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 23:28 UTC
Screener / 505379
D

Royal Park Health and Rehabilitation

snfWA
7411 NORTH NEVADA, SPOKANE, WA 99208 · CCN 505379 · chain COUVE FINANCIAL SERVICES LLC
Composite
87.4 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
164
Model
v1.2
Reads as: riskier than 87.4% 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 radar1Staffing16Penalties4Deficiencies55Licensure0Ownership31Related party6Transactions1Comps12Market rent36

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk94.091.90.300.230821.69in index
financial risk67.657.50.300.230815.60in index
billing conduct46.738.10.300.230810.78in index
staffing risk50.650.70.250.19239.73in index
chow risk60.358.90.150.11546.96in 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 spans multiple chains8 chainsHERZKA YISROEL70 facilities
connectionOwner fleet enforcement cluster50% finedCURRY DANIELLE12 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 conduct38.1Bv0.1-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 risk92.8Fv0.6default · in composite
financial risk57.5Cv0.5default · in compositeR18.
p adverse action 12m0.1—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 12m0.0—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 risk91.9Fv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk50.7Cv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk72.0Dv0.1supersededPre-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 risk52.0Cv0.2supersededPre-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 risk50.2Cv0.3supersededPre-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 risk61.6Cv0.4supersededPre-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 risk91.9Fv0.1supersededPre-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 risk91.9Fv0.2supersededPre-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 risk50.7Cv0.1supersededPre-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 risk50.7Cv0.2supersededPre-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
12.1
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
Occupancy0.63+0.20
Deficiencies, last 12 months1.00-0.15
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)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
41.8
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Deficiencies, last 12 months1.00+1.24
Chain size (log)3.71-0.96
For-profit ownership1.00-0.69
Occupancy0.63+0.51
No PBJ staffing report0.00+0.39
Never sold on record0.00-0.28
Current owner tenure (years)2.91-0.25
Ownership changes, last 5 years1.00+0.23
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 nurse3.273.703.282.90–3.77
RN0.490.620.390.25–0.58
Weekend total3.133.513.11—
Weekday total3.333.793.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q492103.03.270.490.592.193.130.0%
2025Q392105.33.270.420.672.173.082.1%
2025Q291105.03.340.400.642.303.1010.4%
2025Q190104.93.350.350.772.233.1411.1%
2024Q492103.13.240.220.812.212.882.6%
2024Q392110.83.240.200.872.172.823.4%
2024Q291104.43.290.200.912.172.807.8%
2024Q191103.42.850.200.971.672.5211.3%
2023Q492106.92.690.250.851.582.316.6%
2023Q39299.42.680.340.741.592.449.0%
2023Q29199.42.820.500.551.772.435.8%
2023Q19094.02.760.470.581.722.512.4%
2022Q49294.03.090.420.672.002.656.2%
2022Q39289.63.250.400.692.162.6911.2%
2022Q291101.84.010.491.202.333.4538.1%
2022Q19096.93.540.520.952.083.1019.4%
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

4
fines by year
$63k$31.5k2425
DateTypeFineSource
2025-06-09Fine$22,315CMS provider data
2025-04-14Fine$34,356CMS provider data
2024-08-02Fine$54,145CMS provider data
2024-01-26Fine$8,824CMS provider data
Total fines on record: $119,640

