Composite
79.7 / 100 percentile
Screener / 505123
C
Bremerton Trails Post Acute
snfWASFF: SFF Candidate
2701 CLARE AVENUE, BREMERTON, WA 98310 · CCN 505123 · chain KALESTA HEALTHCARE GROUP LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
125
Model
v1.2
Reads as: riskier than 79.7% 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 signals3Components16CHOW radar1Distress radar1Staffing16Penalties3Deficiencies103Licensure0Ownership11Related party5Transactions1Comps12Market rent36
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 98.5 | 97.6 | 0.30 | 0.2308 | 22.73 | in index |
| billing conduct | 74.4 | 49.8 | 0.30 | 0.2308 | 17.17 | in index |
| financial risk | 35.2 | 36.8 | 0.30 | 0.2308 | 8.12 | in index |
| staffing risk | 36.5 | 36.6 | 0.25 | 0.1923 | 7.02 | in index |
| chow risk | 45.6 | 44.7 | 0.15 | 0.1154 | 5.26 | 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.
ML signals — parallel engine
3| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| anomaly | Federal penalty spike | 4.9x prior | this facility | 2026-07-29 |
| connection | Owner spans multiple chains | 6 chains | WILLIAMS RYAN | 26 facilities |
| connection | Owner fleet enforcement cluster | 41% fined | KALESTA HEALTHCARE GROUP LLC | 17 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 type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 49.8 | C | 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 | 64.5 | C | v0.6 | default · in composite | |
| financial risk | 36.8 | B | 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 | 0.1 | — | 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 | 97.6 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 36.6 | B | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 69.3 | D | 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 | 49.3 | C | 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 | 37.7 | B | 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 | 42.7 | B | 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 | 97.6 | 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 | 97.6 | 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 | 36.6 | 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 | 36.6 | 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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
17.6
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Current owner tenure (years) | 1.16 | -1.73 | |
| Never sold on record | 0.00 | -1.62 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| Deficiencies, last 12 months | 38.00 | +0.75 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Occupancy | 0.83 | -0.39 | |
| Contract staffing share | 0.30 | +0.38 |
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
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 38.00 | -5.62 | |
| For-profit ownership | 1.00 | -0.69 | |
| Fine amount, 12m (log) | 11.59 | -0.67 | |
| Chain size (log) | 2.77 | -0.41 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Occupancy | 0.83 | -0.36 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 1.16 | -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 HPRD | This facility | WA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.51 | 3.70 | 3.28 | 2.90–3.77 |
| RN | 0.33 | 0.62 | 0.39 | 0.25–0.58 |
| Weekend total | 3.35 | 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 | 104.2 | 3.51 | 0.33 | 0.96 | 2.22 | 3.35 | 30.5% |
| 2025Q3 | 92 | 90.6 | 3.24 | 0.32 | 0.73 | 2.18 | 3.01 | 19.2% |
| 2025Q2 | 91 | 81.4 | 3.39 | 0.30 | 0.91 | 2.17 | 3.27 | 13.2% |
| 2025Q1 | 90 | 82.9 | 3.25 | 0.27 | 0.90 | 2.08 | 3.06 | 22.6% |
| 2024Q4 | 92 | 81.4 | 3.20 | 0.24 | 0.92 | 2.04 | 3.16 | 10.2% |
| 2024Q3 | 92 | 85.6 | 3.38 | 0.21 | 0.90 | 2.27 | 3.28 | 7.0% |
| 2024Q2 | 91 | 89.9 | 3.57 | 0.38 | 0.65 | 2.55 | 3.28 | 2.9% |
| 2024Q1 | 91 | 89.9 | 3.24 | 0.30 | 0.72 | 2.22 | 3.12 | 7.2% |
| 2023Q4 | 92 | 95.6 | 2.76 | 0.48 | 0.43 | 1.84 | 2.40 | 1.9% |
| 2023Q3 | 92 | 94.5 | 2.55 | 0.23 | 0.60 | 1.72 | 2.33 | 5.7% |
| 2023Q2 | 91 | 95.5 | 2.72 | 0.28 | 0.66 | 1.78 | 2.39 | 2.2% |
| 2023Q1 | 90 | 88.9 | 3.15 | 0.41 | 0.73 | 2.01 | 2.75 | 0.1% |
| 2022Q4 | 92 | 98.7 | 2.65 | 0.34 | 0.60 | 1.71 | 2.41 | 0.0% |
| 2022Q3 | 92 | 90.0 | 2.70 | 0.32 | 0.60 | 1.79 | 2.26 | 5.7% |
| 2022Q2 | 91 | 93.3 | 2.56 | 0.22 | 0.63 | 1.71 | 2.19 | 8.3% |
| 2022Q1 | 90 | 96.0 | 1.90 | 0.05 | 0.53 | 1.31 | 1.77 | 3.6% |
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
3fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-11-18 | Fine | $108,160 | CMS provider data |
| 2023-11-17 | Fine | $65,908 | CMS provider data |
