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 22:40 UTC
Screener / 095034
C

ASCENSION LIVING CARROLL MANOR

snfDC
725 BUCHANAN ST., NE, WASHINGTON, DC 20017 · CCN 095034 · chain ASCENSION HEALTH SENIOR CARE
Composite
61.4 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
252
Model
v1.2
Reads as: riskier than 61.4% 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 signals7Components16CHOW radar1Distress radar1Staffing16Penalties3Deficiencies58Licensure0Ownership18Related party5Transactions1Comps4Market rent35

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk83.180.00.300.230819.18in index
financial risk77.464.90.300.230817.86in index
billing conduct36.534.40.300.23088.42in index
chow risk48.646.70.150.11545.61in index
staffing risk8.38.40.250.19231.60in 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

7
KindFindingSignalSubjectFirst seen
connectionOwner spans multiple chains5 chainsHEALTH DIMENSIONS CONSULTING INC14 facilities
connectionOwner fleet enforcement cluster73% finedSHADBOLT ERIN11 facilities
connectionOwner fleet enforcement cluster73% finedASCENSION HEALTH SENIOR CARE11 facilities
connectionOwner fleet enforcement cluster73% finedSMOOT KENNETH11 facilities
connectionOwner fleet enforcement cluster73% finedMUSGRAVE LISA11 facilities
connectionOwner fleet enforcement cluster57% finedMEDICAL SOLUTIONS LLC14 facilities
connectionOwner fleet enforcement cluster40% finedHEALTH DIMENSIONS CONSULTING INC20 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 conduct34.4Bv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk25.0Bv0.1-posdefault · in compositeChange-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure.
chow risk68.4Dv0.6default · in composite
financial risk64.9Cv0.5default · in compositeR18.
p adverse action 12m0.1—v0.1default · in compositeR23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite.
p chow 12m0.0—v0.1default · in compositeR22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite.
regulatory risk80.0Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk8.4Av0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk55.0Cv0.1supersededPre-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 risk35.0Bv0.2supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk62.0Cv0.3supersededPre-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 risk66.2Dv0.4supersededPre-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 risk79.9Dv0.1supersededPre-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 risk79.9Dv0.2supersededPre-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 risk8.4Av0.1supersededPre-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 risk8.4Av0.2supersededPre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.

CHOW radar — 12-month sale probability

full board →
p(CHOW, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
1.1
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Never sold on record0.00-1.62
For-profit ownership0.00-1.24
Current owner tenure (years)7.08-1.16
No PBJ staffing report0.00+0.42
Total nurse staffing (HPRD)4.47-0.28
Ownership changes, last 5 years0.00+0.20
Chain size (log)2.83+0.20
Facility size (log beds)5.53-0.18
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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
53.5
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
For-profit ownership0.00+1.62
Deficiencies, last 12 months4.00+0.69
Fine amount, 12m (log)9.92-0.55
Total nurse staffing (HPRD)4.47-0.53
Chain size (log)2.83-0.45
No PBJ staffing report0.00+0.39
Staffing trend, last 4 quarters0.86+0.37
Occupancy0.68+0.30
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 facilityDC medianNational medianNational p25–p75
Total nurse4.474.453.282.90–3.77
RN0.781.020.390.25–0.58
Weekend total4.244.243.11—
Weekday total4.574.443.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q492170.54.470.780.992.704.240.0%
2025Q392170.34.370.751.032.594.100.0%
2025Q291172.74.400.761.082.554.153.9%
2025Q190159.54.700.801.132.784.4111.8%
2024Q492179.63.610.571.012.043.270.0%
2024Q392177.93.560.530.992.053.120.0%
2024Q291178.93.480.530.942.013.080.0%
2024Q191177.23.250.520.951.782.840.0%
2023Q492172.63.290.480.971.842.900.0%
2023Q392170.03.260.500.951.802.810.0%
2023Q291170.53.140.401.011.732.690.7%
2023Q190162.33.260.361.081.822.903.8%
2022Q492164.03.110.351.011.742.802.6%
2022Q392183.42.930.400.991.542.540.3%
2022Q291185.53.120.471.041.612.840.0%
2022Q190168.23.240.481.171.592.850.0%
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

3
fines by year
$20.4k$10.2k242526
DateTypeFineSource
2026-03-24Fine$20,400CMS provider data
2024-09-25Fine$16,801CMS provider data
2024-09-25Payment Denial—CMS provider data
Total fines on record: $37,201

