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 23:51 UTC
Screener / 055559
C

BAY CREST CARE CENTER

snfCASFF: SFF Candidate
3750 GARNET STREET, TORRANCE, CA 90503 · CCN 055559 · chain HCCF MANAGEMENT GROUP XI LLC
Composite
76.9 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
80
Model
v1.2
Reads as: riskier than 76.9% 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 signals5Components16CHOW radar1Distress radar1Staffing16Penalties7Deficiencies128Licensure0Ownership43Related party5Transactions0Comps12Market rent35

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk97.896.70.300.230822.57in index
financial risk76.263.90.300.230817.58in index
billing conduct29.831.50.300.23086.88in index
chow risk52.750.90.150.11546.08in index
staffing risk30.530.60.250.19235.87in 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
anomalyFederal penalty spike4.2x priorthis facility2026-07-29
connectionOwner spans multiple chains33 chainsWELLTOWER OP LLC147 facilities
connectionOwner spans multiple chains4 chainsPOWERBACK REHABILITATION LLC32 facilities
connectionOwner fleet enforcement cluster40% finedBOLD QUAIL HOLDINGS LLC20 facilities
connectionOwner fleet enforcement cluster40% finedGEN BQ JV HOLDINGS LLC20 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 conduct31.5Bv0.1-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 risk76.8Dv0.6default · in composite
financial risk63.9Cv0.5default · 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 12m20.4—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 risk96.7Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk30.6Bv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk93.5Fv0.1supersededPre-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 risk73.5Dv0.2supersededPre-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 risk71.9Dv0.3supersededPre-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 risk62.6Cv0.4supersededPre-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 risk96.7Fv0.1supersededPre-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 risk96.7Fv0.2supersededPre-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 risk30.6Bv0.1supersededPre-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 risk30.6Bv0.2supersededPre-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)
20.4%
model v0.1 · computed 2026-07-29
Percentile among SNFs
99.8
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Deficiencies, last 12 months48.00+0.99
Chain size (log)5.24+0.71
For-profit ownership1.00+0.69
Never sold on record1.00+0.62
Current owner tenure (years)25.00+0.57
Occupancy0.88-0.52
No PBJ staffing report0.00+0.42
Penalties, last 12 months5.00+0.27
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 months48.00-7.47
Chain size (log)5.24-1.84
For-profit ownership1.00-0.69
Fine amount, 12m (log)11.20-0.64
Occupancy0.88-0.54
Penalties, last 12 months5.00-0.51
No PBJ staffing report0.00+0.39
High-severity deficiencies, 12m3.00-0.20
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 nurse3.643.953.282.90–3.77
RN0.190.380.390.25–0.58
Weekend total3.563.793.11—
Weekday total3.674.013.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49270.23.640.190.932.523.560.0%
2025Q39274.13.500.240.822.443.510.0%
2025Q29172.83.340.250.792.293.310.0%
2025Q19074.13.370.260.812.303.310.0%
2024Q49271.93.500.230.892.383.580.0%
2024Q39275.13.420.210.862.353.400.0%
2024Q29169.53.650.171.052.423.620.0%
2024Q19166.93.650.141.022.493.430.0%
2023Q49270.63.630.181.032.423.380.0%
2023Q39266.63.520.151.022.353.280.2%
2023Q29168.83.520.161.072.283.3211.2%
2023Q19067.52.780.141.051.592.4318.9%
2022Q49267.83.740.131.252.363.5438.9%
2022Q39268.92.980.121.151.722.5245.7%
2022Q29166.52.440.141.101.192.126.9%
2022Q19066.23.230.231.081.932.886.8%
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

7
fines by year
$72.8k$36.4k232425
DateTypeFineSource
2025-11-03Fine$44,256CMS provider data
2025-11-03Payment Denial—CMS provider data
2025-10-15Fine$12,425CMS provider data
2025-08-19Fine$16,149CMS provider data
2025-08-19Payment Denial—CMS provider data
2023-12-07Fine$51,506CMS provider data
2023-12-07Payment Denial—CMS provider data
Total fines on record: $124,336

