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 22:26 UTC
Screener / 555208
B

WESTGATE GARDENS CARE CENTER

snfCA
4525 W. TULARE AVE., VISALIA, CA 93277 · CCN 555208 · chain PACS HOLDINGS LLC
Composite
42.2 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
140
Model
v1.2
Reads as: riskier than 42.2% 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
billing conduct94.164.40.300.230821.72in index
regulatory risk71.867.30.300.230816.57in index
staffing risk16.816.90.250.19233.23in index
financial risk10.319.50.300.23082.38in index
chow risk14.214.00.150.11541.64in 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

5
KindFindingSignalSubjectFirst seen
connectionOwner spans multiple chains7 chainsGROSSMAN STEPHEN18 facilities
connectionOwner spans multiple chains7 chainsJERGENSEN JOSHUA249 facilities
connectionOwner spans multiple chains7 chainsMITCHELL JOHN264 facilities
connectionOwner spans multiple chains6 chainsAPT FREDERICK254 facilities
connectionOwner spans multiple chains5 chainsHANCOCK MARK158 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 conduct64.4Cv0.1-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 risk3.0Av0.6default · in composite
financial risk19.5Av0.5default · 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 12m3.7v0.1default · 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 risk67.3Dv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk16.9Av0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk60.5Cv0.1supersededPre-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 risk40.5Bv0.2supersededPre-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 risk39.7Bv0.3supersededPre-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 risk25.2Bv0.4supersededPre-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 risk67.2Dv0.1supersededPre-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 risk67.2Dv0.2supersededPre-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 risk16.9Av0.1supersededPre-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 risk16.9Av0.2supersededPre-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)
3.7%
model v0.1 · computed 2026-07-29
Percentile among SNFs
82.4
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Chain size (log)5.51+0.77
Occupancy0.95-0.73
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
Ownership changes, last 5 years0.00+0.20
Total nurse staffing (HPRD)4.03-0.19
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
Chain size (log)5.51-2.01
Occupancy0.95-0.84
For-profit ownership1.00-0.69
Deficiencies, last 12 months5.00+0.50
No PBJ staffing report0.00+0.39
Total nurse staffing (HPRD)4.03-0.34
Fine amount, 12m (log)0.00+0.18
Facility size (log beds)4.95-0.12
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 nurse4.033.953.282.90–3.77
RN0.250.380.390.25–0.58
Weekend total3.793.793.11
Weekday total4.124.013.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q492132.94.030.251.072.713.790.0%
2025Q392132.03.960.251.062.653.790.0%
2025Q291134.53.910.241.032.633.650.0%
2025Q190133.34.250.231.212.813.840.0%
2024Q492132.44.160.201.222.753.860.0%
2024Q392132.74.220.161.292.773.910.1%
2024Q291130.54.090.151.272.683.800.0%
2024Q191130.44.050.151.182.733.870.3%
2023Q492131.04.060.111.182.773.830.0%
2023Q392132.73.960.111.112.743.730.0%
2023Q291131.73.750.141.032.573.460.0%
2023Q190130.63.400.000.772.633.350.0%
2022Q492129.73.590.000.842.753.580.0%
2022Q392134.13.310.000.732.583.230.0%
2022Q291133.23.110.150.842.122.892.3%
2022Q190132.73.250.120.862.273.057.5%
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

1
DateTypeFineSource
2025-05-15Fine$10,317CMS provider data
Total fines on record: $10,317

Deficiencies

54
D × 43E × 9F × 1G × 1
deficiencies by survey year
21111921232526
SurveyTypeTagDeficiencyScopeCorrected
2026-04-09Health · complaintF0583Keep residents' personal and medical records private and confidential.D2026-04-24
2026-02-17Health · complaintF0917Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.D2026-02-24
2025-12-22Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-12-29
2025-08-05Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2025-09-03
2025-08-05Health · complaintF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2025-09-03
2025-07-01Health · 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.D2025-08-12
2025-06-11Health · complaintF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D2025-07-30
2025-06-11Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-07-30
2025-06-04Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2025-07-20
2025-05-15Health · complaintF0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.D2025-06-13
2025-04-07Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2025-04-09
2025-03-28Health · complaintF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D2025-03-30
2025-02-24HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2025-03-24
2025-02-24HealthF0558Reasonably accommodate the needs and preferences of each resident.D2025-03-24
2025-02-24HealthF0578Honor 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.E2025-03-24
2025-02-24HealthF0584Honor 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.D2025-03-24
2025-02-24HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-03-24
2025-02-24HealthF0761Ensure 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.D2025-03-24
2025-02-24HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2025-03-24
2025-02-24HealthF0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.E2025-03-24
2025-02-24HealthF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyE2025-03-24
2025-01-29Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-03-04
2025-01-02Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-01-03
2024-09-06Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2024-10-03
2024-05-16Health · complaintF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.D2024-06-28
2024-05-02Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2024-05-03
2024-04-23Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2024-04-24
2023-11-29Health · complaintF0584Honor 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.D2023-12-14
2023-08-21Health · complaintF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D2023-08-31
2023-08-15Health · complaintF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.D2023-08-16
2023-08-15Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2023-08-16
2023-07-31Health · complaintF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.D2023-08-11
2023-06-16Health · complaintF0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.D2023-06-23
2023-04-20HealthF0578Honor 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.E2023-05-22
2023-04-20HealthF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2023-05-22
2023-04-20HealthF0641Ensure each resident receives an accurate assessment.D2023-05-22
2023-04-20HealthF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D2023-05-22
2023-04-20HealthF0645PASARR screening for Mental disorders or Intellectual DisabilitiesE2023-05-22
2023-04-20HealthF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D2023-05-22
2023-04-20HealthF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2023-05-22
2023-04-20HealthF0692Provide enough food/fluids to maintain a resident's health.D2023-05-22
2023-04-20HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2023-05-22
2023-04-20HealthF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.D2023-05-22
2023-04-20HealthF0759Ensure medication error rates are not 5 percent or greater.E2023-05-22
2023-04-20HealthF0761Ensure 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.E2023-05-22
2023-04-20HealthF0803Ensure 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.D2023-05-22
2023-04-20HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2023-05-22
2023-04-20HealthF0880Provide and implement an infection prevention and control program.E2023-05-22
2019-10-24HealthF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2019-11-19
2019-10-24HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.D2019-11-19
2019-10-24HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2019-11-19
2019-10-24HealthF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D2019-11-19
2019-10-24HealthF0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.D2019-11-19
2019-10-24HealthF0880Provide and implement an infection prevention and control program.D2019-11-19
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

