Composite
79.0 / 100 percentile
Screener / 505024
C
SPOKANE FALLS CARE
snfWA
6021 NORTH LIDGERWOOD, SPOKANE, WA 99207 · CCN 505024 · chain KH7 HH CDW
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
100
Model
v1.2
Reads as: riskier than 79.0% 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 model5Components16CHOW radar1Distress radar1Staffing16Penalties2Deficiencies114Licensure0Ownership13Related party5Transactions1Comps12Market rent36
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 96.9 | 95.5 | 0.30 | 0.2308 | 22.36 | in index |
| billing conduct | 48.3 | 38.7 | 0.30 | 0.2308 | 11.15 | in index |
| chow risk | 82.9 | 63.6 | 0.15 | 0.1154 | 9.57 | in index |
| financial risk | 38.2 | 38.5 | 0.30 | 0.2308 | 8.82 | in index |
| staffing risk | 41.9 | 42.0 | 0.25 | 0.1923 | 8.06 | in index |
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
Component scores and registry models
16| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 38.7 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 55.0 | C | v0.1-pos | default · in composite | Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure. |
| chow risk | 72.3 | D | v0.6 | default · in composite | |
| financial risk | 38.5 | B | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.0 | — | v0.1 | default · in composite | R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite. |
| p chow 12m | 0.0 | — | v0.1 | default · in composite | R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite. |
| regulatory risk | 95.5 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 42.0 | B | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 95.2 | F | v0.1 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 75.2 | D | v0.2 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 36.5 | B | v0.3 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 44.5 | B | v0.4 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 95.5 | F | v0.1 | superseded | Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 95.5 | F | v0.2 | superseded | Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| staffing risk | 42.0 | B | v0.1 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| staffing risk | 42.0 | B | v0.2 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
CHOW radar — 12-month sale probability
full board →p(CHOW, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
7.0
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Current owner tenure (years) | 1.19 | -1.73 | |
| Never sold on record | 0.00 | -1.62 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Occupancy | 0.78 | -0.23 | |
| Deficiencies, last 12 months | 14.00 | +0.17 | |
| Total nurse staffing (HPRD) | 3.41 | -0.07 |
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
10.1
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 14.00 | -1.17 | |
| For-profit ownership | 1.00 | -0.69 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 1.19 | -0.28 | |
| Chain size (log) | 1.61 | +0.26 | |
| Ownership changes, last 5 years | 1.00 | +0.23 | |
| Fine amount, 12m (log) | 0.00 | +0.18 |
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
16| 2025Q4 HPRD | This facility | WA median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.41 | 3.70 | 3.28 | 2.90–3.77 |
| RN | 0.24 | 0.62 | 0.39 | 0.25–0.58 |
| Weekend total | 3.32 | 3.51 | 3.11 | — |
| Weekday total | 3.45 | 3.79 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 77.8 | 3.41 | 0.24 | 0.80 | 2.37 | 3.32 | 8.5% |
| 2025Q3 | 92 | 76.6 | 3.69 | 0.16 | 0.84 | 2.69 | 3.47 | 3.3% |
| 2025Q2 | 91 | 71.2 | 3.87 | 0.24 | 0.93 | 2.70 | 3.71 | 1.4% |
| 2025Q1 | 90 | 71.3 | 3.68 | 0.26 | 0.78 | 2.64 | 3.63 | 2.3% |
| 2024Q4 | 92 | 66.3 | 3.69 | 0.09 | 0.94 | 2.67 | 3.48 | 6.9% |
| 2024Q3 | 92 | 71.4 | 3.33 | 0.09 | 0.82 | 2.42 | 2.86 | 2.5% |
| 2024Q2 | 91 | 66.1 | 3.89 | 0.17 | 0.78 | 2.93 | 3.56 | 3.8% |
| 2024Q1 | 91 | 64.0 | 3.27 | 0.20 | 0.75 | 2.33 | 3.30 | 3.2% |
| 2023Q4 | 92 | 72.9 | 3.19 | 0.19 | 0.74 | 2.26 | 2.89 | 1.1% |
| 2023Q3 | 92 | 69.9 | 3.09 | 0.24 | 0.77 | 2.08 | 2.85 | 2.5% |
| 2023Q2 | 91 | 72.7 | 2.88 | 0.34 | 0.59 | 1.95 | 2.34 | 12.2% |
| 2023Q1 | 90 | 66.0 | 2.72 | 0.38 | 0.65 | 1.69 | 2.52 | 12.1% |
| 2022Q4 | 92 | 65.3 | 2.46 | 0.39 | 0.62 | 1.46 | 2.24 | 8.3% |
| 2022Q3 | 92 | 62.9 | 2.90 | 0.66 | 0.51 | 1.73 | 2.57 | 1.6% |
| 2022Q2 | 91 | 61.0 | 3.48 | 0.74 | 0.64 | 2.10 | 3.21 | 5.3% |
| 2022Q1 | 90 | 59.7 | 3.75 | 0.75 | 0.68 | 2.33 | 3.30 | 15.0% |
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
2fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-03-08 | Fine | $14,050 | CMS provider data |
| 2023-11-02 | Fine | $111,686 | CMS provider data |
Total fines on record: $125,736
Deficiencies
114D × 78E × 27F × 5G × 4
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-13 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2026-05-27 |
| 2026-04-13 | Health · complaint | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | 2026-05-27 |
| 2026-04-13 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2026-05-27 |
| 2026-04-13 | Health · complaint | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2026-05-27 |
| 2026-04-13 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2026-05-27 |
