CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)
AS OF 2026-08-04 23:35 UTC
Screener / 505341
C

BRIDGE CREST POST ACUTE

snfWA
5220 NORTHEAST HAZEL DELL AVENUE, VANCOUVER, WA 98663 · CCN 505341 · chain PACS GROUP INC
Composite
74.7 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
89
Model
v1.2
Reads as: riskier than 74.7% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk97.796.50.300.230822.55in index
financial risk86.773.50.300.230820.01in index
chow risk56.054.20.150.11546.46in index
billing conduct24.828.90.300.23085.72in index
staffing risk17.017.10.250.19233.27in 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 chains12 chainsTRUIST BANK61 facilities
connectionOwner spans multiple chains7 chainsJERGENSEN JOSHUA249 facilities
connectionOwner spans multiple chains7 chainsMITCHELL JOHN264 facilities
connectionOwner spans multiple chains6 chainsMURRAY JASON40 facilities
connectionOwner spans multiple chains6 chainsTHE PROVIDENCE GROUPS LLC34 facilities
connectionOwner spans multiple chains6 chainsAPT FREDERICK254 facilities
connectionOwner spans multiple chains5 chainsPROVIDENCE ADMINISTRATIVE CONSULTING SERVICES INC62 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 conduct28.9Bv0.1-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 risk83.5Fv0.6default · in composite
financial risk73.5Dv0.5default · 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 12m0.0v0.1default · in compositeR22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite.
regulatory risk96.5Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk17.1Av0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk84.5Fv0.1supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk64.5Cv0.2supersededPre-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 risk62.6Cv0.3supersededPre-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 risk74.7Dv0.4supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
regulatory risk96.4Fv0.1supersededPre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
regulatory risk96.4Fv0.2supersededPre-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 risk17.1Av0.1supersededPre-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 risk17.1Av0.2supersededPre-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
7.0
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Current owner tenure (years)1.99-1.65
Never sold on record0.00-1.62
Ownership changes, last 5 years1.00-0.87
For-profit ownership1.00+0.69
No PBJ staffing report0.00+0.42
Deficiencies, last 12 months20.00+0.31
Occupancy0.79-0.27
Total nurse staffing (HPRD)4.01-0.19
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 months20.00-2.28
For-profit ownership1.00-0.69
Chain size (log)1.10+0.56
Fine amount, 12m (log)10.05-0.56
No PBJ staffing report0.00+0.39
Total nurse staffing (HPRD)4.01-0.34
Never sold on record0.00-0.28
Current owner tenure (years)1.99-0.27
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 facilityWA medianNational medianNational p25–p75
Total nurse4.013.703.282.90–3.77
RN0.600.620.390.25–0.58
Weekend total3.523.513.11
Weekday total4.203.793.35
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49270.54.010.601.032.393.5216.0%
2025Q39275.13.980.611.102.273.3710.6%
2025Q29176.73.780.611.012.163.004.4%
2025Q19073.43.920.511.082.343.3310.7%
2024Q49268.94.080.581.012.493.529.3%
2024Q39262.63.770.480.852.453.350.7%
2024Q29162.54.500.401.003.104.207.3%
2024Q19155.34.660.461.003.194.469.0%
2023Q49249.94.760.511.023.234.501.2%
2023Q39256.04.280.281.092.914.002.5%
2023Q29153.94.360.191.173.003.963.0%
2023Q19055.34.200.201.082.923.847.9%
2022Q49256.54.660.341.043.284.179.0%
2022Q39256.54.670.470.983.234.4420.4%
2022Q29153.04.320.710.682.933.918.5%
2022Q19054.13.850.530.622.693.546.3%
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

5
fines by year
$185.5k$92.7k232425
DateTypeFineSource
2025-10-27Fine$23,100CMS provider data
2025-04-24Fine$107,738CMS provider data
2025-02-27Fine$54,649CMS provider data
2023-11-14Fine$28,002CMS provider data
2023-10-02Fine$7,443CMS provider data
Total fines on record: $220,932