Deficiencies

128
C × 1D × 83E × 36F × 2G × 4J × 2
deficiencies by survey year
593023242526
SurveyTypeTagDeficiencyScopeCorrected
2026-03-18Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2026-04-10
2026-03-18Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2026-04-10
2026-03-13HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2026-03-20
2026-03-13HealthF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D2026-03-20
2026-03-13HealthF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.D2026-03-20
2026-03-13HealthF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D2026-03-20
2026-03-13HealthF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D2026-03-20
2026-03-13HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2026-03-20
2026-03-13HealthF0679Provide activities to meet all resident's needs.D2026-03-20
2026-03-13HealthF0685Assist a resident in gaining access to vision and hearing services.D2026-03-20
2026-03-13HealthF0760Ensure that residents are free from significant medication errors.E2026-03-20
2026-03-13HealthF0803Ensure 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.D2026-03-20
2026-03-13HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2026-03-20
2026-03-13HealthF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D2026-03-20
2026-03-13HealthF0880Provide and implement an infection prevention and control program.D2026-03-20
2026-03-06Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2026-03-10
2026-03-06Health · complaintF0700Try 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.D2026-03-10
2026-02-23Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2026-03-02
2026-02-23Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2026-03-02
2026-01-30Health · complaintF0880Provide and implement an infection prevention and control program.E2026-02-04
2025-12-17Health · complaintF0565Honor the resident's right to organize and participate in resident/family groups in the facility.D2025-12-24
2025-12-12Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E2025-12-13
2025-12-12Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2025-12-13
2025-12-12Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.E2025-12-13
2025-12-12Health · complaintF0760Ensure that residents are free from significant medication errors.E2025-12-13
2025-11-09Health · complaintF0635Provide doctor's orders for the resident's immediate care at the time the resident was admitted.D2025-11-11
2025-11-09Health · complaintF0641Ensure each resident receives an accurate assessment.D2025-11-11
2025-11-09Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2025-11-11
2025-11-09Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2025-11-11
2025-11-09Health · complaintF0865Have a plan that describes the process for conducting QAPI and QAA activities.D2025-11-11
2025-11-03Health · complaintF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E2025-11-07
2025-11-03Health · complaintF0760Ensure that residents are free from significant medication errors.E2025-11-07
2025-11-03Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E2025-11-07
2025-10-17Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2025-10-20
2025-10-17Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2025-10-20
2025-10-15Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2025-10-16
2025-10-15Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-10-16
2025-10-15Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-10-16
2025-09-17Health · complaintF0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.D2025-09-19
2025-09-03Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2025-09-08
2025-09-03Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2025-09-08
2025-09-03Health · complaintF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.E2025-09-08
2025-09-03Health · complaintF0908Keep all essential equipment working safely.D2025-09-08
2025-08-19Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E2025-09-08
2025-08-19Health · complaintF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.J2025-09-08
2025-08-19Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-09-08
2025-08-19Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E2025-09-08
2025-08-19Health · complaintF0865Have a plan that describes the process for conducting QAPI and QAA activities.D2025-09-08
2025-07-11Health · complaintF0558Reasonably accommodate the needs and preferences of each resident.D2025-07-14
2025-07-11Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2025-07-14
2025-07-11Health · complaintF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.D2025-07-14
2025-07-11Health · complaintF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2025-07-14
2025-07-11Health · complaintF0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.D2025-07-14
2025-06-03Health · complaintF0693Ensure 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.D2025-06-20
2025-05-16Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-05-20
2025-05-16Health · complaintF0760Ensure that residents are free from significant medication errors.D2025-05-20
2025-03-28Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-04-21
2025-03-28Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-04-21
2025-01-31HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2025-02-20
2025-01-31HealthF0558Reasonably accommodate the needs and preferences of each resident.E2025-02-20
2025-01-31HealthF0583Keep residents' personal and medical records private and confidential.D2025-02-20
2025-01-31Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2025-02-20
2025-01-31HealthF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.D2025-02-20
