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 2026-08-05 01:40 UTC
Screener / 555690
A

ALAMEDA CARE CENTER

snfCA
925 W. ALAMEDA AVE., BURBANK, CA 91506 · CCN 555690 · chain FRIEDMAN FAMILY TRUST
Composite
21.6 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
89
Model
v1.2
Reads as: riskier than 21.6% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
billing conduct64.845.40.300.230814.95in index
regulatory risk64.356.50.300.230814.84in index
staffing risk23.423.50.250.19234.50in index
chow risk16.416.10.150.11541.89in index
financial risk3.010.60.300.23080.69in 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.

Component scores and registry models

16
Score typeScoreGradeModelStatusRegistry model notes
billing conduct45.4Cv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk25.0Bv0.1-posdefault · in compositeChange-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure.
chow risk7.1Av0.6default · in composite
financial risk10.6Av0.5default · in compositeR18.
p adverse action 12m0.0v0.1default · in compositeR23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite.
p chow 12m3.3v0.1default · 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 risk56.5Cv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk23.5Av0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk58.9Cv0.1supersededPre-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 risk38.9Bv0.2supersededPre-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 risk32.3Bv0.3supersededPre-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 risk16.7Av0.4supersededPre-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 risk56.5Cv0.1supersededPre-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 risk56.5Cv0.2supersededPre-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 risk23.5Av0.1supersededPre-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 risk23.5Av0.2supersededPre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.

CHOW radar — 12-month sale probability

full board →
p(CHOW, 12m)
3.3%
model v0.1 · computed 2026-07-29
Percentile among SNFs
79.5
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Occupancy0.94-0.72
For-profit ownership1.00+0.69
Never sold on record1.00+0.62
Current owner tenure (years)25.00+0.57
No PBJ staffing report0.00+0.42
Chain size (log)3.26+0.29
Ownership changes, last 5 years0.00+0.20
Deficiencies, last 12 months15.00+0.19
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.

Distress radar — 12-month termination probability

full board →
p(termination, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
0.0
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Deficiencies, last 12 months15.00-1.35
Occupancy0.94-0.83
Chain size (log)3.26-0.69
For-profit ownership1.00-0.69
No PBJ staffing report0.00+0.39
Total nurse staffing (HPRD)3.82-0.25
Fine amount, 12m (log)0.00+0.18
Never sold on record1.00+0.12
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.

Staffing vs peers

16
2025Q4 HPRDThis facilityCA medianNational medianNational p25–p75
Total nurse3.823.953.282.90–3.77
RN0.300.380.390.25–0.58
Weekend total3.613.793.11
Weekday total3.904.013.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49284.13.820.300.692.833.610.0%
2025Q39286.33.640.270.702.673.540.0%
2025Q29183.63.690.260.762.673.530.0%
2025Q19084.93.640.270.722.643.550.0%
2024Q49282.93.720.250.752.723.630.0%
2024Q39279.13.780.270.742.763.720.0%
2024Q29183.73.650.270.702.683.580.0%
2024Q19184.53.650.240.702.713.670.0%
2023Q49284.83.660.220.662.793.660.0%
2023Q39285.03.620.230.672.713.640.0%
2023Q29184.03.620.240.632.753.600.0%
2023Q19083.93.570.240.682.663.570.0%
2022Q49286.23.580.230.632.713.630.0%
2022Q39284.43.590.260.602.733.610.0%
2022Q29184.93.560.250.582.733.570.0%
2022Q19083.23.250.230.562.453.310.0%
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