Deficiencies

53
D × 37E × 7F × 1G × 6J × 2
deficiencies by survey year
2312232425
SurveyTypeTagDeficiencyScopeCorrected
2025-12-12HealthF0552Ensure that residents are fully informed and understand their health status, care and treatments.D2026-01-10
2025-12-12HealthF0558Reasonably accommodate the needs and preferences of each resident.D2026-01-10
2025-12-12HealthF0583Keep residents' personal and medical records private and confidential.D2026-01-10
2025-12-12HealthF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.D2026-01-10
2025-12-12HealthF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D2026-01-10
2025-12-12HealthF0641Ensure each resident receives an accurate assessment.D2026-01-10
2025-12-12HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E2026-01-10
2025-12-12HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2026-01-10
2025-12-12HealthF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.E2026-01-10
2025-12-12HealthF0679Provide activities to meet all resident's needs.D2026-01-10
2025-12-12HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E2026-01-10
2025-12-12HealthF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.D2026-01-10
2025-12-12HealthF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2026-01-10
2025-12-12HealthF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.D2026-01-10
2025-12-12HealthF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D2026-01-10
2025-10-27Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G2025-10-28
2025-09-04Health · complaintF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D2025-09-15
2025-09-04Health · complaintF0729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.D2025-09-15
2025-08-25Health · complaintF0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.D2025-09-12
2025-08-04Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2025-08-29
2025-04-24Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G2025-05-27
2025-03-11Health · complaintF0760Ensure that residents are free from significant medication errors.G2025-03-12
2025-02-27Health · complaintF0770Provide timely, quality laboratory services/tests to meet the needs of residents.G2025-03-22
2024-10-11HealthF0552Ensure that residents are fully informed and understand their health status, care and treatments.D2024-11-14
2024-10-11HealthF0578Honor 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.D2024-11-14
2024-10-11HealthF0583Keep residents' personal and medical records private and confidential.D2024-11-14
2024-10-11HealthF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.D2024-11-14
2024-10-11HealthF0625Notify 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.D2024-11-14
2024-10-11HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2024-11-14
2024-10-11HealthF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.D2024-11-14
2024-10-11HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-11-14
2024-10-11HealthF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2024-11-14
2024-10-11HealthF0692Provide enough food/fluids to maintain a resident's health.D2024-11-14
2024-10-11HealthF0727Have 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.F2024-11-14
2024-10-11HealthF0732Post nurse staffing information every day.D2024-11-14
2024-10-11HealthF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.E2024-11-14
2024-10-11HealthF0758Implement 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.D2024-11-14
2024-10-11HealthF0761Ensure 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.D2024-11-14
2024-10-11HealthF0880Provide and implement an infection prevention and control program.D2024-11-14
2024-10-11HealthF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.D2024-11-14
2024-10-11HealthF0909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.D2024-11-14
2024-03-20Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2024-04-17
2023-11-14HealthF0584Honor 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.E2023-12-12
2023-11-14Health · complaintF0610Respond appropriately to all alleged violations.E2023-12-12
2023-11-14HealthF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D2023-12-12
2023-11-14HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2023-12-12
2023-11-14HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2023-12-12
2023-11-14HealthF0692Provide enough food/fluids to maintain a resident's health.G2023-12-12
2023-11-14HealthF0695Provide safe and appropriate respiratory care for a resident when needed.J2023-12-12
2023-11-14HealthF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.D2023-12-12
2023-11-14HealthF0880Provide and implement an infection prevention and control program.E2023-12-12
2023-11-14HealthF0906Provide enough power supply for lighting all entrances and exits; equipment for fire detection and alarm systems, and extinguishers.J2023-12-12
2023-10-02Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G2023-10-22
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

