Composite
67.0 / 100 percentile
Screener / 385091
C
HEARTHSTONE NURSING & REHABILITATION CENTER
snfOR
2901 E. BARNETT ROAD, MEDFORD, OR 97504 · CCN 385091 · chain VOLARE HEALTH LLC
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
87
Model
v1.2
Reads as: riskier than 67.0% 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 model5ML signals10Components16CHOW radar1Distress radar1Staffing16Penalties5Deficiencies77Licensure0Ownership30Related party6Transactions1Comps12Market rent36
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 98.8 | 98.0 | 0.30 | 0.2308 | 22.80 | in index |
| billing conduct | 89.6 | 59.5 | 0.30 | 0.2308 | 20.68 | in index |
| staffing risk | 33.5 | 33.6 | 0.25 | 0.1923 | 6.44 | in index |
| chow risk | 25.5 | 24.5 | 0.15 | 0.1154 | 2.94 | in index |
| financial risk | 8.3 | 17.4 | 0.30 | 0.2308 | 1.92 | 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.
ML signals — parallel engine
10| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +20.6 vs natl | KNOX DONALD | 16 facilities |
| connection | Owner fleet enforcement cluster | 50% fined | SMITH BRIAN | 14 facilities |
| connection | Owner fleet enforcement cluster | 44% fined | HAGAR CHAIM | 18 facilities |
| connection | Owner fleet enforcement cluster | 44% fined | VOLARE HEALTH LLC | 16 facilities |
| connection | Owner fleet enforcement cluster | 44% fined | KNOX DONALD | 16 facilities |
| connection | Owner fleet enforcement cluster | 42% fined | PAC 12 HOLDINGS LLC | 12 facilities |
| connection | Owner fleet enforcement cluster | 42% fined | PAC 12 OPCO HOLDCO LLC | 12 facilities |
| connection | Owner fleet enforcement cluster | 42% fined | PAC 12 PINNACLE HOLDCO LLC | 12 facilities |
| connection | Owner fleet enforcement cluster | 42% fined | KNOX HEALTHCARE PAC 12 HOLDINGS LLC | 12 facilities |
| connection | Owner fleet enforcement cluster | 42% fined | HAGLER ALEXANDER | 12 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 type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 59.5 | C | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 25.0 | B | 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 | 24.0 | A | v0.6 | default · in composite | |
| financial risk | 17.4 | A | 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 | 98.0 | F | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 33.6 | B | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 62.9 | C | 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 | 42.9 | B | 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 | 37.8 | 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 | 23.3 | A | 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 | 98.0 | 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 | 98.0 | 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 | 33.6 | 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 | 33.6 | 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 | |
|---|---|---|---|
| Never sold on record | 0.00 | -1.62 | |
| Current owner tenure (years) | 3.41 | -1.51 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| Occupancy | 0.87 | -0.49 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Chain size (log) | 2.56 | +0.14 | |
| Total nurse staffing (HPRD) | 3.58 | -0.11 |
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 | |
|---|---|---|---|
| Staffing trend, last 4 quarters | -1.90 | -0.91 | |
| For-profit ownership | 1.00 | -0.69 | |
| Occupancy | 0.87 | -0.50 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Deficiencies, last 12 months | 6.00 | +0.32 | |
| Chain size (log) | 2.56 | -0.29 | |
| Never sold on record | 0.00 | -0.28 | |
| Current owner tenure (years) | 3.41 | -0.25 |
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 | OR median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 3.58 | 4.20 | 3.28 | 2.90–3.77 |
| RN | 0.37 | 0.41 | 0.39 | 0.25–0.58 |
| Weekend total | 3.31 | 3.99 | 3.11 | — |