Deficiencies

55
D × 31E × 13F × 4G × 7
deficiencies by survey year
291522232425
SurveyTypeTagDeficiencyScopeCorrected
2025-09-09Health · complaintF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D2025-09-23
2025-07-16Health · complaintF0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.G2025-07-16
2025-06-09Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2025-06-26
2025-04-14Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2025-04-25
2025-04-14Health · complaintF0697Provide safe, appropriate pain management for a resident who requires such services.G2025-04-25
2025-01-17HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2025-02-19
2025-01-17HealthF0554Allow residents to self-administer drugs if determined clinically appropriate.D2025-02-19
2025-01-17HealthF0584Honor 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.D2025-02-19
2025-01-17HealthF0585Honor 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.E2025-02-19
2025-01-17Health · complaintF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.E2025-02-19
2025-01-17HealthF0625Notify 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.D2025-02-19
2025-01-17HealthF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D2025-02-25
2025-01-17HealthF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2025-02-25
2025-01-17HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E2025-02-25
2025-01-17HealthF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D2025-02-25
2025-01-17HealthF0692Provide enough food/fluids to maintain a resident's health.E2025-02-25
2025-01-17HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2025-02-25
2025-01-17HealthF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F2025-02-25
2025-01-17HealthF0730Observe each nurse aide's job performance and give regular training.E2025-02-25
2025-01-17HealthF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D2025-02-25
2025-01-17HealthF0760Ensure that residents are free from significant medication errors.D2025-02-25
2025-01-17HealthF0761Ensure 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.D2025-02-19
2025-01-17HealthF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.D2025-02-12
2025-01-17HealthF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E2025-02-25
2025-01-17HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F2025-02-25
2025-01-17Health · complaintF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D2025-02-25
2025-01-17HealthF0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.D2025-02-19
2025-01-17Health · complaintF0880Provide and implement an infection prevention and control program.E2025-02-25
2025-01-17Health · complaintF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.F2025-02-25
2024-11-13Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G2024-11-29
2024-08-02Health · complaintF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G2024-09-09
2024-08-02Health · complaintF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2024-09-09
2024-08-02Health · complaintF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2024-09-09
2024-05-13Health · complaintF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D2024-06-04
2024-05-13Health · complaintF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D2024-06-04
2024-05-13Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-06-04
2024-03-07Health · complaintF0552Ensure that residents are fully informed and understand their health status, care and treatments.D2024-03-21
2024-03-07Health · complaintF0760Ensure that residents are free from significant medication errors.D2024-03-21
2024-01-26Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.E2024-02-15
2024-01-26Health · complaintF0697Provide safe, appropriate pain management for a resident who requires such services.G2024-02-15
2024-01-26Health · complaintF0880Provide and implement an infection prevention and control program.E2024-02-15
2023-10-04HealthF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E2023-10-30
2023-10-04Health · complaintF0610Respond appropriately to all alleged violations.D2023-10-30
2023-10-04HealthF0658Ensure services provided by the nursing facility meet professional standards of quality.E2023-10-30
2023-10-04HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2023-10-30
2023-10-04HealthF0695Provide safe and appropriate respiratory care for a resident when needed.D2023-10-30
2023-10-04HealthF0760Ensure that residents are free from significant medication errors.E2023-10-30
2023-10-04HealthF0880Provide and implement an infection prevention and control program.F2023-10-30
2023-10-04HealthF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D2023-10-30
2022-05-06HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2022-05-31
2022-05-06HealthF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E2022-05-31
2022-05-06HealthF0679Provide activities to meet all resident's needs.D2022-05-31
2022-05-06HealthF0685Assist a resident in gaining access to vision and hearing services.D2022-05-31
2022-05-06HealthF0761Ensure 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.D2022-05-31
2022-05-06HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D2022-05-31
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
BISHOP, LEIGHADP OF THE SNF—2023-08-31currentpecos_ownership
CH PNW 12 HOLDINGS LLCINDIRECT OWNERSHIP INTEREST—2023-08-31currentpecos_ownership
COUVE FINANCIAL SERVICES LLCADP OF THE SNF—2025-05-01currentpecos_ownership
COUVE FINANCIAL SERVICES LLCOPERATIONAL/MANAGERIAL CONTROL—2023-08-31currentpecos_ownership
COUVE HEALTHCARE CONSULTING LLCADP OF THE SNF—2025-05-01currentpecos_ownership
COUVE HEALTHCARE CONSULTING LLCOPERATIONAL/MANAGERIAL CONTROL—2023-08-31currentpecos_ownership
CURRY, DANIELLEOPERATIONAL/MANAGERIAL CONTROL—2023-08-31currentpecos_ownership
HARRISON, MICAELAADP OF THE SNF—2023-08-31currentpecos_ownership
HERZKA, YISROELINDIRECT OWNERSHIP INTEREST—2023-08-31currentpecos_ownership
MCGAUGHEY, MEAGANOPERATIONAL/MANAGERIAL CONTROL—2023-08-31currentpecos_ownership
ODENTHAL, JASONADP OF THE SNF—2023-08-31currentpecos_ownership
PACIFIC NORTHWEST 12 LEASED OPERATIONS HOLDINGS LLCDIRECT OWNERSHIP INTEREST—2023-08-31currentpecos_ownership
PNW 12 OPCO MANAGEMENT LLCOPERATIONAL/MANAGERIAL CONTROL—2023-08-31currentpecos_ownership
PNW 12 OPCO MANAGEMENT LLCADP OF THE SNF—2025-05-01currentpecos_ownership
PNW 12 SNF CONSULTING LLCADP OF THE SNF—2025-05-01currentpecos_ownership
PNW 12 SNF CONSULTING LLCOPERATIONAL/MANAGERIAL CONTROL—2023-08-31currentpecos_ownership
ROYAL PARK HEALTH SNF OPERATIONS LLCOPERATIONAL/MANAGERIAL CONTROL—2023-08-31currentpecos_ownership
ROYAL PARK HEALTH SNF OPERATIONS LLCADP OF THE SNF—2025-07-07currentpecos_ownership
SPIELMAN, SHIMONADP OF THE SNF—2023-08-31currentpecos_ownership
WASHINGTON IDAHO PROPERTY, L.L.C.5% OR GREATER SECURITY INTEREST—2023-08-31currentpecos_ownership
WASHINGTON IDAHO PROPERTY, L.L.C.ADP OF THE SNF—2025-06-17currentpecos_ownership
WITZCORP PNW 12 LLCINDIRECT OWNERSHIP INTEREST—2023-08-31currentpecos_ownership
YENOWITZ, YITZCHOKADP OF THE SNF—2023-08-31currentpecos_ownership
YITZCHOK YENOWITZOPERATIONAL/MANAGERIAL CONTROL100%2023-08-31ended 2026-05-18pecos_ownership
YISROEL HERZKAINDIRECT OWNERSHIP INTEREST67%2023-08-31ended 2026-05-18pecos_ownership
DANIELLE CURRYOPERATIONAL/MANAGERIAL CONTROL—2023-08-31ended 2026-05-18pecos_ownership
JASON ODENTHALADP OF THE SNF—2023-08-31ended 2026-05-18pecos_ownership
LEIGH BISHOPADP OF THE SNF—2023-08-31ended 2026-05-18pecos_ownership
MEAGAN MCGAUGHEYOPERATIONAL/MANAGERIAL CONTROL—2023-08-31ended 2026-05-18pecos_ownership
MICAELA HARRISONOPERATIONAL/MANAGERIAL CONTROL—2023-08-31ended 2026-05-18pecos_ownership
SHIMON SPIELMANOPERATIONAL/MANAGERIAL CONTROL—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—ROYAL PARK HEALTH SNF OPERATIONS LLCSPOKANE ROYAL PARK CARE LLCchow