| 2023-11-17 | Payment Denial | — | CMS provider data |
Total fines on record: $174,068
Deficiencies
103D × 48E × 49F × 1G × 3J × 1L × 1
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-15 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2026-05-01 |
| 2026-03-31 | 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 | 2026-05-01 |
| 2026-03-31 | Health · complaint | 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 | 2026-05-01 |
| 2026-03-31 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-05-01 |
| 2026-03-31 | Health · complaint | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | 2026-05-01 |
| 2026-03-04 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2026-04-08 |
| 2026-03-04 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2026-04-08 |
| 2026-03-04 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2026-04-08 |
| 2025-11-18 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2026-01-07 |
| 2025-11-18 | Health | F0567 | Honor the resident's right to manage his or her financial affairs. | E | 2026-01-07 |
| 2025-11-18 | Health | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | 2026-01-07 |
| 2025-11-18 | Health | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | E | 2026-01-07 |
| 2025-11-18 | Health · complaint | 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. | E | 2026-01-07 |
| 2025-11-18 | 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. | E | 2026-01-07 |
| 2025-11-18 | Health | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | E | 2026-01-07 |
| 2025-11-18 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-01-07 |
| 2025-11-18 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2026-01-07 |
| 2025-11-18 | Health | F0641 | Ensure each resident receives an accurate assessment. | E | 2026-01-07 |
| 2025-11-18 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | 2026-01-07 |
| 2025-11-18 | Health | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | 2026-01-07 |
| 2025-11-18 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2026-01-07 |
| 2025-11-18 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2026-01-07 |
| 2025-11-18 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2026-01-07 |
| 2025-11-18 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2026-01-07 |
| 2025-11-18 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2026-02-06 |
| 2025-11-18 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | E | 2026-01-07 |
| 2025-11-18 | Health | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | 2026-01-07 |
| 2025-11-18 | Health | F0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | E | 2026-01-07 |
| 2025-11-18 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | 2026-01-07 |
| 2025-11-18 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2026-01-07 |
| 2025-11-18 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2026-01-07 |
| 2025-11-18 | Health · complaint | F0825 | Provide or get specialized rehabilitative services as required for a resident. | E | 2026-01-07 |
| 2025-11-18 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2026-01-07 |
| 2025-11-18 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | D | 2026-01-07 |
| 2025-11-18 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2026-02-06 |
| 2025-11-18 | Health | F0881 | Implement a program that monitors antibiotic use. | E | 2026-01-07 |
| 2025-11-18 | Health | F0908 | Keep all essential equipment working safely. | E | 2026-01-07 |
| 2025-09-05 | Health · complaint | 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 | 2025-10-01 |
| 2025-05-01 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | E | 2025-05-27 |
| 2025-05-01 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-05-27 |
| 2025-03-07 | Health · complaint | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | 2025-04-01 |
| 2025-02-20 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-03-10 |
| 2024-11-19 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2024-12-17 |
| 2024-11-19 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-12-17 |
| 2024-10-01 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2024-10-16 |
| 2024-09-06 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2024-09-23 |
| 2024-09-06 | Health · complaint | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | 2024-09-23 |
| 2024-08-20 | Health · complaint | 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 | 2024-09-11 |
| 2024-07-17 | Health · complaint | 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. | E | 2024-08-15 |
| 2024-07-13 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2024-08-15 |
