
RUDOLPH, JOHN
OPERATIONAL/MANAGERIAL CONTROL
—
2025-07-04
current
pecos_ownership
WHITE OAK HEALTHCARE FINANCE LLC
5% OR GREATER SECURITY INTEREST
—
2022-08-11
current
pecos_ownership
CASCADIA HEALTHCARE LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2022-03-01
ended 2026-05-18
pecos_ownership
CASCADIA HOLDCO LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
2025-06-15
ended 2026-05-18
pecos_ownership
CASCADIA IDAHO OPERATIONS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2021-09-17
ended 2026-05-18
pecos_ownership
OWEN HAMMOND
INDIRECT OWNERSHIP INTEREST
33%
2022-03-01
ended 2026-05-18
pecos_ownership
STEPHEN LAFORTE
INDIRECT OWNERSHIP INTEREST
33%
2025-06-05
ended 2026-05-18
pecos_ownership
TIMOTHY NELSON
INDIRECT OWNERSHIP INTEREST
33%
2025-06-05
ended 2026-05-18
pecos_ownership
ADAM JENKINS
ADP OF THE SNF
—
2025-02-26
ended 2026-05-18
pecos_ownership
ADAM JENKINS
OPERATIONAL/MANAGERIAL CONTROL
—
2024-04-17
ended 2026-05-18
pecos_ownership
CASCADIA GRANGEVILLE REAL ESTATE HOL
Director, officer, administrator or key person of provider or organization
—
2022-03-01
ended 2022-12-31
hcris_a_8_1
GRANGEVILLE RP SNF LLC
Corporation, partnership or other organization has financial interest in provider
—
2020-01-01
ended 2020-12-31
hcris_a_8_1
GRANGEVILLE RP SNF LLC
Corporation, partnership or other organization has financial interest in provider
—
2021-01-01
ended 2021-12-31
hcris_a_8_1
GRANGEVILLE RP SNF LLC
Corporation, partnership or other organization has financial interest in provider
—
2022-01-01
ended 2022-02-28
hcris_a_8_1
JOHN RUDOLPH
ADP OF THE SNF
—
2025-08-07
ended 2026-05-18
pecos_ownership
JOHN RUDOLPH
OPERATIONAL/MANAGERIAL CONTROL
—
2025-07-04
ended 2026-05-18
pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Related-party costs
6
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$939,929
$600,323
—
$5,082
$63,779
3
propco
2023-12-31
$608,937
$326,383
—
$5,586
$52,163
3
propco
2022-12-31
$516,251
$229,618
—
$4,293
$47,095
3
propco
2022-02-28
$63,938
$28,283
—
—
—
2
propco
2021-12-31
$391,206
$171,002
$-7,433
—
—
2
propco
2020-12-31
$1,106,102
$173,183
$4,016
—
—
2
propco
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
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
32
Geo
Kind
BR
Amount
As of
Source
county 16049
acs median gross
0
$629
2024-12-31
CENSUS_ACS5
county 16049
fmr
0
$723
2025-10-01
HUD_USER_FMR
county 16049
acs median gross
1
$571
2024-12-31
CENSUS_ACS5
county 16049
fmr
1
$799
2025-10-01
HUD_USER_FMR
county 16049
acs median gross
2
$744
2024-12-31
CENSUS_ACS5
county 16049
fmr
2
$1,049
2025-10-01
HUD_USER_FMR
county 16049
acs median gross
3
$1,324
2024-12-31
CENSUS_ACS5
county 16049
fmr
3
$1,459
2025-10-01
HUD_USER_FMR
county 16049
acs median gross
4
$1,124
2024-12-31
CENSUS_ACS5
county 16049
fmr
4
$1,760
2025-10-01
HUD_USER_FMR
county 16049
acs median gross
$789
2024-12-31
CENSUS_ACS5
county 16049
acs recent mover gross
$684
2024-12-31
CENSUS_ACS5
zcta 83530
acs median gross
1
$565
2024-12-31
CENSUS_ACS5
zcta 83530
acs median gross
2
$697
2024-12-31
CENSUS_ACS5
zcta 83530
acs median gross
3
$1,580
2024-12-31
CENSUS_ACS5
zcta 83530
acs median gross
$744
2024-12-31
CENSUS_ACS5
zcta 83530
acs recent mover gross
$682
2024-12-31
CENSUS_ACS5
zip 83530
payment standard 110
0
$924
2025-10-01
HUD_USER_SAFMR
zip 83530
payment standard 90
0
$756
2025-10-01
HUD_USER_SAFMR
zip 83530
safmr
0
$840
2025-10-01
HUD_USER_SAFMR
zip 83530
payment standard 110
1
$1,023
2025-10-01
HUD_USER_SAFMR
zip 83530
payment standard 90
1
$837
2025-10-01
HUD_USER_SAFMR
zip 83530
safmr
1
$930
2025-10-01
HUD_USER_SAFMR
zip 83530
payment standard 110
2
$1,342
2025-10-01
HUD_USER_SAFMR
zip 83530
payment standard 90
2
$1,098
2025-10-01
HUD_USER_SAFMR
zip 83530
safmr
2
$1,220
2025-10-01
HUD_USER_SAFMR
zip 83530
payment standard 110
3
$1,870
2025-10-01
HUD_USER_SAFMR
zip 83530
payment standard 90
3
$1,530
2025-10-01
HUD_USER_SAFMR
zip 83530
safmr
3
$1,700
2025-10-01
HUD_USER_SAFMR
zip 83530
payment standard 110
4
$2,255
2025-10-01
HUD_USER_SAFMR
zip 83530
payment standard 90
4
$1,845
2025-10-01
HUD_USER_SAFMR
zip 83530
safmr
4
$2,050
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.