| Weekday total | 3.68 | 4.27 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 75.4 | 3.58 | 0.37 | 0.55 | 2.66 | 3.31 | 3.3% |
| 2025Q3 | 92 | 62.3 | 3.76 | 0.44 | 0.52 | 2.81 | 3.60 | 3.9% |
| 2025Q2 | 91 | 55.5 | 4.13 | 0.38 | 0.65 | 3.10 | 3.81 | 3.1% |
| 2025Q1 | 90 | 44.2 | 4.74 | 0.40 | 0.88 | 3.46 | 4.59 | 0.3% |
| 2024Q4 | 92 | 38.8 | 5.48 | 0.44 | 1.05 | 3.99 | 5.01 | 3.1% |
| 2024Q3 | 92 | 38.3 | 5.00 | 0.49 | 0.73 | 3.78 | 4.64 | 7.5% |
| 2024Q2 | 91 | 55.1 | 4.29 | 0.37 | 0.86 | 3.06 | 3.93 | 14.3% |
| 2024Q1 | 91 | 77.2 | 3.88 | 0.25 | 0.80 | 2.83 | 3.80 | 36.6% |
| 2023Q4 | 92 | 87.5 | 3.83 | 0.23 | 0.86 | 2.74 | 3.59 | 40.8% |
| 2023Q3 | 92 | 83.2 | 2.41 | 0.11 | 0.36 | 1.94 | 2.06 | 15.0% |
| 2023Q2 | 91 | 77.7 | 2.17 | 0.09 | 0.28 | 1.80 | 1.91 | 0.5% |
| 2023Q1 | 90 | 70.7 | 3.32 | 0.11 | 0.68 | 2.53 | 3.14 | 19.5% |
| 2022Q4 | 92 | 70.9 | 3.67 | 0.18 | 0.74 | 2.76 | 3.43 | 31.6% |
| 2022Q3 | 92 | 59.2 | 3.68 | 0.36 | 0.62 | 2.70 | 3.29 | 28.1% |
| 2022Q2 | 91 | 80.0 | 3.88 | 0.30 | 0.85 | 2.73 | 3.64 | 43.2% |
| 2022Q1 | 90 | 77.2 | 4.38 | 0.21 | 1.20 | 2.96 | 3.91 | 50.6% |
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
5fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2024-05-31 | Fine | $88,282 | CMS provider data |
| 2024-05-31 | Payment Denial | — | CMS provider data |
| 2024-02-01 | Fine | $82,274 | CMS provider data |
| 2024-02-01 | Payment Denial | — | CMS provider data |
| 2023-10-23 | Fine | $59,966 | CMS provider data |
Total fines on record: $230,522
Deficiencies
77D × 53E × 12F × 6G × 2J × 4
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-03-04 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2026-02-16 |
| 2026-03-04 | 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. | D | 2026-04-23 |
| 2026-03-04 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2026-04-23 |
| 2026-03-04 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-04-23 |
| 2026-03-04 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2026-04-23 |
| 2025-11-25 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-12-19 |
| 2025-05-23 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-06-24 |
| 2025-05-23 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-06-24 |
| 2025-05-23 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2025-06-24 |
| 2025-05-23 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2025-06-24 |
| 2025-05-23 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2025-06-24 |
| 2024-12-07 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2025-01-21 |
| 2024-12-07 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2025-01-21 |
| 2024-12-07 | 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 | 2025-01-21 |
| 2024-12-07 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-01-21 |
| 2024-12-07 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-01-21 |
| 2024-12-07 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-01-21 |
| 2024-12-07 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-01-21 |
| 2024-12-07 | Health | 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 | 2024-11-26 |
| 2024-12-07 | 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 | 2025-01-21 |
| 2024-12-07 | 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. | E | 2025-01-21 |
| 2024-11-05 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2024-08-21 |
| 2024-06-28 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2024-08-17 |
| 2024-06-28 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2024-08-17 |
| 2024-06-28 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2024-08-17 |
| 2024-06-28 | Health | 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. | D | 2024-08-17 |
| 2024-06-28 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2024-08-17 |
| 2024-06-28 | Health | 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 | 2024-08-17 |
| 2024-06-28 | Health | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | 2024-08-17 |