| 2026-04-13 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2026-05-27 |
| 2026-04-13 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2026-05-27 |
| 2026-04-13 | Health · complaint | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2026-05-27 |
| 2026-04-13 | Health · complaint | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | 2026-05-27 |
| 2026-04-13 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2026-05-27 |
| 2026-03-04 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-04-15 |
| 2026-03-04 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2026-04-15 |
| 2025-11-18 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-11-27 |
| 2025-08-21 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | F | 2025-09-17 |
| 2025-05-13 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-06-10 |
| 2025-05-13 | Health · complaint | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | 2025-06-10 |
| 2025-04-01 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-05-08 |
| 2025-04-01 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2025-05-08 |
| 2025-04-01 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-05-08 |
| 2025-04-01 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-05-08 |
| 2024-12-17 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-01-22 |
| 2024-12-17 | Health · complaint | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2025-01-22 |
| 2024-12-17 | Health · complaint | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2025-01-22 |
| 2024-12-17 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-01-22 |
| 2024-12-17 | Health · complaint | F0572 | Give residents a notice of rights, rules, services and charges. | E | 2025-01-22 |
| 2024-12-17 | Health · complaint | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D | 2025-01-22 |
| 2024-12-17 | Health · complaint | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | 2025-01-22 |
| 2024-12-17 | Health · complaint | F0620 | Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | E | 2025-01-22 |
| 2024-12-17 | Health · complaint | F0625 | Notify 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. | E | 2025-01-22 |
| 2024-12-17 | Health · complaint | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2025-01-22 |
| 2024-12-17 | Health · complaint | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2025-01-22 |
| 2024-12-17 | Health · complaint | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2025-01-22 |
| 2024-12-17 | Health · complaint | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | 2025-01-22 |
| 2024-12-17 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2025-01-22 |
| 2024-12-17 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-01-22 |
| 2024-12-17 | Health · complaint | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2025-01-22 |
| 2024-12-17 | Health · complaint | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2025-01-22 |
| 2024-12-17 | Health · complaint | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | 2025-01-22 |
| 2024-12-17 | Health · complaint | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2025-01-22 |
| 2024-12-17 | Health · complaint | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | 2025-01-22 |
| 2024-12-17 | Health · complaint | F0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | D | 2025-01-22 |
| 2024-12-17 | Health · complaint | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2025-01-22 |
| 2024-12-17 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | E | 2025-01-22 |
| 2024-12-17 | Health · complaint | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | 2025-01-22 |
| 2024-12-17 | Health · complaint | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | D | 2025-01-22 |
| 2024-12-17 | Health · complaint | F0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | D | 2025-01-22 |
| 2024-12-17 | Health · complaint | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | 2025-01-22 |
| 2024-12-17 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-01-22 |
| 2024-12-17 | Health · complaint | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | 2025-01-22 |
| 2024-12-17 | Health · complaint | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | 2025-01-22 |
| 2024-12-17 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | F | 2025-01-22 |
| 2024-11-15 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-11-29 |
| 2024-11-15 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | E | 2024-11-29 |
| 2024-11-15 | Health · complaint | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | E | 2024-11-29 |
| 2024-11-15 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2024-11-29 |
| 2024-09-25 | Health · complaint | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | 2024-11-08 |
| 2024-09-25 | Health · complaint | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | 2024-11-08 |
| 2024-09-25 | Health · complaint | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | 2024-11-08 |
| 2024-09-25 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-11-08 |
| 2024-09-25 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-11-08 |
| 2024-09-25 | Health · complaint | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | 2024-11-08 |