Deficiencies

58
D × 44E × 10F × 1G × 1J × 2
deficiencies by survey year
2412212223242526
SurveyTypeTagDeficiencyScopeCorrected
2026-03-24Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E2026-05-16
2026-03-24Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2026-05-16
2026-01-05Health · complaintF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.D2026-01-28
2026-01-05Health · complaintF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.D2026-01-28
2024-09-25Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2024-10-15
2024-09-25Health · complaintF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D—
2024-09-25Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D—
2024-09-25Health · complaintF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D2025-01-11
2024-09-25Health · complaintF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.D2025-01-11
2024-09-25Health · complaintF0641Ensure each resident receives an accurate assessment.D2024-10-15
2024-09-25Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2024-10-15
2024-09-25Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2024-10-15
2024-09-25Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-10-15
2024-09-25Health · complaintF0685Assist a resident in gaining access to vision and hearing services.D2024-10-15
2024-09-25Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2025-01-11
2024-09-25Health · complaintF0697Provide safe, appropriate pain management for a resident who requires such services.D2024-10-15
2024-09-25Health · complaintF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F2024-10-15
2024-09-25Health · complaintF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.E2024-10-15
2024-09-25Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2025-01-11
2024-09-25Health · complaintF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D2024-10-15
2024-09-25Health · complaintF0759Ensure medication error rates are not 5 percent or greater.D2024-10-15
2024-09-25Health · complaintF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D2024-10-15
2024-09-25Health · complaintF0790Provide routine and 24-hour emergency dental care for each resident.D2024-10-15
2024-09-25Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2024-10-15
2024-09-25HealthF0836Ensure 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.D2025-01-11
2024-09-25Health · complaintF0880Provide and implement an infection prevention and control program.D2024-10-15
2024-09-25Health · complaintF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.D2024-10-15
2024-09-25Health · complaintF0908Keep all essential equipment working safely.E2024-10-15
2023-05-30HealthF0584Honor 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.D2023-08-07
2023-05-30HealthF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.D2023-08-07
2023-05-30HealthF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD2023-08-07
2023-05-30HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2023-08-07
2023-05-30HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2023-08-07
2023-05-30HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2023-08-07
2023-05-30HealthF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.D2023-08-07
2023-05-30HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2023-08-07
2023-05-30HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D2023-08-07
2023-05-30HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2023-08-07
2023-05-30HealthF0919Make sure that a working call system is available in each resident's bathroom and bathing area.D2023-08-07
2021-07-28HealthF0584Honor 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.E2021-09-17
2021-07-28HealthF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.D2021-09-17
2021-07-28HealthF0641Ensure each resident receives an accurate assessment.D2021-09-17
2021-07-28HealthF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD2021-09-17
2021-07-28HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2021-09-17
2021-07-28HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2021-09-17
2021-07-28HealthF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D2021-09-17
2021-07-28HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2021-09-17
2021-07-28HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2021-09-17
2021-07-28HealthF0688Provide 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.D2021-09-17
2021-07-28HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2021-09-17
2021-07-28HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2021-09-17
2021-07-28HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2021-09-17
2021-07-28HealthF0758Implement 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.D2021-09-17
2021-07-28HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2021-09-17
2021-07-28HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2021-09-17
2021-07-28HealthF0880Provide and implement an infection prevention and control program.E2021-09-17
2021-07-28HealthF0908Keep all essential equipment working safely.D2021-09-17
2021-07-28HealthF0919Make sure that a working call system is available in each resident's bathroom and bathing area.D2021-09-17
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.

Licensure actions

0
No licensure actions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.

Ownership

18
OwnerRolePctFromStatusSource
ASCENSION HEALTH SENIOR CARE5% OR GREATER DIRECT OWNERSHIP INTEREST100%2014-07-01currentpecos_ownership
ASCENSION HEALTH SENIOR CAREADP OF THE SNF—2015-07-01currentpecos_ownership
DALE, KEYSHAADP OF THE SNF—2024-07-01currentpecos_ownership
HANNAH GEORGEADP OF THE SNF—2024-06-24currentpecos_ownership
HEALTH DIMENSIONS CONSULTING INCADP OF THE SNF—2019-08-02currentpecos_ownership
HOUSE HEALTHCARE SOLUTIONS LLCADP OF THE SNF—2025-06-10currentpecos_ownership
JOSEPH, BINDUADP OF THE SNF—2017-11-29currentpecos_ownership
MEDICAL SOLUTIONS LLCADP OF THE SNF—2017-06-14currentpecos_ownership
MUSGRAVE, LISAADP OF THE SNF—2024-01-01currentpecos_ownership
SHADBOLT, ERINCORPORATE OFFICER—2023-02-28currentpecos_ownership
SHADBOLT, ERINADP OF THE SNF—2025-05-22currentpecos_ownership
SMOOT, KENNETHADP OF THE SNF—2024-01-01currentpecos_ownership
BINDU JOSEPHOPERATIONAL/MANAGERIAL CONTROL—2017-11-29ended 2026-05-18pecos_ownership
ERIN SHADBOLTADP OF THE SNF—2025-05-22ended 2026-05-18pecos_ownership
ERIN SHADBOLTCORPORATE OFFICER—2023-02-28ended 2026-05-18pecos_ownership
KENNETH SMOOTCORPORATE DIRECTOR—2024-01-01ended 2026-05-18pecos_ownership
KEYSHA DALEOPERATIONAL/MANAGERIAL CONTROL—2024-07-01ended 2026-05-18pecos_ownership
LISA MUSGRAVECORPORATE DIRECTOR—2024-01-01ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