| 2024-06-28 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-08-17 |
| 2024-06-28 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-08-17 |
| 2024-06-28 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | D | 2024-08-17 |
| 2024-06-28 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2024-08-17 |
| 2024-06-28 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2024-08-17 |
| 2024-06-28 | Health | 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 | 2024-08-17 |
| 2024-06-28 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-08-17 |
| 2024-06-28 | Health | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | 2024-08-17 |
| 2024-06-28 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-08-17 |
| 2024-06-28 | Health | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | 2024-08-17 |
| 2024-05-31 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-07-13 |
| 2024-05-31 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2024-07-13 |
| 2024-05-31 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | J | 2024-07-13 |
| 2024-05-31 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | 2024-07-13 |
| 2024-05-31 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | 2024-07-13 |
| 2024-05-31 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | 2024-07-13 |
| 2024-05-31 | 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. | F | 2024-07-13 |
| 2024-05-31 | Health · complaint | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2024-07-13 |
| 2024-02-27 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2024-04-17 |
| 2024-02-27 | 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 | 2024-04-17 |
| 2024-02-27 | Health · complaint | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2024-04-17 |
| 2024-02-27 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2024-04-17 |
| 2024-02-27 | 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. | F | 2024-04-17 |
| 2024-02-27 | 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 | 2024-04-17 |
| 2024-02-27 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-04-17 |
| 2024-02-01 | 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 | 2024-03-22 |
| 2024-02-01 | Health · complaint | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2024-03-22 |
| 2024-02-01 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-03-22 |
| 2024-02-01 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-05-08 |
| 2024-02-01 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-05-08 |
| 2024-02-01 | Health · complaint | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | 2024-03-22 |
| 2024-02-01 | Health · complaint | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | 2024-05-08 |
| 2023-11-08 | Health · complaint | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2023-12-28 |
| 2023-11-08 | Health · complaint | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2023-12-28 |
| 2023-11-08 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | F | 2023-12-28 |
| 2023-11-08 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2023-12-28 |
| 2023-11-08 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-12-28 |
| 2023-11-08 | 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 | 2023-12-28 |
| 2023-11-08 | Health · complaint | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-01-23 |
| 2023-11-08 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | 2023-12-28 |
| 2023-11-08 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2024-01-23 |
| 2023-11-08 | 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 | 2023-12-28 |
| 2023-11-08 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2023-12-28 |
| 2023-10-23 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2023-12-11 |
| 2023-10-23 | Health · complaint | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | 2023-12-11 |