| 2024-04-16 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2024-05-02 |
| 2024-04-16 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2024-05-02 |
| 2024-03-08 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | E | 2024-03-27 |
| 2024-03-08 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-02-20 |
| 2024-03-08 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2024-02-20 |
| 2024-01-03 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | E | 2024-01-11 |
| 2023-12-06 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2023-12-28 |
| 2023-12-06 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-12-28 |
| 2023-12-06 | Health · complaint | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | 2023-12-28 |
| 2023-11-02 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2023-11-29 |
| 2023-11-02 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | 2023-11-29 |
| 2023-09-15 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-10-04 |
| 2023-09-15 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | E | 2023-10-04 |
| 2023-09-15 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-10-04 |
| 2023-08-03 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-09-13 |
| 2023-08-03 | Health | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | 2023-09-13 |
| 2023-08-03 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2023-09-13 |
| 2023-08-03 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2023-09-13 |
| 2023-08-03 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2023-09-13 |
| 2023-08-03 | Health · complaint | F0685 | Assist a resident in gaining access to vision and hearing services. | D | 2023-09-13 |
| 2023-08-03 | Health | F0688 | Provide 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. | D | 2023-09-13 |
| 2023-08-03 | Health | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2023-09-13 |
| 2023-08-03 | Health | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | 2023-09-13 |
| 2023-08-03 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-09-13 |
| 2023-08-03 | Health | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | 2023-09-13 |
| 2023-08-03 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2023-09-13 |
| 2023-08-03 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2023-09-13 |
| 2023-08-03 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2023-09-13 |
| 2023-08-03 | Health · complaint | F0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | F | 2023-09-13 |
| 2023-08-03 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2023-09-13 |
| 2023-08-03 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2023-09-13 |
| 2023-08-03 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2023-09-13 |
| 2023-07-18 | Health · complaint | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | D | 2023-08-04 |
| 2020-02-28 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2020-04-09 |
| 2020-02-28 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2020-04-09 |
| 2020-02-28 | Health | F0625 | Notify 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. | D | 2020-04-09 |
| 2020-02-28 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2020-04-09 |
| 2020-02-28 | Health | F0641 | Ensure each resident receives an accurate assessment. | E | 2020-04-09 |
| 2020-02-28 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2020-04-09 |
| 2020-02-28 | Health | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | 2020-04-09 |
| 2020-02-28 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2020-04-09 |
| 2020-02-28 | Health | F0688 | Provide 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. | D | 2020-04-09 |
| 2020-02-28 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2020-04-09 |
| 2020-02-28 | Health | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | 2020-04-09 |
| 2020-02-28 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2020-04-09 |
| 2020-02-28 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2020-04-09 |
| 2020-02-28 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2020-04-09 |
| 2020-02-28 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2020-04-09 |
| 2020-02-28 | Health | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | 2020-04-09 |
| 2020-02-28 | Health | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D | 2020-04-09 |
| 2020-02-28 | Health | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | 2020-04-09 |
| 2020-02-28 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2020-04-09 |
| 2020-02-28 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2020-04-09 |
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.
Licensure actions
0No licensure actions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Ownership
13| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| KH7 HEALTHCARE HOLDINGS, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2025-05-21 | current | pecos_ownership |
| 6021 N LIDGERWOOD PROPCO LLC | ADP OF THE SNF | — | 2025-05-21 | current | pecos_ownership |
| KH7 HH CDW | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-05-21 | current | pecos_ownership |
| KH7 OPS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-05-21 | current | pecos_ownership |