31
OwnerRolePctFromStatusSource
DISCOVERY LLCIndividual has financial interest in both related organization and provider42%2023-01-01currenthcris_a_8_1
DISCOVERY LLCIndividual has financial interest in both related organization and provider42%2023-08-01currenthcris_a_8_1
APT, FREDERICKCORPORATE OFFICER2024-08-01currentpecos_ownership
APT, FREDERICKOPERATIONAL/MANAGERIAL CONTROL2024-05-14currentpecos_ownership
JERGENSEN, JOSHUACORPORATE OFFICER2024-08-01currentpecos_ownership
MITCHELL, JOHNMANAGING CONTROL - GOVERNING BODY2024-01-01currentpecos_ownership
MITCHELL, JOHNCORPORATE OFFICER2024-08-01currentpecos_ownership
MURRAY, JASONCORPORATE DIRECTOR2013-01-01currentpecos_ownership
OLMSTEAD, STACEYOPERATIONAL/MANAGERIAL CONTROL2024-08-01currentpecos_ownership
PACS HOLDINGS, LLCGENERAL PARTNERSHIP INTEREST2024-05-14currentpecos_ownership
PROVIDENCE ADMINISTRATIVE CONSULTING SERVICES INCADP OF THE SNF2024-08-01currentpecos_ownership
PROVIDENCE GROUP INCADP OF THE SNF2025-04-01currentpecos_ownership
TRUIST BANK5% OR GREATER SECURITY INTEREST2024-08-01currentpecos_ownership
VAN AUKEN, MATTHEWOPERATIONAL/MANAGERIAL CONTROL2024-09-01currentpecos_ownership
WARREN, CHRISTOPHEROPERATIONAL/MANAGERIAL CONTROL2024-03-01currentpecos_ownership
PACS GROUP, INC.5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2024-08-01ended 2026-05-18pecos_ownership
PROVIDENCE GROUP NH, LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2024-05-14ended 2026-05-18pecos_ownership
JASON MURRAY5% OR GREATER INDIRECT OWNERSHIP INTEREST42%2024-08-01ended 2026-05-18pecos_ownership
MARK HANCOCK5% OR GREATER INDIRECT OWNERSHIP INTEREST42%2024-08-01ended 2026-05-18pecos_ownership
DISCOVERY LLCIndividual has financial interest in both related organization and provider42%2021-01-01ended 2021-12-31hcris_a_8_1
DISCOVERY LLCIndividual has financial interest in both related organization and provider42%2022-01-01ended 2022-12-31hcris_a_8_1
CHRISTOPHER WARRENOPERATIONAL/MANAGERIAL CONTROL2024-03-01ended 2026-05-18pecos_ownership
DISCOVERY LLCIndividual has financial interest in both related organization and provider2020-01-01ended 2020-12-31hcris_a_8_1
FREDERICK APTOPERATIONAL/MANAGERIAL CONTROL2024-05-14ended 2026-05-18pecos_ownership
FREDERICK APTCORPORATE OFFICER2024-08-01ended 2026-05-18pecos_ownership
JASON MURRAYCORPORATE DIRECTOR2013-01-01ended 2026-05-18pecos_ownership
JOHN MITCHELLCORPORATE OFFICER2024-08-01ended 2026-05-18pecos_ownership
JOHN MITCHELLMANAGING CONTROL - GOVERNING BODY2024-01-01ended 2026-05-18pecos_ownership
JOSHUA JERGENSENCORPORATE OFFICER2024-08-01ended 2026-05-18pecos_ownership
MATTHEW VAN AUKENOPERATIONAL/MANAGERIAL CONTROL2024-09-01ended 2026-05-18pecos_ownership
STACEY OLMSTEADOPERATIONAL/MANAGERIAL CONTROL2024-08-01ended 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
2024-08-01BRIDGE CREST SNF HEALTHCARE LLCCARE CENTER HAZEL DELL INCchow