2025-01-31HealthF0645PASARR screening for Mental disorders or Intellectual DisabilitiesE2025-02-20
2025-01-31HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2025-02-20
2025-01-31HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2025-02-20
2025-01-31HealthF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D2025-02-20
2025-01-31HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2025-02-20
2025-01-31HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E2025-02-20
2025-01-31HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2025-02-20
2025-01-31HealthF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.E2025-02-20
2025-01-31HealthF0759Ensure medication error rates are not 5 percent or greater.D2025-02-20
2025-01-31HealthF0761Ensure 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.D2025-02-20
2025-01-31HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D2025-02-20
2025-01-31Health · complaintF0836Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.D2025-02-20
2025-01-31Health · complaintF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.E2025-02-20
2025-01-31HealthF0880Provide and implement an infection prevention and control program.D2025-02-20
2025-01-31HealthF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.D2025-02-20
2025-01-31HealthF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.D2025-02-20
2024-12-30Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2025-01-07
2024-10-30Health · complaintF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.D2024-11-01
2024-09-30Health · complaintF0732Post nurse staffing information every day.C2024-09-30
2024-09-10Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-09-12
2024-08-21Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E2024-09-09
2024-08-21Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2024-09-09
2024-07-21Health · 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.D2024-08-07
2024-07-21Health · complaintF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2024-08-07
2024-05-06Health · complaintF0558Reasonably accommodate the needs and preferences of each resident.E2024-05-24
2024-05-06Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-05-24
2024-05-06Health · complaintF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.E2024-05-24
2024-05-06Health · complaintF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2024-05-24
2024-05-06Health · complaintF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E2024-05-24
2024-02-09Health · complaintF0697Provide safe, appropriate pain management for a resident who requires such services.G2024-03-05
2024-02-09Health · complaintF0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.E2024-03-05
2024-02-09Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2024-03-05
2024-01-31Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2024-02-20
2024-01-31Health · complaintF0697Provide safe, appropriate pain management for a resident who requires such services.E2024-02-20
2024-01-31Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2024-02-20
2024-01-31Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E2024-02-20
2024-01-12Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E2024-02-08
2024-01-12HealthF0554Allow residents to self-administer drugs if determined clinically appropriate.D2024-02-08
2024-01-12Health · complaintF0558Reasonably accommodate the needs and preferences of each resident.D2024-02-08
2024-01-12HealthF0641Ensure each resident receives an accurate assessment.D2024-02-08
2024-01-12HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E2024-02-08
2024-01-12HealthF0692Provide enough food/fluids to maintain a resident's health.G2024-02-08
2024-01-12HealthF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.E2024-02-08
2024-01-12Health · complaintF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E2024-02-08
2024-01-12HealthF0761Ensure 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.D2024-02-08
2024-01-12Health · complaintF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.E2024-02-08
2024-01-12HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2024-02-08
2024-01-12HealthF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.D2024-02-08
2024-01-12Health · complaintF0880Provide and implement an infection prevention and control program.F2024-02-08
2023-12-21Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E2024-01-15
2023-12-07Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2023-12-28
2023-11-15Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2023-12-05
2023-10-31Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E2023-12-05
2023-10-31Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2023-12-05
2023-10-31Health · complaintF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D2023-12-05
2023-10-05Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2023-10-27
2023-10-05Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2023-10-27
2023-10-05Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2023-10-27
2023-07-27Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2023-08-14
2023-07-26Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E2023-08-22
2023-07-26Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2023-08-22
2023-06-27Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2023-07-19
2023-06-27Health · complaintF0610Respond appropriately to all alleged violations.D2023-07-19
2023-06-16Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2023-07-09
2023-06-15Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2023-07-11
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