| 2023-10-23 | Health · complaint | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2023-12-11 |
| 2023-06-20 | Health · complaint | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2023-08-09 |
| 2023-06-20 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-08-09 |
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
30| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| PAC 12 OPCO HOLDCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2023-03-01 | current | pecos_ownership |
| MEDFORD PROPCO LLC | Individual has financial interest in both related organization and provider | 5% | 2023-03-01 | current | hcris_a_8_1 |
| HAGAR, CHAIM | ADP OF THE SNF | — | 2023-03-01 | current | pecos_ownership |
| HAGLER, ALEXANDER | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-03-01 | current | pecos_ownership |
| KAHN, KAREN | ADP OF THE SNF | — | 2023-07-03 | current | pecos_ownership |
| KNOX HEALTHCARE PAC 12 HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-03-01 | current | pecos_ownership |
| KNOX, DONALD | ADP OF THE SNF | — | 2023-03-01 | current | pecos_ownership |
| MEDFORD PROPCO LLC | Corporation, partnership or other organization has financial interest in provider | — | 2024-01-01 | current | hcris_a_8_1 |
| MEDFORD PROPCO LLC | 5% OR GREATER MORTGAGE INTEREST | — | 2023-03-01 | current | pecos_ownership |
| MOORE, JAMES | ADP OF THE SNF | — | 2024-09-03 | current | pecos_ownership |
| PAC 12 HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-03-01 | current | pecos_ownership |
| PAC 12 PINNACLE HOLDCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-03-01 | current | pecos_ownership |
| SCHWARTZ, ELIEZER | ADP OF THE SNF | — | 2023-03-01 | current | pecos_ownership |
| SMITH, BRIAN | CORPORATE OFFICER | — | 2023-03-27 | current | pecos_ownership |
| VOLARE HEALTH LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-03-01 | current | pecos_ownership |
| VOLARE HEALTH LLC | ADP OF THE SNF | — | 2025-08-20 | current | pecos_ownership |
| AVALON REALTY - HEARTHSTONE LLC | Corporation, partnership or other organization has financial interest in provider | 100% | 2022-01-01 | ended 2022-12-31 | hcris_a_8_1 |
| AVALON REALTY - HEARTHSTONE LLC | Corporation, partnership or other organization has financial interest in provider | 100% | 2023-01-01 | ended 2023-02-28 | hcris_a_8_1 |
| DONALD KNOX | CORPORATE OFFICER | 100% | 2023-01-01 | ended 2026-05-18 | pecos_ownership |
| ELIEZER SCHWARTZ | OPERATIONAL/MANAGERIAL CONTROL | 100% | 2023-01-01 | ended 2026-05-18 | pecos_ownership |
| PAC 12 OPCO HOLDCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2023-01-01 | ended 2026-05-18 | pecos_ownership |
| PAC 12 PINNACLE HOLDCO LLC | OPERATIONAL/MANAGERIAL CONTROL | 100% | 2023-01-01 | ended 2026-05-18 | pecos_ownership |
| PAC 12 HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 62% | 2023-01-01 | ended 2026-05-18 | pecos_ownership |
| ALEXANDER HAGLER | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 31% | 2023-01-01 | ended 2026-05-18 | pecos_ownership |
| CHAIM HAGAR | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 31% | 2023-01-01 | ended 2026-05-18 | pecos_ownership |
| KNOX HEALTHCARE PAC 12 HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 8% | 2023-01-01 | ended 2026-05-18 | pecos_ownership |
| AVALON REALTY - HEARTHSTONE LLC | Corporation, partnership or other organization has financial interest in provider | — | 2021-01-01 | ended 2021-12-31 | hcris_a_8_1 |
| AVALON REALTY - HEARTHSTONE LLC | Corporation, partnership or other organization has financial interest in provider | — | 2020-01-01 | ended 2020-12-31 | hcris_a_8_1 |
| BENJAMIN SPARKS | CORPORATE OFFICER | — | 2023-01-01 | ended 2026-05-18 | pecos_ownership |
| VOLARE HEALTH LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-01-01 | 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 |
|---|---|---|---|---|
| 2023-03-01 | — | MEDFORD NURSING & REHAB CENTER LLC | AVALON HEALTH CARE HEARTHSTONE LLC | chow |