Comparable trades — WA snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-06-01Bremerton Trails Post Acute125RINCON BEACH, LLC
2025-06-01Othello Post Acute39DOHENY BEACH, LLC
2025-06-01Edmonds Post Acute128SALT CREEK BEACH, LLC
2025-05-21AURORA VALLEY CARE124AURORA VALLEY CARE LLC
2025-05-21THREE RIVERS CARE83THREE RIVERS CARE LLC
2025-05-21FIR LANE CARE135FIR LANE CARE LLC
2025-05-21SPOKANE FALLS CARE100SPOKANE FALLS CARE LLC
2025-05-01MARIANWOOD HEALTH AND REHABILITATION117LUNA VEGA HEALTHCARE LLC
2025-04-01WOODARD CREEK HEALTH & REHABILITATION152WOODARD SNF OPERATIONS LLC
2025-03-12Avalon Healthcare - Tacoma81AVALON HEALTHCARE-TACOMA LLC
2025-03-01SOUTH HILL REHABILITATION AND CARE CENTER113LAST EMPIRE HEALTHCARE LLC
2024-08-01PINE RIDGE POST ACUTE80PINE 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
GeoKindBRAmountAs ofSource
county 53011acs median gross0$1,4002024-12-31CENSUS_ACS5
county 53011fmr0$1,5702025-10-01HUD_USER_FMR
county 53011acs median gross1$1,4882024-12-31CENSUS_ACS5
county 53011fmr1$1,6772025-10-01HUD_USER_FMR
county 53011acs median gross2$1,6702024-12-31CENSUS_ACS5
county 53011fmr2$1,9222025-10-01HUD_USER_FMR
county 53011acs median gross3$2,1152024-12-31CENSUS_ACS5
county 53011fmr3$2,6192025-10-01HUD_USER_FMR
county 53011acs median gross4$2,6042024-12-31CENSUS_ACS5
county 53011fmr4$3,1092025-10-01HUD_USER_FMR
county 53011acs median gross5$2,2132024-12-31CENSUS_ACS5
county 53011acs median gross$1,7482024-12-31CENSUS_ACS5
county 53011acs recent mover gross$1,8682024-12-31CENSUS_ACS5
zcta 98663acs median gross0$1,3542024-12-31CENSUS_ACS5
zcta 98663acs median gross1$1,2482024-12-31CENSUS_ACS5
zcta 98663acs median gross2$1,6182024-12-31CENSUS_ACS5
zcta 98663acs median gross3$2,1862024-12-31CENSUS_ACS5
zcta 98663acs median gross4$2,5732024-12-31CENSUS_ACS5
zcta 98663acs median gross5$2,0592024-12-31CENSUS_ACS5
zcta 98663acs median gross$1,6452024-12-31CENSUS_ACS5
zcta 98663acs recent mover gross$1,7362024-12-31CENSUS_ACS5
zip 98663payment standard 1100$1,6172025-10-01HUD_USER_SAFMR
zip 98663payment standard 900$1,3232025-10-01HUD_USER_SAFMR
zip 98663safmr0$1,4702025-10-01HUD_USER_SAFMR
zip 98663payment standard 1101$1,7382025-10-01HUD_USER_SAFMR
zip 98663payment standard 901$1,4222025-10-01HUD_USER_SAFMR
zip 98663safmr1$1,5802025-10-01HUD_USER_SAFMR
zip 98663payment standard 1102$1,9802025-10-01HUD_USER_SAFMR
zip 98663payment standard 902$1,6202025-10-01HUD_USER_SAFMR
zip 98663safmr2$1,8002025-10-01HUD_USER_SAFMR
zip 98663payment standard 1103$2,7172025-10-01HUD_USER_SAFMR
zip 98663payment standard 903$2,2232025-10-01HUD_USER_SAFMR
zip 98663safmr3$2,4702025-10-01HUD_USER_SAFMR
zip 98663payment standard 1104$3,2012025-10-01HUD_USER_SAFMR
zip 98663payment standard 904$2,6192025-10-01HUD_USER_SAFMR
zip 98663safmr4$2,9102025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.