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 23:40 UTC
Screener / 505393
D

North Cascades Health and Rehabilitation

snfWA
4680 CORDATA PARKWAY, BELLINGHAM, WA 98226 · CCN 505393 · chain COUVE FINANCIAL SERVICES LLC
Composite
92.2 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
122
Model
v1.2
Reads as: riskier than 92.2% 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 signals2Components16CHOW radar1Distress radar1Staffing16Penalties6Deficiencies96Licensure0Ownership29Related party6Transactions1Comps12Market rent36

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk99.498.80.300.230822.94in index
financial risk70.559.50.300.230816.27in index
staffing risk70.070.00.250.192313.46in index
billing conduct37.734.80.300.23088.70in index
chow risk62.644.00.150.11547.22in 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

2
KindFindingSignalSubjectFirst seen
connectionOwner fleet risk far above national+23.6 vs natlPACIFIC NORTHWEST SNF OPERATIONS HOLDINGS WA LLC6 facilities
connectionOwner spans multiple chains8 chainsHERZKA YISROEL70 facilities
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.

Component scores and registry models

16
Score typeScoreGradeModelStatusRegistry model notes
billing conduct34.8Bv0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk55.0Cv0.1-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 risk33.0Bv0.6default · in composite
financial risk59.5Cv0.5default · in compositeR18.
p adverse action 12m0.0—v0.1default · in compositeR23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite.
p chow 12m0.1—v0.1default · in compositeR22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite.
regulatory risk98.8Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk70.0Dv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk67.3Dv0.1supersededPre-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 risk47.3Cv0.2supersededPre-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 risk59.3Cv0.3supersededPre-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 risk61.7Cv0.4supersededPre-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 risk98.7Fv0.1supersededPre-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 risk98.7Fv0.2supersededPre-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 risk70.0Dv0.1supersededPre-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 risk70.0Dv0.2supersededPre-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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
19.6
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Never sold on record0.00-1.62
Current owner tenure (years)2.91-1.56
Ownership changes, last 5 years1.00-0.87
For-profit ownership1.00+0.69
No PBJ staffing report0.00+0.42
Chain size (log)3.71+0.39
Deficiencies, last 12 months18.00+0.27
High-severity deficiencies, 12m4.00+0.20
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 months18.00-1.91
Chain size (log)3.71-0.96
For-profit ownership1.00-0.69
Fine amount, 12m (log)11.71-0.68
No PBJ staffing report0.00+0.39
Never sold on record0.00-0.28
High-severity deficiencies, 12m4.00-0.28
Current owner tenure (years)2.91-0.25
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 HPRDThis facilityWA medianNational medianNational p25–p75
Total nurse2.973.703.282.90–3.77
RN0.590.620.390.25–0.58
Weekend total2.813.513.11—
Weekday total3.033.793.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49293.02.970.590.431.952.815.6%
2025Q39285.73.280.700.432.163.090.2%
2025Q29181.33.310.730.412.173.130.5%
2025Q19082.53.260.710.442.113.130.8%
2024Q49290.93.130.750.372.012.890.0%
2024Q39285.82.940.670.421.842.675.1%
2024Q29188.03.070.580.521.972.949.0%
2024Q19190.73.260.700.462.103.100.3%
2023Q49289.12.910.700.451.772.779.7%
2023Q39282.62.480.840.351.292.352.7%
2023Q29187.62.490.830.241.422.146.7%
2023Q19087.52.570.700.391.482.2620.5%
2022Q49284.53.070.790.481.802.7934.5%
2022Q39283.92.500.580.461.472.2431.8%
2022Q29189.03.090.730.871.492.7943.1%
2022Q19082.33.020.800.611.602.7729.2%
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

6
fines by year
$170.7k$85.3k23242526
DateTypeFineSource
2026-03-04Fine$50,440CMS provider data
2026-01-28Fine$70,830CMS provider data
2024-12-30Fine$15,584CMS provider data
2024-06-20Fine$50,278CMS provider data
2024-03-08Fine$104,832CMS provider data
2023-09-19Fine$46,449CMS provider data
Total fines on record: $338,413