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 53063acs median gross0$1,0492024-12-31CENSUS_ACS5
county 53063fmr0$1,1032025-10-01HUD_USER_FMR
county 53063acs median gross1$1,0192024-12-31CENSUS_ACS5
county 53063fmr1$1,1932025-10-01HUD_USER_FMR
county 53063acs median gross2$1,2992024-12-31CENSUS_ACS5
county 53063fmr2$1,5312025-10-01HUD_USER_FMR
county 53063acs median gross3$1,5932024-12-31CENSUS_ACS5
county 53063fmr3$2,0882025-10-01HUD_USER_FMR
county 53063acs median gross4$1,9632024-12-31CENSUS_ACS5
county 53063fmr4$2,5062025-10-01HUD_USER_FMR
county 53063acs median gross5$1,6732024-12-31CENSUS_ACS5
county 53063acs median gross$1,2832024-12-31CENSUS_ACS5
county 53063acs recent mover gross$1,5292024-12-31CENSUS_ACS5
zcta 99208acs median gross0$1,1272024-12-31CENSUS_ACS5
zcta 99208acs median gross1$9972024-12-31CENSUS_ACS5
zcta 99208acs median gross2$1,3942024-12-31CENSUS_ACS5
zcta 99208acs median gross3$1,8492024-12-31CENSUS_ACS5
zcta 99208acs median gross4$2,3932024-12-31CENSUS_ACS5
zcta 99208acs median gross5$2,3752024-12-31CENSUS_ACS5
zcta 99208acs median gross$1,3212024-12-31CENSUS_ACS5
zcta 99208acs recent mover gross$1,6522024-12-31CENSUS_ACS5
zip 99208payment standard 1100$1,2432025-10-01HUD_USER_SAFMR
zip 99208payment standard 900$1,0172025-10-01HUD_USER_SAFMR
zip 99208safmr0$1,1302025-10-01HUD_USER_SAFMR
zip 99208payment standard 1101$1,3422025-10-01HUD_USER_SAFMR
zip 99208payment standard 901$1,0982025-10-01HUD_USER_SAFMR
zip 99208safmr1$1,2202025-10-01HUD_USER_SAFMR
zip 99208payment standard 1102$1,7272025-10-01HUD_USER_SAFMR
zip 99208payment standard 902$1,4132025-10-01HUD_USER_SAFMR
zip 99208safmr2$1,5702025-10-01HUD_USER_SAFMR
zip 99208payment standard 1103$2,3542025-10-01HUD_USER_SAFMR
zip 99208payment standard 903$1,9262025-10-01HUD_USER_SAFMR
zip 99208safmr3$2,1402025-10-01HUD_USER_SAFMR
zip 99208payment standard 1104$2,8272025-10-01HUD_USER_SAFMR
zip 99208payment standard 904$2,3132025-10-01HUD_USER_SAFMR
zip 99208safmr4$2,5702025-10-01HUD_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 · Royal Park Health and Rehabilitation (505379) · 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