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

Deficiencies

90
B × 5D × 36E × 42F × 6G × 1
deficiencies by survey year
38192223242526
SurveyTypeTagDeficiencyScopeCorrected
2026-03-10Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2026-03-25
2026-03-10Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2026-03-25
2026-03-10Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E2026-03-25
2026-02-21Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E2026-03-19
2026-02-21Health · complaintF0880Provide and implement an infection prevention and control program.E2026-03-19
2026-02-03Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2026-02-27
2026-02-03Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E2026-02-27
2026-02-03Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.E2026-02-27
2026-02-03Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2026-02-27
2026-01-28Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E2026-03-04
2026-01-28Health · 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.E2026-03-04
2026-01-28Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E2026-03-04
2025-11-13Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2025-12-04
2025-11-13Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2025-12-04
2025-11-13Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E2025-12-04
2025-07-03HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2025-07-25
2025-07-03HealthF0552Ensure that residents are fully informed and understand their health status, care and treatments.D2025-07-25
2025-07-03HealthF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.B2025-07-25
2025-07-03HealthF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.D2025-07-25
2025-07-03HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E2025-07-25
2025-07-03HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.E2025-07-25
2025-07-03HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2025-07-25
2025-07-03HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E2025-07-25
2025-07-03HealthF0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.D2025-07-25
2025-07-03HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2025-07-25
2025-07-03HealthF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.E2025-07-25
2025-07-03HealthF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.E2025-07-25
2025-07-03HealthF0759Ensure medication error rates are not 5 percent or greater.E2025-07-25
2025-07-03HealthF0760Ensure that residents are free from significant medication errors.E2025-07-25
2025-07-03HealthF0761Ensure 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.E2025-07-25
2025-07-03HealthF0803Ensure 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.E2025-07-25
2025-07-03HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2025-07-25
2025-07-03HealthF0814Dispose of garbage and refuse properly.F2025-07-25
2025-07-03HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E2025-07-25
2025-07-03HealthF0880Provide and implement an infection prevention and control program.E2025-07-25
2025-07-03HealthF0881Implement a program that monitors antibiotic use.E2025-07-25
2025-07-03HealthF0908Keep all essential equipment working safely.E2025-07-25
2025-07-03HealthF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.B2025-07-25
2025-06-11Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2025-06-26
2025-03-11Health · complaintF0558Reasonably accommodate the needs and preferences of each resident.D2025-03-21
2025-03-03Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2025-03-26
2025-03-03Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-03-26
2024-09-25Health · complaintF0880Provide and implement an infection prevention and control program.E2024-10-04
2024-09-24Health · complaintF0776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.D2024-10-09
2024-07-26HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2024-08-16
2024-07-26HealthF0558Reasonably accommodate the needs and preferences of each resident.E2024-08-16
2024-07-26HealthF0578Honor 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.E2024-08-16
2024-07-26HealthF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.E2024-08-16
2024-07-26HealthF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.E2024-08-16
2024-07-26HealthF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D2024-08-16
2024-07-26HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E2024-08-16
2024-07-26HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.E2024-08-16
2024-07-26HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-08-16
2024-07-26HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2024-08-16
2024-07-26HealthF0688Provide 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.E2024-08-16
2024-07-26HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E2024-08-16
2024-07-26HealthF0730Observe each nurse aide's job performance and give regular training.E2024-08-16
2024-07-26HealthF0732Post nurse staffing information every day.B2024-08-16
2024-07-26HealthF0742Provide 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.D2024-08-16
2024-07-26HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E2024-08-16
2024-07-26HealthF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D2024-08-16
2024-07-26HealthF0758Implement 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.D2024-08-16
2024-07-26HealthF0759Ensure medication error rates are not 5 percent or greater.D2024-08-16
2024-07-26HealthF0760Ensure that residents are free from significant medication errors.E2024-08-16
2024-07-26HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2024-08-16
2024-07-26HealthF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.E2024-08-16
2024-07-26HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2024-08-16
2024-07-26HealthF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.F2024-08-16
2024-07-26HealthF0814Dispose of garbage and refuse properly.F2024-08-16
2024-07-26HealthF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D2024-08-16
2024-07-26HealthF0880Provide and implement an infection prevention and control program.D2024-08-16
2024-07-26HealthF0908Keep all essential equipment working safely.D2024-08-16
2024-07-26HealthF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.B2024-08-16
2024-07-26HealthF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.F2024-08-16
2024-07-12Health · complaintF0880Provide and implement an infection prevention and control program.D2024-07-25
2024-03-12Health · complaintF0576Ensure residents have reasonable access to and privacy in their use of communication methods.D2024-04-04
2024-03-12Health · complaintF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D2024-04-04
2024-03-12Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2024-04-04
2024-03-12Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-04-04
2024-01-10Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2024-01-26
2023-09-19Health · complaintF0880Provide and implement an infection prevention and control program.D2023-10-05
2023-07-17Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2023-08-02
2023-07-17Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2023-08-02
2023-06-05Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E2023-06-30
2023-06-05Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2023-06-30
2022-01-03HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E2022-01-21
2022-01-03HealthF0552Ensure that residents are fully informed and understand their health status, care and treatments.E2022-01-21
2022-01-03HealthF0759Ensure medication error rates are not 5 percent or greater.E2022-01-21
2022-01-03HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E2022-01-21
2022-01-03HealthF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.B2022-04-15
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