| KH7 PROPCO HOLDINGS LLC | ADP OF THE SNF | — | 2025-05-21 | current | pecos_ownership |
| OSCHEROWITZ, RAPHAEL | ADP OF THE SNF | — | 2025-05-21 | current | pecos_ownership |
| SCROGGIN, MARK | ADP OF THE SNF | — | 2023-01-03 | current | pecos_ownership |
| STUITJE, ALETTA | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-09-30 | current | pecos_ownership |
| WOLMARK, CHAIM | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-05-21 | current | pecos_ownership |
| CHAIM WOLMARK | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2025-05-21 | ended 2026-05-18 | pecos_ownership |
| RAPHAEL OSCHEROWITZ | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2025-05-21 | ended 2026-05-18 | pecos_ownership |
| ALETTA STUITJE | ADP OF THE SNF | — | 2024-09-30 | ended 2026-05-18 | pecos_ownership |
| MARK SCROGGIN | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-01-03 | ended 2026-05-18 | pecos_ownership |
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Transactions
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2025-05-21 | — | SPOKANE FALLS CARE LLC | FRANKLIN HILLS HEALTH - SPOKANE, LLC | chow |
Comparable trades — WA snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-06-01 | Bremerton Trails Post Acute | — | — | — | 125 | RINCON BEACH, LLC |
| 2025-06-01 | Othello Post Acute | — | — | — | 39 | DOHENY BEACH, LLC |
| 2025-06-01 | Edmonds Post Acute | — | — | — | 128 | SALT CREEK BEACH, LLC |
| 2025-05-21 | AURORA VALLEY CARE | — | — | — | 124 | AURORA VALLEY CARE LLC |
| 2025-05-21 | THREE RIVERS CARE | — | — | — | 83 | THREE RIVERS CARE LLC |
| 2025-05-21 | FIR LANE CARE | — | — | — | 135 | FIR LANE CARE LLC |
| 2025-05-21 | SPOKANE FALLS CAREthis facility | — | — | — | 100 | SPOKANE FALLS CARE LLC |
| 2025-05-01 | MARIANWOOD HEALTH AND REHABILITATION | — | — | — | 117 | LUNA VEGA HEALTHCARE LLC |
| 2025-04-01 | WOODARD CREEK HEALTH & REHABILITATION | — | — | — | 152 | WOODARD SNF OPERATIONS LLC |
| 2025-03-12 | Avalon Healthcare - Tacoma | — | — | — | 81 | AVALON HEALTHCARE-TACOMA LLC |
| 2025-03-01 | SOUTH HILL REHABILITATION AND CARE CENTER | — | — | — | 113 | LAST EMPIRE HEALTHCARE LLC |
| 2024-08-01 | PINE RIDGE POST ACUTE | — | — | — | 80 | PINE RIDGE SNF HEALTHCARE LLC |
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
36| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 53063 | acs median gross | 0 | $1,049 | 2024-12-31 | CENSUS_ACS5 |
| county 53063 | fmr | 0 | $1,103 | 2025-10-01 | HUD_USER_FMR |
| county 53063 | acs median gross | 1 | $1,019 | 2024-12-31 | CENSUS_ACS5 |
| county 53063 | fmr | 1 | $1,193 | 2025-10-01 | HUD_USER_FMR |
| county 53063 | acs median gross | 2 | $1,299 | 2024-12-31 | CENSUS_ACS5 |
| county 53063 | fmr | 2 | $1,531 | 2025-10-01 | HUD_USER_FMR |
| county 53063 | acs median gross | 3 | $1,593 | 2024-12-31 | CENSUS_ACS5 |
| county 53063 | fmr | 3 | $2,088 | 2025-10-01 | HUD_USER_FMR |
| county 53063 | acs median gross | 4 | $1,963 | 2024-12-31 | CENSUS_ACS5 |
| county 53063 | fmr | 4 | $2,506 | 2025-10-01 | HUD_USER_FMR |
| county 53063 | acs median gross | 5 | $1,673 | 2024-12-31 | CENSUS_ACS5 |
| county 53063 | acs median gross | $1,283 | 2024-12-31 | CENSUS_ACS5 | |
| county 53063 | acs recent mover gross | $1,529 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 99207 | acs median gross | 0 | $894 | 2024-12-31 | CENSUS_ACS5 |
| zcta 99207 | acs median gross | 1 | $860 | 2024-12-31 | CENSUS_ACS5 |
| zcta 99207 | acs median gross | 2 | $1,153 | 2024-12-31 | CENSUS_ACS5 |
| zcta 99207 | acs median gross | 3 | $1,357 | 2024-12-31 | CENSUS_ACS5 |
| zcta 99207 | acs median gross | 4 | $1,361 | 2024-12-31 | CENSUS_ACS5 |
| zcta 99207 | acs median gross | 5 | $1,747 | 2024-12-31 | CENSUS_ACS5 |
| zcta 99207 | acs median gross | $1,168 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 99207 | acs recent mover gross | $1,376 | 2024-12-31 | CENSUS_ACS5 | |
| zip 99207 | payment standard 110 | 0 | $1,177 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99207 | payment standard 90 | 0 | $963 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99207 | safmr | 0 | $1,070 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99207 | payment standard 110 | 1 | $1,265 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99207 | payment standard 90 | 1 | $1,035 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99207 | safmr | 1 | $1,150 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99207 | payment standard 110 | 2 | $1,628 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99207 | payment standard 90 | 2 | $1,332 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99207 | safmr | 2 | $1,480 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99207 | payment standard 110 | 3 | $2,222 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99207 | payment standard 90 | 3 | $1,818 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99207 | safmr | 3 | $2,020 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99207 | payment standard 110 | 4 | $2,662 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99207 | payment standard 90 | 4 | $2,178 | 2025-10-01 | HUD_USER_SAFMR |
| zip 99207 | safmr | 4 | $2,420 | 2025-10-01 | HUD_USER_SAFMR |
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.