| 2024-07-13 | Health | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | E | 2024-08-15 |
| 2024-07-13 | 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 | 2024-08-15 |
| 2024-07-13 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2024-08-15 |
| 2024-07-13 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2024-08-15 |
| 2024-07-13 | Health | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2024-08-15 |
| 2024-07-13 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2024-08-15 |
| 2024-07-13 | Health · complaint | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | E | 2024-08-15 |
| 2024-07-13 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-08-15 |
| 2024-07-13 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2024-08-15 |
| 2024-07-13 | Health | F0687 | Provide appropriate foot care. | D | 2024-08-15 |
| 2024-07-13 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-08-15 |
| 2024-07-13 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2024-08-15 |
| 2024-07-13 | Health | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | 2024-08-15 |
| 2024-07-13 | Health | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | 2024-08-15 |
| 2024-07-13 | 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 | 2024-08-15 |
| 2024-07-13 | 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 | 2024-08-15 |
| 2024-07-13 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-08-15 |
| 2024-07-13 | Health | F0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | E | 2024-08-15 |
| 2024-07-13 | Health | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | 2024-08-15 |
| 2024-07-01 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-08-15 |
| 2024-07-01 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-08-15 |
| 2024-07-01 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-08-15 |
| 2024-05-07 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-05-23 |
| 2024-05-07 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | 2024-05-23 |
| 2024-03-07 | 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 | 2024-03-26 |
| 2024-03-07 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-03-26 |
| 2024-03-07 | Health · complaint | F0840 | Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | D | 2024-03-26 |
| 2024-01-25 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2024-02-28 |
| 2024-01-04 | 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. | J | 2024-01-05 |
| 2023-12-14 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | G | 2024-01-02 |
| 2023-12-06 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-01-02 |
| 2023-12-06 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | L | 2024-01-02 |
| 2023-12-06 | Health · complaint | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | F | 2024-01-02 |
| 2023-11-17 | Health · complaint | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2023-12-11 |
| 2023-11-17 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-12-11 |
| 2023-11-17 | Health · complaint | 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 | 2023-12-11 |
| 2023-09-27 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-10-11 |
| 2023-09-08 | Health | F0570 | Assure the security of all personal funds of residents deposited with the facility. | E | 2023-10-11 |
| 2023-09-08 | 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 | 2023-10-11 |
| 2023-09-08 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2023-10-11 |
| 2023-09-08 | 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. | E | 2023-10-11 |
| 2023-09-08 | 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. | E | 2023-10-11 |
| 2023-09-08 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2023-10-11 |
| 2023-09-08 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2023-10-11 |
| 2023-09-08 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2023-10-11 |
| 2023-09-08 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2023-10-11 |
| 2023-09-08 | Health | 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 | 2023-10-11 |
| 2023-09-08 | Health | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2023-10-11 |
| 2023-09-08 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2023-10-11 |
| 2023-09-08 | Health | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | 2023-10-11 |
| 2023-09-08 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-10-11 |
| 2023-09-08 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2023-10-11 |
| 2023-09-08 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2023-10-11 |
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
11| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| KALESTA HEALTHCARE GROUP, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2025-06-01 | current | pecos_ownership |
| CLAWSON, SCOTT | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-06-01 | current | pecos_ownership |
| MBARU, STEPHEN | ADP OF THE SNF | — | 2025-06-01 | current | pecos_ownership |
| PORTER, MICAH | INDIRECT OWNERSHIP INTEREST | — | 2025-06-01 | current | pecos_ownership |
| SEGAR, JASON | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-06-01 | current | pecos_ownership |
| WILLIAMS, RYAN | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-06-01 | current | pecos_ownership |
| MICAH PORTER | INDIRECT OWNERSHIP INTEREST | 7% | 2025-06-01 | ended 2026-05-18 | pecos_ownership |
| SCOTT CLAWSON | INDIRECT OWNERSHIP INTEREST | 5% | 2025-06-01 | ended 2026-05-18 | pecos_ownership |
| JASON SEGAR | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-06-01 | ended 2026-05-18 | pecos_ownership |
| RYAN WILLIAMS | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-06-01 | ended 2026-05-18 | pecos_ownership |
| STEPHEN MBARU | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-06-01 | 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
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2025-06-01 | — | RINCON BEACH, LLC | BREMERTON HEALTH, LLC | chow |
Comparable trades — WA snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-06-01 | Bremerton Trails Post Acutethis facility | — | — | — | 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
36| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 53035 | acs median gross | 0 | $1,379 | 2024-12-31 | CENSUS_ACS5 |
| county 53035 | fmr | 0 | $1,400 | 2025-10-01 | HUD_USER_FMR |
| county 53035 | acs median gross | 1 | $1,448 | 2024-12-31 | CENSUS_ACS5 |
| county 53035 | fmr | 1 | $1,548 | 2025-10-01 | HUD_USER_FMR |
| county 53035 | acs median gross | 2 | $1,780 | 2024-12-31 | CENSUS_ACS5 |
| county 53035 | fmr | 2 | $2,031 | 2025-10-01 | HUD_USER_FMR |
| county 53035 | acs median gross | 3 | $2,217 | 2024-12-31 | CENSUS_ACS5 |
| county 53035 | fmr | 3 | $2,676 | 2025-10-01 | HUD_USER_FMR |
| county 53035 | acs median gross | 4 | $2,360 | 2024-12-31 | CENSUS_ACS5 |
| county 53035 | fmr | 4 | $2,941 | 2025-10-01 | HUD_USER_FMR |
| county 53035 | acs median gross | 5 | $2,331 | 2024-12-31 | CENSUS_ACS5 |
| county 53035 | acs median gross | $1,822 | 2024-12-31 | CENSUS_ACS5 | |
| county 53035 | acs recent mover gross | $2,007 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 98310 | acs median gross | 0 | $1,112 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98310 | acs median gross | 1 | $1,435 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98310 | acs median gross | 2 | $1,688 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98310 | acs median gross | 3 | $2,009 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98310 | acs median gross | 4 | $1,889 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98310 | acs median gross | 5 | $2,760 | 2024-12-31 | CENSUS_ACS5 |
| zcta 98310 | acs median gross | $1,652 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 98310 | acs recent mover gross | $1,706 | 2024-12-31 | CENSUS_ACS5 | |
| zip 98310 | payment standard 110 | 0 | $1,397 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98310 | payment standard 90 | 0 | $1,143 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98310 | safmr | 0 | $1,270 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98310 | payment standard 110 | 1 | $1,562 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98310 | payment standard 90 | 1 | $1,278 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98310 | safmr | 1 | $1,420 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98310 | payment standard 110 | 2 | $2,046 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98310 | payment standard 90 | 2 | $1,674 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98310 | safmr | 2 | $1,860 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98310 | payment standard 110 | 3 | $2,662 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98310 | payment standard 90 | 3 | $2,178 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98310 | safmr | 3 | $2,420 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98310 | payment standard 110 | 4 | $3,069 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98310 | payment standard 90 | 4 | $2,511 | 2025-10-01 | HUD_USER_SAFMR |
| zip 98310 | safmr | 4 | $2,790 | 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.