Deficiencies

96
B × 2D × 59E × 17F × 6G × 10J × 2
deficiencies by survey year
371923242526
SurveyTypeTagDeficiencyScopeCorrected
2026-04-13Health · complaintF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E2026-05-22
2026-04-13Health · complaintF0732Post nurse staffing information every day.B2026-05-22
2026-03-04Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G2026-03-23
2026-03-04Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2026-03-23
2026-03-04Health · complaintF0610Respond appropriately to all alleged violations.D2026-03-23
2026-03-04Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2026-03-23
2026-02-06Health · complaintF0610Respond appropriately to all alleged violations.D2026-02-19
2026-02-06Health · complaintF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.J2026-02-19
2026-01-28Health · complaintF0551Give the resident's representative the ability to exercise the resident's rights.D2026-02-09
2026-01-28Health · complaintF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.D2026-02-09
2026-01-28Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2026-02-09
2026-01-28Health · complaintF0760Ensure that residents are free from significant medication errors.G2026-02-09
2026-01-28Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2026-02-09
2025-12-17Health · complaintF0585Honor 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.D2026-01-16
2025-12-17Health · complaintF0610Respond appropriately to all alleged violations.D2026-01-16
2025-12-17Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2026-01-16
2025-12-17Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2026-01-16
2025-12-17Health · complaintF0850Hire a qualified full-time social worker in a facility with more than 120 beds.E2026-01-16
2025-03-28Health · complaintF0610Respond appropriately to all alleged violations.D2025-04-14
2025-03-28Health · complaintF0645PASARR screening for Mental disorders or Intellectual DisabilitiesD2025-04-14
2025-03-28Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2025-04-14
2025-01-24HealthF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D2025-02-21
2025-01-24HealthF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.D2025-02-21
2025-01-24HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2025-02-21
2025-01-24HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-02-21
2025-01-24HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J2025-02-21
2025-01-24HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2025-02-21
2025-01-24HealthF0730Observe each nurse aide's job performance and give regular training.E2025-02-21
2025-01-24HealthF0758Implement 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.D2025-02-21
2025-01-24HealthF0759Ensure medication error rates are not 5 percent or greater.E2025-02-21
2025-01-24HealthF0760Ensure that residents are free from significant medication errors.D2025-02-21
2025-01-24HealthF0761Ensure 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.D2025-02-21
2025-01-24HealthF0880Provide and implement an infection prevention and control program.D2025-02-21
2024-12-30Health · complaintF0791Provide or obtain dental services for each resident.D2025-01-13
2024-09-05Health · complaintF0584Honor 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.E2024-10-04
2024-09-05Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2024-10-04
2024-08-12Health · complaintF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.D2024-09-03
2024-06-20Health · complaintF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.E2024-07-15
2024-06-20Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G2024-07-25
2024-06-20Health · complaintF0758Implement 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.D2024-07-15
2024-04-17Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2024-05-06
2024-04-17Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2024-05-06
2024-03-08HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2024-04-18
2024-03-08HealthF0558Reasonably accommodate the needs and preferences of each resident.D2024-04-18
2024-03-08HealthF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D2024-04-18
2024-03-08HealthF0610Respond appropriately to all alleged violations.D2024-04-18
2024-03-08HealthF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D2024-04-18
2024-03-08HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.D2024-04-18
2024-03-08HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E2024-04-18
2024-03-08HealthF0692Provide enough food/fluids to maintain a resident's health.G2024-04-18
2024-03-08HealthF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.D2024-04-18
2024-03-08Health · complaintF0730Observe each nurse aide's job performance and give regular training.E2024-04-18
2024-03-08HealthF0758Implement 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.D2024-04-18
2024-03-08HealthF0761Ensure 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.E2024-04-18
2024-03-08HealthF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2024-04-18
2024-03-08Health · complaintF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.F2024-04-18
2024-03-08HealthF0880Provide and implement an infection prevention and control program.D2024-04-18
2024-03-08HealthF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F2024-04-18
2024-03-08Health · complaintF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.E2024-04-18
2023-12-21Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G2024-01-19
2023-12-21Health · complaintF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.E2024-01-19
2023-12-21Health · complaintF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D2024-01-19
2023-12-21Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G2024-01-19
2023-12-21Health · complaintF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E2024-01-19
2023-12-21Health · complaintF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.F2024-01-19
2023-12-21Health · complaintF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2024-01-19
2023-12-21Health · complaintF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.F2024-01-19
2023-12-21Health · complaintF0880Provide and implement an infection prevention and control program.E2024-01-19
2023-11-13Health · complaintF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2023-12-21
2023-11-13Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2023-12-21
2023-10-30Health · complaintF0610Respond appropriately to all alleged violations.D2023-12-07
2023-10-30Health · complaintF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D2023-12-07
2023-10-30Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2023-12-07
2023-09-19Health · complaintF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E2023-10-13
2023-09-19Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2023-10-13
2023-06-09HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2023-07-26
2023-06-09HealthF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D2023-07-26
2023-06-09HealthF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D2023-07-26
2023-06-09HealthF0584Honor 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.E2023-07-26
2023-06-09HealthF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D2023-07-26
2023-06-09HealthF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.D2023-07-26
2023-06-09HealthF0645PASARR screening for Mental disorders or Intellectual DisabilitiesD2023-07-26
2023-06-09HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E2023-07-26
2023-06-09HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2023-07-26
2023-06-09HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2023-07-26
2023-06-09HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G2023-07-26
2023-06-09HealthF0688Provide 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.D2023-07-26
2023-06-09HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D2023-07-26
2023-06-09HealthF0692Provide enough food/fluids to maintain a resident's health.G2023-07-26
2023-06-09HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2023-07-26
2023-06-09HealthF0732Post nurse staffing information every day.B2023-07-26
2023-06-09HealthF0761Ensure 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.D2023-07-26
2023-06-09HealthF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.D2023-07-26
2023-06-09HealthF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.D2023-07-26
2023-06-09HealthF0837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.F2023-07-26
2023-06-09HealthF0880Provide and implement an infection prevention and control program.D2023-07-26
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