Comparable trades — OR snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-08-04 | Mt. Tabor Health & Rehabilitation | — | — | — | 120 | MT TABOR SNF OPERATIONS LLC |
| 2025-08-01 | LAURELHURST POST ACUTE & REHABILITATION | — | — | — | 159 | LAURELHURST SNF OPERATIONS LLC |
| 2025-06-01 | SAINT HELENS POST ACUTE | — | — | — | 92 | MAVERICKS BEACH, LLC |
| 2025-04-01 | MT ANGEL HEALTH AND REHABILITATION | — | — | — | 93 | REX ROAD HEALTHCARE LLC |
| 2024-12-01 | VILLAGE HEALTH CARE | — | — | — | 106 | VILLAGE SNF OPERATIONS LLC |
| 2024-10-01 | ROBISON JEWISH HEALTH CENTER | — | — | — | 92 | BOUNDARY STREET SNF, LLC |
| 2024-09-01 | WILLOWBROOK POST ACUTE | — | — | — | 59 | WILLOWBROOK SNF HEALTHCARE LLC |
| 2024-09-01 | REEDWOOD POST ACUTE | — | — | — | 64 | CRESTON SNF HEALTHCARE LLC |
| 2024-09-01 | COTTAGE GROVE POST ACUTE | — | — | — | 80 | COTTAGE GROVE SNF HEALTHCARE LLC |
| 2024-09-01 | FOREST GROVE POST ACUTE | — | — | — | 114 | FOREST GROVE SNF HEALTHCARE LLC |
| 2024-09-01 | EVERGREEN POST ACUTE | — | — | — | 55 | EVERGREEN SNF HEALTHCARE LLC |
| 2024-09-01 | HOOD RIVER POST ACUTE | — | — | — | 100 | HOOD RIVER 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 41029 | acs median gross | 0 | $886 | 2024-12-31 | CENSUS_ACS5 |
| county 41029 | fmr | 0 | $1,055 | 2025-10-01 | HUD_USER_FMR |
| county 41029 | acs median gross | 1 | $1,064 | 2024-12-31 | CENSUS_ACS5 |
| county 41029 | fmr | 1 | $1,229 | 2025-10-01 | HUD_USER_FMR |
| county 41029 | acs median gross | 2 | $1,327 | 2024-12-31 | CENSUS_ACS5 |
| county 41029 | fmr | 2 | $1,530 | 2025-10-01 | HUD_USER_FMR |
| county 41029 | acs median gross | 3 | $1,721 | 2024-12-31 | CENSUS_ACS5 |
| county 41029 | fmr | 3 | $2,128 | 2025-10-01 | HUD_USER_FMR |
| county 41029 | acs median gross | 4 | $1,983 | 2024-12-31 | CENSUS_ACS5 |
| county 41029 | fmr | 4 | $2,514 | 2025-10-01 | HUD_USER_FMR |
| county 41029 | acs median gross | 5 | $1,646 | 2024-12-31 | CENSUS_ACS5 |
| county 41029 | acs median gross | $1,358 | 2024-12-31 | CENSUS_ACS5 | |
| county 41029 | acs recent mover gross | $1,696 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 97504 | acs median gross | 0 | $943 | 2024-12-31 | CENSUS_ACS5 |
| zcta 97504 | acs median gross | 1 | $1,136 | 2024-12-31 | CENSUS_ACS5 |
| zcta 97504 | acs median gross | 2 | $1,361 | 2024-12-31 | CENSUS_ACS5 |
| zcta 97504 | acs median gross | 3 | $1,714 | 2024-12-31 | CENSUS_ACS5 |
| zcta 97504 | acs median gross | 4 | $1,844 | 2024-12-31 | CENSUS_ACS5 |
| zcta 97504 | acs median gross | 5 | $1,563 | 2024-12-31 | CENSUS_ACS5 |
| zcta 97504 | acs median gross | $1,414 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 97504 | acs recent mover gross | $1,422 | 2024-12-31 | CENSUS_ACS5 | |
| zip 97504 | payment standard 110 | 0 | $1,188 | 2025-10-01 | HUD_USER_SAFMR |
| zip 97504 | payment standard 90 | 0 | $972 | 2025-10-01 | HUD_USER_SAFMR |
| zip 97504 | safmr | 0 | $1,080 | 2025-10-01 | HUD_USER_SAFMR |
| zip 97504 | payment standard 110 | 1 | $1,386 | 2025-10-01 | HUD_USER_SAFMR |
| zip 97504 | payment standard 90 | 1 | $1,134 | 2025-10-01 | HUD_USER_SAFMR |
| zip 97504 | safmr | 1 | $1,260 | 2025-10-01 | HUD_USER_SAFMR |
| zip 97504 | payment standard 110 | 2 | $1,727 | 2025-10-01 | HUD_USER_SAFMR |
| zip 97504 | payment standard 90 | 2 | $1,413 | 2025-10-01 | HUD_USER_SAFMR |
| zip 97504 | safmr | 2 | $1,570 | 2025-10-01 | HUD_USER_SAFMR |
| zip 97504 | payment standard 110 | 3 | $2,398 | 2025-10-01 | HUD_USER_SAFMR |
| zip 97504 | payment standard 90 | 3 | $1,962 | 2025-10-01 | HUD_USER_SAFMR |
| zip 97504 | safmr | 3 | $2,180 | 2025-10-01 | HUD_USER_SAFMR |
| zip 97504 | payment standard 110 | 4 | $2,838 | 2025-10-01 | HUD_USER_SAFMR |
| zip 97504 | payment standard 90 | 4 | $2,322 | 2025-10-01 | HUD_USER_SAFMR |
| zip 97504 | safmr | 4 | $2,580 | 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.