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

43
OwnerRolePctFromStatusSource
BQ OPERATIONS HOLDINGS LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2020-02-01currentpecos_ownership
9560 PICO LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST—2020-02-01currentpecos_ownership
ADE, HENRYADP OF THE SNF—2022-06-06currentpecos_ownership
BOLD QUAIL HOLDINGS LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST—2020-02-01currentpecos_ownership
FISHMAN, STEVENINDIRECT OWNERSHIP INTEREST—2020-02-01currentpecos_ownership
GEN BQ JV HOLDINGS LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST—2020-02-01currentpecos_ownership
GEN OPERATIONS I LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST—2020-02-01currentpecos_ownership
GEN OPERATIONS II LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST—2020-02-01currentpecos_ownership
GENESIS HEALTHCARE INC5% OR GREATER INDIRECT OWNERSHIP INTEREST—2020-02-01currentpecos_ownership
GENESIS HEALTHCARE LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST—2020-02-01currentpecos_ownership
GENESIS HOLDINGS LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST—2020-02-01currentpecos_ownership
GHC JV HOLDINGS LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST—2020-02-01currentpecos_ownership
MUTTALIB, AZHARADP OF THE SNF—2023-09-01currentpecos_ownership
NEWGEN ADMINISTRATIVE SERVICES, LLCADP OF THE SNF—2020-02-01currentpecos_ownership
NEWGEN LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST—2020-02-01currentpecos_ownership
PICO AR LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST—2020-02-01currentpecos_ownership
POWERBACK REHABILITATION LLCADP OF THE SNF—2020-02-01currentpecos_ownership
ROBIN, AARONCORPORATE OFFICER—2023-08-15currentpecos_ownership
ROBIN, AARON5% OR GREATER INDIRECT OWNERSHIP INTEREST—2020-02-01currentpecos_ownership
SIMMS, RITAOPERATIONAL/MANAGERIAL CONTROL—2023-07-05currentpecos_ownership
SUN HEALTHCARE GROUP INC5% OR GREATER INDIRECT OWNERSHIP INTEREST—2020-02-01currentpecos_ownership
SUNDANCE REHABILITATION HOLDCO INCINDIRECT OWNERSHIP INTEREST—2020-02-01currentpecos_ownership
TRESS, AVROHOM5% OR GREATER INDIRECT OWNERSHIP INTEREST—2020-02-01currentpecos_ownership
WELLTOWER OP, LLCINDIRECT OWNERSHIP INTEREST—2020-02-01currentpecos_ownership
WHITMAN, ARNOLD5% OR GREATER INDIRECT OWNERSHIP INTEREST—2020-02-01currentpecos_ownership
ZAC PROPERTIES XI LLCINDIRECT OWNERSHIP INTEREST—2020-02-01currentpecos_ownership
FC-GEN OPERATIONS INVESTMENT LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2015-02-02ended 2026-05-18pecos_ownership
GEN OPERATIONS I LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2015-02-02ended 2026-05-18pecos_ownership
GEN OPERATIONS II LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2015-02-02ended 2026-05-18pecos_ownership
GENESIS HEALTHCARE LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2015-02-02ended 2026-05-18pecos_ownership
GENESIS HEALTHCARE INC5% OR GREATER INDIRECT OWNERSHIP INTEREST52%2015-02-02ended 2026-05-18pecos_ownership
SUN HEALTHCARE GROUP INC5% OR GREATER INDIRECT OWNERSHIP INTEREST52%2015-02-02ended 2026-05-18pecos_ownership
AARON ROBIN5% OR GREATER INDIRECT OWNERSHIP INTEREST50%2020-02-01ended 2026-05-18pecos_ownership
AVROHOM TRESS5% OR GREATER INDIRECT OWNERSHIP INTEREST50%2020-02-01ended 2026-05-18pecos_ownership
ARNOLD WHITMAN5% OR GREATER INDIRECT OWNERSHIP INTEREST17%2015-02-02ended 2026-05-18pecos_ownership
HCCF MANAGEMENT GROUP XI LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST15%2015-02-02ended 2026-05-18pecos_ownership
STEVEN FISHMAN5% OR GREATER INDIRECT OWNERSHIP INTEREST11%2015-02-02ended 2026-05-18pecos_ownership
ZAC PROPERTIES XI LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST8%2015-02-02ended 2026-05-18pecos_ownership
SUNDANCE REHABILITATION HOLDCO INC5% OR GREATER INDIRECT OWNERSHIP INTEREST6%2016-01-01ended 2026-05-18pecos_ownership
WELLTOWER OP, LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST6%2024-06-01ended 2026-05-18pecos_ownership
MICHAEL BERGW-2 MANAGING EMPLOYEE0%2024-06-01ended 2026-05-18pecos_ownership
PAMELA SHAWW-2 MANAGING EMPLOYEE0%2024-08-09ended 2026-05-18pecos_ownership
TIANZIANG ZHOUOPERATIONAL/MANAGERIAL CONTROL0%2024-08-09ended 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 Center———144TRACY RIDGE HEALTHCARE, INC.
2025-04-01ALAMITOS WEST HEALTH & REHABILITATION———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