29
OwnerRolePctFromStatusSource
CH PACIFIC NORTHWEST HOLDINGS LLCADP OF THE SNF—2023-08-31currentpecos_ownership
CHUA, WINNIEADP OF THE SNF—2023-08-31currentpecos_ownership
COUVE FINANCIAL SERVICES LLCADP OF THE SNF—2025-04-30currentpecos_ownership
COUVE FINANCIAL SERVICES LLCOPERATIONAL/MANAGERIAL CONTROL—2023-08-31currentpecos_ownership
COUVE HEALTHCARE CONSULTING LLCOPERATIONAL/MANAGERIAL CONTROL—2023-08-31currentpecos_ownership
COUVE HEALTHCARE CONSULTING LLCADP OF THE SNF—2025-04-30currentpecos_ownership
GILTNER, KODYOPERATIONAL/MANAGERIAL CONTROL—2023-08-31currentpecos_ownership
HERZKA, YISROELADP OF THE SNF—2023-08-31currentpecos_ownership
JOHNSON, ALLENADP OF THE SNF—2023-08-31currentpecos_ownership
ODENTHAL, JASONADP OF THE SNF—2023-08-31currentpecos_ownership
PACIFIC NORTHWEST OPCO MANAGEMENT LLCOPERATIONAL/MANAGERIAL CONTROL—2023-08-31currentpecos_ownership
PACIFIC NORTHWEST OPCO MANAGEMENT LLCADP OF THE SNF—2025-04-30currentpecos_ownership
PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (WA) LLCDIRECT OWNERSHIP INTEREST—2023-08-31currentpecos_ownership
PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS LLCINDIRECT OWNERSHIP INTEREST—2023-08-31currentpecos_ownership
SERVOSS, KYLEADP OF THE SNF—2023-08-31currentpecos_ownership
SPIELMAN, SHIMONADP OF THE SNF—2023-08-31currentpecos_ownership
WASHINGTON SNF CONSULTING LLCOPERATIONAL/MANAGERIAL CONTROL—2023-08-31currentpecos_ownership
WASHINGTON SNF CONSULTING LLCADP OF THE SNF—2025-04-30currentpecos_ownership
WITZCORP GLOBAL LLCINDIRECT OWNERSHIP INTEREST—2023-08-31currentpecos_ownership
YENOWITZ, YITZCHOKADP OF THE SNF—2023-08-31currentpecos_ownership
YISROEL HERZKAINDIRECT OWNERSHIP INTEREST67%2023-08-31ended 2026-05-18pecos_ownership
YITZCHOK YENOWITZINDIRECT OWNERSHIP INTEREST25%2023-08-31ended 2026-05-18pecos_ownership
ALLEN JOHNSONOPERATIONAL/MANAGERIAL CONTROL—2023-08-31ended 2026-05-18pecos_ownership
HAROLD PERLMANOPERATIONAL/MANAGERIAL CONTROL—2025-03-03ended 2026-04-01pecos_ownership
JASON ODENTHALOPERATIONAL/MANAGERIAL CONTROL—2023-08-31ended 2026-05-18pecos_ownership
KODY GILTNEROPERATIONAL/MANAGERIAL CONTROL—2023-08-31ended 2026-05-18pecos_ownership
KYLE SERVOSSOPERATIONAL/MANAGERIAL CONTROL—2023-08-31ended 2026-05-18pecos_ownership
SHIMON SPIELMANADP OF THE SNF—2023-08-31ended 2026-05-18pecos_ownership
WINNIE CHUAMANAGING CONTROL - GOVERNING BODY—2023-08-31ended 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
2023-08-31—NORTH CASCADES SNF OPERATIONS, LLCEVERGREEN AT BELLINGHAM, L.L.C.chow