40
OwnerRolePctFromStatusSource
BURBANK 89 ENTERPRISES LPIndividual has financial interest in both related organization and provider100%2024-01-01currenthcris_a_8_1
BURBANK 89 ENTERPRISES LPIndividual has financial interest in both related organization and provider100%2023-01-01currenthcris_a_8_1
FRIEDMAN, AARON5% OR GREATER INDIRECT OWNERSHIP INTEREST20%2023-06-30currentpecos_ownership
KLAVAN, RACHEL5% OR GREATER INDIRECT OWNERSHIP INTEREST20%2023-06-30currentpecos_ownership
LEHMANN, LIBBY5% OR GREATER INDIRECT OWNERSHIP INTEREST20%2023-06-30currentpecos_ownership
CZARNIK, BARBARAW-2 MANAGING EMPLOYEE2019-12-09currentpecos_ownership
DEVORAH DANZIGER GROUP A BUSINESS ASSETS TRUSTTRUSTEE OF THE SNF2023-06-30currentpecos_ownership
ELKA KAPLAN GROUP A BUSINESS ASSETS TRUSTTRUSTEE OF THE SNF2023-06-30currentpecos_ownership
ESTHER HOFF GROUP A BUSINESS ASSETS TRUSTTRUSTEE OF THE SNF2023-06-30currentpecos_ownership
FRIEDMAN FAMILY TRUST5% OR GREATER DIRECT OWNERSHIP INTEREST2023-06-30currentpecos_ownership
FRIEDMAN, IRACORPORATE DIRECTOR2023-06-30currentpecos_ownership
HHC HOLDCO LLCADP OF THE SNF2023-06-30currentpecos_ownership
IRA D FRIEDMAN 1991 TRUST5% OR GREATER DIRECT OWNERSHIP INTEREST2023-06-30currentpecos_ownership
KLAVAN, JOSHUAADP OF THE SNFcurrentpecos_ownership
KLAVAN, JOSHUAOPERATIONAL/MANAGERIAL CONTROL2022-12-01currentpecos_ownership
LEHMANN FAMILY 1991 TRUSTTRUSTEE OF THE SNF2023-06-30currentpecos_ownership
MORDECHAI NOTIS GROUP A BUSINESS ASSETS TRUSTTRUSTEE OF THE SNF2023-06-30currentpecos_ownership
NOTIS, SHMUELTRUSTEE OF THE SNF2023-06-30currentpecos_ownership
PERVAIZ, ZAIDADP OF THE SNF2013-01-01currentpecos_ownership
RACHEL NOTIS GROUP A BUSINESS ASSETS TRUSTTRUSTEE OF THE SNF2023-06-30currentpecos_ownership
SARAH DUNNER GROUP A BUSINESS ASSETS TRUSTTRUSTEE OF THE SNF2023-06-30currentpecos_ownership
THE AARON FRIEDMAN GROUP A BUSINESS ASSETS TRUSTTRUSTEE OF THE SNF2023-06-30currentpecos_ownership
THE IRA DAVID FRIEDMAN GROUP A BUSINESS ASSETS TRUSTTRUSTEE OF THE SNF2023-06-30currentpecos_ownership
THE KLAVAN FAMILIY TRUST5% OR GREATER DIRECT OWNERSHIP INTEREST2023-06-30currentpecos_ownership
THE KLAVAN FAMILY TRUST5% OR GREATER DIRECT OWNERSHIP INTEREST2023-06-30currentpecos_ownership
THE LIBBY FRIEDMAN LEHMANN GROUP A BUSINESS ASSETS TRUSTTRUSTEE OF THE SNF2023-06-30currentpecos_ownership
THE RUCHEL FRIEDMAN KLAVAN GROUP A BUSINESS ASSETS TRUSTTRUSTEE OF THE SNF2023-06-30currentpecos_ownership
THE TZIPPY FRIEDMAN NOTIS 1990 TRUST5% OR GREATER DIRECT OWNERSHIP INTEREST2023-06-30currentpecos_ownership
YEHOSHUA NOTIS GROUP A BUSINESS ASSETS TRUSTTRUSTEE OF THE SNF2023-06-30currentpecos_ownership
YISROEL NOTIS GROUP A BUSINESS ASSETS TRUSTTRUSTEE OF THE SNF2023-06-30currentpecos_ownership
BURBANK 89 ENTERPRISES LPIndividual has financial interest in both related organization and provider100%2021-01-01ended 2021-12-31hcris_a_8_1
BURBANK 89 ENTERPRISES LPIndividual has financial interest in both related organization and provider100%2022-01-01ended 2022-12-31hcris_a_8_1
BURBANK 89 ENTERPRISES LPIndividual has financial interest in both related organization and provider100%2020-01-01ended 2020-12-31hcris_a_8_1
AARON FRIEDMAN5% OR GREATER INDIRECT OWNERSHIP INTEREST20%2023-06-30ended 2026-05-18pecos_ownership
IRA FRIEDMAN5% OR GREATER INDIRECT OWNERSHIP INTEREST20%2023-06-30ended 2026-05-18pecos_ownership
LIBBY LEHMANN5% OR GREATER INDIRECT OWNERSHIP INTEREST20%2023-06-30ended 2026-05-18pecos_ownership
RACHEL KLAVANCORPORATE DIRECTOR20%2023-06-30ended 2026-05-18pecos_ownership
LONGWOOD MANAGEMENT LLCOTHER0%2003-05-02ended 2026-05-18pecos_ownership
ZAID PERVAIZOTHER0%2022-01-07ended 2026-05-18pecos_ownership
BARBARA CZARNIKW-2 MANAGING EMPLOYEE2019-12-09ended 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 Center144TRACY RIDGE HEALTHCARE, INC.
2025-04-01ALAMITOS WEST HEALTH & REHABILITATION150MALCOLM HEALTHCARE, INC.
2025-04-01PACIFIC HAVEN SUBACUTE AND HEALTHCARE CENTER99STRAWBERRY POND HEALTHCARE LLC
2025-01-16GOLDEN HARBOR HEALTHCARE CENTER99CEYLON HOLDINGS LLC
2024-12-30GRASS VALLEY HEALTHCARE CENTER86HEISMAN LLC
2024-10-01REDWOOD GROVE POST ACUTE144SOQUEL CARE LLC
2024-09-01OAK GROVE POST ACUTE1194545 SHELLEY COURT OPCO, LLC
2024-08-01WE CARE SKILLED NURSING - FREMONT99WE CARE SKILLED NURSING-FREMONT, LLC
2024-05-01MAJESTIC MOUNTAIN CARE CENTER66OAKHURST SKILLED CARE LLC
2024-04-01THE BRADLEY GARDENS44GHC OF SAN JACINTO LLC
2024-04-01SANTA FE POST-ACUTE187SKILLED BOBIER LLC
2024-04-01BAYSHIRE SAN DIMAS POST-ACUTE45SKILLED SAN DIMAS LLC
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.