35
GeoKindBRAmountAs ofSource
county 06037acs median gross0$1,5232024-12-31CENSUS_ACS5
county 06037fmr0$1,8632025-10-01HUD_USER_FMR
county 06037acs median gross1$1,7242024-12-31CENSUS_ACS5
county 06037fmr1$2,0852025-10-01HUD_USER_FMR
county 06037acs median gross2$2,1272024-12-31CENSUS_ACS5
county 06037fmr2$2,6012025-10-01HUD_USER_FMR
county 06037acs median gross3$2,4842024-12-31CENSUS_ACS5
county 06037fmr3$3,2982025-10-01HUD_USER_FMR
county 06037acs median gross4$2,8662024-12-31CENSUS_ACS5
county 06037fmr4$3,6722025-10-01HUD_USER_FMR
county 06037acs median gross5$2,7672024-12-31CENSUS_ACS5
county 06037acs median gross$1,9542024-12-31CENSUS_ACS5
county 06037acs recent mover gross$2,3582024-12-31CENSUS_ACS5
zcta 90503acs median gross0$1,6152024-12-31CENSUS_ACS5
zcta 90503acs median gross1$2,0162024-12-31CENSUS_ACS5
zcta 90503acs median gross2$2,4622024-12-31CENSUS_ACS5
zcta 90503acs median gross3$3,2282024-12-31CENSUS_ACS5
zcta 90503acs median gross4$3,5012024-12-31CENSUS_ACS5
zcta 90503acs median gross$2,3022024-12-31CENSUS_ACS5
zcta 90503acs recent mover gross$2,5842024-12-31CENSUS_ACS5
zip 90503payment standard 1100$2,7832025-10-01HUD_USER_SAFMR
zip 90503payment standard 900$2,2772025-10-01HUD_USER_SAFMR
zip 90503safmr0$2,5302025-10-01HUD_USER_SAFMR
zip 90503payment standard 1101$3,1132025-10-01HUD_USER_SAFMR
zip 90503payment standard 901$2,5472025-10-01HUD_USER_SAFMR
zip 90503safmr1$2,8302025-10-01HUD_USER_SAFMR
zip 90503payment standard 1102$3,8832025-10-01HUD_USER_SAFMR
zip 90503payment standard 902$3,1772025-10-01HUD_USER_SAFMR
zip 90503safmr2$3,5302025-10-01HUD_USER_SAFMR
zip 90503payment standard 1103$4,9282025-10-01HUD_USER_SAFMR
zip 90503payment standard 903$4,0322025-10-01HUD_USER_SAFMR
zip 90503safmr3$4,4802025-10-01HUD_USER_SAFMR
zip 90503payment standard 1104$5,4782025-10-01HUD_USER_SAFMR
zip 90503payment standard 904$4,4822025-10-01HUD_USER_SAFMR
zip 90503safmr4$4,9802025-10-01HUD_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 · BAY CREST CARE CENTER (055559) · 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