Comparable trades — WA snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-06-01Bremerton Trails Post Acute———125RINCON BEACH, LLC
2025-06-01Othello Post Acute———39DOHENY BEACH, LLC
2025-06-01Edmonds Post Acute———128SALT CREEK BEACH, LLC
2025-05-21AURORA VALLEY CARE———124AURORA VALLEY CARE LLC
2025-05-21THREE RIVERS CARE———83THREE RIVERS CARE LLC
2025-05-21FIR LANE CARE———135FIR LANE CARE LLC
2025-05-21SPOKANE FALLS CARE———100SPOKANE FALLS CARE LLC
2025-05-01MARIANWOOD HEALTH AND REHABILITATION———117LUNA VEGA HEALTHCARE LLC
2025-04-01WOODARD CREEK HEALTH & REHABILITATION———152WOODARD SNF OPERATIONS LLC
2025-03-12Avalon Healthcare - Tacoma———81AVALON HEALTHCARE-TACOMA LLC
2025-03-01SOUTH HILL REHABILITATION AND CARE CENTER———113LAST EMPIRE HEALTHCARE LLC
2024-08-01PINE RIDGE POST ACUTE———80PINE 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 53073acs median gross0$1,1882024-12-31CENSUS_ACS5
county 53073fmr0$1,4632025-10-01HUD_USER_FMR
county 53073acs median gross1$1,2962024-12-31CENSUS_ACS5
county 53073fmr1$1,4932025-10-01HUD_USER_FMR
county 53073acs median gross2$1,6142024-12-31CENSUS_ACS5
county 53073fmr2$1,7942025-10-01HUD_USER_FMR
county 53073acs median gross3$1,9792024-12-31CENSUS_ACS5
county 53073fmr3$2,4952025-10-01HUD_USER_FMR
county 53073acs median gross4$2,0522024-12-31CENSUS_ACS5
county 53073fmr4$3,0102025-10-01HUD_USER_FMR
county 53073acs median gross5$2,7992024-12-31CENSUS_ACS5
county 53073acs median gross$1,5552024-12-31CENSUS_ACS5
county 53073acs recent mover gross$1,7022024-12-31CENSUS_ACS5
zcta 98226acs median gross0$1,3472024-12-31CENSUS_ACS5
zcta 98226acs median gross1$1,4362024-12-31CENSUS_ACS5
zcta 98226acs median gross2$1,6392024-12-31CENSUS_ACS5
zcta 98226acs median gross3$2,0202024-12-31CENSUS_ACS5
zcta 98226acs median gross4$2,6102024-12-31CENSUS_ACS5
zcta 98226acs median gross5$2,9462024-12-31CENSUS_ACS5
zcta 98226acs median gross$1,6202024-12-31CENSUS_ACS5
zcta 98226acs recent mover gross$1,6452024-12-31CENSUS_ACS5
zip 98226payment standard 1100$1,5732025-10-01HUD_USER_SAFMR
zip 98226payment standard 900$1,2872025-10-01HUD_USER_SAFMR
zip 98226safmr0$1,4302025-10-01HUD_USER_SAFMR
zip 98226payment standard 1101$1,6062025-10-01HUD_USER_SAFMR
zip 98226payment standard 901$1,3142025-10-01HUD_USER_SAFMR
zip 98226safmr1$1,4602025-10-01HUD_USER_SAFMR
zip 98226payment standard 1102$1,9362025-10-01HUD_USER_SAFMR
zip 98226payment standard 902$1,5842025-10-01HUD_USER_SAFMR
zip 98226safmr2$1,7602025-10-01HUD_USER_SAFMR
zip 98226payment standard 1103$2,6952025-10-01HUD_USER_SAFMR
zip 98226payment standard 903$2,2052025-10-01HUD_USER_SAFMR
zip 98226safmr3$2,4502025-10-01HUD_USER_SAFMR
zip 98226payment standard 1104$3,2452025-10-01HUD_USER_SAFMR
zip 98226payment standard 904$2,6552025-10-01HUD_USER_SAFMR
zip 98226safmr4$2,9502025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.
CII Terminal tearsheet · North Cascades Health and Rehabilitation (505393) · generated 2026-08-04 · every number derives from public records (CMS Care Compare, PBJ, POS, penalty and survey files, state licensure registers) · scores are published model outputs with holdout metrics disclosed at cii-terminal.vercel.app/transparency