17
OwnerRolePctFromStatusSource
APT, FREDERICKCORPORATE OFFICER2024-01-01currentpecos_ownership
GROSSMAN, STEPHENCONTRACTED MANAGING EMPLOYEE2010-01-01currentpecos_ownership
HANCOCK, MARKCORPORATE OFFICER2024-01-01currentpecos_ownership
JERGENSEN, JOSHUACORPORATE OFFICER2024-01-01currentpecos_ownership
MITCHELL, JOHNCORPORATE OFFICER2024-01-01currentpecos_ownership
WALKER, JONATHANOPERATIONAL/MANAGERIAL CONTROL2023-08-14currentpecos_ownership
PACS GROUP, INC.5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2023-06-30ended 2026-05-18pecos_ownership
PACS HOLDINGS, LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2023-06-30ended 2026-05-18pecos_ownership
PROVIDENCE GROUP NH, LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2023-06-30ended 2026-05-18pecos_ownership
JASON MURRAY5% OR GREATER INDIRECT OWNERSHIP INTEREST42%2024-04-15ended 2026-05-18pecos_ownership
MARK HANCOCK5% OR GREATER INDIRECT OWNERSHIP INTEREST42%2024-04-15ended 2026-05-18pecos_ownership
FREDERICK APTCORPORATE OFFICER2024-01-01ended 2026-05-18pecos_ownership
JOHN MITCHELLCORPORATE OFFICER2024-01-01ended 2026-05-18pecos_ownership
JONATHAN WALKEROPERATIONAL/MANAGERIAL CONTROL2023-08-14ended 2026-05-18pecos_ownership
JOSHUA JERGENSENCORPORATE OFFICER2024-01-01ended 2026-05-18pecos_ownership
MARK HANCOCKCORPORATE OFFICER2024-01-01ended 2026-05-18pecos_ownership
STEPHEN GROSSMANCONTRACTED MANAGING EMPLOYEE2010-01-01ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

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 06107acs median gross0$9882024-12-31CENSUS_ACS5
county 06107fmr0$1,1162025-10-01HUD_USER_FMR
county 06107acs median gross1$8272024-12-31CENSUS_ACS5
county 06107fmr1$1,1232025-10-01HUD_USER_FMR
county 06107acs median gross2$1,1662024-12-31CENSUS_ACS5
county 06107fmr2$1,4742025-10-01HUD_USER_FMR
county 06107acs median gross3$1,4542024-12-31CENSUS_ACS5
county 06107fmr3$2,0282025-10-01HUD_USER_FMR
county 06107acs median gross4$1,7522024-12-31CENSUS_ACS5
county 06107fmr4$2,3932025-10-01HUD_USER_FMR
county 06107acs median gross5$1,7382024-12-31CENSUS_ACS5
county 06107acs median gross$1,2802024-12-31CENSUS_ACS5
county 06107acs recent mover gross$1,4992024-12-31CENSUS_ACS5
zcta 93277acs median gross0$1,4362024-12-31CENSUS_ACS5
zcta 93277acs median gross1$9892024-12-31CENSUS_ACS5
zcta 93277acs median gross2$1,3552024-12-31CENSUS_ACS5
zcta 93277acs median gross3$1,7292024-12-31CENSUS_ACS5
zcta 93277acs median gross4$2,2582024-12-31CENSUS_ACS5
zcta 93277acs median gross5$2,4262024-12-31CENSUS_ACS5
zcta 93277acs median gross$1,4832024-12-31CENSUS_ACS5
zcta 93277acs recent mover gross$1,7142024-12-31CENSUS_ACS5
zip 93277payment standard 1100$1,3642025-10-01HUD_USER_SAFMR
zip 93277payment standard 900$1,1162025-10-01HUD_USER_SAFMR
zip 93277safmr0$1,2402025-10-01HUD_USER_SAFMR
zip 93277payment standard 1101$1,3752025-10-01HUD_USER_SAFMR
zip 93277payment standard 901$1,1252025-10-01HUD_USER_SAFMR
zip 93277safmr1$1,2502025-10-01HUD_USER_SAFMR
zip 93277payment standard 1102$1,8042025-10-01HUD_USER_SAFMR
zip 93277payment standard 902$1,4762025-10-01HUD_USER_SAFMR
zip 93277safmr2$1,6402025-10-01HUD_USER_SAFMR
zip 93277payment standard 1103$2,4862025-10-01HUD_USER_SAFMR
zip 93277payment standard 903$2,0342025-10-01HUD_USER_SAFMR
zip 93277safmr3$2,2602025-10-01HUD_USER_SAFMR
zip 93277payment standard 1104$2,9262025-10-01HUD_USER_SAFMR
zip 93277payment standard 904$2,3942025-10-01HUD_USER_SAFMR
zip 93277safmr4$2,6602025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.