Market rent context

34
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 91506acs median gross0$2,0532024-12-31CENSUS_ACS5
zcta 91506acs median gross1$1,8762024-12-31CENSUS_ACS5
zcta 91506acs median gross2$2,3872024-12-31CENSUS_ACS5
zcta 91506acs median gross3$2,7282024-12-31CENSUS_ACS5
zcta 91506acs median gross$2,1672024-12-31CENSUS_ACS5
zcta 91506acs recent mover gross$2,5522024-12-31CENSUS_ACS5
zip 91506payment standard 1100$2,3762025-10-01HUD_USER_SAFMR
zip 91506payment standard 900$1,9442025-10-01HUD_USER_SAFMR
zip 91506safmr0$2,1602025-10-01HUD_USER_SAFMR
zip 91506payment standard 1101$2,6512025-10-01HUD_USER_SAFMR
zip 91506payment standard 901$2,1692025-10-01HUD_USER_SAFMR
zip 91506safmr1$2,4102025-10-01HUD_USER_SAFMR
zip 91506payment standard 1102$3,3112025-10-01HUD_USER_SAFMR
zip 91506payment standard 902$2,7092025-10-01HUD_USER_SAFMR
zip 91506safmr2$3,0102025-10-01HUD_USER_SAFMR
zip 91506payment standard 1103$4,2022025-10-01HUD_USER_SAFMR
zip 91506payment standard 903$3,4382025-10-01HUD_USER_SAFMR
zip 91506safmr3$3,8202025-10-01HUD_USER_SAFMR
zip 91506payment standard 1104$4,6752025-10-01HUD_USER_SAFMR
zip 91506payment standard 904$3,8252025-10-01HUD_USER_SAFMR
zip 91506safmr4$4,2502025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.