1
Close datePriceBuyerSellerEvidence
2019-07-01—CARROLL MANORPROVIDENCE HOSPITALchow

Comparable trades — DC snf

4
CloseFacilityPrice$/bedCap rateBedsBuyer
2020-09-01CAPITOL CITY REHAB AND HEALTHCARE CENTER———360CAPITOL CITY SNF LLC
2019-07-01ASCENSION LIVING CARROLL MANORthis facility———252CARROLL MANOR
2018-05-01INSPIRE REHABILITATION AND HEALTH CENTER LLC———180INSPIRE REHABILITATION AND HEALTH CENTER LLC
2018-02-01SERENITY REHABILITATION AND HEALTH CENTER LLC———183SERENITY REHABILITATION AND HEALTH CENTER 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 11001acs median gross0$1,7502024-12-31CENSUS_ACS5
county 11001fmr0$1,9532025-10-01HUD_USER_FMR
county 11001acs median gross1$1,9442024-12-31CENSUS_ACS5
county 11001fmr1$2,0152025-10-01HUD_USER_FMR
county 11001acs median gross2$2,0832024-12-31CENSUS_ACS5
county 11001fmr2$2,2462025-10-01HUD_USER_FMR
county 11001acs median gross3$2,5032024-12-31CENSUS_ACS5
county 11001fmr3$2,8352025-10-01HUD_USER_FMR
county 11001acs median gross4$3,3692024-12-31CENSUS_ACS5
county 11001fmr4$3,3322025-10-01HUD_USER_FMR
county 11001acs median gross5$3,0752024-12-31CENSUS_ACS5
county 11001acs median gross$1,9542024-12-31CENSUS_ACS5
county 11001acs recent mover gross$2,2522024-12-31CENSUS_ACS5
zcta 20017acs median gross0$1,7842024-12-31CENSUS_ACS5
zcta 20017acs median gross1$1,6832024-12-31CENSUS_ACS5
zcta 20017acs median gross2$2,0572024-12-31CENSUS_ACS5
zcta 20017acs median gross3$2,3432024-12-31CENSUS_ACS5
zcta 20017acs median gross4$2,1712024-12-31CENSUS_ACS5
zcta 20017acs median gross$1,8392024-12-31CENSUS_ACS5
zcta 20017acs recent mover gross$2,1142024-12-31CENSUS_ACS5
zip 20017payment standard 1100$2,0242025-10-01HUD_USER_SAFMR
zip 20017payment standard 900$1,6562025-10-01HUD_USER_SAFMR
zip 20017safmr0$1,8402025-10-01HUD_USER_SAFMR
zip 20017payment standard 1101$2,0792025-10-01HUD_USER_SAFMR
zip 20017payment standard 901$1,7012025-10-01HUD_USER_SAFMR
zip 20017safmr1$1,8902025-10-01HUD_USER_SAFMR
zip 20017payment standard 1102$2,3212025-10-01HUD_USER_SAFMR
zip 20017payment standard 902$1,8992025-10-01HUD_USER_SAFMR
zip 20017safmr2$2,1102025-10-01HUD_USER_SAFMR
zip 20017payment standard 1103$2,9262025-10-01HUD_USER_SAFMR
zip 20017payment standard 903$2,3942025-10-01HUD_USER_SAFMR
zip 20017safmr3$2,6602025-10-01HUD_USER_SAFMR
zip 20017payment standard 1104$3,4432025-10-01HUD_USER_SAFMR
zip 20017payment standard 904$2,8172025-10-01HUD_USER_SAFMR
zip 20017safmr4$3,1302025-10-01HUD_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 · ASCENSION LIVING CARROLL MANOR (095034) · 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